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Permit CITY TIGARD MECHANICAL PERMIT l'� DEVELOPMENT SERVICES PERMIT #: MEC2004 -00186 `� II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/13/04 PARCEL: 2S112DA -01400 SITE ADDRESS: 06650 SW REDWOOD LN 180 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: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Relocate ducts & grilles for TI. Project Value: $1,200 Owner: FEES PACIFIC REALTY ASSOCIATES Description Date Amount 15350 SW SEQUOIA PKWY #300 -WMI PORTLAND, OR 97224 [MECH] Permit Fee 4/13/04 $72.50 [TAX] 8% State Surcharl 4/13/04 $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 Issu d By: ' 1 / Permittee Signature: Call 50 •39 -4175 by 7:00 P.M. for inspections need t e ne business day Mechanical Permit Application FOR OFFICE USE ONLY City .of -Tigard / Permit No.: DatDate/By: 7 Os/ rl �, + iv / g.4 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 /�, r el Y: Date/B Other Permit: Inspection Line: 503.639.4175 . , *. 67 � Date Ready/By: fur' ' El See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: / ((j, Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees* are based on the value of the work ❑ New construction ❑ Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ i Zi9Q RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ I and 2 family dwelling 2rCommercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling _ Air conditioning or heat pump Job site address: S .3 Lt.J PE D MOOD (requires site plan showing placement) 14.00 City/ State/ZIP: � D PAZ, 72? V Furnace 100,000 BTU (ducts/vents) 14.00 7� Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: rico Project name: 5 0 1.1 F 7' Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 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. 10.00 Subdivision: Lot no.: Flue/vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 Gas fireplace 10.00 delf Qr /" S ...ippd- v of ) g FF (0 7 x 4.4.0 £ '1Z" Flue vent for water heater or gas fireplace 10.00 A)'12 cm_ / Li. Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace/insert 10.00 ❑ PROPERTY OWNER I ❑ TENANT Ot y/liner/flue/vent 10.00 Other: 10.00 Name: l� c ;TA 4 , 5 7- Environmental exhaust and ventilation Range hood /other kitchen Address: 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: Fuet t to P g Contact name: $5.40 for first four; $1.00 for each additional Furnace, etc. Address: Gas heat pump City/ State/ZIP: Wall/suspended/unit heater Fax :: Phone: ( ) ( ) Water heater Fireplace E -mail: Range CONTRACTOR Barbecue Clothes dryer (gas) Business name: niCc 7 fr7P Assoc.. C . Other: Address: 9 78 8 5/,.. / 7t , „ 4 MECHANICAL PERMIT FEES* • City/ State/ZIP: iTN L0eD Subtotal / Minimum permit fee ($72.50) 7. JZ> Phone: (Sol) „23 i Fax: (Sal) RSV 4 77‘ 7 Plan review (25% of permit fee) CCB lic.: 3 g e d „,v State surcharge (8% of permit fee) S JO TOTAL PERMIT FEE 78. ) Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: JI CpEIhy !„, • Fee methodology set by Tri -County Building Industry Service Board " t Date: y�i3 o3 � 1:\ Building \Pernits \MEC- PemtitApp.doc 12/03 4404617 (II /02ICOM/WEB) 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. • • • i:\ Building \Permits\MEC- PermitApp.doc 12/03 2 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 6 • 175 INSPECTION DIVISION Business Line: _ (503 , 171 MST BUP Received Date Requested — 2• PM BUP p Location /0(D 50 d 07JT, Suite � �� 7 ' 07� ` Contact Person (0) 0 Ph ( ) 5(' — tb/ c l 9 PLM Contractor Ph ( ) 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 r! Firewall ci te t /9 1.1111° 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 1 / 4 171 /Q (r) Other: Final PASS T FAIL CHANI"CA Post & Beam Rough -In Gas Line Smoke mp • S •A • F IL 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 0 Please call for reinspection RE: 0 Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date d Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL