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Permit C ITY OF TIGARD MECHANICAL PERMIT *A, DEVELOPMENT SERVICES PERMIT #: MEC2004 -00365 -- ��' I - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 63 - DATE ISSUED: 6/10/2004 PARCEL: 2S 110BA -06300 SITE ADDRESS: 14227 SW VISTA VIEW CT SUBDIVISION: SHADOW HILLS NO.2 ZONING: R -2 BLOCK: LOT: 046 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: LPG 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: 1 Remarks: Gas piping to pool heater and 1 outlet. Owner: FEES BROWN, KEVIN R AND MARY E Description Date Amount 14227 SW VISTA VIEW CT [MECH] Permit Fee 6/10/200 $72.50 TIGARD, OR 97224 [TAX] 8% State Surchart 6/10/200 $5.80 Phone: Total $78.30 Contractor: BLUE MOUNTAIN POOLS 14235 SW STEELE PORTLAND, OR 97236 REQUIRED INSPECTIONS Phone: 503 Gas Line Insp Final Inspection Reg #: LIC 23950 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 - 001 -0100. You may obtain copies of these rule . rect questions to OUNC by calling (503)246 -6699. Issued By: ' Permittee Signature< Call (503) 639 -4175 by 7:00 P.M. for inspections needed the ext business da Mechanical Permit Application FOR OFFICE USE ONLY A _ City of Tigard Da Y �a ��j'' Permit No fl C)a0 1 .-100 . �5 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie Phone 503.639.4171 Fax: 503.598 1960 / 1.4y \ D am Other Permit: Inspection Line: 503.639.4175 i l lI y w Date Ready/By: El See Page 2 for Internet: www ci.tigard.or.us Nottfied/Method / t/� Supplemental Information TYPE OF WORK . COMMERCIAL FEE *, SCHEDULE — USE CHECKLIST Mechanical permit fees* are based on the value of the work ❑ New construction ❑ Additio alteration/ eplacement I , / 0c ns ,d % performed. n Indicate , the equipment, (rounded to the nearest and lar) of all ❑ Demolition Othe r• !/ .�f � C. J mechanical maeria, t rit, labd, a rfi CATEGORY OF CONSTRUCTIO Value $ �� �— ❑ 1 and 2 dwelling RESIDENTIAL. EQUIPMENT / SYSTEMS FEES* y g ❑ Commercial /industrial ❑ Accessory building For special information use checklist ❑ Multi family ❑ Master builder ❑ Other Description Qty Ea. Total . • JOB SITE INFORMATION AND LO TION Heating/cooling Job site address: / 2� Air conditioning or heat pump 7 � c � / ��(,� c--1, (requires site plan showing placement) 14.00 City/State/ZIP: Furnace 100,000 BTU (ducts/vents) 14 00 Furnace 100,000+ BTU (ducts /vents) 17 90 Suite/bldg. /apt. no.: I Project name: 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 hydronlc) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc 10.00 Subdivision: I Lot no.: Flue /vent for any of above 10.00 Other 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK tt Water heater 10 00 pr i l t Gas fireplace 10 00 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 ❑ PROPERTY OWNER I ❑ TENANT Chimney /liner /flue /vent 10 00 � �© u i / V Other 10 00 Name: Environmental exhaust and ventilation Address: Range hood /other kitchen 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: Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Address: Furnace, etc Gas heat pump City/State /ZIP: Wall/suspended /unit heater Phone: ( ) Fax: ( ) Water heater Fireplace E -mail: Range CONTRACTOR © Barbecue Business name: �.J / / Y io (,L tl J ►.0 f ( _2 i Clothes dryer (gas) �/ _ — Other fr .'F pE l Address: (V3� S V ! MECHANICAL PERMIT FEES* City/State/ZIP- ff.14O /2- �2- Subtotal _ Minimum permit fee ($72 50) lc_ SD Phone ) 7&f, — . s / ' Fax: ( ) Plan review (25% of permit fee) CCB lic.: 23 State surcharge (8% of permit fee) S TOTAL PERMIT FEE 7 tom. J Authorized Slgnatu (� ��' This permit application expires if a permit is not obtained within 180 � days after it has been accepted as complete. Pnnt name: 'VO7.9 S 4 I Date: —M--657 7 . Fee methodology set by Tn- County Building industry Service Board m i \Building\Peuts \MEC- PermiiApp doe 12/03 440 -4617T (I I /02 /COM/ / WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information a . „ Commercial Fee Schedule: .:Total Valuat►on• �;� „�`�yPerm><t�F.ee ��°s�s s=�,<: $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 ix 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 -Hour r 7 BUILDING Inspection Lin = - .`(503) 639 -4175 INSPECTION DIVISION Business.Lin; (503) 639 -4171 MST Received Date Requested O — Af r o AM PM BUP Location _ Suite ,ig% .46.6 -DV 36,r Contact Person . Ph ( ) PLM Contrac or Ph ( ) B 1il� Tenant/C - - Y� LC ,,,, et Dd,3.3 Footing 6 3 q 7 a_7 ELC Foundation Access: Ftg Drain ' (1 O e ELR Crawl Drain C Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear , . Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler J' Fire Alarm bD� Susp'd Ceiling Roof _ Oth= Jam . . -. , -. . - . PASS PART FAIL • - - - R.. • :ING Post & Beam - Under Slab Rough -In j e r Water Service Sanitary Sewer W.'''''''' Rain Drains Catch Basin / Manhole Storm Drain --.�.- Shower Pan Other: Final P T FAIL ECHANI L ` _ ' Post& Beam i 0. X° Rough -In Gas Line Uy- S moke Dampers, Oft ` RT FAIL FI'AL v Service (� Rough -In U 6 UG/Slab Low Voltage � Fire Alarm \I (1i' al ro PART FAIL Reinspection fee of $ required before ne spection. Pay at City Hall, 13125 SW Hall Blvd. SITE ❑ Please call for reinspection E / Unable to inspect — no access Fire Supply Line " ADA Approach/Sidewalk Date 0 - Inspector Ext Other: Final DO NOT REMOVE this inspection record fro the job site. PASS PART FAIL