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11420 SW DAWN'S COURT C U C 11420 SW Dawn's Court 1\ CITY O F T I G ® R _ MECHAR!Ir:AL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2002-00511 DATE ISSUED: 11/15/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S134DC-06900 SITE. ADDRESS: 11420 SW DAWN'S CT SUBDIVISION. DAWNS INLET ZONING: R-4.5 BLOCK: LOT: 004 JURISDICTION: TIG CLASS OF WORK: UTR _ 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. WOD 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 • 50 HP: WOODSTOVES: 1 GAS PRESSURE: 50 + HP: CLU DRYERS: FURN < 100K BTU: _ AIR HANDLING UNITS OTHER UNITS: FURN >-=100K BTU: <- '10060 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Installation ut woodstove insert _Owner: e _FEES KENNETH DAVIDSCN Description Date Amount 11420 SW DAWNS CT I MF:C'III Permit Fee 11/15/02 $72.50 TIGARD, OR 97223 1 ME CII J Permit Fee 11115/02 $0.00 [TAX]81/o StateTax 11/15/02 $5.80 Phone: 503-624-1072 [TAX] 80%StateTax 11/15102 $0.00 .I Contractor: _ Total $78.30 OWNFR REQUIRED INSPECTIONS Woodstove Insp Phone: Fi,gal Inspection Reg #: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laver;. All work will be done in accordance with approved plans. This permit will expire if worts is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION- Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are spat forth in OAR 952-001-00 Issued By: Permittee Signature: 1 - `__ �_�_ r — ---— — Call (503)639-4175 by 7:00 P11. for inspections needed th,, next businass day \� Mechanical Permit Application Date received:/ /rDr Permit no.: (.ity of Tigard Prgject/appl.no.: _ Expir date: C'i.v(P.,I'if nn/ Address: 13125 SW Hall Blvd,Tigard,OR 97223 bate issued: B Receipt no.: Phone: (503) 639-4171 type: Fax: (503) 598-1960 Case file no.: Payment Building permit no.: Land use approval: _ ----" t ' U Multi-family U Tenant improvement :�Uew &2 family dwelling or accessory U CommerciaUindustrial y construction U Addition/alteration/re-placemen( Ll Other: t t Indicate equipment quantities in boxes below. Indicate the dollar Job address:/�y� t7 t� J/r- 6�j1 �f` value of all mechanical materials,equipment,labor,overhead, Bldg. I Suite no.: profi►, Value$ Tax map/tax lot/account no.: Lot: Block: Subdivision: *See checklist for important upplication information and jurisdiction's fee schedule for residential permit fee. Project name' City/counZIP: 1 r t Description and location of work on premises:, — I ftYlca.) Total 12 4C 1, //V< _ Res.only R-smols Ihu•riplion � Est.date of completion/inspection: C: Tenant improvement or change of use: Air handling unit CFM Is existing space heated or conditioned?U Yes U Nu ir c Aon itioning(site P an required) Is existing space insulated'?U Yes U No Alteration of existing system 1 --Boiler/compressors State boiler permit no.: Business name: r_ (' _ HP Tons BTU/H _ Address: Fire/smoke amr, duct smo a electors pe J State: Z.IP: eat pump(site p an rcqu re ) City: - nsta rep ace urnace/burner 3 I ncluding ductwork vent liner U Yes U No E-mail: Pltf me: ax:_ I _ CCB no,: _ nstall/t aceTre Dente eaters suspen e City/metro lie.no.: wall,or floor mounted _-- cnt l'or a lance of er t Ian urnace Name(please print): Refrigeration: cONTACt PFR'4014 Absorption units _ BTU/11 Chillers__ -- HP Name: _ - Com ressors — HP Address: _ nv ronmenta exhaust and vent at on: City:_ State: ZIP: Appliance vent --- E-mail: fryer exhaust Phone: 1 ;t� oo s, ypc , /ra.kitc ten azmat hood fire suppression system -- C Exhaust fan with single duct(bath fans) _ Name: C "� !9 sI — x roust syst_e�mapiu from Icatin or L Mailing address: j/ rf V S W A 4/S_ rte_ Fuel p�Tg� str tut on lop to If outle _City: /1 State:Q%L ZIP: 1rf ? t Type; _LW NG oil s) _ Phone: e,ry-/�%,t Fax I mail: uc i ingcacta ditiona over ouTets r rocesspiping(sc ematicrequire 1 Number of outlets Name; ___ t eripsi app ante or tequ pment: Address: Decorative fireplace --- .!. — _ Slate:__ ZIP: nsert-l e City: _ Woo stov_ et Phone: Fttx; �E stove mail: fit c>F t r Applicant's signature:" �/ _r Date: —)'�tT�ei:— (p r. ,('E-N�1yFTi� ,••'t rte^' - - _, Name not Permit f_.. $ ............ Not oil Jurisdictions accept credit cards,pleas cell jwisdiction f m mtxe Information Notice:This permit appl'cation Minimum fee................$ U Visa U MasterCard expires if a permit is not obtained plan review(at ___ %) $ — Credit card number within 180 days ar'.^r it has been State surcharge(8%) ....$ �1 Name of cardholder as shown im cre:dit cd is TOTAL ...... accepted as complete. ........... .....$ -- Canlholder signature "I-M17(ISWCOMI MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDUI-E: 1 & 2 FAMILY DWELLING FEE SCHEDULE: -- _ -1 -- - --- - - TOTAL VALI IATION. P_ERMIT_FEE. Description Price Total $1.00 to$5,000.00 _ Minimum fee$72.50 1) F na Mechanical Coda __-_ Qh (Ea) Amt $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Furnace to ducts & 0 BTU $1.52 for each additional 5100.00 or including ducts&vents 14.00 fraction thereof,to and Ir cluding 2) Furnace 100,000 BTU+ _ $10,000.00. Includingducts&vents 17.40 $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace $1.54 for each additional$100.00 or including vent 14.00 fraction thereof,to and Including 4) Suspended heater,wall heater $25.000.00. or floor mounted heater 14.00 $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not Included in appliance permit $1.45 for each additional$100.00 or 6.80 fraction thereof,to and including 6) Repair units $50,000.00. 12'15 $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply, Boller Heat Air $1.20 for each additional$100.00 or For Items 7.11,see or Puma Cond _ fraction thereLf. footnotes below. Comp Minlmum Permit Fee$72.50 SUBTOTAL: 7)<3HP;absorb unit $ to 100K BTU 14.00 - - 8)3-15 HP;absorb 8%State Surcharge $ unit 100k to 500k BTU 25.60 _ 259/.Plan Review Fee(of subtotal) � 9)15-30 HP;absorb I J 35.00 Required for ALL commercial permits onlyunit.5-1 mil ;a TOTAL COMMERCIAL PERMIT FEE: $ unit 301.7 mi absorb 52.20 unit 1-1.75 mil BTU 11)>50HP;absorb unit>1.75 mil BTU 87.20 - ASSUMED VALUATIONS PER APPLIANCE: 12)Air handling unit to 10,000 CFM 10.00 Value Total Ea Amount 13)A!r h:iidling unit 10,000 CFM+ 17.20 Description: D Furnace to 100,000 BTU,Including 955 14)Non-portable evaporate cooler ducts&vents _`. 10.00 Furnace>100,000 BTU Including 1,170 15)Vent fan connected to a single duct ducts&vents _ 6.80 _ Floor furnace includin i vent 955 16)Venlilarion system not Included in Suspended heater,wall heater or 955 appliance permit 10.00 floor mounted heater 17)Hood served by inachanical exhaust Vent not Included in appliance 445 1 10.00 - permit 18)Domestic incinerators Repair units 805 17.40 <3 hp;absorb.unit, 955 19)Commercial or Industrial type incinerator to 100k BTU 69.95 3-15 hp;absorb,unit, 1,700 20)Other units,including wood stoves 101k to 500k BTU _ 10.00 15-30 hp;ahsorb.unit,501k to 1 2,310 21)vas piping one to four outlets mil.BTU 5.40 30-50 tip;absorb.unit, 3,400 22)Mire than 4-per outlet(each) 1-1 75 mil.BTU _ _ 1.00 >50 hp;absorb.unit, 5,725 Minimum Permit Fee$72.50 SUBTOTAL: 5 >1,75 mil.BTU I _ Air handling unit to 10,000 cfm 656 J - 8%State Surcharge a Air handling unit>10,000 cfm__ 1,170 Non-portable evaporate cooler 656 TOTAI RESIDENTIAL PERMIT FEE: Vent fan connected to a single duct 446 Vent system not Included in 656 -- - - -- - 81PPITEeepermlt Other Inspections and Fees: H9T served_by mechanical exhaust 656 1 Inspections outside of normal business hours(minimum charge-two hours) Domestic Incinerator 1,170 $62 50 per hour Commercial or industrial Incinerator 4,590 _ 2 Inspections for which no fee is specifically Indicated (minimum charge-half hour) Other unit,Including wood stoves, 656 $62 50 per hour Inserts,etc. _ a Additional olan review required by changes,additions or revisions to plans(minimum Gas iping 1 4 outlets_ 360 charge-one-half hour)$62 50 per hour Each additional outlet _�. 83 'State Contractor Boller Certification required for units>200k BTU. ..Residentlai AIC requires site plan showing placement of unit. TOTAL COMMERCIAL s VALIJj%TION: All Nov.Commarciai Buildings require 2 sets of plans. I:%dstslfonnslrnech-fees.doc OV11102 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BLIP --- --- ._ Received _ Date R ested , �'Z'' AM_—_ PM— BLIP Location � rSuite _ MEC 0 ' c�dam_ Contact Person �-n--� ! Ph (_ ) y ZD 7 2, pLM Contractor_ Ph(_ ) SWR BUILDING Tenant/Owner -_. ELC Footing Foundation access: ..� _ ��^, ELC Ft9 Drain ELR Crawl Drain --�-1-� Slab Inspection Noteg" / -_ SIT - Post&Beam Shear Anchors --77 - - Ext Sheath/Sheai z d` Int Sheath/Shear - Framing _ - Insulation Drywall Nailing Firewall Fire Sprinkler � �ov Fire Alarm Susp'd Ceiling _ Roof Other: Final PASS PART FAIL - - -- PLUMBING _ Post R Beam Under Slab _ Rough-In Water Service Le Sanitary Sewer Rain Dr-tins -- Catch Basin/Manhole Storm Drain Shower Pan Other: -- Final - _ RT FAIL -�- -- ^^ -- ECHANICA Rough-In --- ---- _ ------- Gas Line Sm ke Dampers - ilia PART FAIL - - - — —_- EL TRICAL --- Service -- -- ---- ---- - Rough-In UG/Slab --- -- - - - - Low Voltage Fire Alarm - — - Final ':1peinspection fee of$ PASS PART FAIL --required before next inspection, Pay at City Hall, 13125 SW Hall Blvd. SITE ` _`_— F] Please call for reinspection HE:_ r-_ F-1Unableto inspect-no access Lin Fire Supply o Ext.y ADA Date / i -�. Approach/Sidewalk II�� • a Inspector !_ � _ Other: Final DO NOT REMOVE this Inspection record from the poh site. PASS PART FAIL