10275 SW HIGHLAND DRIVE-1 A
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16275 SW HICIII.A,ND DDI Q 811iCC2tld�P�4�ee
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business I-Ine: 639-4171 — —
BUP
Date Requested ��" � AM— PM BLD
Location 1 6) Z 7 y Sw, /�/y!1/li...�/_ _ Suite __ MEC v?yu - 00 c/O U
Contact Person —_ _ ph ✓AL3 -j� 7—`���/ PLM _--
Contr3ctor Y Ph _ SWR
A;WILDING _ Tenant/OwnerELC _
Retaining Wall -- _ ELR
Footing Access:
Foundation FPS
Ftg Drain SGN Y--'
Crawl Drain Inspection Notes: --- — —
Slab — —_..------ —__-- ---__._----__-- SIT
Post& Beam
Ext Sheath/Shear
Int Sheath/Shear — —� —
Framing
Ins.dation
Dn,,vsll Nailing
Fires!ail
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Root -
l'wal
PASS PART FAN_
PLUMBING
Post&Beam ---- - -
Under Slab
Top Out
Water Service
-
Sanitary Sewer
Rain Drains
Final
RT FAIL 6-z
fast& Hearn —
Rou h In j—'00",
was rn --- ---- - -
moe[rampers /y
f— -,S PART f',%IL-
L't► TRICAL - --- - —
Service
Rough In
UG/Slab - _--- - -- ---- ---..-..�_
Low Voltage
Fire Alarm —
-------- ---- --
Final
PASS PART FAIL
SITE
Backfill/Grading -" -
Sanitary Sevier
Storm Drain )Reir.;pection fee of 3_ —required before next inspection. Pay at City Hill, 13125 SW Hall Blvd
Catch Basin [ ]Please call for reinspection RE. _ [ ]Unable to inspect-no access
Fire Supply Line
ADA - 1
Approach/Sidewalk Date OT) Inspector Ext
Other —
Fir
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2000-00400
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/9/00
PARCCL: 2S1 1 1 CC-13400
SITE ADDRESS: 10275 SW HIGHLAND DR
SUBDIVISION: SUMMERFIEL_D NOA ZONING: R-7
BLOCK: LOT: ,85 JURISDkICTION: TIG
CLASS OF WORK. ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL TYPES0 - 3 HP: DOMES. INLAN:
CCAS 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: CLO DRYERS:CS:
FURN < 100K BTU: _ AiR HANDLING UNITS OTHER UNITS: 1
FURN >=100K BTU: <= 10000 cfrT1: GAS OUTLETS: 1
> 10000 cfm:
Remarks: Installation of gas fireplace ir.sert
Owner: -- FEES
___^�
GOGGINS, WILLIAM JR + ADELL Type — By Date Amount Receip►
10275 SW HIGHLAND DR PRMT CTR 10/9100 $72.50 2720000000
TIGARD OR 97224 5PCT CTR 10/9/0(' $5.80 2720000000
Total $78.30
Phone: -- -----
Contractor:
T + K MECHANICAL/HOT SPOT FIRE
TIMOTHY S WYNNE
1152.5 SW CANYON _ REQUIRED INSPECT:C_�_!S _
BEAVERTON, OR 97005
Gas Line li7sp
Phone:026-4652 Final Inspection
Reg#:LIC 00121165
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is siispended for more than 180 days. ATTENTION: 0--egon law
requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 thr;?u-h OAR 952-001-0080 You may obtain copies of these r�::c-s or direct questions to OUNC by
calling (503)246-9189.
Issue By: _ 4 (Y�' _ Permittee Signature:
Call (501) 639-4175 by 7:00 P.M. for inspections noo ed the next business day
- � Mechanical Permit Application
hate received: ,P �eJ Permit no.: ny a OD
City of Tigard Project/appl.no.: fixpiredate':
Citygffigard Address: 13125 SW ILill Blvd,Tigard,OR 97223 Date issued: By: Receipt no.:
Phone: (503) 639-4171
Fax' (503) 598-1960 Case file no: Payment type:
Land use approval _ Building permit no.:
TYFE.QF PERMIT
-IiiitJ &2 family dwelling or accessory iJ(.'onuncicial/industrial J Multi-family U Tenant improvement
U New construction U Addition/alteration/replacement J 011ier: ,
.11011111 SITE INFORMAfON
Job address: I Q l- Y,,-- Indicate equipment quantiti,,s in boxes below. Indicate the dollar
Bldg.no.: Surtc no,: value of all mechanical materials,equipment,labor,overhead.
Tax map/tax lot/account account no.: _ Value$ -
I.ot: Block: Subdivision: ��.,�., '•� ,( *See checklist for important application information and
Project name: ,jurisdiction's lee schedule for residential permit fee.
City/county: ISCHEDULE
Description and location of work on premises:__r,&/fe-N d 1 1 1 1 1
R.c .5..r-i I tr(('it.)1 otal
_Est.(late of completion/inspection: /U /d2--e.'J IIVDescription _ 01�. Res.only Rtw.onV�l
'Tenant improvement or change of use: Asn° 1
Air handling unit ____ChM
Is existing space heated or conditioned'('''Yes U No Air c — - -- --- — - --
onditioning(site plan required)
Is existing space imulalecl'>•f3--Yes 'J No Alteration of existing H AC system
1,111 Ke I FA1,03o er compressors
State boiler permit no.:
Business name:T 1� r� �</4 , ' HP Tons HT11/11
Address: 2t�5^(<,S , ✓ T11 1-// r-r 3 G •irc/,:nwke ampets,cuctsmo ecetecturs
City: I_0 State:0/ heat pump(site plan requited) _
Phone: 3 5-,7-- 4 r Fax: E-mail nsta Utep acefurnacefti-ner__H'1'U/ll
Including ductwork/vcm liner U Yes U No
CCH no.: I 2 I i I odn I I/replareirelocateheaters-suspende ,
City/metro lie. no.: L( wall,nr(loo(mounted
Name(please print): e,/ a:+ c %ens n,Rl�a Nance othcrihait_urnacc
Refrigeration:
CONTAU11 11.1 ERSON AhsorptionunitsBTU/14
Name: `T-, ('hiPers i IP — — —_--
Address:
Compressors HP
nv ronmenta exhaust and vent It on:
City: j�mail:State: ZIP: Appliarcc v;:mPhone; -, 7- ,/ Fax: ryerexhaust
uc s, ype res. itchen/huzniat
hood fire suppression system
Name: ( �, Exhaust fan with single duct(bath fans)
Mailing address: - �� /9' L�q 4 /. - Ffliaust system apart from heating or AU
Cit a` c State:G�; ZIP:( TU piping and d str iog of to out c
y., 'Type: 1.1'C; LN(, ills)J
Phone: Fax: E mail: uepipingea additional over 4 outlets
rocesspiping(schematic requ it cd i _
Number of outlets
Name: Ot herste appliance or equipment:
Address: _ Decorative fireplace
City; State: ZIP: nsert-type Uuy
Phone: Fax: I E-mail: Woodslovc/pellet stove
other: _
Applicant's signature:� X1 Date: —
Name (print): r _
Na all Jurisdictions accept credit cords,pleau call jurisdictionGn mrnc inlonnmldm Perrilil fee.....................$ _
U Vise U MasterCard Notice:This permit application Minimum fee................$ _
1_L expires if a permit is not obtained Plan review(al _ %) $ —
Credit card number __`___ - — within 180 days after it has been
f•.rpirex Stole surcharge(896) ""$ _
- -
Name of cardholder m shown on credit card accepted P as complete.lete.
$ TOTAL .......................$
Cardholder signature -- Amount 4144617(&W/COM)
Commercial Schedule
18,2 f=amily Dwelling Schedule
ASSUMED VALUATIONS PER APPLIANCE
Description
Furnace to 100,000 BTU Table IA Mechanical Code oty Price Total
includingducts 8 vents 955 i) Furnace to 1(x),000 BTU
including duds b vents _i 14 00
Furnace> 100,000 BTU 2) Furnace 100,000 BTU4
including duds 5 vents 17,40
including ducts&vents 1,170 3) Floor Furnace
floor furnace
Including vent 14 00
4) Suspended heater,wall heater
including vent 955 or floor mounted healer 14.00
suspended heater,wall heater 5)vent not Included in appliance permH 680
or floor mounted heater 955 6) fiepau units 1215
Check oil that sppty� 'Boller Heal Alf
Vent not included in ewliance permit -_ 445 ref hems 7-10,see of Pufnp cone Oily Price Total
Repair units 8'l5 _footnotes 1,2 Comp _ -
__ 7)<31iP,absorb unit to
<3 hp;absorb.unit 10oK BTU _ 14.00
1) 6absorb
to look BTU _ 955 100k1toH500kBTU urn 25.60
3-15 hp;absorb.unit 9)15-30 HP,absorb --
unit.5-1 frill BTU 35.00
101k to 500k BTU 1700 to 30.50 HP,6b-orb - --"- -
unk 1-1.75 mil BTU_ _ 52.20
15-30 hp; absorb atisorb.unit 11)>50HP,absounit>1 75 mil BTU
501k to 1 mll.BTU 231067.2°
12)Air handling unit to 10,000 CFI.1 ---
30-50 hp;absor5.unit - 1000
13)Air handling unit 10,000 CFM4
1-1.75 mil HTIJ 3400 17.20
14)Non-purlable evaporate cooler
>50 hp;absorb.unil 10,00
> 1.75 mil.BTU 5725 '5)Vent fan connectedla a single dud
6.80
Air handling unit to 10,000 cfm_ 656 18)Ventoul ay,'em not Included In
appliance permit 10.00
Air handling unit>10,000 cfm 1 170 17)Hood served by mechanical exhaust
Non-portable evaporate culler 656 16)tMlnestic incinerators 10.00�- --
vent fan connected to a single duct 446 _- 17.40
Vent syst.not included In appliance permit F56 19)Commercial or Industrial type Inclnmator _ sees _
Hood served by mechanical exhaust 656 20)011ier units,Including wood stoves - 1000
Domestic Incinerator 1170 ?1)Gas piping one to four outlets
6.40
Commercial Or industral Incinerator 4590 22)More than 4"r outlet(each)
Other until,including wood stoves,Inserts,etc. 656 Minimum Permit Fee$72.50 SUBTOTAL 1.00
Gas piping 14 outle,s 360 ax SURCHARGE _
Each additional outlet rj3 PUN REVIEW 25%OF SUBTOTAL
Required for ALL commercial pernhlts only
TOTAL
Other Inspecuem and Fara:
I klspecthau outride M Il 1 busnw•ss h-2(minknum d,a,ge two haps)
672 tie pit tawx
7 1"snecluns fa wh h m Mn n sti-t(K_ally ad"ted(mmtr,wm Charge half hart
s
Total Valuation Fee 3 �dM
rsquaed by changes,addilaxls of rcNsblts to plain(ml
' charge onehallhex)a 72 se per Ixaa
•Suale Contiocim P-W C4,V"tbn rcqueed
$1.00 to$5,000.00 Minimum$72.50
"residential AIC rcquaea site plan ahxw ng placement a unlf
55,001.00 to 510,000.00 $72.50 for the first$5,000.00 and$1.52 for
each additional$100.00 or fraction thereof,
to and including$10,000.00
$10,001.x)to$25,000.00 _ $148.50 for the first S 10,000.00 and S 1.54
for each additional S 100.00 or fraction
thereof,to and including$25,000.00
"25,001.00 to$50.000.00 $379.50 for the first$25,000.00 and$1.45
for each additir Tal S 100.00 or fraction
thereof,to and including$50,000.00
5 5(l,(1t10.0f1 and up $742.00 for the first$50,000.00 and$1.2.0
for each additional$100.00 or fraction
thereof