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Permit .,. ///,,, , ,o. _ . / ITY F TIGARD MECHANICAL PERMIT } I4 DEVELOPMENT SERVICES PERMIT #: MEC2003 -00518 '' �Jll DATE ISSUED: 11/12/03 13125 SW Hall Blvd., T igard, OR 97223 (503) 639 -4171 PARCEL: 2S1 12AA -00900 SITE ADDRESS: 14160 SW 72ND AVE 110 SUBDIVISION: NELSON BUSINESS CENTER ZONING: I -H BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: 1 VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: L 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN > =100K BTU: 3 <= 10000 cfm: GAS OUTLETS: 3 > 10000 cfm: Remarks: Tenant Improvement 3 rooftop units. Project Value: $31,750 11/12/03, added (1) unit heater for warehouse. Owner: • FEES SPIEKER PROPERTIES LP Description Date Amount 4380 SW MACADAM AVE STE 100 PORTLAND, OR 97201 [MECH] Permit Fee 9/29/03 $72.50 [MECPLN] Plan Rev 9/29/03 $18.13 [TAX] 8% StateTax 9/29/03 $5.80 Phone: Total $96.43 Contractor: OREGON AIRE INC 7715 NE 33RD DR., STE. A PORTLAND, OR 97211 REQUIRED INSPECTIONS Phone: 503 335 - 2222 Gas Line Insp Mechanical Insp Reg #: LIC 64235 Mechanical Insp Duct Inspection S.D. Shut -down inspection Final Inspection 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 require : * low rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -00 i � Issue y: � ,_ , � . Permittee Signature: \ Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day C ITY OF T MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2003 -00518 " ' 6411 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/29/03 PARCEL: 2S112AA-00900 SITE ADDRESS: 14160 SW 72ND AVE 110 SUBDIVISION: NELSON BUSINESS CENTER ZONING: I -H BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: LPG 3 - 15 HP: COMML.INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: L 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN > =100K BTU: 3 < = 10000 cfm: GAS OUTLETS: 3 > 10000 cfm: Remarks: Tenant Improvement 3 rooftop units. Project Value: $31,750 Owner: FEES SPIEKER PROPERTIES LP Description Date Amount 4380 SW MACADAM AVE STE 100 [MECH] Permit Fee 9/29/03 $72.50 PORTLAND, OR 97201 [MECPLN] Plan Rev 9/29/03 $18.13 [TAX] 8% StateTax 9/29/03 $5.80 Phone: Total $96.43 Contractor: OREGON AIRE INC 7715 NE 33RD DR., STE. A PORTLAND, OR 97211 REQUIRED INSPECTIONS Phone: 503 - 335 - 2222 Gas Line Insp Mechanical Insp Reg #: LIC 64235 Duct Inspection S.D. Shut -down inspection Final Inspection 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 -00 C Iss . j�� /„ ../ , Permittee Signature: C Cali (503 ; 9-4175 by 7:00 P.M. for inspections ne ded the next business day titio ‘5&) n P° co ttrApc-, Iwo IA " 4. Mechanical Permit Application Date received. , Permit no. gf y 3. t . 05 r / R F , '' " :I'►i City of Tigard Project ^�,0 Expiredate: CiryofTigard Address: 13125 SW Hall Blvd, Tigard OR 97223 Date l l 'et � 9� By: I Receipt no.: Phone: (503) 639 -4171 Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: Building permit no.: . - TYPE OF PERMIT 0 1 & 2 family dwelling or accessory * Commercial/industrial 0 Multi - family 0 Tenant improvement 0 New construction 0 Addition/alteration /replacement 0 Other: ' - .JOB SITE INFORMATION ' • COMMMERCIAL VALUATION SCIIEDULE' J.b address: . v j, Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: Suite no.: b value of all mechanical materia ,,equipment, labor, overhead, Tax map /tax lot/account no.: profit. Value $ 3// 7.5 . Lot: Block: Subdivision: *See checklist for important application information and Project name: p A • ,� M jurisdiction's fee schedule for residential permit fee. City /county:' „;g ZIP: 1 & 2 FAMILY DWELLING PERMIT FEE SCHEDULE • Descri • - and location of work on premises: . :fi AND COMMERICAL /INDUSTRIAL EQUIPMENTSCIIEDULE ti . (f .._.. a. r tz t+ AI 4 _ Fee(ea.) Total Est. date of completion/inspection: FP 47/ ' °7A1°� Description Qty. Res. only Res. only Tenant improvement or change of use: HVAC: ■ -- Is existing space heated or conditioned ?Xl Yes 0 No Air handling unit CFM Air conditioning (site plan required) — Is existing space insulated? lil Yes 0 No Alteration of existing HVAC system MECIirCNICAL CONTRACTOR Boiler /compressors 1 Business name: • r - p , _ / _ State boiler permit no.: HP Tons BTU/H Address: / j 1 , • .0 .) • • Fire/smoke dampers/duct smoke detectors City: # o/Z l_ _G � / _ State° ZIP: - Heat pump (site plan required) = Phon . , „ _ � E -mail: Installlreplace BTU /H ■ -- Including ductwork/vent liner 0 Yes 0 No CCB no.: '. , 36 Install/replace/relocateheaters- suspended, ■ -- City /metro lic. no.: - `J" wall, or floor mounted Name (please print): ItIVRM Vent for appliance other than furnace = ' CONTACT PERSON Absngerauni ■ _ - • Absorption n units BTU/H Name: Chillers HP Compressors HP ME Address: J �•� i = Environmental exhaust and ventilation: ■ -- City: State: ZIP: Appliance vent Phone: Fax: E -mail: Dryer exhaust - Hoods, Type U II/res. kitchen /hazmat OWNER ■ __ _ hood fire suppression system Name: (<j „r<;.4 vt,2 / _ / � ,, r � Exhaust fan with single duct (bath fans) - __ Mailing address: / � Exhaust system apart from heating or AC = -- � , �!. . 1d / ,,� i .• ` ZIP: 70`?/ Tae pip g an distnbution up to 4 out s) ■ -- Type: LPG NG Oil Phone:.5 • • , • 0 Fax: E -mail: Fuel pi . ing each additional over 4 outlets I ENGINEER 'rocesspp i g (schematic required) = Name: Number of outlets Other , app ' 1 ce or equipment: ■ - Address: Decorative fireplace City: State: ZIP: Insert - type Phone: — ... Woodstove/pelletstove I= Other: = Applicant's i�8's� -, � ���,�_��� �I�J Date: � �' other: (print): Not all jurisdictions accept credit cards, please call jurisdiction for more information. Permit fee $ Notice: This permit application Z . O Visa 0 MasterCard Minimum fee $ expires if a permit is not obtained 2- /3 Credit card number: / / Plan review (a[ _ %) $ / Expires within 180 days after it has been o 0 p State surcharge (8%) $ 5 Name of cardholder as shown on credit card accepted as complete. TOTAL $ (� / (j b Cardholder signature Amount 440 -46 17 ( / N00/COM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: ,,TOTAL VALUATION: PERMIT FEE:.. ' Description:. - Price Total $1.00 to $5,000.00 Minimum fee $72.50 Table 1A Mechanical Code Qty (Ea) Amt $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and 1) Fumace to 100,000 BTU $1.52 for each additional $100.00 or including ducts & vents 14.00 fraction thereof, to and including 2) Fumace 100,000 BTU+ $10,000.00. including ducts & vents 17.40 $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 including vent 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 first $25,000.00 and 5) Vent not included in appliance permit $1.45 for each additional $100.00 or 6.80 fraction thereof, to and including 6) Repair units . $50,000.00. 12.15 $50,001.00 and up $742.00 for the first $50,000.00 and Check all,that apply: Boiler Heat : -Air $1.20 for each additional $100.00 or For items 7-11,-see Co or . Pump Cond fraction thereof. footnotes below. -.. - m p Minimum Permit Fee $72.50 SUBTOTAL: 7) <3HP; absorb. unit $ to 100K BTU 14.00 8% State Surcharge $ 8) 3-15 HP; absorb i 25.60 unit 100k to 500k BTU 25% Plan Review Fee (of subtotal) $ 9) 15-30 HP; absorb 35.00 Required for ALL commercial permits only unit . -1 mil BTU TOTAL COMMERCIAL PERMIT FEE: $ 10) 30 - 50 HP; absorb 52.20 unit 1 -1.75 mil BTU 11) >50HP; absorb unit >1.75 mil BTU 87.20 ASSUMED VALUATIONS PER APPLIANCE: • 12) Air handling unit to 10,000 CFM 10.00 Value Total 13) Air handling unit 10,000 CFM+ Description: Qty (Ea) Amount 17.20 Fumace to 100,000 BTU, including 955 14) Non - portable evaporate cooler • ducts & vents 10.00 Fumace > 100,000 BTU including , 3 1,170 3 s - 1 6 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 appliance 445 10.00 permit 18) Domestic incinerators Repair units 805 17.40 < 3 hp; absorb. unit, 955 to 100k BTU 19) Commercial or industrial type incinerator 69.95 3 -15 hp; absorb. unit, 1,700 20) Other units, including wood stoves 101 k to 500k BTU I 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 1.00 >50 hp; absorb. unit, 5,725 Minimum Permit Fee $72.50 SUBTOTAL: $ >1.1. 75 mil. BTU Air handling unit to 10,000 cfm 656 8% State Surcharge $ Air handling unit >10,000 cfm 1,170 Non - portable evaporate cooler 656 TOTAL RESIDENTIAL PERMIT FEE: $ Vent fan connected to a single duct 446 Vent system not included in 656 appliance permit Hood served by mechanical exhaust 656 Other Inspections and Fees: Domestic incinerator 1 170 1. Inspections outside of normal business hours (minimum charge -two hours) $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 $62.50 per hour inserts, etc. 3. Additional plan review required by changes, additions or revisions to plans (minimum Gas piping 1 - 4 outlets 3 360 3 (, 0 charge -one -half hour) $62.50 per hour Each additional outlet 63 State Contractor Boller Certification required for units >200k BTU. TOTAL COMMERCIAL "Residential A/C requires site plan showing placement of unit. - VALUATION: $3 80 All New Commercial Buildings require 2 sets of plans. i:\dsts\forms\mech-fees.doc 02/11/02 160 44;:4 4 s 9 p.QArh ,1-- Mechanical Permit Application Date received: // / 03 Permit no.: � ��; Ci z *" -0=25' '., i City of Tigard Project/appl. no.: Expire date: CiryojTigard Address: 13125 SW Hall Blvd, Tigard OR 97223 Date issued: By: I Receiptno.: Phone: (503) 639 -4171 Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: Building permit no.: H ge 906 3 - oosi T TYPE OF PERMIT O 1 & 2 family dwelling or accessory A Commercial/industrial O Multi - family O Tenant improvement O New construction MAddition /alteration/replacement O Other: JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE ' Job address: L( .: (-C3 h / 2.0 Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: Suite no.: value of all mechanical materials, equipment, labor, overhead, Tax map /tax lot/account no.: profit. Value $ 3 '3d— . Lot: Block: Subdivision: *See checklist for important application information and Project name: p .irL F V � jurisdiction's fee schedule for residential permit fee. City /county: ZIP: ' 0 s ;� • 19_3 1 Sc 2 FAMILY DWELLING PERMIT FEE SCHEDULE Desc u ption and location of wor on premises: AND COMMERICAL /INDUSTRIAL EQUIPMENTSCHEDULE f ! ! :.a A,. ar iP i ki :, ...,ac.e� Fee(ea.) Total Est. date of completion/inspection: J7 , _ r Description Qty. Res.only Res.(tnly Tenant improvement or change of use: • VAC: ■-- Is existing space heated or conditioned ?Yes O No Air handling unit CFM Air conditioning (site plan required) _ Is existing space insulated? t' Yes O No Alteration of existing HVAC system MI - • NIECIIAN CONTRACTOR Boiler /compressors State boiler permit no.: , ■■ HP Tons BTU /H Address: - i ' .) . Fire /smoke dampers /duct smoke detectors _ EMI 0.Q_ R �� State:d ' ZIP: Heat pump (site plan required) _ Phone E -mail: InstalUreplacefurnace/burner BTU /H ■ -- v v +i I /I Including ductwork/vent liner O Yes O No CCB no.: Install /replace/relocate heaters - suspended, ■ -- City /metro lic. no.: S wall, or floor mounted Name (please print).1Martall Vent for a • pliance other than furnace I= CON "1'ACI' PERSON ' �g • • on: Absorption units BTU/H Name: Chillers HP . - Compressors HP I Address: � d %% � vrronmen • e � • ust an � vent • on: III City: State: ZIP: Appliance vent _ Phone: Fax: E -mail: Dryer exhaust OWNER Hoods, Type U IUres. kitchen/hazmat ■ __ hood fire suppression system n - r / Exh fan with single duct (bath fans) - Mailing a • • ress: 8 p . , / 00 Exhaust system a • art from heating or AC I= i Statet3 ZIP: i li Q Tye p : an P � but oNGp to 4 _ Oi ls ■ -- Type: Phon : Fax: E - mail: Fuel • i • ing each additional over 4 outlets ENGINEIat ' , esspip , g (schematic required) - Name: Number of outlets Ot i er . app • , ce or eq 1 pment: ■ - Address: Decorative fireplace City: State: ZIP: Insert - type Phone: � r�-w Woodstove/pelletstove ME Applicant's s' . t • �J i Date: - Other: i= A pp ,•A ,� 1� . . Other. — �� Name (print). AIWAWVIMIE1 - Not all jurisdictions accept credit cards, please call jurisdiction for more information. Permit fee $ 0 Visa ❑ MasterCard Notice: This permit application Minimum fee $ expires if a permit is not obtained Plan review Credit card number: / / (at % w ithin 180 days after it has been ( ) $ Expires d Y State surcharge (8%) .... $ Name of cardholder as shown on credit card accepted as complete. $ TOTAL $ Cardholder signature Amount 440 - 4617 (6/00/COM) • y MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: PERMIT FEE: • Description: . Price Total $1.00 to $5,000.00 Minimum fee $72.50 Table 1A Mechanical Code Qty (Ea) Amt $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and 1) Fumace to 100,000 BTU $1.52 for each additional $100.00 or including ducts & vents 14.00 fraction thereof, to and including 2) Fumace 100,000 BTU+ $10,000.00. induding ducts & vents 17.40 $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 including vent 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 first $25,000.00 and 5) Vent not included in appliance permit $1.45 for each additional $100.00 or 6.80 fraction thereof, to and including 6) Repair units $50,000.00. 12.15 $50,001.00 and up $742.00 for the first $50,000.00 and Check all that apply: Boiler Heat Air $1.20 for each additional $100.00 or For items 7-11, see or Pump Cond fraction thereof. footnotes below. Comp* ** 7) <3HP;absorb unit Minimum Permit Fee $72.50 SUBTOTAL: $ to 100K BTU 14.00 8) 3 -15 HP; absorb 8% State Surcharge $ unit 100k to 500k BTU 25.60 9) 15-30 HP; absorb 25% Plan Review Fee (of subtotal) $ unit .5-1 mil BTU 35.00 Required for ALL commercial permits only 10) 30 -50 HP; absorb TOTAL COMMERCIAL PERMIT FEE: $ unit 1 -1.75 mil BTU 52.20 11) >50HP: absorb unit >1.75 mil BTU 87.20 12) Air handling unit to 10,000 CFM ASSUMED VALUATIONS PER APPLIANCE: 10.00 Value Total 13) Air handling unit 10,000 CFM+ Description: Qty (Ea) Amount 17.20 Fumace to 100,000 BTU, induding 955 14) Non - portable evaporate cooler ducts & vents 10.00 Fumace > 100,000 BTU including 1,170 15) Vent fan connected to a single duct ducts & vents 6.80 Floor fumace 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 applicanoe 445 10.00 permit 18) Domestic incinerators Repair units 805 17.40 < 3 hp; absorb. unit, 955 19) Commercial or industrial type incinerator to 100k BTU 69.95 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 1.00 >50 hp; absorb. unit, 5,725 Minimum Permit Fee $72.50 SUBTOTAL: $ >1.75 mil. BTU Air handling unit to 10,000 dm 656 8% State Surcharge $ Air handling unit >10,000 cfrn 1,170 Non - portable evaporate cooler 656 TOTAL RESIDENTIAL PERMIT FEE: $ Vent fan connected to a single duct 446 Vent system not included in 656 appliance permit Other Inspections and Fees: Hood served by mechanical exhaust 656 1. Inspections outside of normal business hours (minimum charge - two hours) Domestic incinerator 1,170 $72.50 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 $ 72 . 50 per hour inserts, etc. 3. Additional plan review required by changes, additions or revisions to plans (minimun charge-one-half hour) $72.50 per hour Gas piping 1 outlets 360 Each additional outlet 63 *State Contractor Boiler Certification required for units >200k BTU. ** Residential A/C requires site plan showing placement of unit TOTAL COMMERCIAL $ VALUATION: i:\dsts \forms\mech- fees.doc 08/06/01 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested //-°? V -6) AM PM BUP Location 7 V /6. o 51&) PiJa Suite 3-00.5 Contact Person Ph ( ) 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 5/P1 �. S /fvT' .0 S I ) Drywall Nailing Firewall Fire Sprinkler Fire Alarm 3 j Susp'd Ceiling Roof Other: Final PASS PART FAIL • g PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final P T FAIL ECHANIC eam Rough -In Gas Line Smoke Dampers ina = PART FAIL TRICAL 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 () 3 ADA Approach/Sidewalk Date �l 2 Inspector ` Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL