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16345 SW MERDOWOOD WY
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-hour Inspection Lima: 639-4175 Buslnetis !IneC� —
BUP
Date Requested& —,ZZ AM J V PM gL
Location 3�/r c✓ ��I �w�__4% 4� Suite — / ME ,amu
Contact Person _ Ph 5173-G Z-0- S L 9(3 PLM _
Contractor_— e._ =h — SWR — --_—
BEJILDING� 'Tenant/Owner _ _ EI.G �—
Retaining Wall p a"_ ELR
Footing �—-_—�'--
Foundation S� FPS Y
Fty Drain -`""_------ _"..__._-- -
— �'-- SON
Craw!Drain Inspection Notes: —
Slab _- -- V"rk64Z - - tt ` SIT
Post& 13eam y
Ext Sheath/Shear
Int Sheath/Shear
Framing
InsMation
Drywall Na ling
Firewall
Fire SprinklerFire Alarm
Alarm
Siisp'd Ceiling --- ---- -- - — --_���_ _
Roof
Misc:
Final
PASS PART FAIL ----------- -•-- -
PLUMBING
Post&Beam
Under Slab
Top Out
Water Service
Sanitary Sewer J
Rain Drains _
Final
PASS PART FAIL
ECHANI ------------ — ----
eam --- -- --
Rough In
Gas Line --- -- -
Smokepers
m
Ato PART FAIL
tUFTRICAL __� -------_--_._
d. Service
Rough In —�
N UG/Slab
Low Voltage
Fire Alarm
J Final
m PASS PART FAIL
O
ua SITE
- Backfill/Grading
I Sanitary Sewer
Storm Drain ( ]Reinspection fee of$ required before nP•.. Inspection, Pay at City Hail, 13125 SW Hall Blvd
Catch Basin [ ]Please call for reinspection RE:
Fire Supply Line ___ [ ]Unable to inspect-no access
` -
Approach/Sidewalk Date 1 \-I/ bo Inspector \• �` CS� EXt5
Other -
Final
L PASS PART FAIL DO NOT REMOVE this Inspection) record from the job site.
�e CITY OF TIGARD MECHANICAL PERMIT
PERMIT#: MEC2000-00393
DEVELOPMENT SERVICES JATE ISSUED: 10/4/00
13125 SW Hall Blvd.,Tigard,OR 97223 (503) 639-4171 PARCEL: 2S114BA-10G00
SITE ADDRESS: 16345 SW MEADOWOOD WAY
SUBDIVISION: COPPER CREEK STAGE 2 ZONING: R-4.5
BLOCK: LOT:053 JURISDICTION: TIG
CLASS OF WORK: OTR 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 _ J - 3 HP: DOMES. INCIN:
U G 3 - 15 QIP: COMML. INCIN:
MAX INPUT: BTU 15-30 HP: REPAIR UNrrS:
FIRE DAMPERS?: 30 -50 HP: WOODSTOVES:
GAS PRESSURE: 50+ HP: (,LO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Replace gas furnace with IiKe kind.
Owner: _ FEES
SIMPSON, TERRANCE M AND !Type By Date Amount Receipt
EMONS-SIMPSON, NANCY M PRMT CTR 10/4/00 $72.50 2720000000
16345 SW MEADOWOOD WAY 5PCT GTR 10/4/00 $5.80 2720000000
TIGARD, OR 97223 - -
Total $78.30
Phone:
Contractor:
SPECIALTY BEATING , FABRIC,ATIO
9528 SW TIGARD ST
TIGARD, OR 97223 REQUIRED INSPECTIONS _
Heating Unt Insp
Phone:620-5643 Final Inspection
Reg#:SUP 2570RE T
LIC 006657
ELE 34-341CR
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W This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
-' and all other applicable laws. All work will be done in accordance with approved plans. This permit will expi,-e if work is
not started'imithin 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR
952-0010010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by
calling03)246-91AIG
Issue _ Permittee Signature: �'� >
Call (503) 639-4175 by 7:00 P.M.for Inspections r eaded the rext business day
N1,echanical Permit Application
Date received: /e-V-OD Permit no.:Nf�aaay-oa 393
City of Tigard Project/appl.no.: Expire date:
City(?I r'igard Address: 1325 SW Hall Blvd,Tigard,OR 97223 `—
Phone: 003) 639-4171 Date issued: B Receipt no.:
Fax: (503) 598-1960 Case file no.: --- -- Payment type:
Land use approval: — Building permit no.: -- --""`
=Ncwcons(tuction
y dwelling or accessory U Commercial/industria' U Multi-family U Tenant improvement
U U Additioruaiteration/replacement U Other:
Joh address:�(,, Indicate equipment quantities in boxes below.Indicate the dollar
Ridg. no.: Suite no.: value of all mechanical materials,equipment,labor,overhead,
Tax map/tax lot/account no.: profit.Valae$
Lot: Block: Subdivision: 'See checklist for important applicat'on information and
Project name: j errq / h jurisdiction's fee schedule for residential permit fee.
City/county: t r- �-- ZIP: 7JAl 115"11111 Ing
Description and I ation of work on premises: Ell M
_ F
ee Trial
Est.date of completion/inspection: Descriiption� Rel.only
T^nant improvement or change of use:
Air handling unit __CFM
Is existing space heated or conditioned?U Yes U No it con nronmgg e p an r�T q dj
N existing space.insulated?U Yes U No ierauon of existing HVAC system
11111111011"I IM KW al"101 I URE U]t, of er compressors
Business name: ti . _ State boiler permit no.:
lip ---Tons BTU/H
Address: � .iS J _ _ i�mo a c� a-T m�cTuct smo a electors
CIE- t2 rd- _J/ Stale: 1 ZIP: tj 7�, � eat ump sae p an requue ) _
Phone: Fax j -Q7/ E-mail:S nsta rep ace urnace, urner t
CCB no.: Including ductwork/vent liner U Yes U No
�2l�' Z�_— _ nsta rep ac reovate eaters-si spen e ,
City/metro lie.no.: q wall,or floor mounted _
Name(please print): Vent ora ianceot er an furnace
e gera .
Absorption units BTU/H
Name: t3_>`/ Pw' S l IQ.n P t Chillers_ HF
Address: Co ressors HP
Cit Slate: ZIP: roeraenta ex int a ventilation:
Y: y7dd Appliance vent
Phone: -c ' Fax �(� E-mail: ryerex aust
s,Type res. itcc en ami im'at
hood fire suppression system _
Name: 'Y,i .�t ,n.5 AV') Exhaust fan with single duct(bath fans)
it Mailing address: /fit 3�t/ `�'`�V") f y� Exhaust system a ar►from Tieaua
- Fuelpiping adistribution up t,1 out ets
Ix City: State: Ty LPG NG Oil
Phone: 6 Fax: E-mail: ue t in;ec`i -additional over outlets
mcess piping(,,cematic required)
J Name: Number of outlets
Other listedappliance or equipment:
Address: Decorative fireplace _
City: State: ZIP; esert-iy
Phone: F.x: E-mail: stov pe et stove
Applicant's signature: Date:
Name (print):
all iurisdicdma
ons accept credit rands,please call jurisdiction fa r informminn Permit fee.....................$
tva _
y Notice:This permit application Minimum fee........... $
U Visa U MasterCard expires if a permit is no,obtained
Credit card number _[ /____ Plan review(at __ %) $
Expire, within IRO days after it has been
_ State surcharge(R96)....$
Name or cardholder a atrown on credit card accepted as complete. —
TOTAL
-- — Cardholder aisttatttte — Amami
�._� 440 17(eattKDM)
Commercial Schedule
182 Family Dwelling Schedule
ASSUMED VALUATIONS PER APPLIANCE
Dei crtplt lon
Fumace to 100,000 BTU jnl?t to Mechanical Coda _ City thloa Total
t)fumamx b tOp,000 Otlt
including ducts Rvents -_ 955 McMd duds L vents __ t4.00
Furnace>100,000 BTU 21 mxnace WOW 81`U.
kmchdirm0 duos t vents _-___`__ 1740
including ducts 8 vents 1,170 3) Floor Fumsoe
--- -- Mrio__ain warn -_ --- i4.00
floor furnace 4) Suspended healer,wee heater
including vent _ _ 955 ___a^°°r n"'o"e�n�afer __ 14.00
suspended heater,wall heater s1 vint notmd"tt'Ptah"!" 6.a0
or floor mounted heater _ 955 a , it links 12.15
Chedm as brat smty. -�ikr Heal Ak
Vent not Included In appliance permit 445 For Nems 7.10,see a Pump Gond Oty Price Tow
Repair units 805 footnotes 1,2 comp
7) absorbunit to
<3 hp;absorb.unit 1wrc BTU 14.0
at 3-15 W.absorb
Ito 100k BTU _ 955 100k to 5o0k BTu 25.00
3-15 hp;absorb.unit unit
15-30 HP.absorb - -T- -
unN.5 1"BTU 25.00
101k to 500k BTU 1700 10)10-50 Hip.absorb
mmH 1-1.75 me BTU 52.20
15-30 hp;absorb.unit 11)15"'.absorb unk 11 75 me Atli
_ 87.20
501k to 1 mil.BTU 2310
_ 12)Air hardYrq u:nM to 10,000 CfM
30-50 hp;absorb.unit - o
13)AN hendlinqunN 10,000 CFM•
1-1.75 mil.BTU _ 3400 _. 1730
>50 hp;absorb.unit - 14)Non-po"aw evaporefe Woler 10.00
>1.75 mil.BTU 5725 1.5)Vent fan rnmwled to a single duet
6.60
Air handling unit to 10,000 cfm 656 1e)vemdalion system notnotindwed�n
1000
Air handling unit> 10,000 dm 1170 17-)Maes'erre by medrMinkel erhau:l"-� _
Non-portable eva a!e coller _ 656 r-_ 1000
Po _ P� 1e)Domestic krckw!rnton
vent fan connected to a single duct 446 17.40 --
�� -- 19)Canmer-jal or Industrial type knanerstor
Vent syst.not Included In appliance permit 656 09"95
Hood served by mechanical exhaust 656 20)aner lines,kndud"q wood stoves
10.00
Domestic Incinerator 1170 71)ons rAmq one to tae Q%ft
_ 6.40
Commercial or industral Incinerator 4590 22)Mom than 4.per vAlal(each
1.00
Other unit,Including wood stoves,Inse s,etc. _ 656 Minimum Pam!,F*_*Tr2-50 SURtOT L
Gas piping 1-4 outlets _ 360 __ --a%SURCHARGE
EPU1N REVIEW 25%OF SUSIOTAL
Each additional outlet 63
Required for ALL commercial parmks ertly
TOTAL
Other lnepecti-s and reev:
1 kupethan o tsw or rommtl busmness haws Imhmbrmrn.f,err•.two hours)
$72 So Per rr•lr
1 Inspections Ia whks,m A:e h ifx drmcaeY kmdkaPld(nJrA -dvgie huff hoxitj
$12 50 neo hew
Total Val tlatiollFee t Add*WW OW N kw MWW M dash.,a*Nt-M-ft-s b aa"(mk*n
ctwvv ww.hoe tamr)$7250 per haw
•slats conhaea thaw Ceralkahon regwee
.--" -. __.-- - -------- "ft"Idw aM A/C re7Mn see roan sho.*V r4acen«•rr of unn
$1.00 to$5,000.00 Minimum 572.50
1•-
55,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 51.52 for
U) each additional$100.00 or fraction thereof,
to and including$10,000.00
$10,001.00 to$25,000.00 S 148.50 for the first$10,000.00 and$1.54
m for each additional$100.00 or fraction
thereof,to and including$25,000.00
W
$25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45
for each additional S 100.00 or fraction
thereof,to and including$50,000.00
$50,000.00 and up 5742.00 for the first 550,000.00 wid$1.20
for each additional$100.00 or ttadion
thereof