9900-9920 SW NORTH DAKOTA STREET IS V1ONV6 NINON MS OZ66-0066
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CITYOF TIOARD ___ MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMITM MEC2005-00312
13125 SW Hall Blvd., Tigard,OR 97223 503-639-4171 DATE ISSUED: 6/8/2005
PARCEL: 1 S135CA-01202
SITE ADDRESS: 09900 SW NORTH DAKOTA ST ZONING: R-12
SUBDIVISION: FIR TERRACE APTS. LOT: JURISDICTION: TIG
Protect Description: 12eplace 10'of inside gas line to pool heater. Valuation$180.
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: MF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL TYPES 0 3 HP_ DOMES.INCIN:
3 - 15 NP: COMML.INCIN:
MAX INPUT: BTU 15-30 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:
Owner: FEES
FTA INC Description Date Amount
4315 SW SELLING CT
PORTLAND,OR 97221 IMFC11-11 Permit Fee 6/8/2005 $72.50
[TAX 19'%State Surcha 6/8/2005 $5.80
Phone:
Total 578.30
---
Contractor:
NORTHWEST POOL SERVICE INC
8362 SW 169TH PL
ALOHA, OR 97007 REQUIRED ITEMS AND REPORTS
Phone: 503-356-6917
Reg M LIC 144447
F-
�11
This permit is issued subject to the regulations containe i In the Tigard Municipal Code,State of Ore. Specialty Codes and all other
applicable laws. All work will be done In accordance with approved 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. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
W Utility Notification Center. Those rules are set forth in GAR 952-001-0010 through OAR 952.-001-0100. You may obtain copies of these
J rules or direct questions to OUNC by calling 503-246-6699 or 1-800-332-2344.
Issued By: C �� Permittee 91 e
Call 503-639-4175 by 7:00 a.m.for Inspections that ess day.
This permit card shall be kept In a conspicuous place on the job until completion of the project.
Approved plans are required on the job site at the t me of each Inspection.
• Mcichanical Permit Application
City of Tigard
"Prmmved rermi,No
c,temr -7 0 W\'V L,t��S`
13125 SW hall Illvd.,l'igard,OR 97223 �D.ate
Review
Phone: 503.639.4171 Fax: 503.598.1960 my t xher Permit
Inspection Line: 503.639A 175 Readr/Dr )uric M %*Pqe 2 for —
Inlcmct: www.ci.tigard.or.us rwd/Method Suppleeatall■formaden
TYPE OF WORK COMMERCIAL M* 8tWWL1 - USF.CMI CJCLJR7'
❑New construction _ - M Addition/alteration'replac:ement Mechanical permit feet are based on the value of the work
performed.Indicate the value(rounded to the nearem dollar)of all
[�Demolition ❑Other: mechanical materials,equipment,labor overhead,and pmftt.
CATF/;ORY OF CONST RUL'lTON Value:S19Q e QQ
—�- RICSIDEM 1A EQURMM'1 SYSTEM FEF•8'
❑ I-and 2-family dwelling Commercial/industi ❑ Accessory building ------- pa s --
Multi-famil For specinl IRjin•nwrinn ussee checAllar.
❑ y ❑Master builder ❑Other:
_^_ 4 Ikscription ,- �t)[y.. Fa. Tolal
JOB SITE INFORMATION AND LOCATION NeaNn�cottlimg -
q�r )I ^n� )T 8 ��conditioning or heat pump
Job site address: �V SQA 1•J('f wren site tau nliowm h,cemenl 14.00
City/state/TIP: T11 h R th K qlaol 3 Furnace 100,000 BTU duns/vents14.00
_ Furnace 100,000+BTU(dudalveM2 17.90
Suite/bldg./apt.no.: FTF RRCs Pmject name: R TUMCF, S Gas heat um 14.00 -
Cross street/directions to job site: Duct work 14.00
Hvdronic hot water sntem 14.00
JAJ rJ AJ QF EIJ R Q R A Residential boiler(radiator or
- � h hers - - 14.00
Unit
il Maters(fuel-type,r,(A electric),
000 S in-wall,in-duct_suspended,etc. 10.00
Flue/vent for any of above 10.00
Subdivision: Lot no.: -- -
-- - -- - Olher, 10.00
tax map/parcel no.: Other fuel applhoees
DESCRIPTION OF WORK Water heater 10.00
—/ J Ga4 rhe, 10.00
l l -E P ei�6 w� (j S, L i At e- Flue vent for water heater or gas
Y_ fireplace fir lace 10.00
- [A%Iifihter8 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
❑ PROPERTY OWN l.R r-- ❑ TENANT Chimney/liner/flue/vent 10.00
---. Other: _ __ 10.00
Name: Eovlroameutal exhaust and vendlaltou
------� -'-- Rage hood/olher kitc,.%m
Address: a u, rttent 10.00
City/State/711P: Clothes dryer exhaust _ 10.00
Phone:( ) - Fax:( 1 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 6.80
❑ APPLICANT r] CONTACT PERSON — Attic/crawls ace fans - 10.00 _
Business name: ----- ---^ Other: -- 10.00 u
Foe[pipits` - --
Contact name: _ S5.40 for Drat four;SI.00 for each eddidoul
IL Address: Furnace,etc. -, -
Gas heat pump-
WCity/State/ZIP: Wall/suspended/tmit heater
Phone:( ) Fax^:( ) --- Water heater --
1:-mail: FireQlaa
Ran ---- - --
CONT'RACT'OR — - Barbecue
W Business name: _A f/SRT RtAA,-S1 PDOL S F_�� Al C0 d I - --- - ---
Address: 3 l� T M1�ANICAL PERMIT FEEIi -- y`
City/State/71P: L N-7 subtotal
_ Minimum permit The($72.50) 7
Phone:(sa) 3 .� Fax:( ) Plan review(25%of permit fee)
CCB lie.: (I,-,/ A State surcharge(V/s of permit fee)
TOTAL PERMIT FEE 0
Authorized signature: We pauN appilleadeat eap[ns it pelt is not.nt.taed Ala IM
dd days after k has be"accepted incemome.
Print mime: ate: • Fee methalobgy oe!br Tri CrnmtyBuilding Indmhy Service Ijatad
i\aui1dinplPermh—a\1NW.CC--P"m��itA-ppp dm 12M3 4W0MJ7r(11ffi2K AtM)
CITY OF TIGARD
BUILDING DIVISION PERMIT#: MEC200&00312
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: &W2W)'
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 6/15/200ri TIME: 7:16AM PAGE: 103
Nc*r?f x sir—w9uGats—
SITE ADDRESS: 09900 SW NORTH DAKOTA ST CLASS OF WORK:
SUBDIVISION: FIR TERRACE APTS LOT#: TYPE OF USE:
PROJECT NAME: FIR TERRACE,APTS
DESCRIPTION: Replace 10'd inside gas lint. r heater, Valuation $180.
OWNER: F ' A INC, PHONE #:
CONTRACTOR: ► -jRTHWEST POOL SERVICE INC PHONE #: 503-35&6917
Inspection Request Scheduled For: Date: 6x15/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Wwhanical final 00927301 60335&6917 N
Corrections/Comments/Instructions:
r
a —
oc
ao —
w
F PASS ❑ PARTIAL APPROVAL [] CANCEL ❑ NO ACCESS
L7 FAIL CALL. FOR I SPECTION ❑ ADQITI NAL F S ASSESSED
Inspector: _ Date: "" Phone #: (503) 718-
CITYOF TIGARD _ PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2001-00393
13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171 DATE ISSUED: 8/20/01
SITE ADDRESS: 09900 SW NORTH DAKOTA ST PARCEL: 1S135CA-01202
SUBDIVISION: FIR TERRACE APTS. ZONING: R-12
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYi-E OF USE: MF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R1 FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: 2 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Bringing (2)existing water heaters up to code. _
FEES
Owner: —
Type By Date Amount Receipt
T
FAINC --
F T SIN SELLING CT PRMT CTR 8/20/01 $72.50 27200100000
PORTLAND, OR 97221 5PCT CTR 8/20/01 $5.80 27200100000
Total She;.?^_
Phone 1:
Contractor:
STAN THE HOT WATER MAN
PO BOX 33157
1 )RTLAND, OR 97292 REQUIRED INSPECTIONS
Phone 1: 503-760-2992 Top-out Insp
Reg#: LIC 130755 Final Inspection
PLM 26-632PB
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OC
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ao This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
JSpecialty Codes and all other applicable laws. All work will be done in accordance with approved 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. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080.
You may obtain copies of these rules or direct questiolis to OUNC b4ne
0 1987.
Is*ued By: Permittee Signature:
Call(503)639-4175 by 7:00 P.M.for an Inspection neededslness day
Plumbing Permit Application
Datereceived: A-71 0/ Pcrmitno.: )CN
City of Tigard`� b Sewer permit no.: Building permit no.:
Address: 13125 SW Hall Blvd,Tigard,OR 97223
(iry of Tigard phone: (503) 639-4171 ProjccUappl.no.: Expire date:
Fax: (503) 598-1960 Date issued: By: Receipt no.:
Land use approval: _ _ Case file no.: Payment tyle:
;LUJNcw
family dwelling or accessory munercial/industrial Multi-family U Tenant mprovement onstruction Addition/alteration/replacement U ood service• U Other:
11101 K11 MKII to" =am
ss C. qO S- Description l2t . Fee eo. Total
Bldg.no.: _ Suite no.: Ner►1-tend 2-family dwellings only:
r
Tax map/tax lot/account no.: -- (includes 190 ft.roeachutilityconnection)
_ SFR(1)bath
Lot: Block: Suhciivision: SFR(2)bath _
Project name: �l SFR(3)hath
nty:'rl
City/couZIP: Each additional bath/kitchen
Description and locatio/i of w9*on premises: Slteutlllties:
[/ / .' Catch basin/area drain
Est.date of completion/inspection: rywells/leach line/trench drain
Footing drain(no.lin.ft.)
Manufactured home utilities
Business n e: Manholes
Address: a• 7 Rain drain connector
City: - _ Stale: 9. ZIP: Sanitary sewer(no.lin.ft.)
Phone: .rX60 Zggt. Fax:S(i3 7067 E-mail S Storm sewer(no.lin.ft.)
CCB no.: I YJ_] Plumb.bus.reg.no: - P.6 Water service(no.lin.ft.)
City/metro lic.no.: iv __ 11 Fixture or Item:
Contractor's representative signature: Absorption valve
Print name: — Back flow prevenier
S' i tZp/ Date:$ Backwater valve _
Basins/lavatory
Name: _ Clothes washer
Address: Dishwasher
Drinking fountain(s)
City: State: ZIP: EE a ors/sum
Phone:U32 -p rax: E-mail: Expansion tank
Fixture/sewer cap _
Name(print):
Floor drains/floor sinks/hub
-- Garbage dis al
Mailing address: Hose bibb
City: State: ZIP: Ice maker
Phone: Fax: E-mail: Interco tor/ rease trap
Owner installation/residential maintenance only: The actual installation Primer(s)
�- will be made by me or the maintenance and repair made by my regular Roof drain(commercial)
employee on the property 1 own as per ORS Chapter 447. Sink(s),basin(s),lays(s)
Owner's signature: Date: Sump
.il Tubs/shower/shower pan
Name: Urinal -
J — Water closet
JAddress: Water heater _ -7—
City: 1 State: ZIP: Other:
Phone: Fax: E-mail: Total
Not all Jurisdictions weep credit cards,*jw cell Jurisdiction for more informstion. Minimum fee......... ......$ • st.
Notice:This permit application Plan review at � �
U Visa U MasterCard ( ) $expires if a permit is not obtained
Credit ctrd number:— L ! Slate surcharge(8%) ....$
F.>cplrc+ within 1 RQ days after it hes leen $ ��
--- accepted les complete. TOTAL .......................$
Name of cerdholhr u shown on credit card -
S_ _
Cardholder siputme Amount 4404616(60AX"
PLUMBING PERMIT PEES: -
PRICE TOTAL Now 1 and 2 family dwellings only:
FIXTURES (individual) _ QTY ea AMOUNT (iricludes all plumbing fixtures In PRICE TOTAL
Sink 16.60 the dwelling and the firstl00 ft. QTY (ea) AMOUNT
Lavatory 18.60 for each utility connection) _
One_01 a __ $249.20 _
Tub or Tub/Shower Comb. 16.60 Two 2 bath $350.00
Shower Only 16.60 Three 3 bath $399.00
Water Closet 1660 _SUBTOTAL
Urinal 16.60 8%STATE SURCHARGE _
Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL
Garbage Disposal 16,60 ____ TOTAL
Laundry Tray 16.60
Washing Machine 16.60
Floor Drain/Floor Sink 2" 16.60 _ PLEASE COMPLETE•.
3" 16.60 --
q" 16.60
Water Heater O conversion O like kind 16.60 Quantity b ir Work Performed
Gas piping requires a separate mechan;cal Fixture Type: New Moved Replaced Removed/
permit. - _J Capped
MFG Ho-dr New Water Service 6.40 Sink _
k!76Home New San/Storm Sewer r 4 . 0 Lavatory
Tub or T'rti/Shower
Hose Bibs 16 60 Combination
Roof Drains 16.60 Shower Only
Drinking Fountain Z 16.60 _Water Closet
- _
Other Fixtures(Specify) _ 16.60 lhinalDishwasher -_
Garbage Disposal _
Laundry Room Tray
Washing Machine
Floor Drain/Sink: 2"
Sewer-1st 100' 55.00 3"
Sewer-each additional 100' 46.40 4"
Water Service-1st 100' 55.00 Whter Heater
Water Service-each additiona 200' 46 40 Oth Fixtures
Storm&Rain Drain-1st 100' 55.00
Stone 6 Rain Drain-each additional 100' 46.40 _
Commercial Back Flow Prevention Device 46.40 -
Residential Backflow Prevention Device' 27.55
Catch Basin 16.60
Inspection of Existing Plumbing or Specially 72.50
Requested Ins Ionsper/hr COMMENTS REGARDING ABOVE:
Rain Drain,single family dwelling 65.25
Grease Traps 16.60 -
QUANTITY TOTAL
aIsometric or riser diagram Is required If ---
(� Quantity Total it >9
N 'SUBTOTAL --- - -
8%STA r E SURCHARGE - -
m "PLAN REVIEW 25%OF SUBTOTAL
Required onlyif Ilxture total Is>9
W TOTAL =
J _
'Minimum permit fee is$72.50•8%state surcharge,excarn Re.. .1 ldckflow
Prevention Device,which Is$36 25+8%state surcharge
"All Now Commercial Buildings require pians with Isometric or riser diagram and
rrlan review
I:\dsts\fonns\plm-fees.doc 10/10/00
CITY OF T I G A R D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2001-002.98
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1
1513
PARCEL: 1 S135CA-01202
SITE ADDRESS: 09900 SW NORTH DAKOTA ST
SUBDIVISION: FIR TERRACE APTS. ZONING: R-12
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: MF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R1 VENTS W10 APDL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
y 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 -50 HP: WOODSTOVES:
GAS PRESSURE: 50+ HP: CLO DRYERS:
FURN< 100K BTU: AIR HANDLING UNITS
FURN >=100K BTU: <= 10000 cfm: �— OTHER UNITS:
GAS OUTLETS: 1
> 10000 cfm:
Remarks: Extend existing gas line to add (2)outlets.
Owner. � FEES
F TA INC Type By Date Amount Receipt
4315 SW SELLING CT PRMT CTR 8/20/01 $72.50 2720010000
PORTLAND, OR 97221 5PCT CTR 8/20/01 $5.80 2720010000
Phone:
Total $78.30
--
Contractor:
STAN THE HOT WATER MAN
PO BOX 33,157
PORTLAND, OR 97292 REQUIRED INSPECTIONS
Gas Line Insp
Phone:503-760-2992 Final Inspection
Reg#:LIC 130755
IL
o�
m
W This permit is issued subject to the regulations contained in the Tigard Winicipal Code, State of Ore.
-� Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires y u to foR
s adopted in the Orpgon
Utility otificatto enter. Those rules are set forth in OAR 9 001- ough OAR 952-001-0080.
You ay obtain co 'es of se rules or direct questions to O y503)246-9189.
Iss By: / Permittee Signature:
Call(503) 6 . -4175
by 7:00 P.M.for Inspections need& the next business day
Mechanical Permit Application
Datereceived: g CO) Permit 10 NCe -uo,'�9g
MUM A i
City of Tigard Project/appl.no.: Expire date:
CiryojTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223
Date issued:' By:� Receipt no.:
Phone: (503) 639-4171
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: Building permit no.:
❑ I &2 family dwelling or accessory U Commercial/industrial t"ulti-family ❑Tenant improvement
U New construction U Addition/alteration/rcplacement U Other:
Job address: '�Cjo Indicate equipment quantities in boxes below. Indicate the dollar
Bldg.no...Suite no.: value of all mecharical materials,equipment,labor,ovcrbead,
Tax map/tax lot/account no.: profit. Value$
Lot Block: Subdivision: *See checklist for important application information and
Project name: F ,l t r _ jurisdiction's fee schedule for residential permit fee.
City/county:
Description and l�o`n of work on premises:
Fee(en.) Total
Est.date of completion/inspection: P, -2_o-c3\ De" Qt Lip!.onij Res.only
Tenant improvement or change of use: Air handling unit CFM
Is existing space heated or conditioned?U Yes ❑No Air conditioning(site eanreqiru _
Is existing apace insulated?U Yes U No teration of existing HVAC system
oiler compressors
Business name: _ V y State boiler permit no.:
tti —_ _ HP Tons BTU/H _
Address: d. , 5 _ i smo c amps uct smoke detectors
StatcOJ- ZIP:4'�Z c '- eat ump(site p an required)
Phone:�(pv c Z F'ax: E-mail: nsta replace urnac uiner l)'I'(
,y Including ductwork/vent liner U Yes U No
CCB no.: 1�p 5 �p " 4' Instalrep ac•re ocate eaters-suspended,
City/metro lic.no.: wall,or floor mounted
Mune(please print): eat or a!i sacs of cr t an urnace
e erat�:
Absorption units_�, BTU/H
Name: C Chillers—_ _ HP
Address: �- --- Com resins HP
p ronseeta ex nt a ten acs",
City: �� �— A plianccvent J
Phone: `j Fax: E-mail: Dryercxhaust
Mods,Type res. 1tc a azmat
hood fire suppression system _
Name: Exhaust fan with single duct(bath fans)
Mailing address: Exhaust system a art from eaten or W_
Cit State: ZIP: ng and on up to outlets)
City: —__ Ty LPO NO __Oil _
' Phone: Fax: E-mail: .ue r rn each rt ons over ou ets—
(sc ematicrequ ) _
Number of outlets
I Name: ---- --_-- 0AWir 16W applislace or eq patent: - -
j Address: _— Decorative fireplace
City: State: Insen-ty _
l I Fax: E-mail:
v tov pc et stove
Phone: A
r.
Applicant's signature: _^ Date:
Name(print): _ -7�vv��
Not all jurisdictions accept credit cardr,please call jurisdiction for more information. Permit fee.....................i /P 5-(5
-
Notice:This permit application Minimum fee................$
U Visa U MnsleiCard expires if a permit is not obtained
Credit card number: within Igo days after it has been Plan review(It( %) $ 190
.......................
Esplrea Y State surcharge(896)....$ L
Namf cardholder as shown on crime it stud-- accepted as complete. TOTAL 50
me
Catdhobler signature Amoonl 4/0-1617(61801""
MECHANICAL PERMIT FEES
COMMERCIAL FEE SCHEDULE: 1 &2 FAMILY DWELLING FEE SCHEDULE:
TOTAL VALUATION: PERMIT FEE: Description: Prim Total-
$1.00 to$5,003.00 Minimum fee$72.50 Table 1A Mechanical Code UN (Es) Amt
$5,001.00 to 110,000.00 $72.50 for the first$5,000.00 and 1) Furnace to 100,000 BTIJ
$1.52 for each additional$100.00 or includin ducts&vents 14.00
fraction thereof,to and including 2) Furnace 100,000 BTU+
_
$10,000.00. including duds 8 vents 17.40
510,001.00 to 525,000.00 $148.50 for the first$10,000.00 and 3) Floor umace
$1.54 for each add tlona',$100.00 or including vent 14.00
fraction thereof,to a.:,;including 4) Suspended heater,wall heater
$25,000.00. _ or floor mounted heater 14.00
$25,001.00 t $$50,000.nO $379.50 for the first$25,000.00 and _ 5) Vent not Included in appliance rtnit
$1.45 for each additional$100.00 or _ _ 8.80 _
fraction thereof,to and including 6) Repair units
_$50,000.00. 1215
550,001.00 and up $742.00 for the first$50,000.00 and Check all Rha(apply: Bolter Heat Air
$1.20 for eseh4ditional$100.00 or For Items 7-11,see or Pump Cond
fraction thereof. footnotes below. C
7)<3HP;absorb unit
Minimum Permit Fee$72.50 - SUBTOTAL: $ to 100K BTU _ 14.00
_ 8)3-15 HP;absorb
8%State Surcharge : unit 100k to fi(N)k BT 25.60
-___ _- _ ----- -- 9)15-30 HP;abso
25%Plan Review Fee(of subtotal) $ unit--i ml(BTU 35.00
Required for ALL commercial permits only _ ___ 10)30-50 HP; sorb
TOTAL COMMERCIAL PERMIT FEE: _ , it 1-1.75 m TU
s 52.20
1 >50HP• bsorb
_ - - unit 1.7 II BTU 117.20
12)Al ndling unit to 10,000 CFM
ASSUMED VALUATIONS PER APPLIANCE: 1000 -.
Value Tota( 13) r ha ling unit 10,000 CFM+
Description: Q (a1 _Amount 17.20
Furnace to 100,000 BTU,Including 955 4)Mon-porta evaporate coder
duds&vents 10.00 Furnace>100.000 BTU Including 1,170 15)Vent fan conn ded to a single dud
duds&vents _ _ _� 6.80
Floor furnace indudin vent _ 955 16)Ventilation syste not induded in
Suspended heater,wall heater or 955 appliance penult 10.00
floor mounted heater _ 17)Hood served by me anlcal exhaust
Vent not Included in applicance 445 _ 10.00 _
nn l 18)Domestic incinerators
Re a,:units _ 805 a _ 17.40
<3 hp;absorb.unit, 955 19)Commercial or IndusMal incinerator
to 100k BTU
3-15 hp;absorb.unit, 1,7� 20)Other units,Including wood vas
101k to 500k BTU 10.00
15-30 tip;absorb.unit,501k to 1 2,310 21)Gas piping one to four outlets
mil.BTU 5.40
30-50 hp;absorb.unit, P3174 22)More than A sr outlet(each)
1-1.75 frill.BTU _ 1'�
>50 hp;absorb.unit, , Minimum Permit Fee$72.50 _ S BTOTAL: s
>1.75 mil.BTU _ _ _ -
All,handling unit to 10,000 Cfm 656 e%State S rcharge S
Air handling unit>10.000 dm 1,170
Non- bre evaporate cooler _ 656 __. TOTAL RESIDENTIAL PERM -EE:
Vent fan connected to a single dud 446
Vent system not Included In 656 �-
a lianee permit _ Other Inspect and F �:
Hood served b mechanical exhaust 656 1 Inspections outskie of normal business tours(min um charge-two hours)
Domestic indnerator 1,170 $72.50 per hour.
Commercial or industrial Incinerator 4 590 2 Inspections for whk;h no fee is specifically Indicated minimum charge
hour)
Other unit,Including wuod stoves, 658 Additidditiper hour
3. Aonal plan review required by changes,eddilionsbr revisions to plans(mlNmun
Inserts,etc. _ chargeone-hatf tint)$72 50 per tour
Gas piping 1-4 outlets 380
Each additional outlet _ 63 'State Contractor Boller Certification required for unl%>200k BTU.
"Residential A/C requires site plan shoving pisoement of unit.
TOTAL COMMERCIAL s
1:ldstslforms\rnech-fees.doc 08/06/01
-CITY OF TIGARD BUILDING INSPECTION DIVISION MST +
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP
Date Requested AM PM _—_ BLD
Location Suite MEC
Contact Person Ph —_ PLM 1-00 3R3
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Fooling Access:
Foundation FPS
Fig Drain SGN
Crawl Drain Inspection Notes: --
Slab SIT
Post&Beam ---
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing _
Firewall —
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
l �
sl&Beam -
Under Slab
Top Out `
Water Service
Sanitary Sewer
Raim.Drains
i
PART FAIL
MECHANICAL
Post&Beam --
Rough In
Gas Line -
Smoke Dampers
Final -- -- --
PASS PART FAIL
ELECTRICAL —
a Service
Rough In
H UG/Slab _.
W Low Voltage
Fire Alarm v_
Final
m PASS PART FAIL
SITE
J Backfill/Grading
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$--_ _ required before next inspection Pay at City Hall, 13125 SW HAII Bhtd
Catch Basin
Fire Supply Line [ ]Please call for reinspection RE__ ._. _ �^, [ J Unable to inspect no scces5
ADA
Approach/Sidewalk p r/ C-K�1 C'II� Ext / Z
Other Date Inspector
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION IST
24-Hour Inspection Line: 639-4176 Business Line: 639-4171
Date Requested 9-1q- 641 (ZDPM _ BU
LocationLD
_ /� Suitej'
Contact Perso �,�d _ Ph
Contractor Ph ��SWR
BUILDING Tenant/Owner ELC _
Retaining Wall ELR
Footing Access:
Foundation FPS
Fig Drain
Crawl Drain Inspection Notes: � _ A a) a� 4� SGN
Slab
Post S.Beam —^ SIT
Ext Sheath%Shear
Int Sheath/Shear -`
Framing I ���� a
Insulation
Drywall Nailing _ _
Firewall -�
Fire Sprinkler _
Fire Alarm
Susp'd Ceiling
Roof <
Misc: _
Final
PAS ART FAIL '
Post&Beam -
Under Slab
Top Out --- -
Water Service
Sanitary Sewer
Rain Drains
lliV
PASS__Q FAIL
LIECHANIC?K
Po eam
Rough In
Gas Line ---
Smoke Dampers
PA PART FAIL
E TRICAL -�---
a Service
Rough In
W UG/Slab
Low Voltage —-
Fire Alarm
Final
m PASS PART FAIL
Lu SITE
Lu
-� Backfill/Grading —
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ _required before next Inspection. Pay at City Hell, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ]Please call for reinspection RF: _ [ ]Unable to Inspect-no access
ADA
Otherach/Sidewalk Date 6 Inspector__
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.