Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
ITY TIGARD MECHANICAL PERMIT !PI COMMUNITY DEVELOPMENT PERMIT #: MEC2009 - 00018 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/12/2009 PARCEL: 1 S 135CA -00600 SITE ADDRESS: 11200 SW GREENBURG RD OFC ZONING: R -12 SUBDIVISION: AUTUMN OAKS APARTMENTS LOT: 001 JURISDICTION: TIG PROJECT: AUTUMN OAKS PROPERTIES LLC Project Description: Community /Laundry Room. Project Value: $6,000 1/13/09, ADDING (1) ADDITIONAL GAS OUTLET. NO PLAN REVIEW REQUIRED PER DAN. CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: MF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: UNK VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: NAT 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 10 > 10000 cfm: Owner: FEES AUTUMN OAKS PROPERTIES LLC Description Date Amount 6036 SW MADISON ST PORTLAND, OR 97201 [MECH] Permit Fee 1/12/200. $159.50 [TAX] 12% State Surch 1/12/20(X. $19.14 Phone: Total $178.64 Contractor: SHANNON CONTRACTING LLC 2065 NW MILLER RD #415 PORTLAND, OR 97229 REQUIRED ITEMS AND REPORTS Contact #: PRI 503 -913 -1339 Reg #: LIC 159498 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 requires 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 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issue By: ` /tAidillijigg. Permittee Signature: Call 503.639.4175 by 7:00 a.m. for inspections that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. CITY OF TIGARD MECHANICAL PERMIT • Er COMMUNITY DEVELOPMENT PERMIT #: MEC2009 -00018 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/12/2009 PARCEL: 1S135CA-00600 SITE ADDRESS: 11200 SW GREENBURG RD OFC ZONING: R -12 SUBDIVISION: AUTUMN OAKS APARTMENTS LOT: 001 JURISDICTION: TIG PROJECT: AUTUMN OAKS PROPERTIES LLC Project Description: Community /Laundry Room. Project Value: $6,000 NO PLAN REVIEW REQUIRED PER DAN. CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: MF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: UNK VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: NAT 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 9 > 10000 cfm: Owner: FEES AUTUMN OAKS PROPERTIES LLC Description Date Amount 6036 SW MADISON ST PORTLAND, OR 97201 [MECH] Permit Fee 1/12/200. $159.50 [TAX] 12% State Surch 1/12/200c $19.14 Phone: Total $178.64 Contractor: SHANNON CONTRACTING LLC 2065 NW MILLER RD #415 PORTLAND, OR 97229 REQUIRED ITEMS AND REPORTS Contact #: PRI 503 -913 -1339 Reg #: LIC 159498 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 requires 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 -0110. You may ob.- -� opies of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issu d By: I tlit( / Permittee Signature: A.jAu Al. Call 503.639.4175 by 7:00 a.m. for inspections that business • -y. 11111. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. s Mechanical Permit Application . FOR OFFICE USE ONLY City of Tigard Date/By: / /� / Pe rmi t No y e , uo9 .even ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review M . Phone: 503.639.4171 Fax: 503.598.1960 Date /By' Other Permit: T I G ARD Inspe Line: 503.639.4175 Date Ready /By: Jut ® See Page 2 for w Internet: ww.tigard or.gov Notified/Method: / / W Supplemental Information E,'OF WORK: - . COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees* are based on the value of the work ❑ New construction Addition /alteration /replacement performed. Indicate the value (roundto the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, 1 overhead, and profit. CATEGORY' OF CONSTRUCTION . Value: $ 6 ° IL / RESIDENTIAL EQUIPMENT / SYSTEMS FEES* El nd 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. Multi- family ❑ Master builder ❑ Other: Description Qty. I Ea. Total JOB _SITE INFORMATION AND 'LOCATION , ' , „ .. ,.. Heating/cooling Job site address: 9iZi'v (,, Air conditioning or heat pump /200 S:✓ ,9 4�(:� m (requires site plan show placement) 14.00 City /State /ZIP: -/ Q (/ 6/ 7 �� Furnace 100,000 BTU (ducts /vents) 14.00 / Furnace Suite/bldg. /apt. no.: V Pro t name: Gas heat pump 14.00 Cross street/directions to job site: c u.) n 1z J� 0 _ o p°, „s.,..„ I Duct work 10.00 ' "� t l � 4 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 14.00 Flue /vent for any of above 6.80 Subdivision: Lot no.: Other: 10.00 Tax map /parcel no.: Other fuel appliances .DESCRIPTION OF WORK . Water heater 10.00 Gas fireplace 10.00 o n /SP 1./5 /..4 /..)e - OiLyz[fZs Flue vent for water heater or gas ^ , (' ' j fireplace 10.00 1 Vi-�' ' (te Lc 7 ni Log lighter (gas) 10.00 / Wood/pellet stove 10.00 Wood fireplace /insert 10.00 Chimney /liner /flue /vent 10.00 ❑ PROPERTY :OWNER. - '❑TENANT Other: 10.00 Name: /-NV1v/►1 0 //� Environmental exhaust and ventilation Address: /1200 S 9 Jzfrt7f sI Range hood/other kitchen �( 2 equipment 10.00 City /State /ZIP: 7 11 m °t' 2 4 © o , J ci7zze f. Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: ( ) • L1,p7 1 a x: ( ) toilet compartments, utility rooms) 6.80 ❑. APPLIC ❑ ' CONTACT ,PERSON .. Attic /crawlspace fans 10.00 Other: 10.00 Business name: Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Address: Furnace, etc. GP,/l-ZA° Gas heat pump City /State /ZIP: Wall /suspended/unit heater Phone: ( ) Fax:: ( ) Water heater Fireplace E -mail: Range CONTRACTOR Barbecue "" Clothes dryer (gas) 7 Business name: S I i � ' �n¢tnf NcXj Co P'1 t' t X t v- L� G Othe s. 4491W I/rp . ,� Address: ] &<- NW (Y1t(Ct42 �, 4(5- . MECHANI P ERMIT,F E ES* " City /State /ZIP: V r . ,Q 0 q 72_26/ Subtotal Phone: O ^i41 CJ ��Fax: ( ) ( Minimum permit fee ($72.50) /5 y cu ' ( ' Plan review (25% of permit fee) . (0 CCB lic.: /J State surcharge (12% of permit fee) / TOTAL PERMIT FEE / i.p f permit application Authorized signature: This it liti expires if a permit is not obtained within 180 X( days after it has been accepted as complete. Print name: Date: * Fee methodology set by Tn- County Building Industry Service Board I: \Building\Permits ) MEC- PermitApp doc 01/19/07 440 -4617T (t 1 /02 /COM /WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: .Total Valuation 'Permit Fce:' $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. 1: \BuildingTermitskIVIEC-PerinitApp.doc 01/19/07 2 CITY OFTIGARD BIJII,.DING DIVISION PERMIT #: MCt:Q[f f1f;;�'i8 ' SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1//212009 Phone: (503) 639 -4171 am ,, 1'iII Inspection Requests (24 Hrs.): (503) 639 -4175 � INSPECTION WORKSHEET FOR DATE: 1/13/2009 TIME: :00AM PAGE: 2 SITE ADDRESS: 11200 SW GREENBURG RI) OFC CLASS OF WORK: SUBDIVISION: AUTUMN OAKS APARTMENTS LOT #: 001 TYPE OF USE: PROJECT NAME: AUTUMN OAKS PROPERTIES LLC DESCRIPTION: Community /Laundry Room. Project. Value: $6,000 NO PLAN REVIEW REQUIRED PER DAN. OWNER: AUTUMN OAKS PROPERTIES LLC, PHONE #: CONTRACTOR: SHANNON CONTRACTING LLC PHONE #: 603 -913- 1339 Inspection Request Scheduled For: Date: 1/13/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 079651 -01 5033- 913 -1339 Y Corrections /Comments /Instructions: IA . , • • ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS (l FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ilibrii 2fi Inspector: ( ' _ 401, 117 Q , Date: t 1 0 i Phone #: (503) 718-