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Permit CITY OF TIGARD MECHANICAL PERMIT l DEVELOPMENT SERVICES PERMIT #: MEC2004 - 00102 F � i 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/5/04 PARCEL: 2S1 12 DA -01400 SITE ADDRESS: 06650 SW REDWOOD LN 200 SUBDIVISION: PP1996 - 048 ZONING: I - 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 grilles. Project Value: $3,500 Owner: FEES PACIFIC REALTY ASSOCIATES Description Date Amount 15350 SW SEQUOIA PKWY #300 -WMI PORTLAND, OR 97224 [MECH] Permit Fee 3/5/04 $107.00 [TAX] 8% State Surchaq 3/5/04 $8.56 Phone: Total $115.56 Contractor: PROTEMP ASSOCIATES INC 9788 SE 17TH AVE PORTLAND, OR 97222 REQUIRED INSPECTIONS Mechanical Insp Phone: 233 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 -0010 through OAR 952 - 00 : i c. You may obtain copies of these rules or direct questions to OUNC by calling (503) `46 -6699. Issue. By: , ! -, / JL � Permittee Signature: k- Call (503) 6 9 -4175 by 7:00 P.M. for inspections needed t e nex business day . .. Mechanical Permit Application . FOR OFFICE USE ONLY' • , .. City (II .n. igard r A' R e c e e /B i v e 3 ilit IrM I I Permit No .. • )1 - , / A Plan Review 13125 SW Flail Blvd., Tigard, OR 97223 Phone: 503.639.4171 Fax: 503.598.1960 isavd/hie Date/By: Other Permit Inspection Line: 503.639.4175 AIL n11 . Date Ready/By: El See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Ein Supplemental Information ei i l f oWi ' 6 - 1k0iiig l aiatiil' :: 44 ' §k6Eit : 6 - k.LIST : ' , Mechanical permit fees* are based on the value of the work 11 New construction 0 Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all 0 Demolition El Other: mechanical materials, equipment, labor, overhead, and profit. , .4f , F ,1- :"SV: 1 %W.;! 4 -1: .':!'ji:Irrairieeittitiii'iti3IstgirireiroVW15V-C"'-'901! Value: $ 3 .5-6 12tSIEitls:ITIALAOta1E:1*/SWiTMSFEFS" El 1- and 2-family dwelling [2rCommercial/industrial EI Accessory building For special information use checklist. El Multi 0 Master builder 0 Other: Description Qty. Ea Total FillAi) 3 :i7.4 Heating/cooling Air conditioning or heat pump Job site address: c So .SA,, Real hi ooD (requires site plan showing placement) 14.00 City/State/ZIP: -I' i le,402.40 ) Ok . rn Furnace 100,000 BTU (ducts/vents) 14.00 Furnace 100,000+ BTU (ducts/vents) l7 90 Suite/bldg./apt. no.: a ,, c , Project name: e fe,ox 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 Flue/vent for any of above 10.00 Subdivision: Lot no.: Other: 10.00 Tax map/parcel no.: Other fuel appliances ''',17-00.i7ftripriSS4r,USTTIOWil.#OlikeP;;IS.VIRANneir-4,!1,P1, Water heater 10.00 - 4 ,, ,q;44 , z-. , 44.4" . !: 7- i'' , 4 . ' i4;t4444,' Gas fireplace 10.00 4 '4.r._ 144-6 Fok.. 4)4F-24/ F4volz Pz4A.) Flue vent for water heater or gas fireplace 10.00 . Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace/insert 10.00 'fkIIVA1/44140'''''QqW:g411:'Ni7MITI,-' Chimney/liner/flue/vent 10.00 10.00 Name: /:".. 7 jo 5—f— 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: ( ) C-<2 i & 39v Fax: ( ) toilet compartments, utility rooms) 6.80 FigfiVAIiiii:0710:44,10 ,,, ,,,,, Attic/crawlspace fans 10.00 Other: 10.00 Business name: Fuel piping 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 Phone: ( ) Fax: : ( ) Water heater Fireplace E-mail: Range tiVARAL' ',.,...„A. it•:-M.11."4:K‘i.4'v Barbecue Clothes dryer (gas) Business name:/ ---- , t 0 i L..--71-7,0 Other: Address: 977 s E i 7 7 • - •'N ,41,, M KM .qPi .„. . . , .. ,,, ,,,,,,..• , ,...,, igrailVit1M,YMMI ' - • City/State/ZIP: Vit,., `77ZZ, Subtotal 4 C 9 O / Minimum permit fee ($72.50) Phone: 6 ) a3_Gchi Fax: 3 ) 0 2 . 3 , 6 _ _ 97.? Plan review (25% of permit fee) CCB lic.: .-.5:.&-•.- State surcharge (8% of permit fee) g. TOTAL PERMIT FEE / Authorized signature This permit application expires if a permit is not obtained within 180 : 57 days after it has been accepted as complete. Print name: , ) 0/1 17/1/peT Date: y * Fee methodology set by Tri-County Building Industry Service Board i. \Building \ Permits \MEC-PerrnitApp.doc 12/03 440-4617T (11/02/COM/WEB) Mechanical Permit Application - City of Tigard r - , Page 2 - Supplemental Information Commercial Fee Schedule: A*,, R " °��.:�i � a � re + � �g..z. Tr o t a l Valua ibn i Perm><t Fe $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 .7 ( $ 1.80 for each additional $100.00 or / • / fraction thereof, to and including (Q $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) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST �/ VAN, Received Date Request° 7 z3 �` AM PM BUP Location (O&O 5 & JZ( Suite - L 6 4/-i 7/) Z n � � Contact Person Ph ( ) `� -4 rq / PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner efa'tcLi 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 1066* 7L Q 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 SAL - Pos Rough -In Gas Line ampers a l° PART FAIL TRICA L' - 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 i • pect — no access Fire Supply Line ' ADA ` Approach /Sidewalk Date #2.3A Inspector A �� ,4 Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING • Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST ,/ vUP - -.I ..-do J Received a 2 2 Date Reque d 4 / - 36 AM_____(;;) PM P ,ob - el, d fz.. Location �' 66 /-e-0 � Suite VMEC .dD1- 00/02, Contact Person y � Ph ( < F6 —a,s PLM Contr rtr r Ph SWR BUILD Tenant/Owner Opt-- C-6-20 ELC Footing ELC Foundation Access: �^ Ftg Drain �� � 444 5 f e iELR Crawl Drain Slab Inspection Notes: SIT Post & Beam C` a 12 7)/(-{it T v '��Z Shear Anchors Ext Sheath /Shear ' Int Sheath /Shear A ' CL4 _ fr-_ Framing Insulation iii i n ,, D l - ta.— 6 6 ® 7 CVA ) Drywall Nailing r i V. ! ,, Firewall /` C) 1 4 -- 0 co b _- ( , / �X , v C v _ La 1 Fire Sprinkler Fire.Alarm rJ V 7 /05 L.J. — 0 - i) 6e 1 C Susp'd Ceiling �,,�f n A�1 d E7 1 l Roof . � ( IN `� 26U - a! 0 Z C 2, ��/ 1� / ..- 4901 Lc--- 'o0LA -Go 21c ( dU® , �er-cJ, PART FAI a ' BING o $ (,/L 1 AAVi 2-00 Lid — CJ lJ 1 O 2- C/2_. 7 „.._, 'C : ` A..tS ) Post & Beam Under Slab Rough -In Water Service - ervice --- Sanitary Sewer l Rain Drains 4` / / \ / Catch Basin / Manhole / /(' Storm Drain Shower Pan / Other: r J Final ' L 41 FAIL ' ----- C f C 3 1=1 1 Post & Beam � � " Line Gas PV U 1 Gas Line (/ (.J i p S I • • - Dampers l t iiii40 PART FAIL G RICAL.- �M � ill Service 7 Y Rough -In UG /Slab Low Voltage Fire Alarm Final El 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 D ©� Ins ector //. 4.. = Ext Other p Other 1 Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL