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Permit CITY TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2005 -00146 c• l DATE ISSUED: 4/13/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S115AA SITE ADDRESS: 16055 SW 108TH AVE 100 CLUB HOUSE ZONING: R - 25 SUBDIVISION: OAK TREE APARTMENTS LOT: OOA JURISDICTION: TIG Project Description: Install pool heater. Project Value: $1,500 CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: MF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R1 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: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES OT2 LLC Description Date Amount 5437 ROSALIA WAY SUITE 100 [MECH] Permit Fee 4/13/2005 $72.50 LAKE OSWEGO, OR 97035 [MECPLN] Plan Rev 4/13/2005 $18.13 [TAX] 8% State SurcharE 4/13/2005 $5.80 Phone: 503 -620 -4373 Total $96.43 Contractor: NEPTUNE SWIMMING POOL 13785 SE AMBER RD REQUIRED ITEMS AND REPORTS CLACKAMAS, OR 97015 Phone: 503 659 - 1335 Reg #: LIC 00011810 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. � Signature: 1— � Issued By: A � Permittee Si nature: ,• 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. BECE VEUJ�S s /,E f . 4../0y ,,,,,, Mechanical Permit Application FOR OFFICE. USE ON .. . • '; Cit y Tigard �� ec eiv of Ti and 4 20 ,t eceiv � i� Permit No.: ' ` ' +' / � � 13125 SW Hall Blvd., Tigard, OR 97223 A P �� Phone: 503.639.4171 Fax: 503.598.1960 /p y . r , k \ MIME / 1 Other Permit: Ins ection Line: 503.639.4175 I P C � Til 11" OW • FM E l See Page 2 for Internet: www.ei.tigard.or.us �� - T 11 e h od: Supplemental Information — 13 II k'< _ „e a - Mt." :c ==^=s �.,.;•: �;e, - xra� >., � = '�s ';:`; ^.:- x - - - d �` ° t'. AVe 'SrP,.Er,OF WORTCT & ' : . 11 <'� liN IGIME FEE S b_ J LE ; S : 5 UE' . RWC: ' KLIST K 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 El Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. ;, O � CATEGORX OF CON, UCTIO� x < alue: - c'L'6'k €�zf. w � .J,. e.. 'ti ise� 'v'E°�Y�:,?4 ` "! :<3.*. Y�'�k'M,T.' �t �. •'Y ?:.. Ill 1- and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building I 1 R ESI D E P{ Th ,Al Q For special information use checklist. El Multi - family ❑ Master builder Other: .q 4,D� L O t Description Qty. Ea. Total E y ,a y 3 atw IM9-- TI®N AND LOC TLON , A;144 - 0 - 1 _ Heating/cooling , ° �;d=' �'.., 3n_ _ � . = emu. -x ��x,: xz,r am;d�xi ...���, .,sip.=- €�aad,tr � §.��t £'��nE,. fa d` , �� Air conditioning or heat pump Job site address: 1 / O $ [ L-v f (requires site plan showing placement) 14.00 w City/State /ZIP: '-c( 6. ,, 6/722-Li Furnace 100,000 BTU (ducts /vents) 14.00 ■ �1 / Furnace 100,000± BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: Project name: 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 1111P- hydronic) 14.00 r Unit heaters (fuel -type, not electric), ` in -wall, in -duct, suspended, etc. 10.00 Flue /vent for any of above 10.00 Subdivision: Lot no.: • Other: 10.00 Tax map /parcel no.: Other fuel appliances at ` �'' AESGRYI'TIO�I�[ - -ow, WORK . . k Water heater 10.00 i.� r.» a i .i '�.� -, AA8 ,.4a�.,rm._. .. r_arz �,..; ..:.F4s,. , . " �iI 4 4 ., n.- .., 0..g Flue vent for water heater or gas i`., . al - '1 l I v J pool, Gas fireplace 10.00 S'7 K / It � �l ►�tP,t (7 �N I cS f tu /'1 e e r B'� ✓ fireplace 10.00 Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 :s ; :, .a :.,: c , x, . it ,:s • . =;:I ; .° , . .. ri r , =; R '. : ;;. , :,g ; ,; i . a: ney /liner /flue /vent 10.00 10.00 1 1® `PI2t)P 1 O�fi'4 �. z , .., ,, � , "t : sT lY T " . 3 cx le.AA. P:,. t ?,mssr <•, .. rx w.a .c ; " a Other Chim Name: ©o, !c Ire -e i(patr t/ lr Environmental exhaust and ventilation n Address: { 51-5 V Q 1� S'w pu4,0, fio(. Range hood /other kitchen equipment 10.00 City/State /ZIP: •1" q c1 i Q t, q 722_q Clothes dryer exhaust 10.00 J Single -duct exhaust (bathrooms, • Phone: (, 5 ) / 1437 3 Fax: ( ) toilet compartments, utility rooms) 6.80 alit AP IC41141 , . rte ` "`IMIl $ PER017 -," ,, '..» P ace fans 10.00 i~ � ( �. � 4 � Attic /crawls � n ,, xdsor. Pe,E �a�..'��"u�...,. ,. r� _ �., vim, �;. � Other: Business name: / V » ht i rh t , v` rb d Fuelpiping CO 10.00 t 1n P�P g Contact name: K `` 111 r0 , _ 0 , 1 (j1 I Cjn $5.40 for first four; $1.00 for each additional Address: ) 37 a S G tjni bi Pot, Furnace, etc. / Gas heat pump City/State /ZIP: C o C Li 11 als 1, 0 Ie 9700' Wall /suspended /unit heater Phone: (rb7 ) 6 - (335 Fax: : (O3)6 ?7 Water heater - Fireplace E -mail: Range ' 4` ,°., M h as°' r u o5o i t t g# it ' R COO 1V ,,1 R AC O R l I , , Barbecue Business name: , vv1 e. S rYl ,,, � P I C G Clothes dryer (gas) /" J Other: 3 p � (( Address: :.. `.. ; ., . O `�l , 7 D I f o ".t iifi HANICta P,i+- z ;, "a' E• '-:, ( �•- Cit /ZIP: C IBC 4„, �c s 1 .- 970 / Subtotal Minimum permit fee ($72.50) 72 „„r(7 Phone: ( 3) 65 23r Fax: ( ( O3 4 / y s9 Plan review (25% of permit fee) 44, 13 CCB lie.: ( gl (7 State surcharge (8% of permit fee) 5, TOTAL PERMIT FEE 9"-I'' Authorized signature: (2 This permit application expires if a permit is not obtained within 18 te days after it has been accepted as complete. Print name: Ke l,; 1 4 1.,./1,. t Date: I l — Ll _05' * Fee methodology set by Tri County Building Industry Service Board i:\ Building \Permits\blEC- PermitApp.doe 12/03 440 - 4617T (I1 /02 /COM /WEB) r ' Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: 4 kPer4 1 =. :s $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. a Note: All new commercial buildings require 2 sets of plans. • i:\Building\Permits\MEC- PermitApp.doc 12/03 2 GCTY..OIGARD BUILDING DIVISION PERMIT #: MEC2005 -00146 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/13/2005 Phone: (503) 639 -4171 " h Inspection Requests (24 Hrs.): (503) 639 -4175 ' J' INSPECTION WORKSHEET FOR DATE: 8/8/2005 TIME: 7:07AM PAGE: 78 SITE ADDRESS: 16055 SW 108TH AVE 100 CLUB HOUSE CLASS OF WORK: SUBDIVISION: OAK TREE NO. 2 APARTMENTS LOT #: 00A TYPE OF USE: PROJECT NAME: i OAK-TREE II APARTMENTS DESCRIPTION: Inlf pool heater. Project Value: $1,500 OWNER: 0T2 LLC, PHONE #: 503 - 620 -4373 CONTRACTOR: NEPTUNE SWiMMINC POOL PHONE #: 503 - 658 -1335 Inspection Request Scheduled For: Date: 9/9/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 1 695 Misc. inspection 015250 -01 503 -888 -2082 QC FlAtAL 0 I S 39007 Correct ons /Comments/ nstructions: NIA , .„._ ,tht _,„... � P ■1111P1r, „ 4.4,11,49 1 " ismanowiri" r Na. I Y i , ..._ ......, ' AS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITION' L FE S ASSESSED ' -4 Inspector: Date: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2005 -00146 13125 SW Hall Blvd., Tigard, OR 97223 . D ATE ISSUED: 4/13/2005 Phone: (503) 639 -4171 470 40/1# Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/12/2005 TIME: 7:04AM PAGE: 83 SITE ADDRESS: 16055 SW 108TH AVE 100 CLUB HOUSE CLASS OF WORK: SUBDIVISION: OAK TREE NO. 2 APARTMENTS LOT #: QUA TYPE OF USE: PROJECT NAME: OAK TREE II APARTMENTS DESCRIPTION: Install pool heater. Project Value: $1,500 OWNER• 2L_ep ---- _ PHONE #: 503. 620.4373 CONTRACT R: NEPTUNE SWIMMING POOL 1 / %��d`�` i�� PHONE #: 503 - 659..1335 Inspection Request Scheduled For: Date: 9/12/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 015390-06 503- 463 -4500 N Corrections /Comments/ Instructions: i (ei 0 - . X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ 'FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: rk ► Dater 0-cg Phone #: (503) 718-