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Permit CITY TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2001 -00228 - 13125 SW Hall Blvd., Tigard, OR 97223 (50 639 -4171 DATE ISSUED: 6/22/01 PARCEL: 2S1 12 D B -00300 SITE ADDRESS: 07257 SW KABLE LN 300 SUBDIVISION: SOUTHERN PACIFIC TIGARD IND. ZONING: I -L BLOCK: LOT: 005 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: GAS 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: 2 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: 2 OTHER UNITS: > 10000 cfm: GAS OUTLETS: 2 Remarks: Install (2) new NC units and relocate existing duct work Owner: FEES PACIFIC REALTY ASSOCIATES Type By Date Amount Receipt 15350 SW SEQUOIA PKWY #300 -WMI PRMT CTR 6/22/01 $160.55 2720010000 PORTLAND, OR 97224 PLCK CTR 6/22/01 $40.14 2720010000 5PCT CTR 6/22/01 $12.84 2720010000 Phone: Total $213.53 Contractor: AMERICAN HEATING INC 1339 SE GIDEON STE 1 REQUIRED INSPECTIONS PORTLAND, OR 97202 Gas Line Insp Phone: 239 -4600 Mechanical Insp Reg #: LIC 33135 Duct Inspection S.D. Shut -down 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 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246 -9189. Issue By: Permittee Signature: " f"-- lSiv Ca 3) 639 -4175 by 7:00 P.M. for inspections needed the next business day D``/v Mechanical Permit Application Date received: (p —, / --Q i Permi .. ejeI —aAZZg A . A,L :,•� �� City of Ti Project/appl. no.: Expire date: City ofTigard Address: 13125 SW Hall Blvd, Tigard OR 97223 Date issued: By: Receipt no.: Phone: (503) 639 -4171 Fax: (503) 598 -1960 Case file no.: Paymenttype: ti.• �Clu,i � Land use approval: Building perml� o.: — J Z TYPE OF PERMIT Cl 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family 'Tenant improvement ❑ New construction ❑ Addition/alteration/replacement ❑ Other: JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE Job address: 72 g7 S(„J ' j 1 1_,,, Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: ( Suite no.: 300 00 value of all mec ical materialsequipment, labor, overhead, profit. Value $ �S C aw, Tax map /tax lot/account no.: , ' Lot: IBlock: I Subdivision: *See checklist for important application information and Project name: - 1-,-,.„ Cj cr, jurisdiction's fee schedule for residential permit fee. City /county: ZIP: 1 & 2 FAMILY DWELLING PERMIT FEE SCHEDULE Description and location of work on premises: .1",..s .II (A) AND COMMERICAL /INDUSTRIAL.EQUIPMENTSCHEDULE v.eo„1 iP,- /L. v..:.i 4 rr.loc eY avt,ll^,otl< Fee(ea.) Total Est. date of completion /inspection: Description Qty. Res. only Res. only Tenant improvement or change of use: HVAC: space heated or conditioned? W'Yes ❑ N Air handling unit CFM Is existing p Air conditioning (site plan required) Is existing space insulated? "Yes ❑ No Alteration of existing HVAC system MECHANICAL CONTRACTOR ' Boiler /compressors Business name: ( un et :c e t} .. c Ak r.A State boiler permit no.: HP Tons BTU /H Address: a S S (, i _t_a - Fire /smoke dampers /duct smoke detectors City: Ao t- kc„.. e I State:UQ I ZIP: 17 g..cia Heat pump (site plan required) Phone: a3..- 4,(D00 I Fax: alik- 7o't( E -mail: InstalUreplacefurnace/burner BTU /H Including ductwork/vent liner ❑ Yes ❑ No CCB no.: j 313 Install/replace/relocate heaters — suspended, City /metro lic. no.: lt'i wall, or floor mounted Name (please print): 2 t ;,., Sl,.e c.• Vent for appliance other than furnace CONTACT PERSON Refrigeration: Absorption units BTU/H Name: l . s r�,n S�ec� Chillers HP Compressors HP Address: t33 q S E (,t.0. Cit y: Poz` \� I �� I ZIP: Environmental exhaust and ventilation: aA State: : A liancevent Phone: Fax: E - mail: Dryer exhaust OWNER Hoods, Type I/ II/res. kitchen/hazmat hood fire suppression system Name: Y r ,c_ I c c34 Exhaust fan with single duct (bath fans) Mailing p 1<.W 5 ,,,, S op Exhaust system apart from heating or AC g address: ��i 3S(� 5� S . Fuel piping and distribution (up to 4 outlets) City: Q 0 t`M. c . e., State: IZI Type: LPG NG Oil Phone: Cia. 4- ',`30 e Fax: 111.-110 t E - mail: Fuel piping each additional over 4 outlets ENGINEER Process piping (schematic required) Name: Number of outlets Other listed appliance or equipment: Address: Decorative fireplace City: • I State: I ZIP: Insert — type • - . - •: I Fax: I E -mail: Woodstovc/pellet stove Other: _ , Applic : nt's signature. 0. „ I Date: — Other: - - -- l y Name 1• riot): p ic • A_ all j sdictions ac t credit cards, please call jurisdiction for more information Permit fee $ r _ 0 - S ptC ❑Visa ❑MasterCard Notice: "This permit application Minimum fee $ Credit card number: / / e xp i re s if a permit is not obtained 0. Plan review (at %) $ Expires within 180 days after it has been State surcharge (8 %) .... $ 1 • Name of cardholder as shown on credit card accepted as complete. . $ TOTAL $ Cardholder signature Amount 440 -4617 (6/00/COM) • • MECHANICAL PERMIT FEES . COMMERCIAL FEE SCHEDULE: 1 & 2. FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: FEE: Description: Price Total $1.00 to $5,000.00 Minimum fee $72.50 Table 1A Mechanical Code Qty (Ea) Amt $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and 1) Furnace to 100,000 BTU $1.52 for each additional $100.00 or including ducts & vents 14.00 fraction thereof, to and including 2) Furnace 100,000 BTU+ $10,000.00. including ducts & vents 17.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and 3) Floor Furnace 4 $1.54 for each additional $100.00 or including vent 4) 14.00 ' Qj fraction thereof, to and including Suspended heater, wall heater $25,000.00. or floor mounted heater 14.00 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and 5) Vent not included in appliance permit $1.45 for each additional $100.00 or 6.80 fraction thereof, to and including 6) Repair units $50,000.00. 12.15 $50,001.00 and up $742.00 for the first $50,000.00 and . Check•all,that.apply;; Boiler . _ -Heat'' - .Air . $1.20 for each additional $100.00 or , For items`7 -11 see < or • , - F•ump, Cond fraction thereof. footnotes.below. , {, •r ' Comp* , - . ' . . . **, 7) <3HP;absorb unit to 100K BTU 14.00 ASSUMED VALUATIONS PER APPLIANCE: _ 8) 3 -15 HP; absorb Value Total unit 100k to 500k BTU 25.60 Description: Qty (Ea) Amount 9) 15 -30 HP; absorb Furnace to 100,000 BTU, including - 955 unit .5 -1 mil BTU 35.00 ducts & vents 10) 30 -50 HP; absorb Furnace > 100,000 BTU including 1,170 unit 1 -1.75 mil BTU 52.20 ducts & vents 11) >50HP: absorb Floor furnace including vent 955 unit >1.75 mil BTU 87.20 Suspended heater, wall heater or 955 12) Air handling unit to 10,000 CFM floor mounted heater 10.00 Vent not included. in applicance 445 13) Air handling unit 10,000 CFM+ permit 17.20 Repair units 805 14) Non - portable evaporate cooler < 3 hp; absorb. unit, 955 10.00 to 100k BTU 15) Vent fan connected to a single duct 3 -15 hp; absorb. unit, 1,700 6.80 101k to 500k BTU 16) Ventilation system not included in 15 -30 hp; absorb. unit, 501k to 1 2,310 appliance permit 10.00 mil. BTU 17) Hood served by mechanical exhaust 30 -50 hp; absorb. unit, 3,400 10.00 1 -1.75 mil. BTU 18) Domestic incinerators >50 hp; absorb. unit, 5,725 17.40 >1.75 mil. BTU 19) Commercial or industrial type incinerator r Air handling unit to 10,000 cfm 656 69.95 Air handling unit >10,000 cfm 1,170 20) Other units, including wood stoves Non - portable evaporate cooler 656 10.00 +- Vent fan connected to a single duct 446 21) Gas piping one to four outlets. Vent system not included in 656 5.40 appliance permit 22) More than 4 -per outlet (each) Hood served by mechanical exhaust 656 1.00 Domestic incinerator 1,170 Minimum Permit Fee $72.50 SUBTOTAL: . - : $ Commercial or industrial incinerator 4,590 . '�`'• Other unit, including wood stoves, 656 8% State Surcharge A;'Y_ -; ' :' $ inserts, etc. . _, - Gas piping 1-4 outlets a 360 25% Plan Review Fee (of subtotal) $ Each additional outlet 63 Required for ALL commercial permits only :,,, -- TOTAL COMMERCIAL " ` • $ . TOTAL RESIDENTIAL PERMIT FEE: - - n ¢'-. $ VALUATION: _ Other Inspections and Fees: 1. Inspections outside of normal business hours (minimum charge -two hours) $72.50 per hour. tt4 ytt. /7 2. Inspections for which no fee is specifically indicated (minimum charge -half hour) $72.50 per hour 3. Additional plan review required by changes, additions or revisions to plans (minimum charge -one -half hour) $72.50 per hour 1 * State Contractor Boiler Certification required for units >200k BTU. ** Residential A/C requires site plan showing placement of unit. is \dsts \forms\mech- fees.doc 10/11/00 .