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14383 SW McFarland Blvd
\ CITY OF
TIGARD
_ MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2002-00014
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/9/02
PARCEL: 2S 110BA-04700
SITE ADDRESS: 14383 SW MCFAF.LAND BLVD
SUBDIVISION: SHADOW HILLS ZONING: R-2
BLOCK: LOT: 011 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: .vF.�T FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL.- VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
_ F_U_E_L TYPc3 0 3 HP: 1 DOMES. INCIN:
LPG 3 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 . 30 VIP: REPAIR UNITS:
FIRE DA!�i,'ERS?: 30 - 50 HP:
OCy
GAS PRESSURE: 50 + HIP. DRYERS:
• RS:
FURN < 100K BTU: 1 AIR HANDLING_UNITS C
FURN —100K BTU: <= 10000 cfm: _ OTHER UNITS:
GAS OUTLETS: 1
> 10000 ctm:
Remarks: Replace electric furnace and heat prmp with ne.. gas furnace and a/c.
Owner: FEES
KNAUSS, HARVEY L AND Type By Date Amount Receipt
JUDITH A 5PCT CTR 1/9/02 $5.80 272002000C
14383 SW MCFARLAND BLVD PRMT CTR 1/9/02 $72.50 272002000C
TIGARD, OR 97223
Total $78.30
Phone:
Contractor:
ABLF HEATING + COOLING INC
12420 5W SUMMI RCREST DR
TIGARD. OR 97223 RcQUIRED INSPECTIONS
Gas Line Insp
Phone:579 2250 Heating Unt Insp
Reg #: LIC 00108535 Cooling Unt Insp
Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Spec';alty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adapted in the Oregon
'Jtility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR
952-00�-00813.-Gpu may obtain copies of these rules or direct que, i ns to OIJNC by calling
f e;nq 1^dR-Q 1 RQ
Issu By. -- * 'n Per-nittee Signature: -----
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
Mechanical Permit Application
—�
Fl�)ate eceived:/: Permit no.:lCity of Tigard t/appl.no.: Expire date:
it (� rr iAddress: 13125 SW Hall Blvd,Tigard,OR 97223 ssued: By: Receipt no.:
Phone: (503) 639-4171
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: Building permit no.:
IG I b'c 2 family dwelling+,or acct,.'arty U Commercial/industrial U Multi-family U Tenant improvement
U New construction U Addition/alteration/replacemcnt U(Witt: _
Job address: ���Q5 c� �o __ Indicate equipment quantities in boxes below. Indicate the dollar
Bldg.no.: Suite no.: value of all mechanical materials,equipmeia,labor,overhead,
Tax map/tax lot/account no.: profit.Value$
Lot: Block: Subdivision: 'See checklist for important application information and
jurisdiction's Ice schedule for residential permit fee.
Project name:
City/county: ZIP: 11 ZZ4 _ AMMUN99W
Dyescripti\on and locA io/n of work on premises: M 3 t 1 t
q 11�,� P'rMP Ir. (nr5 Im
Ct Y 1� _ 1��
t'['e(ea.) I(Ilal
Est.date of completion/inspection: /) /Z_ Ikuripliom lily. Res.only krs.only
Tenant improvement or change of use: NAlle—ration
ir handling unit
Is existing space heated or conditioned?U Yes U No conditioning(site p an r�yu'rccT--
Is existing space insulated?U Yes U No of existing tIVAC system
Kilt Boiler/compressors
State boiler permit no.:
Business name: b�t �p ,�„o cn\,r, Hp Tons BTU/H
Addross: %7i.4-7c, •$c,,,;) Fire/smoke dampers/duct smoa detectors
City: ' rt Slate:G� ZIP:CI-12"Z eat pump(site plan required)
Fax: E-mail: Install/rep ace urnace/burner '
y
Zk�f S'?i ql Including ductwork/vent liner Yes U No
CCB no.: 5 nsta leap ace rc ocate Iheaters--suspended,
City/metro lic.no.: wall,or floor mounted
Ntunelease print): Vent for a lance of her t an furnace
(P p ) l:>' a (ion:
Absorption units BTUM _
Name: Chillers_ _ tip
-- --
Com ressors_�_ _ lip
Address: _ n rontnenur ex test an gent ton:
City: �_ titate: ZITP — Appliance vent
Phone: _ Fax: E-mail: Dryer ex oust _
ood%,Type /I I/res. itc het azmat
hood fire suppression system
Name: 41 J- 14r Exhaust fan with single duct(bath fans)
Mailing address: j c{ e ,;y M—ati.t� �3�h� x aust s stem a art from heaiin or C
-ne p p ng and distribution(up to 4 outlets)
City: o,�� Stale:p2 ZIP.y 3 L til Tyle. _ _.Ll'C; _ NO ()it
phone: j. c Fax: E-mail: Fuel hiin eaT-eFh�dditiona over 4 outlets
rocm piping(sc hematic required)
Number of outlets
Name: t er 16t app oce or equipment:
Address: _ t.)ccorative fireplace
City: --- __State: 2•IP: nsert-type
—,
stoveipe et stove
Phone: v_ ax: E-mail: Other:
Applicant's signature: Date: ( 2
Name(print):
Permit fee......... ...........c
Nd all Judecilcilnne accept credit earls,pleare call Judidictinn fa marc infcnnaaon. Notice:This hennil application I pP Minimum fee................$
U Visa U MasterCard expires if a permit is not obtained
Credo card number: __ t._._- Plan reVICW(at — 96)
pirc, within I g0 days after it has been State surcharge(8%)....$
Name der ai�tcoa,n onn ci is cry--- accepted as complete.
TOTAL '-�---
Cardholder siprarure - Amamh j 4"17(Naart'OM)
MECHANICAL PERMIT FEES
COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE JCH :DALE:
-- --- --- - ___ -- -- Description: Price Total
TOTAL VALUATION: PERMIT FEE: Table 1A Mechanical Code Qty (Ea) Amt
$1.00 to$5,000.00 Minimum fee$72.50 1) Furnace to 100,000 BTU
$5,001.00 to$10,000.00 $7250 for the first$5,000.00 and Furnace
ducts&vents 14.00
$1.52 for each additional$100,00 or 2) Furnace 1100,000 ducts&BTU+
fraction thereof,to and Including including ducts&vents 17.40
$10,000.00.
$10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Fumace
$1.54 for each additional$100,00 or includingvent 14 00
fraction thereof,to and Including 4) Suspended heater,wall heater
$25,000.00. or floor mounted heater 14.00
$25,001.00 to$50,000.00 $379.50 for the Trot$25,000.00 and 5) Vent not included In appliance permit 6.60
$1.45 for each additional$100.00 or
fraction thereof,to and including 6) Repair units 12.15
$50000.00. _ _ -
$50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boner Heat Air
$1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond
fraction thereof. footnotes below.
Comp ••
Minimum Permit Fee$72.50 7)<3HP;absorb unit SUBTOTAL: $ to 100K BTU 14.00
8Y.State Surcharge $ 8)it 15 absorb 25.60
unit 100kk t to 500k BTU
9)15-30 HP;absorb
25%Plan Revlew Feo(of subtotal) $ unit.5-1 mil BTU 35.00
Required for ALL commercial`perrrits onl _ 10)30-50 HP;absorb
TOTAL COMMERCIAL PERMIT FEE: $ unit 1-1.75 mil BTU 52.20
----_____ --- --- 11)>50HP;absorb 8720
unit>1 .
.75 mil BTU -.
12)Air handling unit to 10,000 CFM
ASSUMED VALUATIONS PER APPLIANCE: 10.00
Value Total 13)Air handling unit 10,000 CFM+
Description: _ Qt Ea Amount_ 17.20 _
Furnace to 100,000 BTU,including 955 14)Non-portable evaporate cooler
ducts&vents 10.00
- 1,170 - -
Fumace>100,000 BTU including 15)Vent fan connected to a single duct
ducts&vents 6.80 -
Floor furnace including vent__ _ 955 16)Ventilation system not Included In
Suspended heater,wall heater or 955 appliance permit _ 10.00
floor mounted heater -- 17)Hood served by mechanical exhaust
Vent not Included in applicance 445 10.00
permit --- 805 18)Domestic incinerators t 7 4l
Repair units
<3 hp;absorb.unit, - 955 19)Commercial or industrial type Incinerator
to 100k BTU _ 6995
3-15 hp;absorb,unit, 1,700 20)Other units,Including wood stoves
101k to 500k BTU 10.00
15-30 hp;absorb.unit,501k to 1 2,310 21)Gas piping one to four outlets
mil.BTU 5.40
30-50 hp;absorb.unit, 3,400 22)More than 4-per outlet(each)
1-1.75 mil.BTU _. 1.0U _
>50 hp;absorb.unit, 5,725 Minimum Permit Fee$72.50 SUBTOTAL: $
>1.75 mil.BTU _- _ $ -
Air handling unit to 10,000 cfm _ 656 _ 8%Slate Surcharge
Air handlingunit>10,000 cfm- 1,170 _
Non portable evaporate cooler -656 TOTAL RESIDENTIAL PERMIT FEE: $
Vent fan connected to a single duct 448
Vent system not induded in 856
e iiance�emlit - Ot r ns ectlone and feosl:
Hood served b mechanical exhaust 656 �_
��" 1,170
1. Inspections outside of normal business hours(minimum charge-two hours)
Domestic incinerator $62 50 per hour
Commercial or industrial Incinerator 4,590 2. Inspections for which no fee is specifically Indicated (minimum charge-half hour)
Other unit,including wood stoves, 656 $132.50 per hour
Inserts,BtC. 9 Additional plan review required by changes,additions or revisions to pians(minimur
charge-one-haif hour)$92 50 per hour
Inas I e I14 outlets 360
Each additional outlet 83 'State Contractor Boller Certification required for units>200k BTU.
*'Residential AIC requires site plan showing placement of unit.
TOTAL COMMERCIAL _► c
VALUATION: All New Commercial Buildings require 2 sets of pians.
I:W$t9\forms\mech-fPes.doc 12/28101
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� P
�\ ELECTRICAL PERMIT
/ CITY OF T i GA R D PERMIT#: ELC2002-00029
DEVELOPMENT SERVICES DATE ISSUED: 1/28/02
13125 SW Hall Blvd., Tiaard. OR 97223 (503) 639-4171 PARCEL: 2S110BA-04700
SITE ADDRESS: 14383 SW MCFARLAND BLVD
SUBDIVISION: SHADOW HILLS ZONING: R-2
BLOCK: LOT : 018 JURISDICTION: TIG
Proiect Description: Install 1 branch 10 furnace hookup in crawl space.
--- _RESIDENTIAL UNIT_ _ TEMP SRVCIFEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 2.00 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER _ BRANCH CIRCUITS ADD'L INSPECTIONS
0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp/volt: >-4 RES UNITS: _ > 600 VOLT NOMINAL:
Reconnect only: SVC/FDR >=225 AMPS: — CLASS AREA/SPEC OCC:
Owner: Contractor:
KNAUSS, HARVEY L AND A +J ELECTRIC
JUDITH A PO BOX 330
14383 SW MCFARLAND BLVD FOREST GROVE, OR 97116
TIGARD, OR 97223
Phone: Phone: 359-5891
Reg #: LIC 959
SUP 4534S
ELE 34-1C
FEES _ _ Required Inspections
Type By Date Amount Receipt Rough-in
PRMT CTR 1/28/02 $46.85 2720020000( Elect'I Final
5PCT CTR 1/28/02 $3.75 2720020000(
Total $50.60
This Permit is issued subject to the regulations contained in the Tigard Municipal Code,Slate of OR. 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 requires you to follow rules adopted by 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
Permit Signature: / Issued By:
_ OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: _ DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: 1L11_ ���;,[.��"��f I_ �� DATE:_
LICENSE NO: --- 1- Z�'� — ---- ----------- -
Call 639-4175 by 7:00prn for an inspection the next business day
08i6-91b1 THU 08:26' VAX 503 588 1880 CITY OF TIGARD 1002
Electrical Per '
—��---- V Is Date received: 777
C�ty Of TlgBTdT , ProJect/appl.no.:Dry of regard Address: 13125 SW Hall Ivd,�Y art,Oft-97223 Date Issued: __� .:
Phone: (503) 639-4171 CM U!� �IR A�Ci1s;
rax: (503) 398-1960 13UMT)WO DTMI Cue rale no. Payment type:
Land use approval:
M &2 family dwelling or accessary U Commercial/industrial G Multifamily U Tenant improvement
O New construction UAdditioi/alteratiu,urcplacernent U Other: C3Partial
JOB Silt 1 1
Job address: 14383 SW i Bldg.no.: Suite no.: Tax m tax lot/account no.:
Lot: Block: Subdivis_i_on:
Project name: Description and location of work on premises: 1-100kup urnace to crawl
L'.stimamd date of com Ietiordinspeceon; space
Job no: 10111 APPLICA-11 10 Tohl salla Max
----- -- -__-- - eat
Business name: A & J Electric _-_ __ New - ar p�
Address; PO Box 330=ra - , dwelW&wJLlnchWn*d%dWgar%a-
Cit — State: IP: Seriftlinelndede
}: OR-
Phone: Fax; Email; 1000 aq.fl.or teas
Each additional 500 sq.ft or portion thereof
CCB no.. 959 no:_.j 1 Umited ener y,realdenda] 2
City/metro tic.no.: _ Limitedener ,non-residential 2
Dch manufactured home or modular Nelling
� L ' �L `.�— - --'-- �2 Service and/or feeder
Si tune of au Ishtg alemiclan(roqulr Ted t Due Gu - —
Sup.taectttrtme(ptiut): Lienreno. 5945 �rrlcesorfeeden- nsUllatlon,
alteration or relocation:
200 amps or leas 2
IO 1!Tka to 400 amps 2
Name(print): litsyey.Knauss-- _401 amps to 600 amps 2
Mailing address: 14383 SW - 601 amps to 1000 ams 2
City:- Tigard j State: ::IP: 9723_ over 1000 amps or volts 2
Phone:U4-3Z647 ax: E-A: Reconnect onix I
Owner installation:The Installation is being made o property 1 own Terapomryserykesorfeeders-
kast ret+t; x�c�han a according to Installation,alteration,or relocation:
which is not intende�/O". O
200 am or sena 2
ORS 447,455,479 ;%� -�/~ / -Z 201 amps to 400 amps 2
Owners si natu : ti I,t . ! 401 to 600 a
Branch elmults-new,aitemtlon,
or extension per panel:
Name: A. Fee for branch circuits v,ith purchase ut
Address: service or feeder fee,each branch circuit 2
n Fee fnr branch circuits without purchase
of service or feeder fee,first branch circuit: 16.8 3 46.1 5 2
Phone: Fax: �Ilffiffr&jjuj
. mail Each additional branch circuit:
Mlsc.(Service or feeder not Included):
Each pump or irrigation circle 2
0 Service over 225 amps-commerclal U health-LATE facile y Each sign or outline lighting 2
0 iervice over 120 amps-rating of 1&2 O I lazardous lucati��n g g g — —
dwellings U Building over 10 000 square feet four or Signal circult(s)or a limited energy panel,
over6i10vcittnominal more residential,.Ntsinone structure alteration,orextension" 2
O over three stories O Feeders,400 amt s or more •Desaition. _
p p, t load over 99 persons Ll Manufactured so.Icturea or RV park Each ad t tart lespectioa over the allowable In any ort *beset
p 4ressAightingplan U Mer �__�.__ ----- Porins tion _ —^
submit, seta of plans with any of thl above. lnvesti ,tion fee _
The above are not applicable to temporary conal ruction survive, utter
- Permit fee...... ..............S 6. 5
Na alt puisdledans+utpt credit earth,please call jurisdiction formore In nrmsuoa. Notice:This permit application plan review(at r %) $ —
a visa 0 MasterCard expires If a permit is not obtained 8%a State surcharge $ . 3.75
—[ - within 180 days after it has been g ( ) -
Credit card number:------— Tres - 50.60
accepted as complete. TOTAL . ............. .......$ ._
.ate ear ■s own on cr�i ii ead�l�
$
Fs
C der altrutun Y_ a An ounl 4N}4015 tfi(70 00111
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISION Business Line: (503) 639-4171
BLIP
Received __ Date Requested __ _. AM PM __ BLIP --- _ - - --
Location -� YY► = ' � Suite-_ _ MEC
Contact Person _ "� � -[:�t�t.-Ph( - -) �r-d -5 `� PLM - -
Contractor _ Ph(--. SWR
BUILDING Tenant/Owner --�
---._._ - ELC
Footing -_- ELC
Foundation Access:
Ftg Drain ELR -. -
Crawl Drain
Slab Inspection Notes: _ SIT
Post&Beam _
Shear Anchors _
Ext Sheath/Shear
Int Sheath/Shear
Framing - ---. ----
Insulation (�
Drywall Nailing - ---
Firewall
Fire Sprinkler - - —
Fire Alarm
Susp'd Ceding
Roof
Other:
Final ---._.-_.---------
PASS_PART FAIL --- - --�—
P_LUMBING ----- -- - -e - __
Post&Beam
Under Slab ------ - --- -- — ------
Rough-In
Water Service ---- — -
Sanitary Sewer
Rain Drains -------- ---
Catch Basin/Manhole
Storm Drain - ----- —
Shower Pan -
Other: _—p--
Final --------------------
PASS PART FAIL.
------------ F -----
MECHANICAL
Post&Beam
Rough-In —_-.—
Gas Line
Smoke Dampers -
Final
PASS AW-,FAIL --- -- ----- —_
ECTRICAL
Service
Rough-In - -.-._------ --- —__�- - __
UG/Slab
Low Voltage
Fire Alarm
PAS PART FAIL Reinspection fee of$---�__-__required before next inspection. Pay at City Hall, 13125 SW H❑II Blvd.
S Please call for reinspection RE: Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date �'j'� - inspector�"�'r--"- ' _ '� lEXt _
r
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FA"L
CITY OF TICARD 24-Hour
BUILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISION Business Line: (503)639.4171 __ —
,,SUP —
Received _ _Date Requested r AMT____--_ PM ZZ' BUP
Location 3 27j ' i� uite
Contact Persons Ph( ) �� �- PLM
Contractor__—�. +J — Ph(_ _) SWR
BUILDING Tenant/t 6 3 1 .3���_. ELC
Footing - '00 ELC
Foundation Access:
Ftg Drain ` ELR
Crawl Drain
Slab Inspection Notes: " 00 — 3 , .3 0 SIT
Post&Beam _ —�----
Shear Anchors _
Ext Sheath/Shear
Int Sheath/Shear �-
Framing — - — --- ---
Insulation
Drywall Nailing -- ----- -— --\_
Firewall _ _ -LT U AA �K
Fire Sprinkler -���/ T J �
Fire Alarm
Susp'd Ceiling ---��.-- ----- —
Roof
Fina! -- -
PASS PART FAIL ---
PLUMBING_ —�
Pn-,t&Beam
Under Slab ---------- - _----
Rough-ln
Water Service ----------- - ___ _ - -
Sanitary Sewer i I
Rain Drains ------- — ---
Catch Basin/Manhole
Storm Drain -- - ---- ! -
Shower Pan
Other: �.
—
Final —_—
PASS PART FAIL
ECHA IC _.e------- -
Post& Beam a
Rough-in '�(�� -----
Gas Line
Smoke Dampers P���, __— — --_ —. --- -- -- ----- --
F
&) PART FAIL.-AW ---------- -----��__ .._____ ------ ----------- -- —_—
RICAL _
Service
Rough-In —�__— -_-_.__ _ ___— ----- -- -._--- — ----------
UG/Slab
Low Voltage -- ------- - - --. --._._—_ __.—.-- — ---
Fire Alarm
Final Reinspection fee of$— required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: — Unable to Inspect-no access
Fire Supply Line
ADA DOW l impostor ��
Approach/Sidewalk
Other:
Final -- DO NOT REMOVI thin Inspeeltion r000rd hom the job Mo.
PASS PART FAIL