Permit < =.
CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005 -00761
" 61JII 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 11/21/2005
PARCEL: 1 S 135AA -AC001
SITE ADDRESS: 10390 SW 90TH AVE ZONING: R -4.5
SUBDIVISION: ASHBROOK CONDOMINIUMS LOT: 001 JURISDICTION: TIG
Project Description: Building 4: 5 townhouse units. Other units: (5) gas fireplaces
Addresses: 10390, 10392, 10394, 10396 & 10398 SW 90th Ave.
CLASS OF WORK: NEW FLOOR FURN: EVAP COOLERS:
TYPE OF USE: MF UNIT HEATERS: VENT FANS: 10
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: 5
STORIES: 3 BOILERS /COMPRESSORS HOODS: 5
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: 5 AIR HANDLING UNITS CLO DRYERS: 5
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 5
> 10000 cfm:
GAS OUTLETS: 25
Owner: FEES
MATRIX DEVELOPMENT Description Date Amount
12755 SW 69TH AVE, SUITE 100 [MECH] Permit Fee 11/21/20C $553.40
TIGARD, OR 97223 [TAX] 8% State Surchart 11/21/20C $44.27
Phone: 503- 620 -2020 Total $597.67
Contractor:
BELL HEATING •
15550 SE PIAZZA AVE REQUIRED ITEMS AND REPORTS
CLACKAMAS, OR 97015
Phone: 503- 656 -1184
Reg #: LIC 447
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.
Issued By: ` � i Permittee Signature: d /�L
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 comple ' /of the project.
Approved plans are required on the job site at the time of each insp&tion.
Mechanical Permit Application n FOR OFFICE USE ONLY
q Received / �J
Cit • of Tigar � � y �/ /17 � Permit No.: �tLI � -111 741
Date/By. . jEl -ex
• ,jr 13125 SW Hall Blvd., Tigard, OR '97223 Plan Revie
Phone: 503.639.4171 Fax: 503 - 598.1960 pO� / i.,;, Date/By:
Other Permit:
Inspection Line: 503.639.4175 �'� ®_. �. e' l I I
Date Ready/By: p21 ® See Page 2 for
Internet: www.ci.tigard.or.us ` PO Notified/Method: Supplemental Information
0 4 \GP,\ON
• TYPE OF WOfilVe COMMERCIAL FEE* SCHEDULE -. USE CHECKLIST.
( ' • .,.\\34,- 'V Mechanical permit fees* are based on the value of the work
$4 New construction ❑ Addition/alterat /replacement p
C2,\-P- performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
El 1 - and 2 dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
y g ❑ Commercial /industrial ❑ Accessory building
tij Multi - family ❑ Master builder ❑ Other: For special information use checklist.
• Description Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating /cooling
Job /�j 1� Air conditioning or heat pump
ob site address:
I0390 3-'4.4) 9 / (} (requires site plan showing placement) 14.00
City /State /ZIP: 74r/,t OR q7 Furnace 100,000 BTU (ducts/vents) C 14.00 /
Fumace - 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: � Project name ,,s ,k nAIDalVA/iv/V heat pump 14.00
Cross street /directions to job site: /0 '/h d- U' f k Duct work 5 14.00 'Q • Qi°
' Hydronic hot water system 5 14.00 70 •da
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
• Subdivision: /� grgevic Lot no.: Flue /vent for any of above 10.00
` Other: 10.00
Tax map /parcel no.: /5 /&544' -X600) 1 Other fuel appliances
DESCRIPTION OF WORK Water heater ti 10.00 ,a • 447
Gas fireplace S 10.00 •
Flue vent for water heater or gas pp
fireplace .. 10.00 ,�
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: /IA. ',x .LEvElo , T Environmental exhaust and ventilation
•
Address: /2 75 �' LrJ 6 n Range hood/other kitchen p t7
-4 / lob- / ob SCJ /7g /OD equipment .5. 10.00 *O
City /State /ZIP: 77Gr9Rip (j (P 7 2_7 3 Clothes dryer exhaust 5 10.00 .5 ' '
/ / Single -duct exhaust (bathrooms, Gd
Phone: ( 5,3) ti C) -2020 Fax: ( ) toilet compartments, utility rooms) 1 �I 6.80 6V'
❑ APPLICANT jit CONTACT PERSON Attic/crawlspace fans 10.00
Other: 10.00
Business name: RCiv / 0/viFS Fuel t in
P�P� g
Contact name: 67110 S L Uy z $5.40 for first four; $1.00 for each additional
Address:
Furnace, etc. 1' > '
Gas heat pump
City /State /ZIP: Wall/suspended/unit heater
( SGT V7 39 2008 Water heater 5 • CU
Phone: / Fax::( )
Fireplace S:oo
E -mail: Ran e
g ,6,00
CONTRACTOR . Barbecue
/�
•
f� Clothes dryer (gas) r -.) oQ
Business name: ge# eyFniSJ�- hve .
Address: j 'q E. vt, Other:
/ S SS O �, E. RAz z4 / T °C MECHANICAL PERMIT FEES*
City /State /ZIP: CL4c 4, i „. j 9 ' 7O / S' Subtotal 55-5. "AD Phone: ( jOj3 6_b -l5
//g '1 Fax: ( a'757/ Minimum permit fee ($72.50)
1 v F� Plan review (25% of permit fee)
/
CCB lic.: 1./ 7 State surcharge (8% of permit fee) 41. ?7
TOTAL PERMIT FEE 97,4,7
Authorized signature: . -• This permit application expires if a permit is not obtained within 180
�/ days after it has been accepted as complete.
Print name: e0e4✓ G � f// Z Date: / //s * Fee methodology set by Tri County Building Industry Service Board
i
1:\ Building \Permits\MEC- PennitApp.doc 12/03 440 -4617T (I I /02 /COM/WEB)
Mechanical Permit Application - City of Tigard
Pagel - Supplemental Information • -
Commercial Fe • Schedule:
Total Valuation; . .Permit Fee:
$1.00 to $2,000.00 Minimum fee $72.:0
$2,001.00 to $5,000.01 $72.50 for the fir $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof, to and eluding $5,000.00.
$5,001.00 to $10,000.00 $141.50 for , e first $5,000.00 and
$1.80 fore. h additional $100.00 or
fraction reof, to and including
$10,000.40. ,
$10,001.00 to $50,000.00 .231.51 for the first $10,000.00 and
'. .35 or each additional $100.00 or
fra , on thereof, to and including
$5',100.00.
$50,001.00 to $100,000.00 $ 71. , 0 for the first $50,000.00 and
1.25 each additional $100.00 or
fraction t ' ereof, to and including
$100,000.11.
$100,000.01 and up $1,396.50 fo the first $100,000.00 and
$1.10 for each ditional $100.00 or
fraction thereof
Note: All ne commercial buildings require ' sets of plans.
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i:\Building\Permits\MEC- PermitApp.doc 12/03 2
CITY OF TIGARD ,: /r1 &c-
BUILDING DIVISION PERMIT #:c oe5S (k) 7 /
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 u. valIl'i 1
Inspection Requests (24 Hrs.): (503) 639 -4175 _ U.
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRES • 1 �. CLASS OF WORK:
U a ISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: -
OWNS aU 1 2(l,, -S PHONE #:
CONTRACT PHONE #:
Inspection Request Scheduled For: Date: 3 - (,s Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 a c„S c.i ae99 -
Corrections /Comments /Instructions:
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'N PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
H FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
\ /� �
Inspector: " jt______ Date: s/1 o T Phone #: (503). 718- v
CITY OF TIGARD . i , e th Krie■C
BUILDING DIVISION PERMIT #:.7400S" d 0 74 1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171N a1P���il �I ��I
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / 6 3 9 Q ?D -u_-___ i CLASS OF WORK:
SUBDIVISION: LOT #: 4 TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: ;' C1 � $ PHONE #:
CONTRACTOR: 1 PHONE #:
Inspection Request Scheduled For: Date: 3 2 2- - 0 Cp Pour Time:
Code # Inspection Description Confirm # Contact # Message (0 , ‘ ___ b (S a_ ° e_, a o --73 S� ,
Corrections /Comments/ Instructions:
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PASS ❑ PARTIAL APPROVAL C ANCEL • n NO ACCESS
FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
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Inspector: Date: Phone #: (503) 718-
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CITY OF TIGARD ,
BUILDING DIVISION PERMIT #: e_C O °° 76/
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 4 - • :/'� Nlm�ii�6l ifil\
Inspection Requests (24 Hrs.): (503) 639 -4175 �_�� rte
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INSPECTION WORKSHEET FOR DATE: TIME m ap I PAGE:
SITE ADDRESS: / 03 9 D / Ott-' /7V e 8 Lc CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: �t o
OWNER: -� l -'„ PHONE ,jD,3D:O}- 2 73pr
CONTRACTOR: C v S PHONE :
Inspection Request Scheduled For: Date: — G 0 ' Pour Time:
Code # Insp� ection De,�cription Confirm # Contact # Message
Correct s /Comments /Instructions:
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FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
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Inspector: Date: l Phone #: (503) 718- 2,142/."1
CITY OF TIGARD 1
BUILDING DIVISION PERMIT #: MEC2005.00761
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 111211 005
Phone: (503) 639 -4171 /� ��,lf +'l,
Inspection Requests (24 Hrs.): (503) 639 -4175 F__!
INSPECTION WORKSHEET FOR DATE: 7/1212006 TIME: 7:05AIVI PAGE: 43
SITE ADDRESS: 10390 SW 90TH AVE CLASS OF WORK:
SUBDIVISION: ASHBROOK CONDOMINIUMS LOT #: 001 TYPE OF USE:
PROJECT NAME: ASHBROOK CONDOMINIUMS-
DESCRIPTION: Building 4: 5 townhouse units. Other units: (5) gas fireplaces
Addresses: 10390, 10392, 10394, 10396 & 10398 SW 90th Ave.
OWNER: MATRIX DEVELOPMENT, PHONE #: 503.620 -2020
CONTRACTOR: BELL HEATING PHONE #: 503 - 656 -1184
Inspection Request Scheduled For: Date: 7/1212006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 032950-08 503 - 209 -7386 N
Corrections /Comments /Instructions:
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL • n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: 0 1 7 ) ---( " Date: /- Phone #: (503) 718- � ✓✓
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