9150 SW MOUNTAIN VIEW COURT N! M31A NIVINnow MG nc i e
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9150 SW MOUNTAIN VIEW LN
CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2001-00072
13125 SW Hall Blvd , Tigard,OR 97223 (503)6394171 DATE ISSUED: 2/27/01
PARCEL: 2S 111 AB-03602
SITE ADDRESS: 09150 SW MOUNTAIN VIEW LN
SUBDIVISION: ZONING: R-4.5
BLOCK: LOT: JURISDICTION: 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: BOILE'tS/COMPRESSORS _ HOODS:
_ FUEL TYPES 0 - 3 HP: DOMES. INCIN:
LPC, 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP: REPAIR UNITS:
FIRE C MPERS?: 30 -50 HP: WOODSTOVES:
GAS PRESSURE: 50+ HP:
FURN < 100K BTU: 1 _ AIR HANDLING UNITS CLO DRYERS:
- OTHER UNITS:
FURN >=100K BTU: <= ,00000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Remark eplace existing oil furnace with new gas furnace and gas piping.
Owner: _ _ FEES
BARRON, SUSAN L Type By Date Amount Receipt
9150 SW MTN VIEW LN PRMT CTR 2/27/01 $72.50 2720010000
TIGARD, OR 97224 5?r,T CTR 2/27/01 $5.80 2720010000
Phone: Total $78.30
Contractor:
SYSTEM AIRE INC
14444 SW FEW ST
TIGARD, OR 97223 REQUIRED INSPECTIONS
Gas Line Insp
Phone:503-524-5927 Heating Unt Insp
Reg#:LIC 38062 Final Inspection
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w This permit is issued subject to the regulations contained in the Tigaru' Municipal Code, State of Ore.
-i Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. T,iis 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 nines adopted in the Oregon
Utility Not i ' Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You nla obtai�1 co of thase rules or direct questions to OUNC by'c Iling (503)246-9189.
Issuey: Permittee Signature: Ziz
Call (503)639-4175 by 7:00 P.M.for Inspections needed the next business day
Mechanical Permit Application
"Watermmmoceived: At7 p/ Perwitno.;
City of Tigard Project/appl.ii'm Expire date:
Cit n i Address: 13125 SW Hall BINd,Tigard,OR 97223
Y J Tigard Date issued: By: Receipt no.:
Phone: (503) 639-4171 --
Fax: (503) 598-1960 Caw file no.: _ Payment type:
Land use approval: __ Building permit no.:
.
Ad dwelling or accessory U Com.tnercial/industrial U Multi-family U Tenant improvement
ction 7 Ad _'alteratiolvreplacement U Otter:
Job address: C5,0 54 ? Indicate equ:.pmcnt quantities in boxes below. Indicate the dollar
Bldg.no.: Suite no.: — value of C1 mechanical materials,equipment,labor,overhead.
Tax map/tax lot/account no.: prof+.Value S
1,01: Block: Subdivision: *See checklist for important application infolmatior and
Project name: jurisdiction's fee schedule for residential permit fee.
City/county: ZIP:
Description and location of workon remises:
111110111C1111111111 Mi
04 L<fc,#o,• Fee(m) Total
Est.date of compdetion/irspection: DeaQi 1R'°•°el Rea.oal
Tenant improvement or change of use: Air handling unit ---CFM—
Is
CFMIs existing space heated ot -onditionedUJIies U No it con luoning(sue an requr )
Is existing space insulated?U Yes O No teranpn oiulg system
OI er,Co."oresROrs
State boiler permit no.:
�EBusMines,name: 5cc el e' C HP Tons BTUM _
Address: .S,w, -ev t t smo.e ampe uct ama a electors _
City: r tc State: 17 ZIP: 7 ? cat pump(sue p an required)
Phone: S Z y- "-S 2 7 Fax: E-mail:
Install/replace urnac urncr er+
Including duc'work/vent linryaa'Yes O No
_CCB no.: ,j �_f?a C Z _ LiameWal
rep ac reOcateheaters-suspended,
City/metro lic.no.: floor mounted
Name(please print : e( �f,' !_7 f rapp lance of tierthan urnace
tionnnitsBTU/H
Name: �� HP
Address: ssors _ HP
ex nd a rent
State: ZIP: A plianccvent
Phone: Fax: -mail: hyere. aunt
W&ls,Type res.kitchen&
/ hood fire suppression cyst err
Name, �)S�n/ t! t �4Y/^ Z1 Exhaust fan with single duct,
S; r"L 10 cvl*. i1111� w L x aus�stem apart%w
Mailing address: �J/ 7 PrPr
d City: -Te —� State:Q{- Z1P:,l 7 Z 2 �/ TOe "g TMX NO Oil r
IM — —
W Phone: 20--45 7 Fax: email. ue 1 neigh Additionalover 4 outlets
t--
) r Km p1pin(schematic regln
Number of outlets
Name: err
J Address:_ _ Decorative fireplace _
m City: _ Statc: ZIP: nwrt-'type
Phone: E-mail: Woodstov Pellet stove _
LU
-i Applicant's signature:
Name(print): tLf,"'4. *-
Nat ell Juddictiora wce(at credit cw&,(akaae call jutis&HOn(Or rtrre inrertnarian. Pendit fee.....................s SG
Notice:Ibis permit application Minimum fix................S
❑visa U Msa+er('ard / expires if a permit is not obtained
Crntit c:xA mamher:_ ---__.__ —.L�___ Plan ItVieW(at — %) a
Fxpirec within 180 days after it has been State surcharge(11%) $
CeCp as complete.c - ted
Now(4 cardalAer a re
thmvn on reedit cud t TOTAL . $
Cardholder dpwtne 4", 17(600aCOM)
MECHANICAL PERMIT FEES
COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE:
TOTAL VALUATION:_ FEE: -- - --�- �� '
Description: _ Price Total
Table to Mechanical Code Qty (Es) Amt
$1.00 to$5,000.00 _Minimum fee 572.50 1) 'Furnace to 100,000 BTU �-
$5,001.00 to$10,000.00 $72.50 for he first 25,000.00 and including duds&vents__ __ 14.00 _
$1.52 for each additional$100.00 or 2) Furnace 100,000 BTU+
fraction thereof,to and including Induding duds&vents 17.40
$10,000.00. 3) Floor Furnace
$10,001.00 to 525,000.00 $148.50 for the first$10,000.00 and ding vent 1400
11.54 for each additional$100.00 a Flloo -- -
"Oon thereof,to and Including 4) Suspended heater,wall heater
$25 .00. or floor mounted he-'or 14.00 `-
$25,001.00 to 550,000.00 $379. for the first$25,000.00 and 5) Vent not Included In appllance pe t
6.80
$1.45 f4Tach additional$100.00 or _� -
fraction thbreof,to and including 6) Repair units
$50 000.00 12.15
$50,001.00 and up $74T..00 tion t;t first$50,000.00 and Check all that apply: r Heat Air
$1.20 for each dillm,al$100.0(1 or For Items 7-11,see Pump Cond
fraction thereof. footnotes bero3w. _ _
7)<3HP;absorb unit
to I00 BTU _ 14.00
ASSUMED VALUATIONS PER APPLIANC _ 6)3-15 HP;a') rb
- Value Total unit 10Ck to Ok BTU 25.60----
Q
5.60 __
Descrlptlon,�_ of _jEa mount 9)15-30.W;absorb
Furnace to 100,000 BTU,Induding 955 _ unit. mil BTU 35.00
ducts&vents _ _ _ 1 0-50 HP;absorb
F+rmace> 100,000 BTU Including 1,170 nit 1-1.7_5 mil BTU 52-20 _
ducts&vents __ 11)>50HP:absorb
Floor furnace Induding vent __ 955 unit>1.75 mil BTU 67.20
Suspended heater,wail healer or 955 12)Air handling unit to 10,000 CFM
floor rtwunted heater _ _ - 10.00
Vent rot Included In applicancd 445 13)Air handling unit 10,000 CFM+
Repair units _ 5 - 14)Non-portable evaporate cooler
<3 hp;absorb.unit, 955 1000
to 100k BTU _ 1 Vent fan connected to a single dud
3-15 hp;absorb.unit, 1,709 6.80
101k to 500k BTU - 16) ntllatlon system not Inched in
15-30 hp;absorb.unit,501k to 1 2.310 a Fiance permit 10.00
mil.BTU 17)H served by mechanl(al exhaust
30-50 hp;absorb.unit, 3,400 10.00
1-1.75 mil.BTU 18)Donx�s c incinerators
>50 hp;absorb.unit, 5,725 17.40
>1.75 mil.BTU 19)Calmer I or industrial type incinerator
Air handling unit to 10,000 d69m 656 Y 95
Air handling unit>10.000 cfm 1,170 20)Other units, uding wood stoves
Nom�ortable evaporate_cooler 656 10.00 _
Vent fan connected to a single d pi 446 21)Gas piping on to fr•,;,r outlet
Veit s} +not Induded In 656 5.40
appliancx,,onnfl_ 22)More than 4 pe outlet(each)
Hood served by mechanical exhaust 858 1.00
4. Domestic Incinerator 1 170 _ Minimum Permit F $72,50 SUBTOTAL:
ix Commercial or Industrial incineraier 4 590
NOther unit,Including wood stoves, X656 8%State Surcharge
Inserts,etc. _�
Gas aping 1-4 outlets 360 25%Plan Review Fes(of subtotal)
.J Each additional outlet _ 63 Required for ALL corn lerdal pennft only
_
m TOTAL COMMERCIAL $ TOTAL RESIDENTIAL PERMIT
w VALUATION: ---
Q(na im�pscgorts AntfM:
1 Inspections oulokte of normal business hours(minlinurn rhargR-two hours)
$72.50 per hour.
2 Inspections for which no fee to specifically Indicated (minimum cMrye-heM hour)
$72.50 per hour
1. Additional plan review required by ehange4,additions or revisions to plans(minimum
cherpe tmR half hour)$72.50 per hour
"8tMe Contactor Wier Certllloatlen required for units 3,200k BTU.
"RNtderrW AIC rr ofte so plan showifM placement of unlL
I:\dsts\formslmedt-fees.doc 10/11/00
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4173 Business Line: 639-4171 ----
BUP
Date Requested --f C AM - PM aLD
Location ef/S � �f�'Vii, c� Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/OwnerELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: --
Slab _ _ SIT
Post&Beam -----
Ext Sheath/Shear _
Int Sheath/Shear
Framingo�� ,f L`c�[.C'.>'ft L(�. 1.� D
Insulation C
Drywall Nailing S 29
Firewall
Fire Sprinkler —�� n� 7'�E S �-�7J c') :1=7 LO 4 —
Fire Alarm
Susp'd Ceiling
Roof
Misc. _—.—
Final
PASS PART FAIL
PLUMBING
Post&Beam
Under Slab
Top Out
Water Service _
Sanitary Sewer
Rain Drains
Final -- -------------_ —_—_— -
PASS PART FAIL _—_—
ECHANIC
Post&-s—earn
Rou h In
sLi _...---- --- ---- --- — — r _—
Smoke Dampers
AS PART FAIL
d' ELECTRICAL
Service
AC Rough In
0 UG/Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
W SITE
Backfill/Grading — �-- —----
Sanitary Sewer
Storm Drain f )Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin Please call for reinspection RF'
Fire Supply Line I ) p --- — [ )Unable to inspect-no access
ADA
Approach/Sidewalk Date "�D/ Inspector
Other Ext
Final
PASS PART FAIL j DO NOT REMOVE this inspection record from the job site.