Permit ,...•
111 . CITY OF TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00621
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/30/2008
PARCEL: 2S 102AC -00201
SITE ADDRESS: 09426 SW MAPLEWOOD DR G ZONING: CBD
SUBDIVISION: MAIN STREET VILLAGE APARTMENTS LOT: JURISDICTION: TIG
PROJECT: MAIN STREET VILLAGE
Project Description: Replace wood burning fireplaces in units 77 & 78.
CLASS OF WORK: ALT 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:
WOD 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES: 2
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
CASA LA VETA ASSOCIATES + Description Date Amount
HIGHLANDS ASSOCIATES ET AL
BY GUARDIAN MGMT ATTN: BARRY B [MECH] Permit Fee 12/30/20C $74.80
PORTLAND, OR 97228 [TAX] 12% State Surch 12130120C $8.98
Phone:
Total $83.78
Contractor:
WEST COAST HEATING AND AIR INC
PO BOX 86082
PORTLAND, OR 97286 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -545 -6525
FAX 866 - 435 -3272
Reg #: LIC 179659
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.
lss ed By: j � O/J a Permittee Signature: .t - / /;��
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 pr• ect.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard RECEIVED Date/By: N n Permit No.: Ha , f s � (j f
111 11 V 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.19 Other Permit:
` �E C 3 0 2 008 Date/By:
T I G A R D Inspection Line: 503.639 Date Ready/By: pal 61 See Page 2 for
Internet: www.tigard - or.gov Notified/Method: Supplemental Information
CITY OFTIGARD
TYPE oliltiliBING DIVISION COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ New 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
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
0 CI
CATEGORY OF CONSTRUCTION Value: $ Z, I
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
Multi- family ❑Master builder ❑Other: For special information use checklist.
Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 094 zt!D St...) /r(4PLL oio Dom- .
Air conditioning
fires ite pl or heat pump
(requires site plan showing placement) 14.00
City /State /ZIP: t t c4a(e._ ci(a_ Q 7 Z Z3 Furnace 100,000 BTU (ducts/vents) 14.00
/ Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: 77 i 78 Project name: r►Aw STIe6t V'1_4.44 E Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Subdivision: Lot no.: Flue /vent for any of above 6.80
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
F PL4.CE Z, Ei cI1 woe") Rtre J J4 r eE'tsiCE Flue vent for water heater or gas
. fireplace 10.00
W ITM ye kJ r(rJ< c?EQutleG . Log lighter (gas) 10.00
. Wood/pellet stove 10.00
Wood fireplace /insert Z, 10.00 ZD
Chimney/liner /flue /vent Z 10.00 aa �`
PROPERTY OWNER I ❑ TENANT -
Other 10.00
Name: Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 10.00
City /State /ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Other: 10.00
Business name:
Fuel piping
Contact name: $5.40 for first four; $1.00 for each a dditional
Furnace, etc.
Address: '
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: ( )
Fax :: ( ) Water heater
Fireplace
E -mail: Range
CONTRACTOR Barbecue
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Business name:f CA � . � �D As r IQ c.._
Clothes dryer (gas)
Other:
Address: Po t Ox 8 ca O 8 2 MECHANICAL PERMIT FEES*
City /State /ZIP: paler A.,,a trieECoN 9, Z R 0, Subtotal
Phone: (S(■3 ) 5.4/5.-65- ZS Fax: (46) 475 32,7 Minimum permit fee ($72.50) 7 -
Plan review (25% of permit fee) -�-
CCB lic.: 111451 /Al/ yhy State surcharge (12% of permit fee) 5.9�
/ TOTAL PERMIT FEE Q 3. g
Authorized signature: „0. t/ This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: eiiejeE a26.i,er Date: /Z • Fee methodology set by Tri -County Building Industry Service Board
I:\ Building \Permits\MEC- PermitApp.doc 01/19/07 4404617T(I1 /02/COM/WEB)
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Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
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 $50,000.00 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.
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1:\ BuildingTertnits \MEC- PermitApp.doc 01/19/07 2
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC200B00621
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/30/2008
Phone: (503) 639 -4171 god //iv 'A'
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2/24120Q9 TIME: 7 :00AM PAGE: 8
SITE ADDRESS: 09426 SW MAPLEWOOD DR (3 CLASS OF WORK:
SUBDIVISION: MAIN STREET' VILLAGE APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: MAIN STREET VILLAGE
DESCRIPTION: Replace wood burning fireplaces in units 77 & 78.
OWNER: CASA LA VEfA ASSOCIATES +, PHONE #:
CONTRACTOR: WEST COAST HEATING AND AIR INC PHONE #: 50354&6525
Inspection Request Scheduled For: Date: 7/24/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Messa•e
699 Mechanical final 080794 -01 971.4044232 6 /
Corrections /Comments /Instructions:
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7 1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL W r ALL FOR INSPECTION ❑ ADDITIONAL FE S ASSESSED
Inspector: Date: Phone #: (503) 718-