16140 SW GRIMSON COURT-1 rW i
v
16140 SW Grimson Court
CITY OF TIGARD __.MECHANICAL PERMIT
PERMIT#: MEC2002-00469
DEVELOPMENT SERVICES DATF ISSUED: 10/21/02
• 13125 Sdv Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S114BA-01800
SITE ADDRESS: 16140 SW CRIMSON CT ZONING: R-4.5
SUBDIV!::I')N: PICKS LANDING NO.2
—^ JURISDICTION: TIG
BLOC,C: LOT: 121
EVAP COOLERS:
FLOOR FURN:
CLASSOF WORK: ALT VENT FANS:
TYPE OF USE: SF UNS
'�T HEATER . VENT SYSTEMS:
OCCUPANCY GRP: R3 VENTS W/O APPL: HOODS:BOILE_R_SICOM_PRESSORS
_ FUEL TYPES 0 3 HP: DOMES. INCIN:
LPG 3 15 HP: COMML. INCIN:
M^.X INPUT: BTU 15 - 30 HP: PEPAIR UNITS:
HIRE DAMPERS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIN . ANDLrNG UNITS_- OTHER UN11 S:
FURN >=100 , BTU: <= 10000 cfm: --- GAS OUT'_ETS:
> 10000 cfm:
Remarks: Insall (las fuinacc:.
FEES
Owner:
MAHONEY, PAMELA E Description Date Amount
16140 SW GRIMSON CT X11. IIJ Pcrniit Fee 10/21/02 $72.50
TIGARD, OR 97224 IML 1113 Permit Fee 10/21/02 $0.00
1 T X j s%.sta:e'fax 10/21/02 $5.80
[TAX] 8%Sta,eT'ax 10121/02 $000
Phone:
Total $78.30
Contractor: �—
TRI TECH HEATING (SEE OTHER)
6603 NE 137TH AVE REQUIRED INSPECTION_
VANCOUVER, WA 98682 —--- -- —
Heating lint Insp
Phone: ic,u-891••2002 Final Inspection
Reg #: I 1 i 1871
This permit is issued subject to the regulatic,ns contained in the i iga-d Municipal Code, State of Ore.
Specialty Codes and all other applicable laws All work will be done in acco,dance with approved
plans. This permit will expire if work is not started within 180 &,vs of issuance, or if work is suspended
for mere than 180 days. ATTENTION Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR
952-0,11-0100. You may obtain copies of these rules or direct questions to OUNC by calling
(503)2•'•6-6699,
Issued By: Permittee Signature:
Call (503) 63'13-4175 by 7:00 P.M. for inspection; needed the next bus,��es_; day
A Mechanical Permit Application
�— Date received: --f-OS- Permit no.: c9-
City of Tigard Project/appl.no.: Expiredate:
C'ityuf Tigard Ad 'cess: 13125 SW Hall Blvd,Tigard,OR 97223
Phone: (503) 639-417) Date issued: By: Receipt no.:
..
Fax: (503) 598-196(1 ►, Casefleno.: Payment type:
Land use approval• 4 �;�(}') Building permit no.:
1 .
I &2 family dwcllin)!ur accv"ory U(%)rani r(,mki div,u tal U Milli-family U Tenant inipnt\rnlent
U New constructi(t.. J �1J Iiu(in/alteration/replacement J t Ilhcr:
JOB SITE INFORMATIQDULE
Job address:t,(; �-_Vj , ,,r� .x�c, `' Indicate equipment quantities in boxes below. Indicate the dollar
Bldg.no.: I Suite no.: value of all mechanical materials,equipment,labor,overhead,
Tax map/tax lot/account no.: plofit. Value$
Lot: Block: Subdivision._ *See checklist for important application information and
Project name: -. lSv,.Q jurisdiction's Ice schedule for residential permit I,.
City/county:' r� - ) ZIP: 1
Description a t�lochlion of%yNk on�rcmises: l tt t t
_�. �C
� t �= Peryea.) total '
ISL date of completion/inspection: - - ------ Dern ion " ResRm.only
Tenant improvement or change of use:
Is existing space heated or conditioned?U Yes U Nu Air handling unit CFM
Air conditioning(site plan required)------
Is existing space insulalctl'?U Yes U No Alteration of existing AC system
N11.1 11%NICA CONTRkTO14 ioi cr/compressors
Business name: _ State huller permit no.:
777 IIP Potts HTU/H
Address , ) TrcTC-dampers/ uctsmokedetector%
Stnl•: ZII':
cut put`n (si—to pTun requireT�
Phone:" ; y ,„r Pax:'.,, , -r •Irl;-Illail nsla rep ace urnace urner 3
CCB no.: Including ductwork/vent liner U Yes U No
nstn rep ace/re ocatc eaters-suspen c ,
City/metro lic.no.: wall,or floor rnnumcd
Name(please print): 9 r 1 Vent for appliance ether 1 ian furnace
Refrigeration:
Absorptionunits - BUM
Name: Chillers ---- .!_ HP
Adt'-ess: — Com ressors-- 111' -
EAWR es must and oenl at un:
City: Stale: ZIPAppliance vent _
Phone: 1'ax: I r:nail: Dryercx must -
0o s,Type /res.kilclten azmn al
hood fire suppression system
Name: -t/t - Exhaust fun with single duct(bath fans)
-9 -- -
Mailing address: -- - ,,. � ►- Exhaust sstun a art—fro isatin or C
ue p p ng an tl ul nn(up to out ets)
City: *7,ic- I State: 7.1P_1� v 1•,pc: __—LPG _, `,Q Oil
Phones I I ni,nl Fuel piping each a ditiona over 4 outlets
rocesspiping(schematic required)
Name: Number of ou1!cts _
Tr- rlppliance or eq—uuipmenl:
Address: Dccuratis,efit eplace
City: — `,i,ite: ZIP: nsert-type —
Phone: Fay. f mail hstove/pc etslnvc
other:
Applicant's signature: . j�. .�e_ Elate: 1 er:
Name (print): Hj)i-1'17Q' C 1� k y--, - -
Not all jurirslicnons weept reedit cards,pleaw call judidicilon I'm more inlonnnucm, Pernl .tee.....................$
U visa U MasterCard Notice:'I'his permit application Minimum fee................$
Crede card number expires if a permit is nol obtained Plan review(at •_„_ %) $
-" - xTie, ��Wn 180 dly-after it hs,:been
_ p State surcharge(8'%)....$
Name of ca hot ,as xhevn on cm, •.ard _ accepted as complete.
s TOTAL .......................$ . •�-
Cardholder signature Amount Of
440-4617 I(>itlarCOM I
MECHANICAL PERMIT FEES
COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE:
Description: Price Tolal
TOTAL VALUATION: PERM!T FEE: Table 1A f.mechanic,l Cude_ Ctv (Ea) Amt
$1 AO to$5,000.00 Minimurn fee$72.50 F#1urnace
100,000 BTU
$5,001.0010$10,000.00 $72.50 for the first$5,000.00 and 14 00
Iras&vents _.
$1.52 for each additional$100A0 or 2) F0,000 BTU+
fraction thereof,to and including 17.40
$10 000.00. cts8 vents_ 3) 1400
$10,001.00 to$25,00000 $1. ,fofor the first ional sio and Int ----
$1.54 for each additional and al including
or 4) suspended heater,wall heater
fraction thereof,to and including or floor mounted heater 14.00
_ $25_000.00. 5j Vent not Included in appliance permit
$25,001.00(o$'30,000.00 $379.50 for the firs($25,(100.00 and 6.80
$1.45 for each additional$100.00 or Repair units
fraction thereof,to and including 6) 12.15
$50 000.00. Boiler Host Air
$50,001.00 and up - $742.00 for the first$5o,000.00 and Check all that apply:
$1.20 for each additional$100.00 or For Items 7.11,see C or Pump Cond
fraction thereof. footnotes below. _-
-" -- 7)<3HP;absorb unit 14.00
Elnimum Permlt Fee$72.50 S $ to 1005 BTU
a 6)3-15 HP;absorb 25.60
6Y.State Surcharge unit 100k to 500k BTU
b)15-30 HP;absorb 35.00
Plan Review Fee(of subtotal) $ unit.5-1 mil BTURe uq fired for ALL c0mmercia �trmits only 10)30-50 HP;absorb 52.20
TOTAL COMMERCIAL PERMIT FEE: $
unit 1-1.75 mil BTU
11)>50HP;absorb 87.20
unit>1.75 mil BTU
12)Air handling unit to 10,000 CFM 10.00
ASSUMED VALUATION3_PER APPLI ANC E: Total 13)Air handling unit 10,000 CFM+
Qt (Ea) Amount 17.20
Descrl tion: 955
Fumace to 100,000 BTU,including 14)Non-portable evaporate cooler 10.00 _
ducts&vents 1 170 _
Furnace>100,000 BTU including 15)Vent fan tonne:ted to a single duct 6.60
ducts S vents g55
n sys
Floor furnace Includin vent 18)Ventilatiotem not included In 10.00
Suspended heater,wall heater or 955 a fiance ermit
floor mounted heater 17)Hood served by mechanical exhaust 10.00
Vent not Included In appliance 445
ermit 605 18)Domestic Incinerators 17.40
Re air units
<3 hp;ah�orb.unit, 955 19)Commercial or!ndustrial type Incinerator 69.95
to 100k BTU 1,700
3-15 hp;absorb.unit, 20)Other units,including wood stoves 10.00
101k to 500k BTU
15-30 hp;absorb.unit,501k l0 1 2,310 21)Gas piping one to tour outlets 5.40
mil.BTU3,400
30-50 hp;absorb.unit,-t-, 22)More than 4-per outlet(each) 1.00
1.1.75 mil.BTU5,725
>50p;absorb.unit, Minimum Permit Fee!72.50 LUBTOTAL: --
>1.75 mil.BTU 658
Air handlin unit to 10 000 Cfm -_ 8%State Surcharge _
Air handlin unit>10,000 cfm 1,1/0 _ $
Non- ortable evaporate cooler 856 TOTAL RESIDENTIAL PERMIT FEE:
Vent fan connected to a single duct 446
Vent system not Included In 856 ----
_BenCe 8rrT11t 856 Other ne act! ns Ind F es:
Hood served by mechanical exhaust 1 Inspections outside of normal business hours(minimum charge-two hours!
Domestic Incinerator 1,170 $62 5o per hour
Commercial or industrial Incinerator 4_590 2 Inspections for which no lee is specifically indicated (minimum charge-half hour)
Other unit,Including wood sloves, 3 Additional plan review required by changes,additions or revisions
856 $62 50 per hour ( minimum
to p ans
Inserts etc. 380 charge-one-half hour)$62 50 per hour
Gas I ip ng 1-4 aufets 60 -
Each adrlltlonal outlet - *State Contractor Bolles Certification required for units>200k BTU.
-- **Residential A/C requires site plan showing placement of unit.
TOTAL-61MMERCIAL a
VALUATION: __ All New Commercial Buildings require 2 sets of plans.
I:\dsts\formaVnech-fees doc 02/11/02
Oct-04-02 07:09A Richard Chester 260-8566 P- 04
Of os
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CITY OF TIGARD 24-flour
BUILDING Ir spection Line: (503)639-4175
MST
INSPECTION DIVISION Business Line! (503) 639-4171
BLIP
Received --- _Date Requested 1 / -_ - _ -_ AM -- - PM -_—.. BLIP
Location Ae4y Sw Gri mm^ - - --- -Suite- _ MEC "
Contact Person _ - - ______ ____ Ph( _) (0 Z �•-G PLrJ
Contractor Phi( ) SWR - - - --------
BUILDING� T.nanUOwner _P1,_� (L( ELC
--------- ---
Footing ELC
-oundation ,access: -
Ftg Drain � � ELL --- - - -_-. -
Crawl Drain - ( '�Z__"4,
Slab Inspectirn s: SIT
Post li Beam - ---•
Shear Anchors _- - --
Ext Sheath/Shear I
Int Sheath/Shear
Framing - - - -
Insulation
Drywall Nailing - -
Firewall
Fire Sprinkler - - -
Fire Alarm
Susp'd Ceiling
Roof
Other: ---- - --- - -
Final
PASS PART FAIL ,
Post&Beam
Under Slab --
Rough-In
Water Service - - -- - -
Sanitary Sewer
Rain Drains - -
Catch Basin/Manhole
Sto.m Crain -- --- - -
Shower Pan
Other
Final
PAee--PAR FA I L --
ECHAN —
Post&Beam
Rough-In
Gas Line
wmxe Qampers
Fi '
S PART FAIL
CTRICAL
Service
Rough-In
UG/Slab
Low Voltage - --- -------- -- --- - ---
Fire Alarm
Final ❑ Reinspection fee of$ -_-__ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS_PART_FAIL
SITE - F] Please call for reinspection RE:- __-_ Unable to inspect-no access
Fire Supply Line
ADA ��!
Approach/Sidewalk DraU _- Inspector Ext
Other:
Final Do NOT REMOVE this inspection record from the job site
PASS PART FAIL