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11555 SW DURHAM RD SUITE. A-4
CITY ®F T I GA R D __ MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2002-26006
TM 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 4, 11 DATE ISSUED: 10/1;02
PARCEL: 2S1100C-02300
SITE ADDRESS: 11555 SW DURHAM RD A-4
SUBDIVISION: PARTITION PLAT 1998--128 ZONING: C-G
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: M VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERSICOMPRESSORS HOODS:
FUEL TYPES _ _ 0 - 3 H": 1 DOMES. INCIN:
3 - 15 HV , COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS'?: 30 - 50 HP:
WOODSfS:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
R UNITS:
FURN >=100K BTU: <= 10000 cfm: AO
> 10000 cfrrr. GAS S OUTLETS:
Remarks: Replace 1-1/2 ton AC condensor. Site plan provided.
Owner: FEES ---`�
DURHAM/99 ASSOCIATES LTD PTNSH Description Date Amount
BY CRIIMI MAE SERVICES LP - —
ATTN: LOAN SERVICING IMECH] Permit Fee 9/27102 $72.50
ATTN: LOAN
LE, SE 2ICIN (MECH] Permit Fee 9/30/02 $0,00
ROCKi TAX]8%State'Tax 9/27/02 $5.80
Phone: iTAX] 8 StitteTax 9/30/02 $0.00
Contractor: Total $78.30
REQUIRED INSPECTIONS
Phone: Mechanical Insp
Cooling Unt Insp
Reg#: 00063242 Final Inspection
This permit is issued subject to the regulations contained in the Tigard `" micipal Code, State of Ore. Specialty Codes
and all other applicable laws. All work will be done in accordance wit,, a- ;,roved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more thar. 180 days. ATTENTION: Oregon law
requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00
Issued By: },/ �- ,ti Permittee Signature:
Call (503)639-4175 by 7:00 P.M. for inspections needed the next business day
Mechanical Permit!application
kD
e receiver (o b J-- Perni t no.4 r)
City of Tigard ect/appl.no,: ExpirPdate:
CitvofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 eissucd: By ,� Receiptno.:
Phone: (503) 639-4171
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: _� Building permit no.:
U 1 &2 family dwelling or accessory 06 Commercial/industrial U Multi-family U Tenant improvement
(l New construction ¢d'AddiLion/alteration/replacement U Other:
l �.`�' Job address: 1 Indicate equipment quawities in boxes below.Indicate the dollar
Bldg.no.: Suite no.: value of all mechanical rVaterials,equipment,labor,overhead,
Tax map/tax lot/account no.: _ profit. Value$
Lot: y—Block—Subdivision: `_ 'See checklist for important application information and
Project name: ►s Q 5't>ws�f 1 j4jr..jj 1rp �� lurisdiciicm's fee schedule for residential permit ter
City/county: eot.,t) ZIP: q1111 I
Desc ' tion 9nd location of Work on p miser: _ t
Fcc(t'a.) 'Total
Est.date of completion/inspection: IlAacrf oo (JOld Res.only Rhs.only
Tenant improvement or change of use:
Is existing space heated or conditioned?UrYes U No Air handling unit _CFM
Air con itioning(site pian requires _
Is existing space insulated'?Jd Yes U No Alteration o—existing HVAC system
Boiler/compressors
Business name: State boiler permit no.:
t 1E L 1 HP —.Tons BTIJ/H _
Address: "rpsi fir mpe
s�,,, S�,N (� li, smn c ar, uctsmo a erectors _
City: t State ZIP: -Z Z :3 eat pump(sit pan required)
Phon rj Fax' E-mail: _ nsta I replace urnace urner T'FU/H
Including ductwork/vent liner U Yes U No
CCB no.: 6 2 / - 1a '0 nsta rep nce re ocate heaters-suspende ,
City/metro lic.no.: _l 7 wall,or floor mounted
Nance(plcau'pritill VenlRrra ianceother r an furnace
c goal on:
Absorption units---- Ii Ill/I I
Name: _ -- Chillers
Address: — Com ressors HP
—_�— v roemenU exhaust and ventilation:
_City: State: 7.1 P: _— Appliancevem _
Phone: Fax: Fs-mail: )ryercx oust
o s, Typeres. htc c azmat
hood fire suppression system _—
Name: _ Exhaust fan with single duct(bath fans)
Mailing address: — _Tx raTust system apart front heating or AC
t — State: 'IP: Fuelpiping as st Won(up to outlets)
Ci
_y: �' Type: _LPG NG Oil _
Phone: Fax: E-snail: -ucl—piping each additional over
voce"piping(schematic require ) _
Number of outlets
Name: — other listig appliance or equipment-
Address:
qu pment:Address: _ _ _ Decorative fireplace _
City: State: ZIP: nsert-type
Phone: Fax: E-mail: o tov pe etstovc
( e
Applicant's sig Date: f. p
Name (print):
Na ail judsdktions accept credit cards.pleam call jurisdiction for more infemation Permit fee.....................$
O Visa U Masser(art1 Notice:This permit application Minimum fee................$
expires if a permit is not obtained plan review at %) $
Credit card number:- -__----_---
Expirn within 180 days eller it has been , t.
accepted as complete. State surcharge(8%)....$ _ _
Name of Idrr as shown on credit card $
p TOTAL 7 D
Cardholder signature — Amount 410-4617(acv WOM)
MECHANIC PERMIT FEES
COMMERCIAL FE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE:
TOTAL VALUATION: PERMIT FEE: Description: Price Total
$1.00 to$5,000.00 Minimum fee$72.50 Table 1A Mechanical Code Qty (Ea) Amt
$5,001.00 to$10,000.00 $N.50 for the first$5,000.00 and 1) Furnace to 100,000 BTU
$1.%for each additional$100.00 or _fncludin ducts&vents 14.00
fracthereof,to and including 2) Furnace 100,000 BTU+
$10 ,00. including ducts&vents _ 17.40
$10,001.00 to$25,000.00 $148.50 or the first$10,000.00 and 3) Floor Furnace
$1.54 for ch additional$100.00 or Including vent 14.00
fraction the of,to and including 4) Suspended heater,wall h ater
_
$25-000-00. or floor mounted heater 14.00
$25,001.00 to$50,000.00 $379.50 for ih first$25,000.00 and 5) Vent not included in pliance permit
$1.45 for each dilional$100.00 or 6.80
fraction thereof,t and including 6) Repair units
$50,000.00. 12.15
$50,001.00 and up $742.00 for the first O,OOG.00 and Check all that apply: Boller Heat Air
$1.20 for each additlo at$100.00 or For Items 7-11,se or Nw�p Cond
fraction thereof. footnotes below. Comp •'
Minimum Permit Fee$72.50 SUBTOTAL: - 7)•3HP; U unit
to 100K BTTUU14.00
8•/.State Surcharge $ 8)3-15 HP; sorb
unit 100 to OOk BTU 25.60
25%Plan Review Fey,4subtotal) $ 9)15-30 •absorb 35.00
Required for ALL commercial permits onlyunit.5-1 ii BTU
TOTAL COMMERCIAL PERMIT FEE: $ 10)30- HP;absorb
unit 14.75 mil BTU 52.20
1 1)> OHP;absorb --
unl 1.75 mil BTU 67.20
ASSUMED VALUATIONS PER APPLIANCE: If
Air handling unit to 10,000 CFM
10.00
Value
Description: Ot Ea Amount 3)Air handling unit 10,000 CFM+
17.20
Furnace to 100,000 BTU,Including 955 1 Non-portable evaporate cooler
ducts&vents 10.00
Furnace>100,000 BTU Including 1,170 15) nt fan connected to a single duct
ducts&vents 6.80
Floor furnace including vent 955 16)Vent tion system not included in
Suspended heater,wall heater or 955 applia permit 10.00
floor mounted heater 17)Hood se d by mechanical exhaust
Vent not Included In applicance 445 10.00
permit - 18)Domestic Inc orators
_Be air units 805 17.40
<3 hp,absorb.unit, 955 19)Commercial or In ustdal type incinerator
to 100k Bru _ 69.95
3-15 hp;absorb.unit, 1,700 20)Other units,Includin wood stoves
101k to 500k BTU 10.00
15-30 hp;absorb.unit,501k to 1 27310 21)Gas piping one to fouro !lets
frill.BTU _ 5.40
30-50 hp;absorb.unit, 3,400 22)More than 4-rer outlet(ea
1-1.75 mil.BTU _ 1.00
>50 hp;absorb.unit, 5.72 Minimum Permit Fee$72.50 UBTOTAL: $
>1.75 mil.BTU
Air handlingunit to 10,000 dirt 8•/.Statercharge $
Air handlingunit>10,000 cfm 1,170
Non-portable evaporate cooler J656 TOTAL RESIDENTIAL PERMIT E: $
Vent fan connected to a single duct _ 446
Vent system not Included In 656
appliance permit _
Hood served by medt_anical exhaust 656 Other In1 Inspections s o and Pees:
outside of normal business hours(minimum ergo-two hours)
Domestic Incinerator _ 1.170 $62 50 per hour
Commercial or Industrial indnerator 4,590 2 Inspections for which no fee is specifically indicated (minim charge-halt hour)
Other unit,including wood stoves, 656 $82.50 per hour
Inserts,etc. 3 Additional plan review required by changes,additions or revision o plans(minimum
Gas pi Ip ng 1-4 outlets _ 360 _ charge-one-half hour)$fit 50 per hour
K_-
Each additional outlet 63
-- 'State Contractor Boller Certification required for units>200k BTU.
TOTAL COMMERCIAL $ "Resldentlal.A1C requires site plan showing placement of unit.
VALUATION: _ All New Commercial Buildings require 2 sets of plans.
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CITY OF TIGARD 24-Hour
BUILDING + Inspection Line: (503)639-4175 MST
INSPECTION DIVISION BusireSS Line: (503)639-4171
((,�� SUP
Received --- Date Requested__ `y AM ___PM _ BUP --
Location �^—�-� Suite --- _ MEC
Contact Person _____ L > Ph( ) ���–Q �. PLM
contractor
h SWR( ) .� — _-_—
---- _ -----___-__ _.
BUILDING Tenant/Owner _ _ ELC
Footing'-^ ELC
Foundation Access:
F'tg Drain ELR
Crawl Drain
Slab Inspection Notes: ,� SIT
Post&Beam _
Shear Anchors _ r —
Ext Sheath/Shear _
Int Sheath/Shear —Y
Framing --_--
Insulation
Drywall Nailing ------ —_ —_ __
Firewall
Fire Sprinkler --- --- -----
Fire Alarm
Susp'd Ceiling ----- -._...- ------ — - __—
Roof
Other. - --- -----
Final
PASS PART_ FAIL --- - ---- — —
PLUMBING
Post& Beam —
Under Slab
Rough-In
Water Service
Sanitary Sower —
Rain Drains —
Catch Basin/Manhole ,
Storm Drain __—
Shower Pan
Other: -- -- — - --
Final -- ------
PASS PART FAIL --- - - - - -
<_ CHANI '
-- --- -- - - - —--
Po- s?�'&H m-� ---
Rough-In —
Gas Line
Smoke Dampers -- ---. - -- --- — --- - ---
4R
PART _FAIL - —. — - — --- - --------- ----
__ ICAL— -
Service
Rough-In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of$_ required before next inspection. Pay at City Half, 13125 SW Hall Blvd.
PASS PART FAIL
SITE _ PleasQ call for reinspection RE .- -_—_ ____ Unable to inspect-no access
Fire Supply Line f
ADA 1 �I O ---
Approach/Sidevialk Dab — _ Inspector --_-- _ -- -Ext
Other: _ _ __ __
Final _ DO NOT REMOVE this Inspection rscord from the job site.
PASS PART FAIL