10040 SW CENTURY OAK DRIVE 0
0
0
N
n
ro
c
O
d
U
10040 SW Century Oak Drive
CITYOF TIGARD _ NECH,4NICALPERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2002-00446
13125 SW Hall Bivd., Tigard, nR 97223 (503) 639-4171 DATE ISSUED: 10/11/02
PARCEL: 2S 111 CC-0560C
SITL ADDRESS: 10040 SW CENTURY OAK DR
SUBDIVISION: SUMMERFIELD 'ZONING: R-7
BLOCK: LOT: 079 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: V EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 ENTS W/O APPL: VLNT SYSTEMS: 1
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL. TYPES S _ 0 3 HP:� DOMES. INCIN:
L_I'G 3 15 HP; COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS
FIRE DAMPERS?: 30 - 50 HP:
GAS PRESSURE; 50 + HPWOODSTOVES:: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 1
FURN —100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Remarks: Vent and pipe stove/fireplace.
Owner: _ --- - —_...--FEES
GUNZENHAUSER, ROBERT G + MARIA E Description _ Date Amount
10040 SW CENTURY OAK DR
TIGARD, OR 97224 INIEC'II] hermit Fee 10/11/02 $72.50
IMCCII] Permit Fee 10/11/02 $0.00
IT'AX] 8%,State I'ax 10/11/02 $5.80
Phone: I1 AX] 8%,StateTax 10/11/02 $0.00
Contractor: Total $78.30
SUBURBAN@HOME
6014 NE 112TH AVE.
PORTLAND, OR 97220 REQUIRED INSPECTIONS
Phone: 303-257-5438 Gas Line Insp
Mechanical Insp
Reg #: 143335 Misc. Inspection
Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility N911fication Center. Those rules are set forth in OAR 952-001-0010 through OAR
952- 1-0100. Yo may obtain copies of these rules or direct questions to OUNC by calling
(50 248-6699. ..
Iss ed 13y: ' Z' Permittee Signature: yt,
Call (503 639-4175 by 7:00 P.M. for inspections needed the, ext :nisine'ss day
jl
s
Mechanical Permit Applicotion
Date received:/p 'r%J Permit no.:I-f d,
Cityoan `
f Tigard_�, y v Project/appl.no.: FBA-I&I
x ire date:
Ctf o Tt d *Address: 13125 SW Balls �R 223 /'
� l 8anPhone: (503) 639-4171 i Date issued: Receipt no.:
Fax: (503)598-1960 '� Case file no,: Payment type:
Land use approval: 11 , r i, Building permit no.:
TYPE OF
1 &2 family dwellinf or accessory O Commercial/industrial U Multi-family U Tenant improvement
- New construction 0 Addition/alteration/rcplacement J
tt ATE INFORMATIONt tSCIIEDULE
Job address: CJ �J V l' Indicate equipment quantities In boxes below.Indicate the dollar
Bldg.no.: Suite no.. value of all mechanical materials,equipment,labor,overhead,
Tax map/tax lot/account no.: profit.Value$
Lot: Block: Subdivision: 'See checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit fee.
City/county: ZIP: t
ULF
Description and to ation of o k on pre ices:
Pcc(ca.) Inial
Est.date of completion/inspection: d Dexyi od Qty. Rcw.onh Rc�_onty
Tenant improvement or change of use:
Is existing space heated or conditioned?U Yes U No Air handling unit CFM _
Airconditioning(site lan requtrc ) _
Is existing space insulated?L7 Yes 0 No I Alteration of existing HVAC system
MECHANICAL CONTRA(I'M o er compressors
Business name: ` (,cyl !� State boiler permit no.:
HP Tons_ BTU/H
Address: L ire smo c ampere sect smoke electors _
City: ' StatZIP:C ` cat pump(sue plan required)
Phone: Fax i E-mail: Install/replace urnace urner
Including ductwork vent liner ❑Yes U No
nsta rep ac re ocate eaters-suspended.
City/metro wall,or floor mounted
Name(please print): j �'J Vent for app lance other than furnace
Refrigeration:
PERSON
Absorption units BTU/1!
Name: Chillers __ HP - .-
Address: — Com ressorsHF' —
.nr ronmenla ex must anti vent at on:
City: State: ZIP: Appliance vent
Phone: Fax: E-mail ryerex aust
Hoods,Type res. tc a azmat
+ hood fire suppression system
Name: bblo ` Exhaust fan with single duct(bath fans)
Mailingaddn ►/L ' ' ` Exhaust system aart from eatin or AC
Cit �-� ' State IP: � a�-( Fuelpiping andistribution(up to outlets) 5.q0 Y _ Ty l.l c; NO __ Oil 4�%
Piton _ % I Fax: E-mail: Fuel piping each additional over A outlets
rocas piping(sc ematic required) _
Number of outlets
Name: _ ter 11.1ded app ance or equipment:
Address: Decorative fireplace _
City; State: ZIP: Insert- type
Phone: Fax: E-mail: oo stove/pellet stove
Ot er.
Applicant's signature lj —� ate: (� E� ter:
Name (print):'-p ( r1.1-IN
Not all Jurisdiction$accept credal cards,please coal jurisdiction for mate In&w on. Permit fee ................$
(]Visa V MasterCard Notice:This permit application Minimum feeee................$
expires if a permit is not obtained plan review(at %) $
Credit card number:------- -- Expires/ -- within 180 days alter it has been ,
State surcharge(896) $ trT
Nmne o-- (car—hd o cfi—er as s own on credit card $ accepted as complete. "�
TOTAL .......................$ �,
-- Cardholder signature Amount 440-4611(rsR WOM)
Commercial Schedule
18.2 Family Dwelling Schedule
ASSUMED VALUATIONS PER APPLIANCE
Description
Furnace to 100,000 BTU Table 1A Mechanical Code city Price Total
including ducts&vents 955 1) Furnace to 100,000 BTU
g Including duds a vents 14.00
Furnace>100,000 BTU 2) Furnace 100,000 BTUr
Including duds a vents 1740
Including ducts&vents 1,170 3) Floor Furnace - �-
floor furnaceInd"d-ng vent -- 14'00
4)Su --.
spended healer,wall healer
Including vent 955 or floor mounted heater 14.00
suspended heater,wall heater 5) Vent not Included Inappliance orrmit 6.80
or floor mounted heater 955 a Repair units 12 15
Chock all that apply 'Boiler Heat AX
Vent not Included In appliance permit 445 For nems 7.10,see or Pump Gond city Price Total
Repair units 805footnotes 1,2 Comp ••
7)-:311P,absorb unit to
<3 hp;absorb.unil 10oK BTU _ 14.00
to 100k BTU 955 Book nolle 0k BTU unit 25.60
31-1C hp;absorb.unit 9)15.30H .aTbsorb-
unit b-1 mil 81 35.00
101k to 500k BTU 1700 10)30SoHP,absorb - -- -� --
---•- unit 1.1.75 mil BTU 52.20
15-30 hp;absorb.unit 11)>50HP,absorb unit X1.75 mil BTU
501k to 1 mil.BTU 231087.20
12)Air handling unit to 110,000 CFM
30-50 hp;absorb.unil 1000
19)Air handling unit 10,000 CF-- -
1-1 /5 mil.BTU 34001 17.20
14)Non-portable evaporate cooler
>50 tip;abstxb.unit 10.00
>1.75 mil.BTU 572515)Vent fan connected to a single dud
-i� 6.60
Air handling unit to 10,000 cfm 656 16)Ventilation system not Included In
appliance Air handling Unit>10,000efm 1170 17)Hood served brmit 1000
E ymechanlu .sl
.
Non-portable evaporate culler 656 18)Domestic Incinerators to.00-
vent fan cunnecled to a single duct 446 17.40
1g)commercial or industrial type Inclnerstoi
Vent syst.not Included in appliance permit 656 e9.e5
Hood served by mechanical exhaust 656 20)Other units,Including wood stoves
- _. 1000
Domestic incinerator 1170 21)Gas piping one to four outlets -�
5.40
Commercial or Industral Incinerator 4590 22)Mom than 4-per outlet(each)
Other unit,Includingwood stoves,Inserts,etc. 656 1.00
Mlnlmilnl Permit as 72.80 UOTO
Gas piping 14 outlets 360 8%SU4CHAROE
Each additional outlet 63 PLAN REVIEW 25%or SUBTOTAL
Required for ALL commercial permits only
TOTAL
Other inspections and root
1 Inspedmons ounde or rrmnol huOWS%noun(mrnhnum charge hvn hours)
$77 50 pr hour
7 Intrrect-t 1.W-4,re,ice h speui.un,vd.uled Invnrmw,+durg•.hon hair.i
rQ ,V�u♦Itian Fee J t/t sg per Iran
Addnimal pan rav4w repmad M rJurges.addnrmt or reHt,mt In plans(rrunxrknn
---- -._--- durgoa"hae hour)it7 so pw Mur
-State C ttsdor eoaer Ceneicalron"uoed
S1.00 to$5,000.00 Minimum$72.50 "nesdenhal AIC requoet one non UvvvAng placemoni or and
55,001.00 to 510,000.00 f $72.50 for(fie first$3,000.00 and$1.52 for
each additional$100.00 or fraction thereof,
to and including$10,6100.00
$10,001.00 to$25,000.00 $148.50 for Tile first$10,000.00 and$1.54
for each additional$100.00 or ffaction
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 tach additional$100.00 or fraction
thereof,to and including$5C,000.00
550,000.00 and Lip $742.00 for the first$50,000,00 and$1.20
for each additional$100.00 or fraction
thereof
CITY 4F TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST
INSPECTION DIVISION Business Line: (503)639-4171 BLIP
, , / PM BLIP — L
Received Date R jested._—I AM d� —
Q Q � Suite MEC
Location __— PLM
Contact Person �` �1i 'J---- Ph( )
,_ Ph( ) SWR
Contractor - ELC
BUILDING TenanyOwner ELC �---
Footing
Foundation Access: ELR
Ftg Drain SIT
Crawl Drain
Slab Inspection Nates:
Post&Beam ----- -"_--�-
Shear Anchors ----------------
Ext Sheath/Shear
Int Sheath/Shear --- - - �—
Framing --
!nsulation C, j
Drywall Nailing
Firewall CC
Fire Sprinkler
Fire Alarm r
Susp'd Ceiling / lC7 e V1 ►V` u�
Root _ l
Other:
Final -------
p
_----
pASS PART FAIL
PLUMBING
Post&Beam
Under Slab --
Rough-In
Water Service - -
Sanitary Sewer _
Rain Drains -
Catch Basin/Manhole -
Storm Drain - -
Shower Pan ---
Other. --__ --- --
Final -- - --- __�---
_PAS5_ PART FAIL- ___-__--------
M_ECHANICAL - - ---
Post& Beam _
Rough-In
Dampers
'SASS )PART FAIL -- " -
_ R_ICAL
Service _ ----
Rough-In ---- -
UG/Slab
-----------
Low Voltage -- ---
Fire Alarm
Final Reinspection fee of$—.-.•--- --required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL - Unable to inspect-no access
Please call for reinspection RE:
_-----
Fire Supply Line
ADA 61.2 (- O l- _ Insp�etor Ext
Approach/Sidewalk Dab_
Other: 00 NOT REMOVE this Inspestlon record from the fob site.
Final
PASS PART FAIL