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10890 SW Fairhaven Way
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Ho:lr Inspection Line: 639-4175 Business Line: 639•4171
BUP
_ _Date Requested / AM-----PM BLD _
Location____ Wit`` /�c�c r1 •: _ Suite —_ MECC
Contact Person Ph PLM
Contractor !_ Ph -- --- SWR _—
BUILDING Tenant/Owner — _—_ ELC
Retaining Wall _�o ELR
Footing Access. FPS
Foundation --
Ftg Drain SGN
Crawl Drain Inspectwn Notes: -
Slat — _-- -_--- 31T
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framingi' i� ;c,��
Insulation �� dA S��i
Drywall Nailingi
Firewall
Fire Sprinkler - --
Fre Alarm
Susp'd Ceiling —
Roof
Misc: —
Final
PASS PART FAIL —-- —
PLUMBING _
Post& Beam
Under Slab _
Top Out
,Nater Service
Sanitary Sewer
Rain Drains _--
Final
PASS PART FAIL _ -
HANICAL _
Post& Beam .-_--
Rough In
Cas Line — — —
9Dmlke Dampers
tE�"
PART FAIL
ELECTRICAL
Service
Rough In
UG/Slab .- -- — —--- -- —
Low Voltage
Fire Alarm -- -
V anal
PASS PART FAIL --- ----- — - — --- -- --SITE _
Backfill/Grading
Sanitary Sewer
Storm Drain ( ]Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ )Please call for reinspection RE: _ [ [Unable to inspect-no access
ADA
Approach/SidewalkDate CQ'��� �l _Inspector Ext
_
LS PART FAIL_ DO NOT REMOVE this inspection record from the job site.
1
�I�� �� TIGARD _ MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: M26/01 00233
13125 SW Hall Blvd ,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6I26i01
PARCEL: 2S 103DD-00427
SITE ADDRESS: 10890 SW FAIRHAVEN WY
SUBDIVISION: FAIRHAVEN COURT ZONING: R-3.5
BLOCK: LOT: 011 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS.
TYPE. OF USE: SF UNIT HEATERS: VENT PANS:
OCCUPANCY GRP: R3 VENTS W/O APPL IT SYSTEMS:
STORIES: BOILERS/COMPRESSORS_ HOODS:
_ FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
I PG 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: 1 — AIR HANDLING UNITS _ OTHER UNITS:
FURN >=" )OK BTU: <= 10000 cfm: Y GAS OUTLETS:
> 10000 cfm:
Remarks: Replacement of gas furnace and installation of new exterior A/C unit. A/C unit cannot be placed within the
required setbacks. _
Owner: FEF..S
SCHECKLA. KENNETH W Type By Date Amount_ Receipt
BIBIANNE L PRMT CTR 6/26101 $72.50 272001000C
10890 SW FAIRHAVEN WAY 5PCT CTR 6/26/01 $5.80 2720010000
TIGARD, OR 97223 - — --
Total $78.30
Phone: ---- — --
Contractor:
DAVE FITZPATRICK HEFTING+ REFRIGTN
8900 SW BURNHAM STE F 6
TIGARD, OR 972.23 REQUIRED INSPECTIONS
Mechanical Insp
Phone.245-3870 Final Inspection
Reg #:LIC 52335
This permit is issued subject to the ,eyulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit wiii expire if work is not started within 180 days of issuance, or if work is suFpF ncicd
for more than 18C days. ,ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notificatic i Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080
You may obtain copies of these rules or direct questions to OUNC by calling (5Q _
Issue By:/���� �� —� Permittee Signatur'ed - "v
Call (0,03) 639-4175 by 7:00 P.M. for inspections needed the next busint-ss day
Mechanical Permit Application
"Datereccived:,-,/,1�/, Permit no. J
City of Tigard Project/appl.no.: Expire date:
city riingard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: ByJ#V1 Receipt no.:
Phone: (503) 639-4171
Fax: (503) 598-1960 Case file no: Payme A type:
Land use approval: Building permit t.�.:
ql�I &2 family dwelling or accessory U Commercial/industrial J Multi Lundy U Tenant improvement
U New construction U Addition/alteration/replacement U t)tiu•t:
1SUIEDU114-
Job address:/(j ( � t„/',4. Indicate equipment quantities in boxes below.Indicate the dollar
Bldg.no.: I Suite no.: value of all mechanical materiels,equipment,labor,overhead.
'fax map/tax lot/account no.: </,A:% profit.Value$
Lot: Block: Subdivision: *See checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit fee.
City/county: ZIP: WillIP111111111
Description and location of work on premises:
Pcc(ca.) Ibtal '�
Est.date of completion/inspeclion: Description 'Qty'• Res.only Res.ordy
Tenant improvement or change of use- '0
Air handling unit __CRM
Is existing space heated or conditioned?U Yes ®No Alrcon itioning(site plan required) — -'
Is existing space insulated?O Yes LJ No teration of existing HVAC system
Nit( IIANICAL CON,TRWFOR of er compressors
Business name: State boiler permit no.:
HP Tons BTU/H
Address: tr smoke dampers/duct smoke detectors
City: 'itat ZIP: eat pump(ite p an require ) _
Phone: ,7 ax:, E-mail. _sla rep ace furnac urner i f U
CCB no.: Including ductwork/vent liner U Yes 91 No
nslal rep aceTrelocateheaters-suspen ,
City/metro lie.no.: .- as 6 wall,or floor mounted
Name(please print): - ;. ent for-appliance other than furnace
I r gerat on:
Absorption units_ BTU/H
Name: l ,✓ Chillers HP
Address: Com ressors — HP
ronmenta ex►lust avid ventilation-
City:
ent at on:City: _ Slate: ZIP: Appliance vent _
Phoney L)5' `r- _ Fax: E-mail: )ryerexhaust
Hoods,Type res. tic a azmat
hood fire suppression system
Name: /� G/1 k=e_/�L/9 Exhaust fan with single duct(bath fans) _
Mailing address: � Q -.x gusts stem a art from heatingor C.
- -- Fuel piping andistribution(up to outlets)
Cit . t Stat .rl e ZIP. 111, _ LlXi NO Oil
i
an ax: I E-mail: r uel i in cac a ittona over 4 out els
rocessppng(schematic required)
Name: Number of outlets
Other listed appliance or equipment:
Address: Decorative fireplace _
City: State: ZIP: Insert-type
Phone: F'ax: E-mail: Woodstove/pel let stoveGv
Applicant's sigltvDat cr:
Name (print): _ - 7
Nd all Jurisdictions acrept credit cauls,please call jurisdictionfrx more infrxmatlon. Permit fee.. .................$ s- 5.0 _
U visa U MasterCard Notice:This permit application Minimum fee................$
expires if a permit is not obtained _
Credit cant number: plan review(at � 96) $
� ------ --- Expires within 18U days after it has been
State surcharge(9%) ....$
Nanre of cor0older a shown on credit rud s accepted as complete. TOTAL .......................$ _ 7E
Cardholder signature Amount 440.4611(MOCOM)
MECHANICAL PERMIT FEES
COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCH.=DULE:
TOTAL VALUATION: FEE: r Description: 7 Price Total
Table 1A Mechanical Code Qty (Ea) Amt
$1.00 to$5,000.00 Minimumfee$72.80 1) Furnace to 100,000 BTU
$5,001.00 to ;10,000.00 $72.50 for the first$5,000.00 and including ducts 8 vents _ _ 14.00
$1.52 for each additional$100.00 or 2j Furnace 100,000 BTU+
fraction thereof,to and including including ducts 0 vents 17 40
$10,000.00. -- - --
$10,00_1.00 to_$25,000.00 $148.50 for the first$10,On0.00 and 3) Floor Furnace
$1.54 for each additional$100.00 or including vent_ 1400
fraction thereof,to and Including 4) Suspended heater,wall heater
$25,000.00. or floor mounted heater _ 14 00
$25,001.00!o$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not included in appliance permit
.00
for each additional$100.00 or 6.80
fraction thereof,to and Including E) 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: Boiler Heat Air
$1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond -
Il_ I fraction thereof._ footnotes below.
7)<3HP;abcorb unit
--
ASSUMED VALUATIONS PER APPLIANCE: l0 100K BTU 14.008)3-15 HP;absorb
Value Total unit 100k to 500k BTU 25.60 �-
Descrl tion:
Qty Ea Amount 9)15-30 HP;absorb
Furnace to 100,000 BTU,Including 955 unit.5-1 mil BTU 35.00
ducts&vents 10)30-50 HP;absorb
Furnace>100,000 BTU Including 1,170 unit 1-1.75 mil BTU - 52.20
ducts 8 vents - 11)>50HP:absorb
Floor furnace including vent 955 unit>1.75 mll BTU I ___87.20
Suspended heater,wall heater or 955 12)Air handling unit to 10,000 CFM
floor mounted heater _ 10_00
Vent not Included in applicance 445 13)Air handling unit 10,000 CFM+
permit _ 17.20
Repair units 805 14)Non-portabl a evaporate cooler
<3 hp;absorb.unit, 955 10.00 _
to 100k BTU 15)Vent fan connected to a single duct
3.15 hp;absorb.unit, 1,700 6.80
101k to 500k BTU 16)Ventilation system not Included In
15-30 hp;absorb.unit,501k to 1 2,310 appliance perniit 10.00
mll.BTU17)Hood sarved by mechanical exhaust
30-50 hp;absorb.unit, 3,400 J 10.00
1-1.75 mil.BTU 18)Domestic Incinerators
>50 hp;absorb,unit, 5,725 ___1740
>1.75 mil.BTU - 19)Commercial or Industrial type incinerator
Air handling unit to 10,000 cfm _ _656 69.95
Air handling unit>10,000 cim 1,170 -- 20)Other units,including wood stoves _
Non- ortable evaporate_cooler 656 _ 10.00
Vent fan connected to a single duct 446 21)Gas piping one to four outlets
Vent system not Included In 656 540
appliance permit _ ___ 22)More than 4-per outlet(each)
Hood served by mechanical exhaust 658 1 00 _
Domestic incinerator _1170 Minimum Permit Fee$72.50 SUBTOTAL: $
Commercial or industrial Incinerator 4.590 _
Other unit,Including wood stoves, 656 - 8%State Surcharge $
Gas piping 14 outlets 380 - 25%Pian Review Fee(of subtotal) $
Each additiondl outlet _ 63 _ Required for ALL commercial permits only
TOTAL COMMERCIAL $ TOTAL RESIDENTIAL PERMITFEE: �17:1�S
VALUATION: -
9ther Insoectionq and Fees:
1 Inspections outside of normal business tours(minimum charge two hours)
$72 50 per hour
2 Inspections for which no fee is specifically Indicated (minimum charge-hall hour)
$72 50 per hour
3 Additional plan revi^w required by changes,additions or revisions to plans(minimum
charge-une-nalf hourl$72 50 per hour
`S4ate Contractor Boiler Certlncatlon required for units>200k BTU.
"Residential A/C requires site plan showing placement of unit.
is\dsts\forrns\mech-fees.doc 10/11/00
FITZPATRICK Heating 7615 S.W. Chestnut
Pleating&Air Conditioning Tigard, Oregon 97223
Sales • Service (503) 245-3870
CCB M 52335
❑ SERVICE ❑ WILL CALL PHONE DATE
❑ INSTALL ❑ DELIVER jtj
NAME C MAKE
APT. MODEL
SERG4L
ITEM/b BE SERVICED NATURE OF SERVICE REOUEST
DUAN DESCRIPTION OF PARTS OR MATERIAL AMOUNT DUAN DESCRIPTION OF PARTS OR MAI ERIAL AMOUNT
Total
Material
�~ Total
Labor
Total
Amount _
DATE WANTED aDEPOSIT REC'D BY
ESTIMATES ARE FOR LABOR ONLY,MATERIAL ADDITIONAL. WE WILL NOT BE RESPONSIBLE FOR DAMAGE CAUSED BY FIRE,THEFT,TESTING
OR ANY OTHER CAUSES BEYOND OUR CONTROL.
` AUTHORIZED BY:
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