13874 SW CRIST COURT r
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13874 SW Crist Court
CITYOF ������ MECHANICAL PERMIT
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DEVELOPMENT SERVICES PERMIT#: MEC200200378
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 69.4171 DATE ISSUED: 8/28/02
PARCEL: 2S104BA-02500
SITE:ADDRESS: 13874 SIN CRIST CT
SUBDIVISION: COTSWALD MEADOWS NC.3 ZONING: R--25
BLOCK: LOT: 106 JURISDICTION: TIG
CLASS OF WORK: OTR' FLOOR FIJRN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BO_I_LER_S_/COMPRESGr-:S1-1001;C.
_ FUEL TYPES 0 - 3 HP: ^ 1 DOMES. INCIN:
Y~ 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTO\/ES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: _ AIR HANDLING UNITS OTHER UNITS:
FURN >=1001( BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Romarks: li istallation of new a/c unit.
Owner: — -. _--- ---- FEES
KRISTENE NGUYEN Type By Date Amount Recer,-)t
13874 SW CRIST CT PRMT CTR 8/28/02 $72.50 2720020000
TIGARD, OR 97223 5PCT CTR 3/28/02 $5 80 2720020(OC
Tc)tal— $78.30
Phone:503-524-4392
— -- — _�.—..-•_-----
Contractor:
TRI-TECH HEATING
6603 NF 137TH AVE
VANCOUVER, WA 98682 REQUIRED INSPECTIONS
Cooling Unt Insp
Phone:360-891-2002. Final Inspection
Reg#:LIC 101873
This permit is iss,led subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in a--cordance with approved
plans. l•his permit will expire if work is not started within 180 days of issuance, or if work i i Suspended
for more than 180 days. ATTENTION: Oregon law requires YOU to follow rules adopted in the Oregon
Utility Notificat�on Center. -those rules are set forth in OAR 952-001-0010 through OAR
952-001-PITM. .You may obtain copies of these rules or direct questions to OUNC by calling
Issue Ely: f L Qr_ Permitree Signature:
\_
Call (503) 639-4175 by 7:00 P fd. for inspections needed the next business day
Mechanical Peru Application
--� - s "Datemeceived:: Permit no.:ILZeAeq, -v37r
City of Tigard NrojecUappl.no.: Ex ire date:
CftyojTtgor,4 Address: 13125 SW Hall Blvd,Tigard,OR 972 - --
Phone: (503) 639-4171 Date issued: _ •y:R > Receipt no.:
Fax: (503) 598-1960 'q� / Case file no.. Payment type:
Land use approval: 14 l // building permit no.:
=New
ily dwelling or accessory U Commercial/industrial U Multi-famiiy U Tenant improvement
truction U Addition/alteration/replacement U Other:
Job address:) T -_ Indicate equipment quantities in boxes below. Indicate the dollar
Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead.
Tax map/tax lot/account no.: profit. % ilue$
Lot: block: Subdivision: *See checklist for importait application information and
Project name: 1'l1Z jurisdiction's fee schedule f'or residential permit fee.
_City/county: Q 1P: 1727-3 Des
__ tQ iqn and lob ion o wo p�reJm�ts�� — 1
I.1'tr(caJ 'Total
Est.date of com ieflon/ins ction: ihuri Kion
Pe _I Q(yl Res.only Res.only
Tenant improvt rrcnt or change of use: ' I(
Air handling unit _� CIM
Is existing space heated or conditioned?U Yes U No nr con uonmg(alio p�equ,rc n) ---
Is existing space insulated?O Yes U No lerattorn o cxlsdng syst:m --
ol er compressors -
TI -t a�. •) Q� _1 State i oiler permit no.:
Business name: 1 HP Tons BTU/H
Address: U 3 N C= T. 1. .9reftrin.w dampers/duct smoke electors- ---
II City: (' e-f state ZIP: , - C. _TrT11 oump(siteTrequire ) —Phone::" C1 .. I VOZ, rax 91 19 101 E-mail: nste 6rep a�urnacG urner
-- Including ductwork/ven(liner U Yes U No
CCB no.: UI j Insta repZace/re ocate eaters-su-pen e ,
City/metro lic.no.: wall,or floor mounted
Name(please print): �.4� a r m-� Vent orT a appliance other than furnace --
e en on:
Abscr�tionunits__ ___ BTU/II
Name: Chillers_ __��__ HP
Address: -- Co�ress�nrs _ lip -
ov r`-Tonmcota ex ust an vent at on:
City: State: ZIP: Appliancevent
— .`---.�
Fax: E-mail: )ryerex aust
ITAWN IT., Type res. tc a azmat —
hocd fire suppression system _
Name: S+p RAJ __ Exhaust fin with single duct(bath fans)
Mailing address: 1. ..c u- f 1 hx�aust System a)art from heatingut AC -
City State: ZIP: r 1 j toe piping ributtion(up to outlets)
Phone• Type: LPG NO Oil ---
3 Fax: E-mail: l ue Inn eac additional over 4 out its
Process piping(sc ematic require ) _
Number of outlets
_Nast;: ___ _ ter lisl a ante or n
Addre�s: PP equipment:
__ ___ Deers-type replace
City: Y__ State: _ Z[P: �� 77-en-type
Phone: F - E-mail c stov pc et stove
Applicant's si lure
Fp t's_ g z _It-, Date: Other.
Name (frint):: C:. ries
NM W)uriid ictiorut w.Ler t cmtlt cads.pleaw cell puis6caon for more Info mation. Permit fee.....................$
U Visa C:MsstetCtud Noti:x:This permit application Minimum fee................$
e;pyres iia permit is not obtained --�
Cmrt card armiiv� _- _L1_ Plan review(at _ %) $
Stpims within 1 g0 days after it has been State surcharge(8%)....$
Nww aR6X r nsWwn on Lmdit c S I accepted&c complete. TOTAL $
-----
t7willitimaslymm -- -Amount _J 4444617 ba(W oM,)
MEGIIA.NICA►L PERMIT FEES
COMMERCIAL 'FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE:
__ — -— - Desc,-ip—ti n: Price Total
TOTAL VALUATION: FEE: _ __ Table 1A Mechanical Code Dry (Ea) Amt_
$1.00 to 55,000.00 Minimum fee S72_.50 1) Furnace to 100,000 BTU
55,001.Q0 to$10,000.00 $72.50 for the first$5,000.00 and including ducts&vents _ 14.00
$1.52 for each additional$100.00 or 2) Furnace 100,000 BTU+
fraction thereof,to and including includingducts&vents 17.40
_ $10 000.00. — 3) Floor Furnace
$10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and includin vent _ 14'00
$1.54 for each additional simoincluding
or 4) Suspendod heater,wall heater
fraction thereof,to and including or floor mounted heater 1.4.x'0
_ $25,000.00. - 5) Vent not Included In appliance permit
625,001010$50,000.00 $379.50 for the firs-525,000.00 and _ 6.80 —
$1 45 for each additional$100.00 or 6) Repair units---_
fraction thereof,to and including 12.15
$50,000.00. Boiler Heat Alr
Cheek all that al:ply:
$50,001.)0 and up $742.00 for the first$50,0$100. and For Items 7-11,-iee or Pump Cond
$1.20 for each auditional$100.00 or footnotes below. Corm ..
fraction thereof. _
--------- 7)<3HP;absorb unit 14.00
_ ----- to 1001(BTU —, -_-
R38UMED VALUATIGN" CER APPLIANCE: 8)3-15 HP;absorb 25.60
Value Total unit 100k to 500k BTU rFumace
EaAmount 9)15-30 HP;absorb 35.00
to 100,000 BTU,Induding955 unit.5 1 mil BTUs&vents _ 10)30-50 HP;absorb52.20
ace>100,000 BTU Induding 1,170 unit 1-1.75 mil BTUs&vents 11)>50HP:absorb87 20
r furnace indudit vent 955 unit>1 75 mil BTU
Suspended heater,wal healer or 955 12}Air handling unit to 10,000 CFM
10.00
floor mounted healer
Vent 445 not Included In appiicance 13)Air handling unit 10,000 CFM+ 17,21"1 -
permit _.—_- 805
Re air uKts 14)Non-portable evaporate cooler ,0.00
<3 hp; visorb.unit, 955 --
to 100k i TU ---- 15)Vent fan connected to a single duct 6.80
3-15 hp;absorb.unit, 1,700
101k to 500k BTU — 16)Ventilation system not Included in 1000
15-3U hp:absorb.unit,501k to 1 2,310 appliance permit
mil.BTU _ 17)Hood served by mechanical exhaust 1000
30-50 hp,ah4 rb.unit, 3,400
FNonj-pitable
175 mil.BTU — 16)Domestic Incinerators 17.40
bsor,.unit, -- 5,725 ---
1BTU 19)Commercial or Industrial type incinerator 656 69.95
ing unit to 10000 cim 1 170 ---- —-
11ng unit>10,000 cfm 656 - 20)Other units,Including wood stoves 1000 _
eble evaporate cooler 446_
connected to a single duct _ -- 21)Gas piping one to tour outlets 5.40
tem got Included in 656
pphance_pe mit 22)More than 4-per outlet(each) 1 00
Hood served berator 1,170
mechanical exhaust — 656
Domestic incinerator Minimum Permit Fee$72.50 SUBTOTAL: $
Commercial or industrial Incinerator _ 4 590 —
Other unit,Induding woad stoves, 655 8%State Surchargo —
inserts,etc. 380 $
Gas I in 1-4 outlets 25%Plan Revlew Fee(of subtotal)
Each additional outlet ._____6 _ Required for ALL commercial permits only
TOTAL COMMERCIAL $ TOTAL RESIDENTIAL PERMIT FEE:
VALUATION: _ L ---- —�-
4%!tffjns ton and Fees:
1 Inspections outside of normal business hours(minimum charge-two hours)
$72.50 per hot-,
2 Inspections for which no fee is specifically indicated (minimum charge-half hour)
$72%per hour
3 Additional plan review required by Granges,addilions or revisions to plant(minimum
charge-one-half hour)$72 50 per hour
"state Contractor Boiler Certification required for units>200k BTU.
"Residential A/C requires site plan showing placement of unit
W.dstsVormsVfl.ch-fees doc 10/1100
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Ins jection Line: (503)F39-4175 MS-1
,ON F.usiness Line: (503)539-4171 BUIP — --
AM _ _ Ptv1 -- - _ BUP
Date Req ester_—.r----- - ---
NecelVEu — Suite MEC
/ -- --
Locaticn
( -- - PLIM
Contact Person -- Ph SWR —
_ ( ) —
Contractor ...-_ -- -- -----—
ELC —..-- —
B_UILDI NG_ Tenant/Owner - - - - -- - ---
E L.0
Footing
Four dation Access: ELR - ---- —
Fig Drain - — SIT
Crawl Drain
Slab Inspection Notes:
Post&13eam -
Shear Anchors -- --
Ext Sheath/Shoat
Int Sheath/Shear
Framing
Insulation ��_Drywall Nailing -
Firewoll
Fire Sprinkler --
Fire Alarm ---
5usp'd Ceiling
Root
Other: - ----------
Final —
PP.SS PART FAIL --
PLUMBING__
Post&Beam
Under Slab —
Rough-In —
Water Service ---
Sanitary Sewer
Rain Drains --
Catch Basin/Manhole --
Storm Drain — --
Shower Pan
Othor: ._ --- - ---
Final
RT JAIL ,
---------------
Post earn
Rough-in ----- --— -
Gas Line -
ke Dampers --„----_ --
Fi
ASS PART FAIL
l;LECTRICAL
Service - -
Rough-In
UG/Slab — -
Low Voltage -- -
Fire Alarm
�� Reinspection fee o! required before next inspection. Pay at City Nall, 13125 SW Hall Blvd
Final .
-PASS PART FAIL r Unable to inspect-no access
_SITE - —__ Please call for reinspection RE:_-____-_
Fire Si pply Line i� Ext
ADA //G Inspector
_ -
Approach/Sidewalk
DNs L.—s-
Other: DO NOT REMOVE this inspection record from the Job site.
Final
PASS PART FAIL