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Permit CITY TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2004 -00287 "� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/7/2004 PARCEL: 2S112DB -00400 SITE ADDRESS: 07337 SW KABLE LN SUBDIVISION: SOUTHERN PACIFIC TIGARD IND. ZONING: I -L BLOCK: LOT: 004 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: S1 VENTS W/O APPL: VENT SYSTEMS: STORIES: 1 BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT: 350,000 BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: N 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: 1 <= 10000 cfm: 13 OTHER UNITS: > 10000 cfm: GAS OUTLETS: 1 Remarks: Rooftop HVAC valuation $79,000 Owner: FEES OR -WASH ENTERPRISES, UNLIMITED Description Date Amount BY JOHN F MEUPERT [MECH] Permit Fee 6/7/2004 $1,134.00 111 SW 5TH AVE #3400 [MECPLN] Plan Rev 6/7/2004 $283.50 PORTLAND, OR 97204 [TAX] 8% State Surchart 6/7/2004 $90.72 Phone: Total $1,508.22 Contractor: MARKMAN INC 9955 SE ASH STREET PORTLAND, OR 97216 REQUIRED INSPECTIONS Phone: 503 Gas Line Insp Mechanical Insp Reg #: LIC 00102857 Cooling Unt Insp 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 -0100. You may obtain copies of these rules or direct questions to OUNC by calling (503)246 -6699. Issued By: Permittee Signature: f') ,}4 Call (503) 639 -4175 by 7:00 P.M. for inspections red the next business day -337 3 IA/ / 4j3Le Mechanical Permit Application _ i FOR OFFICE U SE ONLY GENE* I Received j// _ ... /// City 0W, ?gard E !�) Receive oi l Pen /` 7�,� _ v / 13125 SW Hall Blvd., Tigard, OI 2 Q� Plan Review Phone: 503.639.4171 Fax: 503.598.1960 //y bM Date/By: S -i f - /34,13 Other Permit: Inspection Line: 503.639.4175 t 1 2004 f �I) 6 1W Date Ready/By: See Page 2 for Internet: www.ci.figard.or.us � Notified/Method: Supplemental Information ,tTv of TIGARD :i:.�'v "a"+�i�w � .` ��`: q�.,,##- u.F..<c: �.va �;.e� �8 'Y�az`�;�".S =Y Wiz: �f_. .;ryt. .':s.�.:, :�- �ras,e ,ga'S -.,6 ; r a >^ ; '' ' al` ', , 4 � ., `~ :'.. - -^ V' Pa,;..> `°; t T z g b ' s j ; �"� '� _ R. r '�r ®I�1� � � ;�r ` ".,-��.� GOlYIV1ERC "1A11�F`E�:- *ms - ! ❑ New construction Addition/alteration/replacement Mechanical permit fees* are based on the value of the work p performed. Indicate the value (rounded to the nearest dollar) of all ?.) ['Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. J W�@�ATEG®RX O O1V >..: Value $ 7 G3 0 NS � TI � f � �.F. � � - �ir.a... Vi � RES EQUIPMENT / SYTEMS, EEES* \c_ ❑ 1- and 2- family dwelling .Commercial /industrial ❑ Accessory building �` ` "a` °` For special information use checklist. ❑ Multi family ❑ Master builder ❑ Other: Description Qty. Ea. Total raa: , 47QB SI ATIOIY A NF ,, :. =„ $ ' i I r Heatin Job site address: 1 3 3 7 S i< c. L ( G, o k ^L Air conditioning or heat pump (requires site plan showing placement) t 14.00 City/State /ZIP: t. (t0.„ W c ft Furnace 100,000 BTU (ducts /vents) 14.00 J rl Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: Project name: C Q S r0 I1 Gas heat pump 14.00 (". Cross street/directions to job site: S V ' Q© Duct work 14.00 • W --7 Hydronic hot water system 14.00 7 Residential boiler (radiator or hydronic) 14.00 . !. Unit heaters (fuel -type, not electnc), in -wall, in -duct, suspended, etc. 10.00 Flue /vent for any of above 10.00 • Subdivision: Lot no.: Other: 10.00 l ttv Tax map /parcel no.: Other fuel appliances 7.' W4 - Ok .t . I RiirE CRIMPot w �' .. . ;: & :: .ilai,; ' k Water heater 10.00 LG C-Q._ � -k © � E\VAT— `) v.v Gas fireplace 10.00 � Flue vent for water heater or gas c \ ,t i /' 6 C x � g fireplace 10.00 mil/ [ l L' Log lighter (gas) 10.00 _ Wood /pellet stove 10.00 Wood fireplace /insert 10.00 " zittOP 10:140WI�IE S .. '`.... `' t Chimney /liner /flue /vent 10.00 _. , . TEIANT j' - t o r .,'< a Other: 10.00 Name: C_ OtL ( t 0,1 ...Q �,),pA y C s Environmental exhaust and ventilation Address: 3 e ' 1 t Range hood /other kitchen 3 7 W k. i ( L[L1/4A- equipment 10 00 City/State /ZIP: cl t, o t N Clothes dryer exhaust 10.00 Q Single -duct exhaust (bathrooms, Phone: (S 'k_c) `? © Fax: ( ) toilet compartments, utility rooms) 6.80 ; ., . �... F ,,a 15 54;':',,4 $ :.,. rte: Po r , . ; '& APP, TCAN a U -.. . CQN , PERSON - e ' e Attic /crawlsp ace fans 10.00 Business name: IA, ft \L &k NC— Other: 10.00 Fuel piping Contact name: 1 ,a. -fie (R u\ $5.40 for first four; $1.00 for each additional Fumace, etc. 1 Address: �� = �S 1 Gas heat pump City/State /ZIP: CO° ck ©1 '' (, Wall /suspended /unit heater Phone: (S03) \ I T 1..a Fax:: (St)) ,Zc,� . d Water heater Fireplace E -mail: 1(A RAa r fi (Axak co r 6 , Cp (A/( Range .,., t " ' " �l' C , r 4likt. _ , ,.. Barbecue w � •mow,:. _: , .. w�..� ,.'_..�.. sue. _ �., w , eE Business name: a -1 w1�,U Clothes dryer (gas) _�� L �_ Other: Address: C I "f-'----- S' — f C 4- ) �aq _ - .. __ :: 1VIECHANICAIsf3PERl�t _I'F;;)�EES *: ;-* : -'1...: City/State /ZIP: C6 �� � s � 9 7 Subtotal f '/ — 7 A L (A3) )\ � Minim permit fee () Phone: (�03) J Fax: c Q L O � Plan review (25% of permit mit fee) 1-8 3, ca CCB lic.: (), k ..s--7 State surcharge (8% of permit fee) 9 . FZ TOTAL PERMIT FEE /5O $ . Zr_ Authorized signa �' s �, � � — This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: vs _k ilk , kA r t ut _0. t.. Date: .S" 7 —0 y * Fee methodology set by Tn- County Building Industry Service Board i :\Building\Pemuts \MEC- PermitApp doc 12/03 440 -4617T (1 I /02 /COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total= ?aluaf on w ! Perm $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 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION Business Line: (503) 639 -4171 MST G� BUP Received Date Requested < '90 4 ' PM BUP Location 7337 l < le La e Suite MEC 0 4 ° 0 Contact Person A',i (S (9 € Ph ( 53 ) a.51 99 3 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes s o,. O K- L (,J D u i /_,� SIT Post & Beam J Shear Anchors (.0 t ;t o Al Ext Sheath/Shear ` e L Gam' J� '� l °i a D Int Sheath /Shear I-�, Framing Insulation , _ � Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains • ahlitt_SP4L � - Catch Basin / Manhole IrMI/TM Storm Drain Shower Pan *vim) Other: Final PAQT FAIL ECHANICA 4 Post & Beam Rough -In Gas Line Smoke Dampers anal SS • PART FAIL ELECTRIC AL " ,- Service Rough -In UG /Slab Low Voltage Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: 111 Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL