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Permit - J - e- Q c \ �r e CITY TIGARD MECHANICAL PERMIT It DEVELOPMENT SERVICES PERMIT #: MEC2004 - 00039 c � lll 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/6/2004 PARCEL: 1S1 35AA -01400 SITE ADDRESS: 10215 SW HALL BLVD SUBDIVISION: METZGER ACRE TRACTS ZONING: C - BLOCK: LOT: 037 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: 1 OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: 2 BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN: ELE 3 - 15 HP: COMML. INCIN: MAX INPUT: 42,000 BTU 15 - 30 HP: • REPAIR UNITS: FIRE DAMPERS ?: N 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: 1 OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Mechanical for tenant attic space.Value:$6000.00. This permit is reinstated for purpose of final inspection for a period of 30 days. Owner: FEES INTEGUMEND LLC Description Date Amount 9495 SW LOCUST ST [MECH] Permit Fee 2/6/2004 $152.30 PORTLAND, OR 97223 [MECPLN] Plan Rev 2/6/2004 $38.08 [TAX] 8% State Surchart 2/6/2004 $12.18 Phone: [HRMEC] Hourly Mecha 12/27/20( $58.41 Contractor: [HRTAX] Hourly 7% Sta 12/27/20( $4.09 Total $265.06 OREGON HEATING + A/C INC PO BOX 397 DUNDEE, OR 97115 REQUIRED INSPECTIONS Mechanical Insp Phone: 538 Heating Unt Insp Reg #: LIC 125815 Cooling Unt Insp Duct 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 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling (503)246 -6699. Issued By: r�� Permittee Signature: Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day A, CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2004 - 00039 ' 111 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/6/04 PARCEL: 1S135AA-01400 SITE ADDRESS: 10215 SW HALL BLVD SUBDIVISION: METZGER ACRE TRACTS ZONING: C -N BLOCK: LOT: 037 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: 1 OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: 2 BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN: ELE 3 - 15 HP: COMML. INCIN: MAX INPUT: 42,000 BTU 15 - 30 HP: FIRE DAMPERS ?: N 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: 1 OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Mechanical for tenant attic space. Value: $6000.00 Owner: FEES INTEGUMEND LLC Description Date Amount 9495 SW LOCUST ST PORTLAND, OR 97223 [MECH] Permit Fee 2/6/04 $152.30 [MECPLN] Plan Rev 2/6/04 $38.08 [TAX] 8% State Surchaq 2/6/04 $12.18 Phone: Total $202.56 Contractor: OREGON HEATING + A/C INC PO BOX 397 DUNDEE, OR 97115 REQUIRED INSPECTIONS Mechanical Insp Phone: 538 Heating Unt lnsp Reg #: LIC 125815 Cooling Unt lnsp Duct 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 Utili ► e ' ation Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 9 - 001 -0100. You may obtain copies of these rules or direct questio-s to OUNC by calling •03)246 -6699. I ued By: ;J AMMO / j . ' Permittee Signature: 1 C. 639 -4175 by 7:00 P.M. for inspections needed the next business day CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST 7 / _ BUP Received / 6 2 / Date Requested J AM PM BUP Location Ari) J.P . Suite / MEC . d0 y- ®a-3? Contact Person Ph ( ) g — g 62 PLM Contractor Ph ( ) , SWR BUILDING Tenant/Owner 2_44 "/ , . iA.. ELC Footing Foundation ELC Ftg Drain Access: _ ELR Crawl Drain . Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath /Shear Framing Insulation - • fir, n► vv - i ,♦ ,A, Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof - r' Other: Final PASS PART FAIL • ; PLUMBING: z ` (I / t. ' li 1L. -- Post & Beam 1 4 M Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post& Beam Rough -In Gas Line / Smoke Dampers PART FAIL` - ICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ? , El Please cal or rein -section RE: ~ - Unable to inspect - no access Fire Supply Line kil ADA 8 5 Ap proach/Sidewalk Date / In spe f r -. _ • — Ext - Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL Mechanical Permit Application FOR O FFICE USE ONLY . y Cl of Tt[a and Received Permit No.�n pp(�3� City b DateBy:g, I l r' � .04044 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review n Phone: 503.639.4171 Fax: 503.598.1960 /���t u � i\ DateBy:Z f '4 �p �Sv OtherPennit +� Inspection Line: 503.639.4175 ! Date Ready /By: 111E 10 See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information n., Ls ^� � ''3TM::st�;S'�: r...; �t'�•v %'�.r',: �,�,�, �e =;,a.�.: "� ».- a. ac° ".�,::�. ' t :a,�. '= x� . "�: „ ° '`'` ° r "`".4` * ' - �l'PE'�OF" -WORK *.��` t ., -., yr a ' `' a " Oi:C IERCIAL SCHEDULE` .° 01011EC3CLIS -- �s:.,�:p�_.�i,�d. -. - .�.,,� ti,�;,a,n;_���a ��_��, �a -�, � - ..,, r, _,, ..,:,; ", � sre" -� -'K..� ��.u.�. ��� � ;a � , ,.: �_ ,. r�t9' -... ,,,�.,.�- ,�_ .,. �.. � . ,.,, . , r .. ,. e �._ .. Mechanical permit fees* are based on the value of the work ❑ New construction [Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. >'a� "� �" ' �' r ; '�a�', . �� ;:k °, < >.v , ,r� +� � = "` " ��S%., >„;a'.? «$ ?'3`5 "r �1'�:'�$;`3S�'G' ^h��a�'�.? Value: $ � � gip µ , .. t+3° t. "4Xt� 4` i ts 4. re C A TE GORY ,OF CONSTRIIC �" .,, . ,1 :: :,s, , s, s ; € _ ` = - ' : ,,, ; ' Y NT AL , , I "� E S s - �, W .wryer, -.- . u.,. -ti, w RE SIDE ff � I ; EQU P1VIE _ 'SY T MS,EEE ❑ 1- and 2- family dwelling ['Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total . NseJC.,:,� "Yr"� �'e,g,. � a* .,�, . rr�� :x�is�a;- aaw�ui-- ,::azu� °at -a::,: „ ��: s .��;r >�,unir� - F ` �,,� , ,,,'°; ;�,� ; F k : :'rtr >, ,� , #; r ' , t a, D Ls OGATION'' >.;:2* '. ;:,. >.'`' ` ; ; Heatin coolin t JOB (STEEINFORMA -TION AN lug/ cooling / 5 J7 Air conditioning or heat pump Job site address: / �. I � �, �-�,( (requires site plan showing placement) 14.00 City/State /ZIP: « 7 - t 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 (((//! 6 �'/i� Hydronic hot water system 14.00 ( 7'- (d� ( Residential boiler (radiator or !!lI�TT� hydronic) 14.00 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 , ,, ep "� - =.� n:- ,, �,r�.���sw s,..�r� =. . �h, ;.<,.,,�.., °:;�`�Il? „'f�'�,t" Water heater 10.00 ' �: . f ? 5 � ` °� DESCRIPT I©N? OF'.u W,ORKr ^ ' fi r:' .. , se.. i,git- he - fo l. . , x ®: ..,,,. nr�, - H ,g,,,m "..n , ,,t, ; . ., "�,: a M }� 'z. . ASS. t Gas fireplace 10.00 / i, g- j ' . K Flue vent for water heater or gas /� fireplace 10.00 -._ - > Log lighter (gas) 10.00 . Z n r���1 6 J"s Wood /pellet stove 10.00 I � J „ (� Wood fireplace /insert 10.00 :Eieir 6 - #»».,te. .:«b,. r _ `... . . .,,e... .. ;., ; ,s ,;?:.... Chimney /liner /flue /vent 10.00 „ 4` ,. _ , PROPERTY ; OWNER, e,.'; == Ir >. ' : > . „ TENA NT, n a . , ,` -�. +����. �'�� -� e$. =t,=a t � , r Other: 10.00 Name: ! - .440 . Environmental exhaust and ventilation Range hood /other kitchen Address: equipment 10.00 City/State /ZIP: Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) • toilet compartments, utility rooms) 6.80 • �: �. ., .s.;y - r „ : r ;3 - " .,.,-'. aa`• ` k >;1 Attic/crawlspace fans 10.00 "�� '�+ � ,� ®��APPLICAN�I� ��':% , ,., �£ �� °CONT.ACT PERSO - •,� p �,.. , >Y. , - • Other: 10.00 Business name: Fuel piping Contact name: 2 /4/ ,k $5.40 for first four; $1.00 for each additional Furnace, etc. Address: Gas heat pump City/State /ZIP: Wall /suspended /unit heater Phone: ( ) I Fax: : ( ) Water heater Fireplace E -mail: Range . :: : / ''' :`; '.'.'... ?.:�, yX - ;�..z:a;`,�:. g.e'e 4;,�.'�"; -'-`- R^.t"1J,'i;,�.:'x: �' „z,;" =y> ,ie � : 1 r CONTRACtTOR � °tt Barbecue u�a`t_ '?�. �.a..�' x >,>stE �..� -, .�.-. _ ....n m ,.�__ - <.. ��n,kJ. �,5 ,..,,u+, ��, .,.,". -� x d _ sG.:e 3"�; Business name: i, c /�.,) / /,/ 7t 4 K - .. :� �� Clothes dryer (gas) ��V l' ���(! Other: Address: 62 s Aik 3q e g MEC PER1VIIT FEES* City/State /ZIP: 46 /, , At 0/7, /S' Subtotal 1 52.30 Minimum permit fee ($72.50) Phone: ( Gl` 0-, c - 3 Fax: (5 - v�,) / ? , e-( ?'L Plan review (25% of permit fee) 3 r� . og � CCB lie.: (,)-57F--[ State surcharge (8% of permit fee) / L - I V / '� TOTAL PERMIT FEE 262. 56 Authorized si This permit application expires if a permit is not obtained within 180 - �atu //�/. � days after it has been accepted as complete. Print names ` it l - • r Date: 3- * Fee methodology set by Tri- County Building Industry Service Board i:\Building \Permits\ MIEC -PermitApp.doc 12/03 440 -46I7T (I I /02 /COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: , 4y ' {. T : ataT aluati n permit: Fee: M $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. i:\ Building \Permits\MEC- PermitApp.doc 12/03 2