Permit �;_ I
C ITY OF TIGARD MECHANICAL PERMIT
° I`' DEVELOPMENT SERVICES PERMIT #: MEC2003 -00435
- ..� I I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE I 7/29/03
PAA RCC ELL : 2 2 S 511 112 DA -01400
SITE ADDRESS: 06650 SW REDWOOD LN 310
SUBDIVISION: PP1996 -048 ZONING: I -P
BLOCK: LOT: 002 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:
GAS PRESSURE: 50 + HP: WOODSTOVES:
•
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: < =10000 cfm:
> 10000 cfm: GAS OUTLETS:
Remarks: Alteration of ducts and grilles for tenant improvement. Project Value: $3,500
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 - I [MECH] Permit Fee 7/29/03 $72.50
PORTLAND, OR 97224 [TAX] 8% StateTax 7/29/03 $5.80
Phone: Total $78.30
Contractor:
PROTEMP ASSOCIATES INC
9788 SE 17TH AVE •
PORTLAND, OR 97222 REQUIRED INSPECTIONS
Phone: 233 - 6911 Duct Inspection
Final Inspection
Reg #: LIC 38868
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 -00
Is ed By: P •
. , � L �L -«'�� 4 Permittee Signature: L ✓I
\ --C
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the nexltibusiness day
Mechanical Permit Application . FOR OFFICE USE ONLY
Dateid d j Mechanical Nd @a/ 00� 0o 4
Date/By: 7 � Permit No.: 7"
Planning Approval Building
City of Tigard Date/By: Permit No.: Atl Pa063 -pd y3(o
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 Date/By: Permit No.:
Phone: 503- 639 -4171 Fax: 503 -598 -1960 4 � Post - Review Land Use
a u G 1,
Contact Case No.:
Internet: www.ci.tigard.or.us ■ U„ e!f I I y:
Contac Ju El See Page 2 for
24 - hour Inspection Request: 503 639 - 4175 - Name/Method: Supplemental Information.
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ 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
CATEGORY OF CONSTRUCTION mechanical materials, equipment, labor, overhead and profit.
❑ 1 & 2- Family dwelling 'Commercial/Industrial Value: $ _ C See Page 2 for Fee Schedule
RESIDENTIAL EQUIPMENT /SYSTEMS FEE* SCHEDULE
❑ Accessory Building ❑ Multi- Family
Description I Qty I Fee(ea.) I Total
❑ Master Builder ❑ Other: Heating/Cooling
JOB SITE INFORMATION and LOCATION Furnace - add - air conditioning ** 14.00
Job site address: aoc6D" 0 Sw zetwooO zAuu Gas heat pump 14.00
Suite #: ,y /p i 1 Bldg. /Apt. #: Duct work 14.00
Project Name: ikeAc s /l J ,�/it) Stitu /Cc ^S Hydronic hot water system 14.00
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
Subdivision: Lot #: Repair units 12.15
Other Fuel Appliances
Tax map /parcel #: Water heater 10.00
DESCRIPTION OF WORK Gas fireplace 10.00
/E,aJ rod re / .4'/Sr /.✓. ,+ E r )%#m P Flue vent (water heater /gas fireplace) 10.00
Fv it/6 7a=s tom. 4.1" le eL 0 ; 2 ' i Log lighter (gas) 10.00
.
Wood/Pellet stove 10.00
■0z.<_ c0 7# d' . .O .7'l #e*lC TO Wood fireplace/insert 10.00
T spjtCdg'* Chimney/liner /flue/vent 10.00
0 PROPERTY OWNER 0 TENANT Other: . 10.00
� �� �t Environmental Exhaust & Ventilation
Name: e Zat
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. St
Gas heat pump **
E -mail: Wall/suspended/unit heater **
CONTRACTOR Water heater **
Business Name: /die p7'M F' Fireplace **
Address: 972.biii �6..- 11- Range **
City /State /Zip: /� 7-2.„r.u) V2... /Z242 _ Clothes dryer (gas) **
Phone: x33 - &q // I Fax: Q.31- gy67 Other: **
CCB Lic. #: 6qe. Total:
Mechanical Permit Fees*
Authorized G-4.-70t7 Y Subtotal: $
Signature: Date: ?°1�� Minimum Permit Fee $72.50 $
JOiZC , v.7— Plan Review Fee (25% of Permit Fee) $
(Please prinnt name) State Surcharge (8% of Permit Fee) $
TOTAL PERMIT FEE $
Notice: This permit application expires If a permit is not obtained within *Fee methodology set by Tri County Building Industry Service Board.
180 days after it has been accepted as complete. * *Site plan required for exterior A/C units.
i:\Dsts\Permit Forms\MecPermitApp.doc 01/03
Mechanical Permit Application - City of Tigard ,
Page 2 - Supplemental Information
Commercial Fee Schedule:
Total Valuation: Permit Fee:
$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, t� 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
Furnace to 100,000 BTU, including 955
ducts & vents
Furnace> 100,000 BTU including ducts 1,170
& vents
Floor furnace including vent 955
Suspended heater, wall heater or floor 955
mounted heater
Vent not included in appliance permit 445
Repair units 805
< 3 hp; absorb. unit, 955
to 100k BTU . •
3 -15 hp; absorb. unit, 1,700 ,
•
101k to 500k BTU '
15 -30 hp; absorb. unit, 50Ik to I 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 656
Air handling unit >10,000 cfm 1,170
Non - portable evaporate cooler 656
Vent fan connected to a single duct 446
Vent system not included in appliance 656
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:
• , •
i:\Dsts\Permit Forms\MecPermitAppPg2.doc 01/03
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION Business Line:' (503) 639 - 4171
BUP
Received l'ate Requested - Zv AM PM BUP
Location t C 5 Suite 3 fp MEC
Contact Person Ph ( ) S/ R — Co I 9 ° 1 PLM
Contractor Ph ( ) " SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation
Ftg Drain Access: 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
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
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
PART FAIL
_
!' RICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final fl Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 0 Please call for reinspection RE: 0 Unable to inspect — no access
Fire Supply Line Q
ADA Dat V /�d/�5 Inspector ‘;;° Ext
Approach/Sidewalk P
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL