Loading...
Permit CI TY OF TIGARD MECHANICAL PERMIT �;■ DEVELOPMENT SERVICES PERMIT #: MEC2004 -00661 �II- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/4/2004 PARCEL: 2S 113AA -00500 SITE ADDRESS: 16100 SW 72ND AVE B -18 SUBDIVISION: OREGON BUSINESS PARK I ZONING: I -L BLOCK: LOT: 00A 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: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Relocate ducts & grilles. Project Value: $500 Owner: FEES PACIFIC REALTY ASSOCIATES Description Date Amount 15350 SW SEQUOIA PKWY #300 -WMI [MECH] Permit Fee 10/4/200 $72.50 PORTLAND, OR 97224 [TAX] 8% State Surcharl 10/4/200 $5.80 Total $78.30 Phone: Contractor: PROTEMP ASSOCIATES INC 9788 SE 17TH AVE PORTLAND, OR 97222 REQUIRED INSPECTIONS Mechanical Insp Phone: 233 -6911 Final Inspection Reg #: LIC 38868 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. 224 . Issued By: Permittee Signature: Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day Mechanical Permit Application • FOR OFFICE USE ONLY Received City of Vlgar8 Date/By: (1, y P erm GA Plan Review i t N o.: / GL +� T , / y: 13125 SW Hall Blvd., Tigard, OR 97223 � Phone: 503.639.4171 Fax: 503.598.1960 / / �Ad:Ai w , t� Date/By ; Other Permit j AV � � y�y Inspection Line: 503.639.4175 � hi I y __„ Date Ready/By: Ju9o! El See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: 1( � Supplemental Information TYPE OF WORK ' . _' COMMERCIAL FEE* SCHEDULE - USE'CHECKLIST ❑ New construction Addition/alteration/replacement Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. • CATEGORY OF CONSTRUCTION - Value: $ 50 d , L RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ 1- and 2- family dwelling _CommercialIindustrial ❑ Accessory building ❑ Multi - family ❑ Master builder ❑ Other: For special information use checklist. Description I Qty. I Ea. I Total JOB SITE SITE INFORMATION AND LOCATION • Heating/cooling Job site address: it / 0 a '& j 7 2 / ¢ Air conditioning or pump �! " o (requires plan site lan showin placement) 14.00 City/ State/ZIP: J /5:44n t D Furnace 100,000 BTU (ducts/vents) 14.00 Furnace 100,000+ BTU ( ducts/vents) 17.90 Suite/bldg. /apt. no.: Project name: ) o a k / , Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 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. 10.00 Subdivision: Lot no.: Flue/vent for any of above 10.00 Other: 10.00 Tax trap /parcel no.: Other fuel appliances DESCRIPTION OF WORK • Water heater 10.00 Gas fireplace 10.00 190 J) e ®a/ e- S V9- -5,..-- ilA.,,c (22/ -7e__-- igU (-)a, ,5 A Flue vent for water heater or gas L fireplace 10.00 £t I i / i N/ i ) sv . I -4 1C"'° 47'" -- �3 � LyY _ � ./`/ t,crCC ip;=C Log lighter (gas) 10.00 , i/1a'f 2 ( S'i v"' 0 F. .1 t) l 6t Wood/pellet stove 10.00 . Wood fireplace/insert 10.00 ❑ PROPERTY OWNER Chimney/liner/flue/vent 10.00 ❑ TENANT Other: 10.00 Name: / ..---• V d l Environmental exhaust and ventilation _ Address: Range hood/other kitchen equipment 10.00 City/ State/ZIP: Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80 APPLICANT CONTACT PERSON • Attic/crawlspace fans 10.00 Other: 10.00 Business name: /� /`�i / lyi„, 4J.f/ Gia ;L t ,2. /./ Fuel piping Contact name: g2o e 4 { ,-- � C R $5.40 for first four; $1.00 for each additional Address: Furnace, etc. 2 d sue. / / G ' n - -� a - Gas heat pump City/ State/ZIP: /•.) A-50' 5' ) Z Z Z Wall/suspended/unit heater Phone: ( i) 213_4 e // Fax: : (6-43) 2J -,, 7 23 Z Water heater Fireplace E -mail: Range - CONTRACTOR Barbecue • Business name: Clothes dryer (gas) r � e / �� , C'-P Other: Address: MECHANICAL PERMIT FEES* ' City/State/ZIP: Subtotal Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) Plan review (25% of permit fee) CCB lic.:�3 g State surcharge (8% of permit fee) TOTAL PERMIT FEE 22.6 0 / This permit application expires if a permit is not obtained within 180 Authorized signature: ,ge4 days after it has been accepted as complete. Print name: 13R ty e /3 y . l. ,, G ,, i Date: / _ 4.,/ ___„) * Fee methodology set by Tri County Building Industry Service Board is\Building\Pcnnits\v C- PennitApp.doc 12/03 440- 4617T(11/02/CO IM/WEB) Mechanical Permit Application - City of Tigard _ Paget - Supplemental Information Commercial Fee Schedule: Tb�al valua ion Pe mitt Fees°' x x $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. is\ Building \Permits\MEC- PermitApp.doc 12/03 2 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received ( ,,. Date Requested 2 7 454 k — AM PM BUP Location ( `F' ( S Suite MEC 0 3 Contact Person Ph ( ) PLM Contractor Ph ( ) SWR • BUILDING Tenant/Owner ELC Footing ELC Foundation Ftg Drain Access: ELR Crawl Drain Stab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Final PASS PLUMBING 1111111 RT FAIL Post & Beam I � � - Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PA L ECHANICAL ost & eam Rough -In Gas Line Smo : Dampers al PASS PART FAIL ELEC ' - ICAL 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 D Please . for rei = section RE: 1 Unable to inspect — no access Fire Supply Line ADA / D _ • Inspecto • Ext Iv Approach/Sidewalk s Other: Final DO NOT REMOVE this inspect on record from the job site. PASS PART FAIL