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10165 SW HILLVIEW STREET-1 st4kS=Ci's's13F ",.. ".�'`'.`:a,� c Q , G7 �77 i r r cn i i 10''F5 SW HILLVIEW ST CITY OF TIGARD BUILDING INSPECTION DIVISION MS- 24-Hour Inspection Line: 639-4175 Businews Line: 539-4171 — BUP ___Date Requester+_ _AM_ PM BLD Location�a /� �� j LLl � �` �e�'4 ` / Suite _ MEC Jp Contact Person _ ���ti� Ph �'���- 4�ll0 V FLM — Contractor _��� Ph SWR BUILDING Tenant/Owner 'ti /'7 5 !-�' �' _ ELC Retaining Wall ELR Footing Access: -- - -- Foundation FPS Fig Drain ------- --�-- SGN — Crawl Drain Inspection Notes: ---- ------- Slab _ ----- SIT Post&Beam -- Ext Sheat"/Shear Int Shee':,/Shear Framinj Ilnsuiation Dr i vall Nailing - -------_.----_.----- - Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof IVisc: Final PASS PART FAIL -- PLUMBING Post& Beam - ------ _ _ Under Slab Top Out ---- -----_ ----—--^-- -- Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL_ L Post& Beam Dough In Gas Line Smoke Dampers PASS PART FAIL_ ELECTRICAL. - - — — — -. -- _- -----_ -- --.— Service Rough In - ---------__r— _� UG/Slab Low Voltage Fire Alarm Final PASS PAR: FAILSITE Backfill/Gradingr— Sanitary Sewer Storm Drain ( ) Reinspection fee of$ —_--._ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( j Please call for reinspection RE:_� ,_ __,__ _-. ( )Unable to inspect no a^cess ADA ApproachrSidewalk Other Date Inspect��r_ Ext Finan PASS PART FAIL 00 NOT REMOVE this in!Lpecti n record from the job site. I.�ITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: ro39-4171 --- _ BUP _ S ' Date Requestec+� �AM PM _ — BLD Location / /I S U r!�t.��t'tc'k+ !,;/ Suite r MEC ✓ D�i'Dl� S Contact Person Ph �(�> _ PLM Contractor ____ ___ Ph SWR IN BUILDG TF.na.nt/Owner /� 5-7J_- _� ELC Retaining Wall ELIR Footing Access. Foundation I FPS Fig Drain Crawl Drain Inspection Notes: SGN Slab - - - ---- ----- SIT Post&Beam -`- - - Ext Sheath/Shear _ Int Sheath/Shear Framing - --------- Insulation Dr�wali Nailing _ Firewall _ ------- -- -- -___-- Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Mise _. _.._.�_- ----- - -- -- ---- --- - Final PASS PART 1.iL ----- _ PLUMBING Post& Beam _---- --_----_ _._ Under Slab Top Out Water Service Sanitary SewerT - Rain Drains Final -----_ PASS PART FAIL L — I'ost&Beam Rough In Gas Line ----- Smcke Dampers PASS FART FAIL ELECTRICAL --- - - -- — Servicr' Rough In UG/Slab ILow Voltage Fire Alarm Final PASS PART FAIL. SITE Backfill/Grading --- - -- ------__-�._- - _- --- --,_�_ _-. Sanitary Sewer Storm Drain I ]Re nspection fee of S required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( I Please call for reinspection RE: _ ( ]Unable to inspect- no access Fire Supply Line - --- - ADA Approach/Sidewalk Other Date ! _ l — Inspector _ ?xt Final PASS "ART FAIL DO NOT REMOVE this inspacti 141 rom the job site. CITYOF TI GA R D _ MECHANICAL PERMIT_ DEVELOPMENT SERVICES PERMIT#: MEC2001-00006 13125 SW Hall Blvd., Tigard, OR 91223 (503) 6394171 DATE ISSUED: 1110/01 PARCEL: 2S 102CC-02100 SITE ADDRESS: 10165 SW HILLVIEW ST SUBDIVISION: FRELEON HEIGHTS NO.2 ZONING: R-3.5 • BLOCK: LOT: 024 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APDL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS _ HOODS: _ FUEL TYPES 0 - 3 HP: DOMES. INCIN: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT- BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: GAS PRESSURE. 50 -1- CLO WOODSTOVES: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRRYERYERS: OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: �~ GAS OUTLETS: 1 > 10000 cfm: Remarks: Replace gas furnace, vent liner and gas piping. Owner: FEES _ YEE, DORIAN D i KRISTI S Type ^By Date Amount Receipt` 10165 SW HILLVIEW ST PRMT DLH 1110/01 $72.50 2720010000 TIGARU, OR 97223 5PCT DLH 1/10/01 $5.80 2720010000 Phone: Total $78.30 — Contractor: HOOD VIEW HEATING& A/C P.O BOX 956 BORING, OR 97009 REQUIRED INSPECTIONS Gas Line Insp Phone:503-275-2222 Mechanical Insp Reg#:LIC 89068 Final Insp( ,tion This permit is issued subject to the regulations 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 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 requirFs you to follow rules adopted in the Oregon Utility Notification 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 (503)246-9189. Issue By: j ��.___ Permittee Signature: Call (503) 639-4115 by 7:00 P.M. for inspections needed the next business day Mechanical Permit Application Datcreceived: Ills / Permitno.y/r Cn^Q/-Q0Q05 City of Tigard Projcct/appl.no.: Expire date. (•ilyoffigurrl Address: 13125 SW Hall Blvd,Tigard,OR 97223 ---- yp Date issued: H ,.tr'• Receipt no.: Phone: (503) 639-4171 Fax; (503) 598-1960 �I� Case file no.: Payment type: Building permit no.: Land use approval: =New undy dwelling or accessory U l'onuncrcndlindu;trjal► U Multi-family U•Tenant improvement nstruction U Addition/alteration/replacement U Other: SCIIEDILILE Job address:/01(o '� µi' kA Indicate equipment quantities in boxes below. indicate the dollar Bldg.na_: — Suite—n—u value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit. Value Lot: Block: Subdivision: •Scc checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. City/co!mtY:- Y'6,44,0, ZIP:9 721 3 Description and location of work on premises: Ikcerrr"•a Fu'W, Deseriplion (p>'. Rm.only Res.only Est.dale of completiotdinspection: 1-/S-0 I — Tenant improvement or change of use: Air handling unit CFM _ Is existing space heated or conditioned 1 U Yes U No Air conditioning(site plan requi ) Is existing space insulated?❑Yes r'No Alteration of exisNIUCHANICAL ting HV s stem �_ CONTRACTOR Boiler/compressors _ If-141c- State boiler permit no.: Business name OD V�Cw lip Tons--BTU/11 Address: 190 sarA 9, tre/smoke amper uct smoke detectors City; State: ZIP: Q 7(�p� eat pump(sate plan required) _ Phonc:W 3 4 7 y 7 Fax:W Z•2a Z 1 E-mail: instalureplace furnacefburner / Including ductwork/vent liner 9yes U No _CCB no.: nsla Vreplac relocate eater.-suspen ed, City/metro lie.no.:M•l d'ep wall,or floor mounted Name(please print): 6T-(L T- eA-e")rT- enc fora canes of er t tan furnace Refrigeration: Absorption units ___ BTU/H _ Name: R04kizz 1-0— 6 2rQ.�{ ('hitters —_�_� IiP -T — ---- — Com ressors __ III' Address: :nv ronmep�1Txhim-.t en vent list on: City: State: ZIP: Appliance vent77 _ Phone: Fax: E-mail: )ryerex gust u s, ype 17 Wres. its a azmat hood fire suppression system Name:•pt a i l9TD + G let ST i e Yee _ Exhaust fan with single duct(bath fans) _ Mailing address: /0l65- ski, i(� /,C I?x,t� +usl system a art from satin or AC ue piping andistribution(up to outlets State: z1P: qua 3 City: �J _ — -- 1'ylx: . LPG _� NG Oil I Phonc: -0 Fax: Email: •ue tt in cac additional over 4 outlets rorexs piping(sc ematic required) Number of outlets Nance: 1 er 11 app anee or equipment: Address: _ Decorative fireplace _ City: State: ZIP; nscrt-type - ---_- — Phone: Fax; E.mail; oo slov pe et stove e>e Applicant's signature: Date: t Name(print): _ Not all judulldione sccept credo cane,please call jurisdiction rex more intarmedon. Permit fee.....................$ 2^, s© U Visa O A1asterCnrd Notice:This permit application Minimum fee................$ expires if a permit is not obtained plan review(al _ 9t) $ Cmdlr cad number _ l Expires within 1 SQ days after it has been State surcharge(8%)....$ Nene of Iden u shown on c t cad - S accepted as complete. Ca der si`rtature Amount nI04617(6010170M) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 &2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: FEE: Descriptions- Price Total $1.00 to$5,000.00 Minimum fee$72.50 Table 1A Mechanic..Code Qty_ (Ea) Amt 1) Fumace;0 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and $1.52 for each additional$100.00 or including ducctshs 0 BTU &vents 14 00 fraction thereof,to and Including 2) Furnace 100,000 BTU+ $10,000.00. includina ducts&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 traction thereof,to and Including 4) Suspended heater,wail heater $25,000.00. or floor mounted heater f 4 00 -- $25.001.0 _$25.001.00 to$50,000.00 $379.50 for the first$25,000.00 and 51 Vent not included in appliance permit $1.45 for each additional$100.00 or 6.80 fraction thereof,to and including 6) Repair units x- $50,000.00. 12.15 -- - $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Eoiler Heat Air $1.20 for each additional$100.00 or For items 7-11,see or Pump Conn fraction thereof. _ footnotes below. Comp* 7)<3HP;absorb unit to 100K BTU 1400 _ ASSUMED VALUATIONS PER APPLIANCE: 8)3-15 HP;absorb Va1ue' Total unit 100k to 500k BTU _ 25.60 R_ Descri tion: Ot Ea Amount 9)15-30 HP;absorb Furnace to 100,000 BTU,Including 955 unit.5-1 mfl BTU 1 35.00 _ ducts&vents 10)30-50 HP;absorb Furnace>100,000 BTU including 1,170 unit 1-1.`5 mil BTU 52.20 ducts&vents 11)>50HP:absorb Floor furnace Inraudingvent 1 955 _ unit>1.75 mil BTU 1 97.20 Suspended healer,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.zo Repair units _ 805 14)Non-portable evaporate cooler <3 hp;absorb.unit, 950 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 permit 1000 mil.BTU - - 3,400 17)Hood served by mechanical exhaust t0 DO 30-50 hp;absorb.unit 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 101000 cfm _ 6_56 69.95 Air handling unit>10,000 cfm 1,170 20►Other units,including wood stoves Non-portable avIp ate cooler 656 _ 10.00 _ Vent fan connected to a sin le duct 446 21)Gas piping one to four outlets Vent system not Included In 656 i_ 5.40 appliance permit 22)More than 4-per outlet(each) Hood served by mechanical exhaust 656 1.00 Domestic Incinerator 1 170 Minimum Permit Fee$72.50 SUBTOTAL: $ Commercial or Industrial Incinerator 4,590 _ Other unit,including wood stoves, 656 8%State Surcharge $ Inserts,etc. __ Gas piping 1-4 outleLR 360 -`- 25%Plan Review Fee(of subtotal) �` Each additional out;f t 63 Required for/`.LL commercial permits only TOTAL COMMERCIAL $ TOTAL RESIDENTIAL PERMIT FEE: $ VALUATION: -- her Inspectlorts and Fees: 1 Inspections outside of normal busirsss hours(minimum charge-two hours) $72 50 per hour 2 Inspections for which no fee Is specifically indicated (minimum cherge-half hour) $72.50 per hour 3 Additional plan review required by changes,additions or revisions to plans(minimum charge-one-half hour)$72 50 per ho-jr 'Slate Contractor Bolter Cetiffication required for units+200k BTU. -Residential A/C reoulrrs site pian showing placement of unit. 11dsLg\forms\mech-fees.doc 10/11100