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Permit ( k . C ITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2003 -00218 - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/29/03 PARCEL: 2S 112DA -01400 SITE ADDRESS: 06650 SW REDWOOD LN 370 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 W1O 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: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Relocate duct work and grilles and add water source heat pump (above ceiling). Valuation $2,000.00 Owner: FEES PACIFIC REALTY ASSOCIATES Description Date Amount 15350 SW SEQUOIA PKWY #300 -WMf PORTLAND, OR 97224 [MECH] Permit Fee 4129/03 $72.50 [TAX] 8% StateTax 4/29/03 $5.80 Phone: Total $78.30 Contractor: PROTEMP ASSOCIATES INC 9788 SE 17TH AVE PORTLAND, OR 97222 REQUIRED INSPECTIONS Phone: 233 - 6911 Mechanical Insp 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 Issued By: / Permittee Signature: [ eztAt Call (503) 639 -4175 by 7:00 P.M. for inspections need ed�the ne xt usiness day • Me�haihical Permit Applica FOR OFFICE USE ONLY Received Mechanical Date/By: a B 6 Permit No.rf�0,03 — 00 ol/8 Planning Approval Building City of Tigard Date/By: Permit No.: . 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 Date/By: Permit No.: Phone: 503- 639 -4171 Fax: 503 -598 -1960 Post Land Use Ueni wd(r ' Internet: www.ci.tigard.or.us a I I I Date/By: No.: Contact Juris.: ® 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 tri._ 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: $49 Lid 0 See Page 2 for Fee Schedule ❑ Accessory Building ❑ Multi- Family RESIDENTIAL EQUIPMENT /SYSTEMS FEE* SCHEDULE Description I Qty I Fee(ea.) I Total ❑ Master Builder ❑ Other: Heating/Cooling JOB SITE INFORMATION and LOCATION Furnace - add -on air conditioning ** 14.00 Job site address: e� Sw tit�EDwoo0 1itG"• Gas heat pump 14.00 Suite #: p 370 I Bldg. /Apt. #: Duct work 14.00 Project Name: Sit!) r)ocvr' i 7.S Hydronic hot water system 14.00 Residential boiler Cross street/Directions to job site: (for radiator or hydronic system) 14.00 SVe 1:1, Unit heaters (fuel, not electric) (in wall, in -duct, suspended, etc.) 14.00 Flue/vent (for any of above) 10.00 Subdivision: I .Lot #: Repair units 12.15 Other Fuel Appliances Tax map /parcel #: Water heater 10.00 DESCRIPTION OF WORK Gas fireplace 10.00 s e..a TG EC.e.j tvoreK g�Lz.Lcs Flue vent (water heater /gas fireplace) 10.00 Log lighter (gas) 10.00 FLc.es I AAA +e sawitee Wood/Pellet stove 10.00 Wood fireplace/insert 10.00 Chimney/liner /flue /vent 10.00 JROPERTY OWNER J ❑ TENANT Other: 10.00 Name: �/�'.��' , J �Q (f j L Environmental Exhaust & Ventilation Range hood/other kitchen equipment 10.00 Address: "'Ulf, Sw sac> if f et per./7 0.30• Clothes dryer exhaust 10.00 City /State /Zip: T, `+ e D CyL , Single duct exhaust Phone: c y -<,,30 0 Fax: (bathrooms, toilet compartments, ❑ APPLICANT ja CONTACT PERSON utility rooms) 6.80 Name: ,s r. Y 4 i Attic/crawl space fans 10.00 Other: 10.00 Address: Fuel Piping City /State /Zip: 6/9' -. ( v/ 9y * *($5.40 for first 4, $1.00 each additional) Phone: x 33. (.,.,y /l I Fax: ass • 9 >6 7 Furnace, etc. ** Gas heat pump ** E -mail: Wall/suspended/unit heater *5 CONTRACTOR Water heater ** Business Name: Pa ors:01 Ass fle ,T.t,44. Fireplace ** Address: 77x'8 :se i 7 ✓c' BBQ ** City /State /Zip: peer7.v .i env.. '9,2x& Clothes dryer (gas) ** Phone: x33 -v9 d l I Fax: 23s . Other: ** CCB Lic. #: 3 ggG„g? Total: Mechanical Permit Fees* Authorized !� —�� Subtotal: $ Signature: C`/.��L Date: p�l� Minimum Permit Fee $72.50 $ J e /2 ea..y W. A/ Plan Review Fee (25% of Permit Fee) $ I (Please print name) State Surcharge (8% of Permit Fee) $ 5 _O TOTAL PERMIT FEE $ -7g , 3t) 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,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 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, 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 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 INSPECTIONIVIBION Business Line: (503) 639 -4171 MST BUP Received // Date Re Neste 1 AM PM BUP Q� Location (D l� f Let- Suite MEC 3-00/g J'O a / U Contact Person Ph ( ) 3 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 ASS PA FAIL CHANIC� Post Rough -In Gas Line S .; Dampers ta • S PART FAIL ELECTRICAL 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 111 Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA r Approach/Sidewalk Date l I nspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL