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10325 SW CENTURY OAR DR
CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2001-00246
13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 7/3/01
PARCEL: 25111 CC-01900
SITE ADDRESS: 10325 SW C[:NTUR`, OAK DR
SUBDIVISION: SUMMERFIELD ZONING: R-7
BLOCK: LOT: 016 JURISDICTION: TIG
CLASS OF WORK: AL1 FLOOR FURN: EVAP COOLERS:
rYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -'0 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 -50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP. CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS.
FURN >=100K BTU: <= 10000 cfm- GAS OUTLETS:
> 10000 cfm:
Remarks: Installation of exterior A/C unit. Unit cannot be planed within the required setbacks.
Owner: _ FEES
HOWARD, RICHARD E AND Type By Date Amount Receipt
ARLENE M PRMT CTR 7/3/01 $72.50 272001000C
10325 SW CENTURY OAK DR 5PCT CTR 7/3/01 $1.80 272001000C
TIGARD, OR 97224 — —
Total $78.30
Phone:
Contractor:
SPECIALTY HEAPING & COOLING
9528 SW TIGARD ST
11GARD, O(-R 97223 _ REQUIRED INSPECTIONS
Mechanical Insp
Phone:620-'i643 Final Inspection
Reg#:LIC 66578
1
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other appl;cable laws. All work will be done in accordance wi,h approved
plans. This permit will expire if work is not started within 180 days of issuance, or if w01 K �s suspended
for more than 180 days. ATTENTIOtl: Oregon law requires you to follow rules adopted in :he Oregon.
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You may obtain �epies of these rules or direct questions to OUNC by calling (503)246-9'189.
Issue By: .. ' �f�'" %� a� Pc;raittee Signature:
CPII (503) 639-4175 by 7:00 P.M. for Inspectior.s needed Wo next hdsiness day
Mechanicai Permit Application
IDatereceivcd:::: ?�? r] Pe!Ftno,.:�#Cr.c /-002y
City of Tigard Project/appl.no.: Expiicdate:
CityojTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: a Receipt no.:
Phone: (503) 639-4171
Fax• (503) 598-1960 Case file no.: Payment type:
Land use approval: _ Building permit no.:
TYPE OF PERMIT
i&2 family dwelling or accessory 0 Comm'ercial/industrial U Multi-family 0 Tenant improvement
0 New construction A Addition/alteration/replacement U Other:
.10981TEINFORMATION CONINIElle][AL VALilATION SCHEDULE
Job address: -' ('f r d L ( t r Indicate equipment quantities in boxes below. Indicate the dollar
- _-
Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead,
Tax mapAax lot/account no.: __. profit.Value$
Lot: Block: Subdivision: 'See checklist for important application information and
Project name: 1W I jurisdiction's fee schedule for residential permit fee.
City/county: 4r - 4 s ZIP: r
Description and location of work on premises: �4 G- "DeKliptiOn
1111L.1
t t
Fee(ea.) 7'utal
Est.date of completion/insp.:ction: "y. Res.only Res.only
Tenant improvement or change of use: Air handling unit CFM _
Is existing space heated or conditioned?O Yes O No it conditioning(site plan requi )
Is existing space insulated?O Yes U No Alteration of existing system _
Boiler/compressors
Business name State boiler permit no.:
HP Tons BTUIH
Address: 6LJ / t a•1 -91 _ Fire/smoke amper duct smo a detectors
City: t Car)01 _ I State:0,id ZIP:9 7a VL.3 Heat pump(site plan require ) _
Phone 4,0V6kq Fax$qJ' 7�/ E-mail: Install/replace unac umer__
Including
ductwork/vent liner 0 Yes 0 No
CCB no.: T nsta rep ac reocate eaters-suspen e ,
City/metro lic.no.: / wall,or floor mounted
Name(please print): Vent for u tante other than furnace
c gera on:
Absorption units BTU/H
Name: ,T-P t_&? rf new 4� Chillers � HP _^
Address: , �- r 5W / / ,,� T Compressors HP
nr ronnrenta st a
ex un ventilation:
City: T r,/ Sute:(� ZIP: 0 ��� Appliancevent
Phone- 3 6.2o- Fax:59r-Cq1 ' E-mail: Dryerextf aust --
0o s, ype res.kitcheRfinzmat
hood fire suppression system
Name: ICK cettl rLExhaust fan with single duct(bath fans)
Mail in address: 0 Ceh An v V7 Exhaust s stem apart from heating or
City://eya,I State:0,0 ZIP: C( 7 Fuel piping an t ut on(up to 4 outlets)
Type: LPG NG Oil _
Phone:b$ Or� I :re I nail ue'piping achadditional overoutets
rotes piping(schematic required) _
7Naine: Number of,utlets
— ter listedapp ante ut equipment:
_ _ Decorative fireplace _
�— _ State: ZIP: — — nsert-t e
Phone: Fax E-mail: ou stov pe et stove
• O cr
Applicant's si naurr. � LviDate: J d � I :
ter:
Name (prinq:� / 4LtPN triytilt�
Not all jurisdictions accept credit cards,please call Jurisdiction for more inform- in. Permit fee.....................
O visa iJ MasterCard Notice:This permit application Minimum fee................$
Credit card number . / / expires if a permit is not obtained Plan review(at , %) $
-�—spires within 180 days afles it has been State surcharge(8%) ....$ _
Name of,.ardholder u shown on credit cad accepted as complete.
$ TOTAL .......................$ , 3
Cardholder siSnanue Amount 414.4617(ISMCOM)
Commercial Schedule 1&2 Family Dwelling Schedule
ASSUMED VALUATIONS PER APPLIANCE Description
Pomace to 100,000 BTU Table 1A Mechanical Code Oty Prior Total
1) Furnace to 100,000 BTU
including ducts&vents 955 Including duus 6 vents 14.00
2) Fumace 100,000 BTU+
Furnace> 100,000 BTU including duds 6 vents 17.40
including ducts&vents 1,170 3) Floor Fumaee
tndudin vent 14,00
floor furnace or
Suspended healer,wall Neale
or floor mounted heater _ 14.00
including vent 955
5 vent not included in a Dance oarmd 660
suspended heater,wall heater
955 6 Repau,nes 12.15
or floor mounted heater Checkall that apply 'Boile( Heat Au
Vent not included in appliance pennit 445 For Items 7.10,sea or Pump cone Oty Price Total
loolnoles Comp '
Repair units 605 7)<3HP;absorb unci to
100K BTU 14.00
<3 hp;absorb unit e)3-15 HP,.W,d b .it
to 100k BTU 955 1001,to 5001,BTU _ x5.80
91 15-10 HP,absorb
3-15 hp;absorb.unil unci5.1 mil BTU 35A0
101 k to 500k BTU 1700 10)10.50 HP,absorb
unit 1 1 75 mil BTU 52.20
15-30 hp;absorb.unit 11)>S0PP,absorb unit 1175 mil Tu
87.20
501 k to 1 mil.BTU 2310 12)Air handling unit to 10,000 CFM
10.00
30-50 hp;absorb.u'.'t 13)Air handling unit 10,000 CFM+
3400 17.20
1-1.75 inil. BTU 14)Non poh.bk ev.Persia cooler
10.00
>50 hp;absorb.unit
15)vent fan
> 1.7 5 mil.BTU _
5725 connected to a single duct 8.80
Air handling unit to 10,000 cfm 656 1e) tap Ven11,anu system
not included m 1000
Air handling unit> 10,000 efm 1170 17)Hood served by mechanical exhaust 1000
Non-portable evaporate ooller 656 tit)Uomesl c Incineralon
1740
vent fan connected to a single duct 446 19)Commercial or industrial type Incinerator
e9.95
Vent s sl.not included In appliance permit 656 20)Other unK5,Including wood stoves
Head served by mechanical exhaust 656 t000
Domestic Incinerator 1170 21)tlas piping one to lour outlets 1000
Commercial or industral Incinerator 4590 :2)More Ihan 4 per outbl(each) 100
Other unit,including wood stoves,inserts,etc. 656 Minimum PeMn Fee{72.50 SUBTOTAL
360 ex SURCHARGE
Gas piping 14 outlets PUH ttElnEw 2554 or sueroTAl
Each additional outlet 63 Required for ALL commerclat permits only
TOTAL
Other Inspections and refs:
1 Napecicns outsell or normal b.%,"ss harts ImnNrhum dharge!-two 4wrs)
$72 tap per Mur
2 Mspectlons 1d which ra l0e h spnohrallf vWcated(—rhum charge Iola lawn
512 Su pe^Mur
C 7 Addsww plan review t"wed by changes edddans Or revivahs la puns
i0L_ Im,n,nhum
Total VBluat –__ rite _� _— hllargep -hall howl 17250 ver hour
'slate controller abler ce"j!"hon hMuretl 1 of un,�
S 100 to 15,000.00
�—-- - --- _. Minimum$72.SU —� "Residenbal IVC revwes site pan sh—,g 0114 ,m
55,001.00 to 110,000.00 S72.50 for the first$5,000.00 and S 1.52 for
each additional$100.00 or fraction thereof,
to and including$10,000.00
S10,001.0o to S25,000.00 $148.50 for the first S10,000.00 as,d V.5d
for each additional S 100.00 or fraction
thereof,to and including 525,000.00
525,001.00 to 550,000.00 ^� S379.50 for the first S25,000.00 and S 1.45
for each additional$100.00 or fraction
thereof,to and including 550,000.00
$50,000.00 and up 5742.00 for the first$50,000.00 and$1 20
for er.ch additional$100.00 or fraction
thereof _ _
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 –�------�^
BIUP
_ _._Date Requested___2 -i_____ AM-----PM —___--- BLD --
Location—.1 3 L —.�.• C fru�.- y.�__- Suite _—_. MEC
Contact Person _ _�____-____ Ph _G 7 57 j _ PLM
ContractorPh _ ----- --- SWR ------- ----
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access: FPS
Fnundation --
Ftg Drain _ — SIGN
Crawl Drain Inspection Notes: - -- _- --
Slab -- - - ---- SIT
Post&Beam
Ext Sheath/Shear ----
Int Sheath/Shear
Framing
Insulation
Drywall Nailing `u --
Firewall
Fire Sprinkler ----
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
_PASS PART FAIL --
PLUMBING
Post& Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PART FAIL
ME --
Cf
Post& Beam ---- ----- - -
Rough In
Gas Line ----
Sm�e Dampers
rn
PART FAIL
ELEr-TRIC AL
Servic - ----- - -- - -- __- --
Rough In _--- -
UG/Slob ---- -- ------ -
Low Voitage
Fire Alarm - ------ -_ - -- --- ----..._
Final
PASS PART FAIL —_-.- -- --SITE _
BackfilVGradrng
SanitP:y Sewer
Stam Drain [ ]Reinspection fee of$__ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin Unable to inspect-no access
Fire Supply Linr. [ J Please call for reinspection RE:— [ J P
ADA
Approach/SidewalkIns eCtOr Ext
Other Date 7 p _.
Final
PASS PART FAIL 00 NOT REMOVE this inspection recon from the job site.