8885 SW O'MARA STREET-1 133HIS VUVW.0 MS SON
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CITY O F T'GA R I MECHANICAL PERMIT
DEVELOPMENT SERVICE: PERMIT 1: MEC200-00621
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 1SI02 3
PARCEL: 2 S 102 DB-00603
SITE ADDRESS: 08885 SW O'MARA ST
SUBDIVISION: ZONING: R-12
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W10 APPL: VENT SYSTEMS:
STORIES: BOIL_ERS!COMPRESSORS HOODS:
_FUEL TYPES _ 0 - 3 HP: DOMES. INCIN:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15-30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 -50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLU DRYERS:
FURN >=100K BTU: <= 10000 cfm: _ O I"HER UNITS: 1
> 10000 cfm: GAS OUTLETS: 1
Remarks: Installation of gas fire togs and gas;piping.
Owner: ^Y� FEES
OTTING,LUIS E Description Date _ Amount
8885 SW O'MARA ST (MECH] Permit Fee 10/27/03 $72.50
TIGARD, OR 97223
[TAX)8%State S:::z!±-r; 10/27/03 $5.80
Phone: Total $78.30
Contractor.
OWNER
REQUIRED INSPECTIONS
Phone: Gas Line Insp
Mechanical Insp
Req#; Final Inspection
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W 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 approv3d plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. AT TENTiCN: Oregon law
requires flato follow Piles adopted in the Oregon Utility Notification Center. i hose rules are set forth in OAR 952-001-Citi
1
Ia�ued By: y _J��) 100�J Permittee Signature: '
Call(503)639-4175 by 7:00 P.M.for Inspections rteededhe next business day
MechaAcal Permit Application Received Mechanical
Date/B : /O o� Q> Permit No. QJly
Cit of Ti $Fd Planning Approval Building
y g Da"y: Permit No..
13125 SW Hall Blvd. Plan Review r Other -�
Tigard,Oregon 97223 Dste/B : Permit No.:
Phone: 501-639-4171 Fax: 503-598-1960 Post-Review Lind Use
Date/B Case No: _
Internet: www.ci.tigard.or.usA, L Contact - See Page-2for
24-hour Inspection Request: 503-639-4175 Name/Method _ Su lemental Information. J
_ TYPE OF WORK COMMERCIAL FEL*SCEIEDULE-USlr CHECKLIST _
New construction Demolition Mechanical permit fees•are based on the total value of the work
Add Ition/alteration/i-e lacementJ Other: performed. Indicate the value(rounded to t%e nearest dollar)of all
CATEGORY OF CONSTRUCTION mechanics'materials,equipment,labor,overhead and profit.
1 & 2-Family dwelling Commercial/Industrial Value: S—� _ See Page 2 for Fee Schedule
RESIDF-KnAL E UIPM6N7YSYSUMS FELL"SCHEDULP.
Accesso Building Multi-Family - —4-----
Descriptionv_�Fee1ta. Tout
Master Builder Other: Henn C11"I �"
JOB SITE UYFOR.MATION ud LOCATION Furnace-add•on air conditionin "• 14.00
Job site address: S -St 1) 0 'm/�te-16 Gas heat pump _ 14.00
Suite At: DIOS./Apt.##: Duct work 14.00
Project Name: H ronic hot waters tem 14.00
Residential boiler
Cross street/Directions to joie site: iye d / ()��
_ �� (for radiator or hY•dronic systeri) 14.00
%MU4 .0A,' H"� /p/9 spm o,o1/4KA - Unit heaters(fuel,not electrir)
t��Oc�1, end/*�►e3� t A't /Et�'a in wall,in-durt,suspended,,:tc. _ 14.00 _
Flue/vent for any of above 10.00
Subdivision: —rLot#: Repair units -acss 12.15 _
Tax map/parcel #: — Water heater other F _�_ r;u 1000
_ DESCR IPTION OF WORK _ Gas fireplace 10.00 t f
(lf1 �LYi f n M a loe Flue ven: water heater/ as fireplace) 10.00
Tr Lo li rter as) 10.00
Wood/Pellet stove 10.00
Wood Lirelace/insert 10.00
Chirrme /liner/flue/vent10.00
jj[ftQPERTV OWNER I UTEMANT Other: — _ 10.00
Name: / s U 7-T/,A/G Larinataeratal tsbarrat&Ventilation
—
'�------- —
Address: �' Range hood/other kitchen equipment 10.00
5' _ J _
Cit /State/Zi�`� � �'�� Single
educte exhaust fo.00 -- -
Singleduct�..haust
Phone: 3 3 .3 1 Fax: (bathrooms,toilet compartments,
El APPLICANTCL-NITACT PERSON utility rooms) 6.80
Name: &js b T----- h 1 rx (o) Attic/crawl space fans _ 10.00
Address: j'� S o'y Other: _ 10.00
_ Fuel ngng
Cit /State/Zip: —Fzjo4 "(S5.40 for first 4,$1.00 each additional
a Phone: -,;3- 39 -4fr&_ Fax:_W3- 3b9 Frunace,etc. ••
Gas heat pump_ •• _
E-mail: s 0 e • IV Wall/sus nded/tinit heater_ •• _
N CON11tACrORWater heater ••
Business Name: Fireplace ••
Address: Range
City/State/Zip: _. Clothes der(gas) ••
W Phone: Fax: Other: ••
CCB LIc. #: Total: I ,U
Authorizes'
Mechanical Permit Foca'
•' S 1
Signature: �' Date: 0 1 3 Subtotal: l -
Minimum Permit Fee 572.50
_Plan Review Fee(25%of Permit Fee) S _
(please print name) e State Surcharge 8%of Permit F-e) S *� 0
TOTAL.PERMITFEE S -7673--E
3
Notice: This permit application expires If a permit Is not obtained within 'Fee methodology set by Trl-County Building Industry Service Board.
180 days after it has been accepted as complete. ••Site plan required for exterior A/C units.
vADsts\Permit Ft mts\MecPermitApp-doc 01/0-1
Mechanical Permit Application -City of Tigard
Page 2 -Supplemental information
_Commercial Fee Schedule
TOTAL VALUATION: _ PERMIT FEE:
$1.00 to S2,000.00 Minimum fee$72.50
$2,001.00 to$5,000.00 $72.50 for the first$2,000.00 and$2.30 for each
dditional$100.00 or fraction thereof,to and
i
cluding$5,000,00.
$5,001.00 to$10,000.00 $ 1.50 for the first$5,000.00 and$1.80 for
La additional$100.00 or fraction thereof,to
and eluding$10,000.00. _
$10,001.00 to$.50,000.00 $231. 0 for the first$10,000.00 and$1.35
each ditional$100.00 or fractio reof,to
_ and inc ding$50,000.00.
$50,001.00 to$100,000.00 $771.50 or ttiz first$5 .00 and$1.25 fol
Leach ar,n Vonal$I or fraction thereof,to
_ _ and mclu OA00.
$100.001.00 and up $1,396.50 the re st$100,000.000 and
S1.10r, ea additional$100.00 or fraction
_ ther
All New Commercial Buildings require 2se of plans.
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OBuilding\Permit Forms\MecPernitAppPg2 A-0-03.doc
CITY OF TIGARD 247Hour
BUILDING Inspection We: (303)639^4175
INSPECTION DIVISION Business Line: (503)639-4171 MST —
BUP
Received ___ _—Date Requested AM -__._PM 81111
Location _..___ t'Y�Q/1.��/ _Suite__ MEC ✓� _'00 6,
Contact Person Ph PLM _
Contractor Ph( ) __— SWR
BUILDING Tenant/Owner � _ —. _ ELC _.
Footing ELC
Foundation Access: —�
Fig Drain ELR _
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors —— ———
Ext Sheath/Shear
Int Sheath/Shear
.��
Framing ..r s.u�G.� e! —�- d..s r7
Insulation
Drywall Nailing C*M
Firewall
Fire Sprinkler - -- -
Fire Alarm
Susp'd Ceiling -- -- _-
Roof
Other: - ---
Final
PASS PART FAIL — —
PLUMBINA
Post&Beam _
Under Slab —
Rough-In
Water Service —
Sanitary Sewer
Rain Drains - --
Catch Basin/Manhole
Storm Drain — --
Shower Pan
Other: -
Final
PASS PART FAIL —+- - -- -
MECHAWCAL
Post& Beam
Rough-In
(L moke Dampers —
Final
ELECTRICAL
Service
Rough-In _
m I UG/Slab
Low Voltage
W.rf Fire Alarm
Final R91ns ection fee of$ re.wired before next ins
PASS PA^T FAIL p --- pec tion. Pay at CIN Hall, 13125 SW Hall Blvd.
SI;rE PlePse call for reinspectioi RE: _. _ Unable to inspect-no access
Fire Supply Line `
ADA Dtl�. /�'--1 D p In ectm_
Approach/Sidewalk — sP -- -- ftt------
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIG ARD 24-Hour
BUILDING Inc;pection Lens+: (303)639-4175 '
INSPECTION DIVISION Business Line: (503)63'9-4171 MST _
BUP ---------
Received _ -_.bate Requested AM PM BLIP .—
Location —rn aAa Suite----.__-- MEPC
Contact Person —._.— — _ Ph( ) PLM
Contractor_ _ Ph SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Fig Drain ELR
Crawl Drain _
Siab Inspection Noies: SIT
Post&Beam _
Shear Anchors - -
Ext Sheath/Shear
Int Sheath/Shear
Framing
InrWation
Drywa!I Nailing
Firewall
Fire Sprinkler --
Fire Alarm —� � 1 --
Srisp d Ceiling r
Roof
Other:
Final - —
PASS PART FAIL -
PLUMBING
Post R Beam
UnderSlab
Rough-In
Water Service - ----- -- -
Sanitary Sewer
Rain Drains -------- ----------- - -- ---—
Catch Basin/Manhole
Storm Drain ------- --- - _ -- _ -------------—
Shower Pan
Other: -- .__ -- - -- .---------- -- --®---
Final
PA FAIL
Post&Beam
Rough-In - ------------------ —.____
Gas Line
S.make Dampers ('
a
PA PAP.T FAIL ------ --_----- --- ----_�._.�� _--_.-
ELECTRICAL
Service
-� Rough-In
LaUG/Slab --------- - ----- _------- T_-_.—._. -----_.._--__- -
a Low Voltage
JFire Alarm -----------_--
Final Reinspection fee of$_____ _required before next ins
PASS PART FAIL L-J pection. Pay at Cita Hall, 13125 SW Hell Blvd.
SITE —_ Piease call f r reinsp ction RE:.— Unable to inspect--no access
Fire Supply Line
ADA l �j---_--
Approach/Sidewalk D.. / IM
Othe•:
Final �- DO OT REMOVE this InspeWon record fro th �.
PASS PART FAIL