Permit CIT OF TIGARD MECHANICAL PERMIT
}iN DEVELOPMENT SERVICES PERMIT #: MEC2002 -00342
..� II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/19/02
PARCEL: 2S112DA-01300
SITE ADDRESS: 06640 SW REDWOOD LN 2ND FL
SUBDIVISION: PP1996 -048 ZONING: I -P
BLOCK: LOT: 001 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:
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:
FURN > =100K BTU: < =10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: installation of 13 vav boxes and duct work
Owner: FEES
PACIFIC REALTY ASSOCIATES Type By Date Amount Receipt
15350 SW SEQUOIA PKWY #300 -WMI PRMT CTR 8/19/02 $152.92 2720020000
PORTLAND, OR 97224 PLCK CTR 8/19/02 $38.23 2720020000
5PCT CTR 8/19/02 $12.24 2720020000
Phone: Total $203.39
Contractor:
GOHMAN MACHANICAL
412 S. BEAVERCREEK RD.
602 REQUIRED INSPECTIONS
OREGON CITY, OR 97045 Mechanical Insp
Phone: 503 - 650 -1588 Mechanical Insp
Reg #: LIC 119952 Cooling Unt Insp
Cooling Unt Insp
Duct Inspection
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 wit approved -
plans. This permit will expire if work is not started within 180 days • if issu- Ce, o if %mark is su _ - nded
for more than 180 days. ATTENTION: Oregon law requires you t• foll•w Hales - dopt-d e Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0t ' throu-•h •
952 - 001 -0080 You may obtai• copies of these rules or direct qu -stio• to!OU .0':M, ailing
Mf117dR -q1 ; J
Issue By: ,1A„, Q� , Permittee Signature /� � 7/ L . ,
Call (503) 639 -4175 by 7:00 P.M. for inspections need • d the next bu • ess day
cA
Mes,,r1 1Cal Permit Application FOR OFFICE USE ONLY --t. Rece ��O O Me it No.: : ( � )& - Dd34
Date/By: / Permt No.m
City of Tl alCfl Plannin Approval Building
g Test Form , . ,,,, ; Date/B Permit No. )h �0D0 —t_�IU0 (,
13125 SW Hall Blvd. C : ;I Plan Review . Other
Tigard, Oregon 97223 , Date/By: Permit No.:
Phone: 503- 639 -4171 Fax: 503 - 598 -196O r' ", • " - — r- Post - Review Land Use
`( is ' : / • •r , ,Date/By: Case No.: fr-
Internet: www.ci.tigard.or.us . el I ' Contact Juris.: IN See Page 2 for 1`
24 -hour Inspection Request: 503- 639 - 4175 '"r" W Name /Method: Supplemental Information.
_ TYPE OF WORK _ COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
n New construction ❑ Demolition Mechanical permit fees* are based on the total value of the work
❑ Addition/alteration/replacement ❑ Other: performed. Indicate the value (rounded to the nearest dollar) of all 4- -
CATEGORY OF CONSTRUCTION mechanical / materials, equipment, labor, overhead and profit.
❑ 1 & 2- Family dwelling [� C ommercial/Industrial Value: $ (o6 See Page 2 for Fee Schedule
_❑ Accessoy Building ❑ Multi- Family RESIDENTIAL E UIPMENT /SYSTEMS FEE* SCHEDULE •
Description Qty Fee(ea.) 1 Total
❑ Master Builder ❑ Other: Heating/Cooling
JOB SITE NFORMATION and LOCATION Furnace - add -on air conditioning 14.00
Job site address: (p) 61.0 7 La Gas heat pump 14.00
Suite #: I Bld /Apt. #: Duct work 14.00
Hydronic hot water system 14.00
Project Name: & t Arigrs,r0 I n5 c Residential boiler
Cross street/Directions to job site: (for radiator or hydronic system) 14.00
Unit heaters (fuel, not electric)
(in wall, in -duct, suspended, etc.) 14.00
Flue /vent (for any of above) 10.00
L ot #: • Re units 12.15
SSubdivision:
• : Other Fuel Appliances
Tax map /parcel #: Water heater 10.00
DESCRIPTION OF WORK Gas fireplace 10.00
i t t 1 O/ t Xs W Flue vent (water heater /gas fireplace) 10.00
4— �P 11'5 e��N � — 4z, 'L. _ L og lighter (gas 10.00 •
�7 t Wood/Pellet stove 10.00
j . cw., Wood fireplace /insert 10.00
Chimney/liner /flue /vent 10.00 .
❑ PROPERTY OWNER I ❑ TENANT Other: 10.00
Name: Environmental Exhaust & Ventilation
Range hood/other kitchen equipment 10.00
Address: Clothes dryer exhaust 10.00
City /State /Zip: Single duct exhaust •
Phone: Fax: (bathrooms, toilet compartments,
❑ APPLICANT ❑ CONTACT PERSON utility rooms) 6.80
Name: Attic /crawl space fans 10.00
Other: 10.00
Address: Fuel Piping
City /State /Zip: ($5.40 for first 4, $1.00 each additional) **
Phone: I Fax: Furnace, etc. *4. Gas heat pump **
E -mail: Wall/suspended/unit heater **
CONTRACTOR Water heater **
Business Name G fr 4me4 -( Fireplace ** **
Address: ti(2 nt Jefe_e2s ca. Ir,a2 Range **
_ City /State /Zip: 62 c + c,rlea 4 1701.6 I Clothes dryer (gas) **
Phone: (€, i s ax: ef.- ^rA Other: **
CCB Lic. #: ' ' /Y
' Total:
�� - ' Mechanical Permit Fees*
/ Subtotal: $
Authorized Q(
` ' Minimum Permit Fee $72.50 $ /S 2 . q Z /1 4 Signature: Date: U 2 Plan Review Fee (25% of Permit Fee) $ 32 . 2
i State Surcharge (8% of Permit Fee) $ Z . Z
TOTAL PERMIT FEE $ zo; . 3 9
(Please print name) Notice: This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board.
I
Mechanical Permit Application - City of Tigard '
Page 2 - Supplemental Information "* -
Commercial Fee Schedule:
• Tota Valuation: Permit. Fee
l. ,
$1.00 to $5,000.00 Minimum•fee $72.50
$5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52
for each additional $100.00 or fraction
thereof, to and including $10,000.00.
$10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and .
$1.54 for each additional $100.00 or .
fraction thereof, to and including
$25,000.00.
$25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and
$1.45 for each additional $100.00 or
• fraction thereof, to and including
$50,000.00.
$50,001.00 and up $742.00 for the first $50,000.00 and
, $1.20 for each additional $100.00 or
fraction thereof.
Assumed Valuations Per Appliance: _
Value Total
Description: Qty (Ea) Amount ,' 40 .�'O
Furnace to 100,000 BTU, including 955 u
ducts & vents _ L 1 , Z
Furnace> 100,000 BTU including ducts 1,170
_ & vents !— . P
Floor furnace including vent 955 1 S 2,5-i_ z,L,
Suspended heater, wall heater or floor 955
mounted heater 'D • Z °4 C—.
Vent not included in appliance permit 445
Repair units 805 t 'Z • Z 4 -rr
< 3 hp; absorb. unit, • • 955
to 100k BTU
3 -15 hp; absorb. unit, 1,700 2-c,3 . 3cl.w��
101k to 500k BTU
15 -30 hp; absorb. unit, 501k to 1 mil. 2,310
BTU
30 -50 hp; absorb. unit, 3,400
1 -1.75 mil. BTU
>50 hp; absorb. unit, 5,725
>1.75 mil. BTU •
Air handling unit to 10,000 cfm 13 656 F3 628
Air handling unit >10,000 cfm 1,170
Non - portable evaporate cooler 656 •
Vent fan connected to a single duct I 446 4.14(e, •
Vent system not included in appliance di 656 131 Z •
permit
Hood served by mechanical exhaust ' . 656
' Domestic incinerator \ 1,170
Commercial or industrial incinerator \ 4,590
Other unit, including wood stoves, \ 656
inserts, etc.
Gas piping 1-4 outlets '\ 360
Each additional outlet \ 63
TOTAL COMMERCIAL • $
, VALUATION: W O
1 1
•
•
•
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP •
Received Date Requested qg AM PM BUP `A
Location lQ G f I/. e. ;1-Z1 Suite MEC :5 t
Contact Person Ph ( ) PLM
Contractor Ph ( ) Co /s� 8' SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
. Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
4
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
P RT FAIL
CRANK
:dam
Rou• -
•
Smoke Dampers
_ 'ART FAIL
ECTRICAL
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: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date F(f �O 2iespe r Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL