Permit I
I.
AltoN C ITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006-00133
��' 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 DATE ISSUED: 4/7/2006
PARCEL: 2S110AC -00400
SITE ADDRESS: 14741 SW 109TH AVE 1 -4 ZONING: R -12
SUBDIVISION: TIMBERLINE APARTMENTS LOT: JURISDICTION: TIG
Project Description: FIRE DAMAGE REPAIR VALUE: $6500.00
CLASS OF WORK: REP FLOOR FURN: EVAP COOLERS:
TYPE OF USE: MF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R1 VENTS W/O APPL: VENT SYSTEMS:
STORIES: 2 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
TIMBERLINE APARTMENTS LLC Description Date Amount
BY WPL ASSOCIATES
522 NW 23RD AVE [MECH] Permit Fee 4/7/2006 $168.50
PORTLAND, OR 97210 [MECPLN] Plan Rev 4/7/2006 $42.13
[TAX] 8% State Surcha 4/7/2006 $13.48
Phone: Total
$224.11
Contractor:
KENNEDY RESTORATION
315 SE 7TH AVE.
PORTLAND, OR 97214 REQUIRED ITEMS AND REPORTS
Contact #: FAX 503- 234 -4479
PRI 503- 234 -0509
Reg #:
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: ` / / Permittee Signature: ') '"/ 1 - ��`�
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.
w
Met hanlcal Permit A>pp1Tl tion /1 it . FFICE USE ONLY
City of Tigard Received
• 1 7 Ohl 6th /1 EL , 006,.. i, Ji
Permit No.:
13125 SW Hall Blvd., Tigard, OR 97223 APR '7 201 Plan Review Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 /',,,. ,�V, D .0` gi
Inspection Line: 503.639.4175 1J,1 Date ReadyBy: 1 ® See Page 2 for
Internet: www.ci.tigard,or.us CITY OF TIG L �` Notified/Method: ( / Supplemental Information
BUILDING DIVISION
. TYPE OF WORK • COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees* are based on the value of the work
El New construction 12 Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition Other: FITZE Z.-cP A- i it mechanical materials, 9quipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $ 6v6 C?CD
• El I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES* •
Multi- family ❑ Master builder ❑ Other: For special information use checklist.
Description Qty. I Ea. Total
JOB SITE INFORMATION AND LOCATION Heating /cooling
- { Air conditioning or heat pump
�}
Job site address: I ^ 7 1-1 �j tn.) 1 0 E , (requires site plan showing placement) 14.00
City /State /ZIP: j t q t417..-rj / O 2 9 2_24 Furnace 100,000 BTU ( ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: ApT, 1 ! -7 Project name: 7, MF E aL,, IE Apt Gas heat pump 14.00
Cross street /directions to job site: Duct work 4 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (filet-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
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
R-E $ A-TN 4- L. A-s N'7, 'A'y 5 , r N S Flue vent for water heater or gas
, a K--- 7 �, P C----14-5" 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: Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 2- 10.00 ZC>
City /State /ZIP: Clothes dryer exhaust 2— 10.00 20
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 4 1 . 6.80 Z7,' O
®- APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Other: 10.00
Business name: /-1 /L. E rJC t es C'C' - I r■! Gv
Fuel piping
Contact name: /1,4 A4 - YLt4_ Al" '7/4 $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: Po & v X (6 4 g 0 Gas heat pump
City /State /ZIP: �{- - p o R T1— .4r.'.+ t7 9 - 77_9 z Wall /suspended/unit heater
Phone: ( ) `]'77 . S 00 c. Fax: : ( ) - — S On 2) Water heater
Fireplace
E- mail:.
Range
CONTRACTOR Barbecue
Business name: (4E •-../ pZ��'�t A4 -- 1 • '7 Ors) Clothes dryer (gas)
Other:
Address: s I S iv e '7 .. . MECHANICAL PERMIT FEES*
City /State /ZIP: 1 O g-'TL -A-N b Subtotal
Phone: ( ) 2.-41 ?] — p S U 1 Fax: ( ) -Z3 .4- 4 479 Plan 25%it fee r mit fee
Plan review (25% of permit fee)
CCB lic.: &j 40 Z State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized signature: r4 ��f4 %? ,- -1 -- This permit application expires if a permit is not obtained within 180
� � °�� , /�� 'f , "'� / p
days after it has been accepted as complete.
Print name: Date: Fee methodology c
y set by Tti- County Building Industry Service Board
i:\ Eluildin g\Pennits\MEC- PermitApp.doc 12/03 440- 4617T(I1 /02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page'2 SupplementalInformatipn
Commercial Fee Schedule;
Total Valuation: Permit Fee:
$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 $50,000.00hand
$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\ Buildin \Permits\MEC- PermitApp.doc 12/03 2
CITY OF TIGARD i m,
BUILDING DIVISION PERMIT #: e�, I139 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 / ,u�ayP���ii�8 1 1 1 �
Inspection Requests (24 Hrs.): (503) 639 -4175 _:_..
INSPECTION WORKSHEET FOR DATE: 7/ lac TIME: PAGE:
SITE ADDRESS: 1474/ (a7 1-4.- CLASS OF WORK:
SUBDIVISION: �� 11 LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: 1 jjti( V .
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections/Comments/Instructions:
i , OA,
___,----- , iwzmaavi, ,
.„,:.„
,, ,_ – —
PASS _ PARTIAL APPROVAL ❑ CANCEL NO ACCESS
I' I FAIL I CALL FOR INSPECTION ❑ ADDITI•NAL FEES ASSESSED
A I
Kai
Inspector: f Date: Phone #: (503) 718 - 2 'T2-
i.
CITY' OFTIGARD
BUILDING DIVISION PERMIT #: MEC2006 -00133
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/7 /2006
Phone: (503) 639- 4171.a
Inspection Requests (24 Hrs.): (503) 639 -4175 . �'! ' I_ m ..
INSPECTION WORKSHEET FOR DATE: 5/23/2006 TIME: 7:03A1v1 PAGE: 78
SITE ADDRESS: 14741 SW 109TH AVE 1 - CLASS OF WORK:
SUBDIVISION: TIMBERLINE APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: TIMBERLINE APARTMENTS
DESCRIPTION: FIRE DAMAGE REPAIR VALUE: $6500.00
OWNER: TIMBERLINE APARTMENTS LW, PHONE #:
CONTRACTOR: KENNEDY RESTORATION PHONE #: 503.234-050 9
i Inspection Request Scheduled For: Date: 5/23/2006 Pour Time:
I Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 030397 -01 503-572-1767 N
Corrections/Comments/Instructions:
LAVArair
AK 0 ..10.44,11 WAEP C . ■i WAIF '' S ,C __,aiirl -_
i ��� / /
11V1M12eAMENIri
•
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL fI NO ACCESS
FAIL CALL F R INSPECTION ADDITIONAL FEES ASSESSED
Inspector: i s Date: ,S /? 3/U 4 Phone #: (503) 718 - (26 /013
M \� eZO // -�-
Inspections Required for: `' Ota CC 71--3
✓, Code 1 °'Inspection'Descriptioo t.. � , PASS Datel 'By'. I I. ✓ ., Code' I Inspection Description' ' F; , `-1 PASS Date - I _'By - I
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground/slab cover
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service
205 Footing 120 Electrical rough -in
805 MFG - Structure grading/footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation "
310 Crawl drain 145 A/C or heatin unit circuit
225 Post/beam structural 150 Hot tub /spa/pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls/anchors 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG - Structure set -up MEC - Mechanical Permit
280 Insulation 605 Post/beam mechanical -4-
285 Drywall nailing 610 Gas line
_ 287 Suspended ceiling 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic piping
899 MFG - Structure final 625 Duct work
498 Grading final 630 Fire damper
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in 305 Plumbing underslab
915 Fire alarm rough -in 310 Crawl drain
920 Suppression trip test 315 Post/beam plumbing
995' Misc. inspection: 320 Plumbing rough -in
998 Alarm final 322 Shower pan
999 Sprinkler final 330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert/catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
I:\Building \Inspection Cards \Forms\AOP- lnspCard- B lank. doc 12/09/2005
C ITY OF 1 I GA D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00133
DATE ISSUED: 4/7/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S110AC -00400
SITE ADDRESS: 14741 SW 109TH AVE 1 -4 ZONING: R -12
SUBDIVISION: TIMBERLINE APARTMENTS LOT: JURISDICTION: TIG
Project Description: FIRE DAMAGE REPAIR VALUE: $6500.00
CLASS OF WORK: REP FLOOR FURN: EVAP COOLERS:
TYPE OF USE: MF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R1 VENTS W/O APPL: VENT SYSTEMS:
STORIES: 2 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:
WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
TIMBERLINE APARTMENTS LLC Description Date Amount
BY WPL ASSOCIATES
522 NW 23RD AVE [MECH] Permit Fee 4/7/2006 $168.50
PORTLAND, OR 97210 [MECPLN] Plan Rev 4/7/2006 $42.13
[TAX] 8% State Surcha 4/7/2006 $13.48 T
Phone:
Total $224.11
Contractor:
KENNEDY RESTORATION
315 SE 7TH AVE.
PORTLAND, OR 97214 REQUIRED ITEMS AND REPORTS l
Contact #: FAX 503- 234 -4479 LA
PRI 503- 234 -0509 W
Reg #:
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.
yf
Issued By: / I . !� Permittee Signature: s -
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.