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Permit f - , t el • CITY OF TIGARD MECHANICAL PERMIT A24 1 14 . 1 1 A DEVELOPMENT SERVICES PERMIT #: MEC2001 -00135 „�! 131 SW Hall Blvd., Tigard, OR 97223 (50 639 -4171 DATE I 4/26/01 PAARCRC : 1 1 513 S1346C -00300 SITE ADDRESS: 12280 SW SCHOLLS FERRY RD SUBDIVISION: ZONING: C -G BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: U1 VENTS W/O APPL: VENT SYSTEMS: 1 STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: , MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: 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: Permit for venting for boiler. Owner: FEES BPP RETAIL LLC Type By Date Amount Receipt BY BURNHAM PACIFIC PROPERTIES PRMT CTR 4/26/01 $72.50 2720010000 ATTN: JOHN WATERS 5PCT CTR 4/26/01 $5.80 2720010000 SAN DIEGO, CA 92101 Total $78.30 Phone: Contractor: WANG PARK CONSTRUCTION 8540 N MOHAWK PORTLAND, OR 97203 REQUIRED INSPECTIONS Mechanical Insp Phone: 503- 289 -0193 Final Inspection Reg #: LIC 128290 • 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 -001.0_ .rough OAR 952 - 001 -0080. You may obtain copies of these rules or direct que tions to OUNC by calling (53)246 -9189. / Issue k • , ' - G[ SG�0 j Permittee Signature: ,t I Cd Call (50 ) 639 -4175 by 7:00 P.M. for inspections needed the next business day 4 • Mechanical Permit Application Date received: ! D Permit no.: ► {fie 9m /-OO/ 35' '.q i_ City of Tigard Project/appl. no.: Expire date: CiryajTigard Address: 13125 SW Hall Blvd, Tigard OR 97223 Date issued: By: Receiptno.: Phone: (503) 639 -4171 Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: Building permit no.: ❑ I & 2 family dwelling or accessory Commercial/industrial ❑ Multi - family 0 Tenant improvement 0 New construction Addition/alteration /replacement ❑ Other. JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE Job address: 1 2_Z : 4 s w .. „(l S F e _v -y r) Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: I Suite no.: / value of all mechanical materials, equipment, labor, overhead, Tax map /tax lot/account no.: profit. Value $ . Lot: IBlock: I Subdivision: 'See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. City /county: `T - 4 5tirei I ZIP: 41 a-3-; 1 & 2 FAMILY DWELLING PERMIT' FEE SCHEDULE Description and location of work on premises: AND COMMERICAL /INDUSTRIAL EQUIPMENTSCI EDULE Fee(ea.) Total Est. date of completion/inspection: Description Qty. Res.only Res. only Tenant improvement or change of use: HVAC: Is existing space heated or conditioned? 0 Yes ❑ No Air handling unit CFM space insulated? 0 Yes ❑ No Al conditioning rati fxi existing plan HVAC Is existing system g P Alterati of existing HVAC system MECIIANI CONTRACTOR Boiler /compressors kA.) State boiler permit no.: Business name: cox po HC, C...6 m S'F u IrC'F 1 cev► HP Tons BTU /H Address: g N ,Mnu\ tc Fire /smoke dampers/duct smoke detectors ` City: e> r -- ' State: j (2.. I ZIP: 4 C). y2, Heat pump (site plan required) Phone: ...\ ' I Fax: ° � - 0 fJi E - mail: Install/replace furnace/burner BTU /H CCB no.: g 2-1 39-5 - C� a Including ductwork/vent liner O Yes O No Instal Ureplace /relocate heaters - suspended, City /metro lic. no.: wall, or floor mounted Name (please print): Vent for appliance other than furnace ' / CONTACT' PERSON Refrigeration: Absorption units BTU/H Name: Chillers HP Address: Comyressors HP Environmental exhaust and ventilation: City: I State: I ZIP: Appliance vent Phone: Fax: E -mail: Dryer exhaust OWNER Hoods, Type I/ II/res. kitchen/hazmat hood fire suppression system Name: Exhaust fan with single duct (bath fans) Mailing address: Exhaust system apart from heating or AC City: State: I ZIP: Fuel piping and distribution (up to 4 outlets) Type: LPG NG Oil Phone: Fax: E -mail: Fuel piping each additional over 4 outlets Process piping (schematic required) Number of outlets Name: Other listed appliance or equipment: Address: Decorative fireplace City: I State: I ZIP: Insert-type Phone: I Fax: I E -mail: Woodstove/pelletstove Other: Applicant's signature: I Date: Other: Name (print): _ Not all jurisdictions accept credit cards. please call jurisdiction for more information. Permit fee $ - 7g 5 V O Visa O MasterCard Notice: This permit application Minimum fee $ Credit card number: / / expires if a permit is not obtained Plan review (at %) $ p Expires within 180 days after it has been State surcharge (8 %) .... $ • _ r O v Name of cardholder as shown on credit card accepted as complete. . $ TOTAL $ 78,60 Cardholder signature Amount 440 -4617 (6/00/COM) MECHANICAL PERMIT FEES E COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: FEE: Description: Price Total $1.00 to $5,000.00 Minimum fee $72.50 Table 1A Mechanical Code Qty (Ea) Amt $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and 1) Furnace to 100,000 BTU including ducts & vents 14.00 $1.52 for each additional $100.00 or 2) Furnace 100,000 BTU+ $10,000.00. fraction thereof, to and including including ducts & vents 17.40 $ $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and 3) Floor Furnace $1.54 for each additional $100.00 or including vent 14.00 fraction thereof, to and including 4) Suspended heater, wall heater $25,000.00. or floor mounted heater 14.00 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and 5) Vent not included in appliance permit $1.45 for each additional $100.00 or 6.80 fraction thereof, to and including 6) Repair units $50,000.00. 12.15 $50,001.00 and up $742.00 for the first $50,000.00 and Check all that apply: Boiler Heat Air $1.20 for each additional $100.00 or For items 7 -11, see or Pump Cond fraction thereof. footnotes below. Comp* " 7) <3HP;absorb unit to 100K BTU 14.00 ASSUMED VALUATIONS PER APPLIANCE: 8) 3 -15 HP; absorb Value Total unit 100k to 500k BTU 25.60 Description: Qty (Ea) Amount 9) 15-30 HP; absorb Furnace to 100,000 BTU, including 955 unit .5 -1 mil BTU 35.00 ducts & vents 10) 30 -50 HP; absorb Furnace > 100,000 BTU including 1.170 unit 1 -1.75 mil BTU 52.20 ducts & vents 11) >50HP: absorb Floor furnace including vent 955 unit >1.75 mil BTU 87.20 Suspended heater, wall heater or 955 12) Air handling unit to 10,000 CFM floor mounted heater 10.00 Vent not included in applicance 445 13) Air handling unit 10,000 CFM+ permit 17.20 Repair units 805 14) Non - portable evaporate cooler < 3 hp; absorb. unit, 955 10.00 to 100k BTU 15) Vent fan connected to a single duct 3 -15 hp; absorb. unit, 1,700 6.80 101k to 500k BTU 16) Ventilation system not included in 15-30 hp; absorb. unit, 501k to 1 2,310 appliance permit 10.00 mil. BTU 17) Hood served by mechanical exhaust 30 -50 hp; absorb. unit, 3,400 10.00 1 -1.75 mil. BTU 18) Domestic incinerators >50 hp; absorb. unit, 5,725 17.40 >1.75 mil. BTU 19) Commercial or industrial type incinerator Air handling unit to 10,000 cfm 656 69.95 Air handling unit >10,000 cfm 1,170 20) Other units, including wood stoves Non - portable evaporate cooler 656 10.00 Vent fan connected to a single duct 446 21) Gas piping one to four outlets Vent system not included in 656 5.40 appliance permit 22) More than 4 -per outlet (each) Hood served by mechanical exhaust 656 1.00 Domestic incinerator 1.170 Minimum Permit Fee $72.50 SUBTOTAL: $ Commercial or industrial incinerator 4,590 Other unit, including wood stoves, 656 8% State Surcharge $ inserts, etc. Gas piping 1-4 outlets 360 25% Plan Review Fee (of subtotal) $ Each additional outlet 63 Required for ALL commercial permits only TOTAL COMMERCIAL $ TOTAL RESIDENTIAL PERMIT FEE: $ VALUATION: Other inspections and Fees: 1. Inspections outside of normal business hours (minimum charge -two hours) $72.50 per hour. 2. Inspections for which no fee is specifically indicated (minimum charge -half hour) $72.50 per hour 3. Additional plan review required by changes, additions or revisions to plans (minimum charge-one-half hour) $72.50 per hour * State Contractor Boller Certification required for units >200k BTU. "Residential NC requires site plan showing placement of unit. is \dsts \forms\mech- fees.doc 10/11/00 r( ' L r BUP - Building Permit ELC - Electrical Permit 4 Inspection Description Date Passed By Inspection Description Date Passed By Footing /Setback Underground cover Foundation walls Wall cover Footing drain Ceiling cover Waterproof bsmt walls Electrical rough -in Slab Electrical service Crawl drain Electrical final Underfloor insulation Post/beam structural Shear walls /anchors ELR - Restricted Energy Permit Roof nailing 4 Inspection Description Date Passed By Firewall Low voltage Tilt -up panel Electrical final Masonry/Reinforcement Framing MFG - Structure set -up MEC - Mechanical Permit Insulation Drywall nailing 4 Inspection Description Date Passed By _ Post/beam mechanical Suspended ceiling Gas line Engineered soils Mechanical rough -in Welding Lab Final Concrete Lab Final Fire damper Bolting Lab Final _ Duct work Structural observation Smoke detector Fireproofing Lab Final Mechanical final 4i zed 6s 1e t) 2 r4 Final inspection 0 t Q2 PLM - Plumbing Permit BUP — Fire Protection System Permit Inspection Description Date Passed _ By Plumbing underslab J Inspection Description Date Passed By Crawl drain Sprinkler underfloor /slab Post/beam plumbing Sprinkler rough -in Plumbing top -out Sprinkler final RP /backflow preventer Fire alarm final Rain drain Storm drain Water service SIT - Site Permit Sanitary sewer Inspection Description Date Passed By Culvert/catch basin Footings Pump /fill septic tank Foundation walls Plumbing final Sprinkler supply lines Sprinkler underfloor /slab Catch basin/Manhole SWR - Sewer Permit Engineered soils 4 Inspection Description Date Passed By .Engineering acceptance Sanitary sewer Final inspection Final inspection Inspection Record - BUP, PLM, SWR, ELC, ELR, MEC, SIT Permits is \dsts\ forms \InspRecordBUP.doc 04 /17/01 CITY OF TIGARD MECHANICAL PERMIT y 147:1J1 , ,, DEVELOPMENT SERVICES PERMIT #: MEC2001 -00135 " 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: PARCEL: 1SI3 4/26/01 ARL 1 S134BC -00300 SITE ADDRESS: X60 SW SCHOLLS FERRY RD SUBDIVISION: C -G BLOCK: — / — LOT: JURISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: U1 VENTS W/O APPL: VENT SYSTEMS: 1 STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN > =100K BTU: < =10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Permit for venting for boiler. Owner: FEES BPP RETAIL LLC Type By Date Amount Receipt BY BURNHAM PACIFIC PROPERTIES PRMT CTR 4/26/01 $72.50 2720010000 ATTN: JOHN WATERS 5PCT CTR 4/26/01 $5.80 2720010000 SAN DIEGO, CA 92101 - Total $78.30 Phone: Contractor: WANG PARK CONSTRUCTION 8540 N MOHAWK PORTLAND, OR 97203 REQUIRED INSPECTIONS Mechanical Insp Phone: 503 - 289 -0193 Final Inspection Reg #: LIC 128290 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 -001 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct que tions to OUNC by calling -9189. '- J . Issue y: i'` ,_ a �'- ', Pe rmittee Signature: ,}�{ <- '/ — ' Call (50 175 by 7:00 P.M. for inspections needed the next business day