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13250 SW Brittany Drive
CITYOF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2001-00053
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2/12/01
PARCEL: 1 S 133DC-04400
SITF ADDRESS: 13250 SW BRITTANY DR
SUBDIVISION: BRITTANY SQUARE NO, 1 ZONING: R-12
BLOCK: LOT: 002 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: � EVAP COOLERS:
TYPE 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: DOMES. INCIN:
LPG 3 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP:
FIRE DAMPERS?: 30 - 50 HP: REPAIR UNITS:
GAS PF',FSSURE: 50 + HP: WOODSTOVES:
FURN - BOOK BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN >=100K BTU: <= 1 0000 cfm: OTHER UNITS:
> 10000 cfm- GAS OUTLETS:
Remarks: Replace gas furnace and some vent.
Owner_ --- — FEES --_
ANNE BRADWAY Type By Date Amoont Receipt—
13250 SW BRITTANY DR 5PCT� CTR 2/12/01 $5.130 272001000C
TIGARD, OR 97223PRMT CTR 2/12/0', $72.50 272001000C
Phone:503-579-0359 .--.
Total $78.?0
Contractor:
THE HEATING SPECIALIST
9300 NE HALSEY
PORTLAND, OR 9?220 REQUIRED INSPECTIONS
Heating Unt Insp
Phone:'"..'7-7000 Final Inspection
Reg#:LIC 56628
PLM 26-494PB
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
pians. This permit will expire if work is not started within 180 days of issuance, or if work is susaended
fc,� niore than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You,ry* obtaih tppies of thpse-jules or direct questions to OUNC by calling (5W)246-9189
Issue By: I �� Permittee Signature: 1
��
Call(503)639-4175 by 7.00 P.M. for inspections needed the next/buslness day
r✓echanical Permit Application
U — 1��(l Date received: ar/2� N-ffnit no.:�,*e0/ 0.� 5
U ty Of �I�AI'd � Project/appl.no.: Expire date:
City ofTigard Address: 13125 SW Hall Blvd,Tigardh 13
Phone: (503)639.4171 W Date issued: By: Receipt no.:
Fax: (503)598-1960N13�OFVF1vPME�` �►� Bualdi file no.:
mit no.; Payment type:
Land use approval: g permit
I &2 family dwelling or accessory U Commercial/industrial U Multi-family a Tenant improvement
O New constmction L1 Addition/altemtion/rep'.acement ❑Other:
Job address: ►3 rIndicate equipment quantities in boxes below.Indicate the dollar
Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead,
Tax map/tax lot/accountr no.: profit.Value$ _
Lot: JBIock: _ Subdivision: 'See checklist for important application information and
Project name: jurisdiction's fee schedule for residential pennit fee.
City/county: '-rpeLe J. j crt': �j-�.7 A 3
Description and Idtlation of work on premises:
h. _ I cr'ca.) 7 pit rl
Est.date of completion/ins tion: Description Qt . ReP :nl Res.oat
Tenant improvement or change of use: Air handling unit CFM
Is existing space heated or conditioned?0 Yes U No Air conditioning(site p an required) — —Is existing space insulated?O Yes P No Alteration o existing system
6moiler/compressors
Business name: Mate boiler permit no.:
�w `1t�2es Le"�a �u��aG HP Tons BTU/H
Address: 1 e)o bre smo a amper uct smoke detectors —
City: State:e e ZIP: Heat pump(site plan required)
Phone: �51-7e,01, Fax:a5?•774Z I E-mail: installlreplace furnacelburner v �" 1
CCB no.: 5 Including ductwork/vent lin:.r U Yes U No / /'Y d
Install/rep ace/relocate heaters-suspende ,
City/metro lic.no.: I o wall,or floor mounted
Name leaseprint): ��,�„� Vent ora once o er than furnace
e .
Absorption units BTU/H
Name: Chillers HP
Address: Com ressors Hp
aomental exhaust ana rent ton:
City: _- State: ZIP: Appliance vent
Phone: Fax: E-mail: erez oust
Mods,Type res, tc c azmat
heel fire suppression system _
Name: r•n� t'a ra. Exhaust fen with single duct(bath fans)
Mailing address: 13.:)S SL,) , t rre_n • a Exhaust s stem a art from heating or AC
Ilivel piping and diltribution up to 4 out eta
City: ,C a f d State:0 2. ZIP: q 7aat B
-=— Ty __LI'G __ NO Oil
Phone: p 5 q Fax: E-mail: tie in eac additional nvPr A.out eta
Process piping(schematic require
Name: _
Number of outlets
Address: ter app ace or equipment:
Decorative fireplace
City: State: ZIP: nsert-ty
Phone: Fax• E-mail:
Woodstovelpellet stove
Applicant's signature: er:
PP B r.< .��.• Date:a_ •sae, ,
Name(print): _/roa s,r,a /'x?•s jus -
Nd all Jurtadictioas accep,cmdll cards,please can Juriaflcila,fa nam Infwndlan. Permit fee.....................$
O Vies -1 MasterCard Notice:This permit application Minimum fee................$
Credit card comber L� exposes if a permit is not obtained Plan review(at _ %) $
-- Expires within 190 days after it has been State surcharge(8%)....$ S ��
Nam r u shown on pedal cu 'd accepted as complete. —
_ _ s TOTAL .......................$ 7!i O
—
Cardbotder aiVwm Anrougt
— 4104617(6MtvrbM)
MECHANICAL PERMIT FEES
COMMERCIAL FEE SCHEDULE: 1 &2 FAMILY DWELLING FEE SCHEDULE:
_TOTAL VALUATION: FEE: ascription Price Total
51.Q0 to$5 0,00.00 v Minimum fee$72.50 Table 1A Mechanical Code _ tZry (Ea) Amt
$5,001.00 to$10,000.00 $72.50 for the first 55,000.00 end 1) Furnace to 100,000 BTU
Including ducts&vents_ I 14.00i v
$1.52 for each additional$100.00 or 2) Furnace 100,000 BTU+ �
fraction thereof,to and Including including ducts&vents 17.40
510,000.00_ _ _110,001+001,,121,000,10 $148.50 for the first$10,000.00 and 3) Floor Furnace
$1.54 for each additional$100.00 or Includingvent 14.00 -
fraction thereof,to and including 4) Suspended heater,wall heater
525,000.00. or floor mounted heater 14.00
525,GOL00 to 5`0,000.00 - $379.50 for the first$25,000.00 and 5) Vent not included In appliance permit
6.80
$1.45 for each additional$100.00 or _
fraction thereof,to and Including 6) Repair units
_ 12.15
S50 000.00.
550,001
66,311d up $742.00 for the first$50,000.00 and Check all that apply: Boiler Heat Air
$1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond
fraction thereof. footnotes below. camp*
7)<3HP;absorb unit
--_-� to 100K BTU _ 14.00
ASSUMED VAI.UATIONS PER APP(_.IANCE: y)3-15 NP;ahsort�
� Value Total unit 100k to 500k BTU 25.60
Dation: D Ea Amount 9)15-30 HP:absorb
Furnace to 100,000 BTU,Including 955 unit.5-1 mil RTU _ 35.00
ducts&vents -- 10)30-50 HP;absorb
Furnace>100,000 BTLI Including 1,170 unit 1-1,75 mil BTU 52.20
dues&vents --- 11)>SOHP:absorb
Flexor furnace Including vent _ 95'� -_ unit>116 mil BTU _ 87.20
Su fended heater,wall heater or 955 12)Air handling unit to 10,000 CFM
floor mkxrnted heater 10.00
Vent not included In applicance 445 13)Air handling unit 10,000 CF'M+
permit 17.20
Repair units e05 14)Non-portable evaporate cooler
<3 hp;absorb,unit, 955 10.00
to 100k BTU 15)Vent fan connected to a single duct
3-15 hp;absorb.unit, 1,700 6.80
101k to 500k BTU -- 16)Ventilation system not Included in
15-30 hp;absorb.unit,501k to 1 2',310 appliance p2rmit 10.00
mil.BTU -.- 17)Hood served by mechanical exhaust
30-50 np:absorb.unit, 3,400 _ 1000 _
1-1.75 mil.BTU -- 18)DomeRtic Incinerators
>50 hp;absorb.unit, _ 5,725 17.40 _
>1.75 mil.BTU --- 19)Commercial or Industrial type incinerator
Air handling unit to 10 C00 cfm _ 656 _ 69.95
Air handlin unit>1( 000 cfm _ �170 20)Other units,Including wood stoves
-Non-portable evaporate cooler 656.--- 10.00
Vent fan connected to a single dud 446 21)Gas piping one to fnUr outlets
Vent system not Included In 656 5.40
aptAiance rmit 22)More than 4-per outlet(each)
Hood served by mechanical exhaust 690 1.00
Domestic Incinerator 1,170 Minimum Permit Fee$72.50 SUBTOTAL:
Commercial or Industrial Incinerator 4,390 - �1.-1 So
Other unit,including wood stoves, 656 8%State Surcharge a
laseft,etc. _
Gas t -
In '1 4 outlets 360 _ i 25%Plan Review Fee(of subtotal) $
Each additional outlet _ 63 _- Required for ALL commercial permits only
TOTAL COMMERCIAL a TOTAL RESIDENTIAL PERMIT FEE: S
VALUATION: __ _ - -- 8 3c'
Other Inspections and Fees:
1. Inspections outside of normal business hours(minimum charge-Iwo hours)
$72.50 per hour.
2 Inspections for which no fee Is specifically Indicated (minimum charge-half hour)
$72.60 per hour
3. Additional plan review required by changes,additions or revisions to plans(minimum
charge-one-half hour)$72 50 per 7pour
'State Contractor Boller Certification requlr-901 for units 3-200k BTU.
"Residential AIC requires site plan showing placement of unit.
ljftf&Vbrms%mech-fees.dx 10111/00
Z
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection line: 639-4175 Business Line: 63-�-4171 -�-
BUP
Date Req-jested �f✓� Z _—AM4__PM _-_ BLD _
Location-_0S�� r/ i{n _ri y - Suite - -__-- MEC �.3
G,
Contact Person _- Ph jZ$j PLM -_
Contractor --_v _-- Ph SWR
BUILDING Tenant/Owner ----_ -- J ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection. Notes:
Slab _—.__-_----- ----. SIT
Post& Beam �—
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Oiling
Root
Final
PASS PART FAIL
PLUMBING
Post RBeam -_------- _ -_ .- ------------__ - -
Under Slab
Top Out --------------
Water Seivir-e
Sanitary Sewer
Rain Grains - - ---- - - -- - ---
Final
PASS PART FAIL_
H
7571WF3earri -
Rough In Cs a Ft--• VIJ
_
Gas Line - — - - -
Smoke Dampers
r1aw
�� ---— ----- -- -
E;0ASS PART FAIT
E ..Y. RICAL --- -- - --
Service - ------------ -- -- -
Rough In
UG/Slab
I ow Voltage
Fire Alarm
Final
PASS PART FAIL.
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Bay r
Fire Supply Line [ J Please call for reinspection RE: [ ]Unable to inspect-no access
ADA
Approach/Sidewalk Date Inspector Ext
Other --- ----
Final
PASS__PART FAIL DO NOT REMOVE this inspection record from the job site.