14137 SW FANNO CREEK COURT �i
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141379W Fenno Creek Ct
CITYOF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2001-00067
13125 SW Hall Blvd., Tigard, OR :,7223 (503) 639-4171 DATE ISSUED: 02/26/2001
PARCEL: 2S1 12BB-04800
SITE ADDRESS: 14137 SW FANNO CREEK DR
SUBDIVISION: COLONY CREEK ESTATES NO 2 ZONING: R-7
BLOCK: LOT: 031 IUr:;3DICTION: TIG
CLASS OF WORK: ALT 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. INCIN:
LPG 3 - 15 HP: COP^V11-. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR
FIRE DAMPERS?: 30 - 50 HP: GODS UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm:
circ.
GAS OUTLETS:
> 10000 c
Remarks: Replace gas furnace and di::.t work/vent liner.
Owner: _ _ _ FEES
CALKINS, STEVEN I_ + KATHLEEN Type By Date Amount Receipt
14137 SW FANNO CREEK DR PRMT CTR 02/26/20( $72.50 2720010000
TIGARD, OR 97224 5PCT CTR 02/26/20( $5.80 2720010000
Phone:
Total $78.30
- —
Contractor:
THE HEATING S^ECIALIST
9300 NE HALSEY
POR-rLAND, OR 97220 REQUIRED INSPE:CTION3
Heating Unt Insp
Phone:257-7000 Duct Inspection
Reg #: LIC 56628 Final Inspection
PLM 26-494PB
This permit is issued subject to the regr:latiur�6 contained in the Tigard Municipal Code, State of Ore
Specialty Codes and all other appli( able laws. All work will be done ii -Ccordarce with approved
plans. This permit will expire if wo k is not started , ;ithin 180 days c,l i. uanc�, or if work is suspended
for more than 120 days. ATTPNTION: Oregon law requires you to follow rues adopted in thtj 9regon
Utility Notification Center -r hose rules are set forth hi OAR 952-0C 1-0010 through OAR 952-00 -0080.
You may obtain copies ofthe se rules or direct questions to OUNC by calling (503)246-9189.
1 c�
Issue By: > Permittee Signature: . - -?
Call (5�3) 639-4175 by 7:00 P.M for inspections needed the next busines day
Mechanical Permit Application
Date received:" - Permitno.: I`1 t
City of Tigard Projrct/appl,no.: Expire dale:
CityofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223
Phone: (503) 639-4171 _ Date iss ed: By: 1 Receipt no.:
RECEIVED Fax: (503) 595-1960 1 �' Case file Payment type:
Land use approval: Building p�rmit no.:
F�I;i n n n:rr+9
;addre
y dwelling or acr�ssory U Commercial/iiidusmal LJ Multi-family U'tenant improvement
uction U AdditiorL'alteratiou/replacemen( U Other: --_
IBM ILI 1111111111 Ll Milli an's I
Jo •{ t '_I 5e ) FAn n6 Ct- k- C T Indicate equipment quantities in boxes below.Indicate the dollar
Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead,
Tax map/tax lot/account no.: ta 4profit.Value$
Lot: Block: Subdivision:CC 16rvv *See checklist for important application information and
Project name: Ca jurisdiction's fee schedule for residential permit fee.
'2
Uty/county: .c r dZII I•: y;zi J_ _
aimin
Description and tffcation of work on premises:
r e l—d- EJ.-Ic IceME
(Co.) TWA
Est.date of completion/inspectio : a Description Qty. Res.only Res.only
Tenant improvement or change of use:
Is existing space heated or conditioned'?U Yes U No Air handling unit __CFM
Air conditioning(site plan required)--
Is existing space insulated?U Yes U No A teration of existing HVAC system
"M131,111111 I Boiler/compressors
Business name: - State boiler permit no.:
'� �" HP Tons BTU/H
Address: 93on Q.,n e ja�¢,1,.., - Fir smo adampers/duct smo a detectors _
City:-fs CpQ,��t _ ,talc: -Y _ 7.IP,�3 7.t a Ileat pump(see plan required)
Phone:02 S 7 -7 oop I Fax: 2 S E-mail: nslal rep aac urnace i 1
CCB no.: T4, ,Z 8 Including ductwork/vent liner LWYes U No IIIyU 11466
Install/replace/relocate eaters-suspended,
City/m,'tro lic.tio.: 13`1 z, wall,or floor mounted
Namelease tint): �)o �, r7 a_ Vent or a r ancli ce otherrti than furnace
e era on:
Absorption units_— BTI VI I
Name: Chillers— HI'
Address: CI3.0
Compressors HP
--- ----
Environmental exhaust and vent I I at nn:
City: State: ZIP: Appliancevent
Phone: Fax: E-mail: D—rie-re-Wa—us!.
_ff0o s, ype I res itc a azmat
hood fore sul.ore..sion system _
Name: Te J e �' -t IC,r 5 Exhaust fan with single duct(bath fans)
Mailin +ddress: 1 4 i,3 7 6 o:J I-cz v+n� x aust system a art rom eat n or
g: CfE�. lc Gr
Fel p n ne annddWrlr fi n up to out City: 1, -��d State:o� ZIP: q -.2 a y 1•ype: LPG NC 0i
I'It'ne: G,611 - la 1`i Fax: E-mail: u: piping each additional over 4 outlets - — -
rocempliv ng(schematic required) — 1
Number nf:� uels
Nume: ter listed app ance or equipment:
Address: _ Decorative fireplace
City: State: Insert-type -
oo stove/pc et stove
Phone: Fax: E-mail: —_
Applicant's signature: . ��r_<4.. Date: a. .4 (Aer:
( r:
Name(print): s
Not all Jurisdictions accept credit cert&,please call Jurisdiction for more Infotmatii nNotice:I Permit fee.....................$ Y 50 _
U Visa U MasterCard a ermit i application Minimum fee................$ —
Credit card number L / expires if n pm+it s not obtained plan review(at ___ %) $ — -
Expires within IRO days after it has Mien State surcharge(8` )....$ 5 6 c�
---------- —
Narne of cardholder as dwmn on ctedit card accepted as complete.
A
-- Cudholdet siyia+ure Amount
II04611(6R+alCOM)
MECHANICAL PERMIT FEES
COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE:
TOTAL VALUATION: FEE: Descrlpion: Price Total
$1.0_0 to$5,000.00 Minimum tee$72.50 Table 1A Mechanical Code my (E?' Amt -
$5,001.00 to$10,000.00 $72.50 for the firs!$5,000.00 and 1) Furnace to 100,000 BTU r
14.00 1
$1.52 for each additional$100.00 or including ducts&vents _ 1 �aJ
fraction thereof,to and including 2) Fumace 100,000 BTU+
_ $10,000.00. includ'ngducts&vents _ 17.40--.-
$10_,o0L00_to V5,660.00 $148.50 for the first$10,000.00 and 3) Floor Fumace
$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. w 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. _ 1215
$50,001.00 and up $742.00 for -first$50,000.00 and Check all that apply: Boiler Heat Ali
1i 1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond
fraction thereof. footnotes below. comp*____ ••
- 7)<3HP;absorb unit
FUMED VALUATIONS PER.APPLIANCE: to 3 4,5 1 j 1,400
-- _-. 0) 5 P;;at sorb
Value Total unit 100k to 500k BTU i 25.60
Description: of 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 5220
ducts&_vents_ ____ _ _ - -
unit
>50HP:absorb -'-
Floor furnace Including vent 955
unit>1.75 mil BTU 87.20 I
Suspended heater,wall heater or 955 12)Air handlinunit to 10,000 CFM --1
s
floor mounted heater _ _ 4_ 10.00
Vent not included in applicance 445 ---_i
permit _ _ 13)Air handling unit 10,000 CFM+ 17.20
Repair units 805 14)Non-portable Lvaporate cooler
p;absorb.unit, 955 _ '10 00 0.00
to 100k BTU _---- 1!)Ven_t fan connected to a single duct
3-15 hp;absorb.unit, 1,700 &80
101k to 500k BTU -- 16)Ventilation system net included In
15-30 lip;absorb.unit,501k to 1 2,310 appliance permit _ 10.00
mil.BTU 17)Hood served by mechanical exhaust
30-50 hp;absorb.unit, 3,400 i6 6n
1-1.75 mil.BTU
>50 hp;absorb.unit, 5,725 f 18)Domestic Incinerators 17 40 _
>1.75 mil.BTU -- 19)C)mmer,;ial or industrial type Incinerator
Air handling unit to 10 OOC dm - 656 �_- 69.95
Air handling unit>10,000 cfm 1,170 - 20)Other units,including wood s!oves
N�ortable evaporate cooler -_656 10.00
Vent fan connected to a single duct 446 _ 21)G is piping one to four outlet
Vent system not included in 656 5.40
a (lance ermil _ �---
._-P.__._ 22)More than 4-per outlet(each)
Hood serve(,�_nrechanlcal exnaust 856 -_- _ 1.00
Domestic Incinerator 1 170 Minimwn Permit Fee$72.50 SUBTOTAL:
Commercial or industrial Incinerator 4,590 $ 2.So
Other unit,including wood stoves, 656 8%State Surcharge $
Inserts,etc.
Gas piping 14 outlets 360 - J- 25%Plan Heview Fee(of subtotal) $
Each additional outlet 63 Required for ALL commercial pemtiLs only
TOTAL COMMERCIAL - 5--� - TOTAL RESIDENTIAL PERMIT FEE: V 5
VALUATION:
Other Inspections_and Fees:
1 Inspections outside of nomial business tours(minimum charge-two hours)
$72 50 per hour
2 !nspedions for which no'ee Is specifically Indicated (minimum charge-half hour)
$72 50 per hour
3 Additional plan-gv+iw required by changes,additions or revisions to plans(minimum
charge-one-half hour)$72 50 per hour
`State Coctractnr Boller Certification required for units>200k BTU.
"Residential A/C requires site plan showing placement of unit.
lAdstsVorm,\mech-fees.doc 10/i l/00
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CITY OF TIG,ARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
7 BUP
3
_Cate Requested � , z iri AM RM �_— BLD
Location C rkl C_ Suite — MEC
Contact Person Ph ?S 7- V0�° _ PLM
Contractor Ph SWR
BUILDING Tenant/Owner i �_� �r see — ELC
Retaining Wall ELR
Footing Access: FPS
Foundation tz� ----- --
Ftg Drain SGN
Crawls-rain Inspection Notes: -""�—
Slab SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing -----
Insulation
Drywall Nailing -- --- -
Firewall
Fire Sprinkler - -
Fire Alarm
Susp'd Ceiling
Roof
Misc: -
Final
PASS PART FAIL -- --- -� --
PLUMBING
Post& Hearn
Under Slab
Top Out
Water Service --- ---
Ranitary Sewer
Main Drains -
Final
PASS PART FAIL --
CHANICA
r1os`7&_B e-a r ------- --- -_.-�.___� - --
Rough In -
Gas Line - —� ---- -
Smoke Dampers
ASS PART FAIL
�E/. TRICAL ---- -- - --- - -
Service _ -- -- --------- _� ._
Rough In
UG/Slab ---
Low Voltage
Fire Alarm --
Final
PASS PART FAILSITE
Backfill/Grading
Sanitary Sewer
Storm Drain fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin I I� c call for ems,et iinn RE: ( Unable to Inspect-no access
Fire Supply Line [ [ I -
ADA
Approach/SidewalkDate 2 Inspector
Ext
Other _ - -�---�- P -
Final
PASS PART FAIL DO OT REMOVE this inspectio record from the job site.