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Permit
CITY TIGARD MECHANICAL PERMIT PERMIT #: MEC2002 -00351 *III DEVELOPMENT H BMENg Tigard, SERVICES 639 -4171 DATE ISSUED: 9/5/02 PARCEL: 2S101 DC -04000 SITE ADDRESS: 07550 SW TECH CENTER DR 220 SUBDIVISION: ZONING: I -L BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: 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: 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: Mechanical tenant improvement Owner: FEES RREEF Type By Date Amount Receipt 720 SW WASHINGTON ST STE 710 PRMT CTR 8/26/02 $72.50 2720020000 PORTLAND, OR 97217 PLCK CTR 8/26/02 $18.13 2720020000 5PCT CTR 8/26/02 $5.80 2720020000 Phone: 503-295-5555 Total $96.43 Contractor: PRECISION AIR 19840 S REDHOUSE RD MOLALLA, OR 97038 REQUIRED INSPECTIONS Gas Line Insp Phone: 829 -2400 Mechanical Insp Reg #: LIC 138730 Mechanical Insp Final Inspection 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 -0 -0080. You ay obt.'n copies of these rules or direct questions o UNC Iling mnf 74R —Q1 RQ Iss a By: • • j _ � �I� o/ Permittee Signature: K Call (503) 6 !4175 by 7:00 P.M. for inspections needed t xt buaness y 417-4,, r !� .I �l ./! _ CJ // / e..J '' - FOR OFFICE USE ONLY Mt hanieal Permit Apcatlon /� � Received � / Mechanical 22 J �L Date/B �/ir Permit No.: ��Ct- � -2 J 40G Planning Approval Building -4- City of Tigard i Test Form, ?0/12 Q , Date/B • Permit No. 13125 SW Hall Blvd. !�Ep1j Li'% Date/B Review Other o .: 1' Tigard, Oregon 97223 �'�! � ,1 Post- Review Land Use Phone: 503-639-4171 Fax: 503 - 598 -1960 I t pop Date/B • Case No.: Internet: www.ci.tigard.or.us eel II - '� Contact Juns • ® See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 '"'� W Name/Method• Su lemental information. ' TYPE OF WORK COMM IAL FEE* SCHEDULE - USE CHECKLIST Lh Add i construction [11 Demolition Mechanical perm f ees * are b ase d on th e tot va o th e wor tion/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: $ 0. 000 See Page 2 for Fee Schedule El Accessory Building CI Multi-Family RESIDENTIAL EQUIPMENT /SYSTEMS FEE* SCHEDULE P Description I Qty I Fee(ea.) I Total ❑ Master Builder ❑ Other: Heating/Cooling JOB SITE INFORMATION and LOCATION y� Furnace - add - on air conditioning 2k 14.00 Job site address: - 7,5 — ...10 S� 1ZG// G - b / ?. Gas heat pump 14 00 Suite #: ,'N) I Bldg. /Apt. #: Duct work j/ 14.00 Project Name: P,e6 i , U2 C 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 Repair units 12.15 Subdivision: Lot #: Other Fuel Appliances Tax map /parcel #: • Water heater 10.00 DESCRIPTION OF WORK ' Gas fireplace 10.00 . Flue vent (water heater /gas fireplace) 10.00 , I Log lighter (gas) 10.00 Wood/Pellet stove 10.00 Wood fireplace/insert 10.00 Chimney /liner /flue /vent 10.00 ❑ PROPER Y OWNER I ❑ TENANT Other: 10.00 / �Igc Environmental Exhaust & Ventilation Name: ,� / j Range hood/other kitchen equipment 10.00 Address: >A�// . g( 7/D Clothes dryer exhaust 10.00 City /State /Zip: r u ©p_ 77 ,-/ Single duct exhaust Phone: Fax: (bathrooms, toilet compartments, ❑ APPLICANT ❑ CONTACT PERSON utility rooms) 6.80 Name: p/2 ec/j/o ../ 4-[ K TA-re - Attic /crawl space fans 10.00 Other: Address: )(3.2 90 ' ,2cD�o u. )e-L) Fuel Piping City /State /Zip: ,'11OLA 1.14 / D /E- 'no 3 P ($5.40 for first 4, $1.00 each additional) ** Furnace, etc. I X ** Phone: Z 9' Z /oa Fax: Gas heat pump ** E -mail: Wall /suspended/unit heater ** CONTRACTOR Water heater ** Business Name: Fireplace ** Address: Range ** BBQ ** City /State /Zip: Clothes dryer (gas) ** Phone: Fax: Other: ** CCB Lic. #: 1387 3Q Total: _ Mechanical Permit Fees* / Subtotal: $ A uthorized 8//2/02— _ Minimum Permit Fee $72.50 $ Signature Date: Plan Review Fee (25% of Permit Fee) $ State Surcharge (8% of Permit Fee) $ —.7'/M 6 /2% i TOTAL PERMIT FEE $ (Please print name) Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information 'b - 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 $ 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 B1 U 15 -30 hp, absorb. unit, 501k 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: CITY OF TIGARD 24 -Hour BUILDING 1 Inspection Line: (503) rvIST INSPECTION DIVISIOI Business Line: (503) 639 -4171 BUP o 6- b 3 4f Received Date Requested / / d AM PM BUP a -00 v� Q Location 7 3 7 Suite 2 MEC — d d 337 Contact Person COUP) 7 W\ Ph ( ) 3+1(-6069( PLM Contractor � �1 Ec) Ph ( ) g.?`9 - c;• 0z) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear / ,Q Framing 7 � ea ded C e, / / /Vl S ? /t f' z'� G( vo.AS T C 6;47 Insulation P Drywall Nailing eCeca Pr tea , O C �GveCj Firewall 17 CA Fire Al- ii sp'd Ceiling Oth • PASS ART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final P FAIL ECHANICAL Post &Beam Gas Line Smoke Dampers F PASS ART FAIL RI CAL 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 inspect - no access Fire Supply Line ADA q - 26 - Approach/Sidewalk Dat Inspector 6 67 u( e 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 41 INSPECTION DIVISION Business Line: (503) 639 -4171 MST I BUP ,T' 3 o 2 -4-o 3 �/ Received Date Requested / ° - AM PM BUP d0 -35" Location 75 sw 'Tea Suite 2 7---a 2rb tT 2. -- - `- Contact Person Ph ( ) 3/1_-93z7 tf` = : '� Contractor Ph ( ) S - Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Qom -, , 6, 4;444 ij ceieC7?e i c e`l L , ►�°`�_ Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firgwall re Sprinklers Fire Alarm Susp'd Ceiling A ll°P Roof • • :r: m� ;'PART FAIL PL = ING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final P L ME ICAL -11 Rough -In Gas Line Smoke Dampers _i = PART FAIL 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 ❑ Please call for reinspection RE: 111 Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date 10 // / V 2 _ Inspector I V Ext Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL