14131 SW CHEHALEM COURT i
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CITY OF TIGARD BUILDiNG INSF`FC ('ION DIVISION
MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -
�., B U P _—
Date Requested. ��l AM _PM _ v ___ F3LD
LocationJqJ3=1_5cd __ G= Suite — MEC �-
Contact Person — � h-��t►+�- _ Ph LU�J 8��� _ PLM
Contractor••---- — -- - Ph T� ---- SWR --_
BUILDING — Tenant/OwnerELC — ----- --
Retaining Wall _ ELR - —_
Footing Access'
Foundation FPS __--- ---
Fig Drain SGN
Crawl Drain Inspection Notes: ------ --- --
;lab -___- _—__— — SIT _
Post& Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Sus,,'d Ceiling -
Roof
Misc. --- -- _.
Final , rra a r�G�/
PASS PART FAIL - ------_._ --._ --77—
PLUMBING
Post& Bejm
Under Slab _
Top Out
Water Service
Sanitary Sewer ;
Rain Drains
Final
PASS PART FAIL
Post R Beam - - -- --
Rough In 4L
Gas Line - - -- --- - -
Smoke Dampers
SS PART FAIL_
EL RICAL --
Service _-
Rough In
UG/Slam
Low Voltage
Fire Alarm _—
Final
PASS DART FAIL - - - -- - - -— -SITE
Backfill/Grading - ------ --
Sanitary :fewer
Storm Drain ( ]Reinsoection fee of$ _ . — required before next inspection. Flay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ]Please Cai for reinspection RE:_ — ( ]Unable to inspect no access
ADA
Otheoach/Sidewalk Date 7-/;7-el Inspector , --__—Ext _Z_4�3_
Final
PASS PART FAIL DJ NOT REMOVE this inspection •ecord from the job site.
CITY OF T I G A R D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2001-00252
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 07/11/2001
PARCEL: ')S104BB-05800
SITE ADDRESS: 14131 SW CHEHALEM CT
SUBDIVISION: r,-�STLE HILI. ZONING: >.-25
BLOCK: LOT: 009 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VEN'r FANS:
OCCUPANCY GRP: R3 VEi4TS W/O APPL: VENT SYSTEMS:
STORES: _ BOILERS/COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
3 - 15 HP: COMML. INCIM:
MAX INPUT: BTU 15 -30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: — AUR HANDLING UNITS _ OTHER UNITS:
FURN >=100K BTU: 10000 cfm: GAS OUTLETS:
10000 Cf m:
Remarks: Installation of exterior A/C. Can iot be placed in required setbacks.
Owner: FEES
DOE,GORDON KAM + ANGELA H Type By D-.,te Amount Receipt
14131 SW CHEHALEM CT PRMT C1R 07.11/20( $72.50 2.720010000
TIGARD, OR 97223 5PCT CTR 07/11/20( $5.80 2720010000
Phone:
rota) $78.30
Contractor:
BELL HEATING
(GREG MILLETT)
15550 SE PIAZZA AVE _ REQUIRED INSPECTIONS _
CLACKAMAS, OR 97015 Mechanical Insp
Phone:656-1184 Cooling Unt Insp
Reg#:LIC 447 Final Inspection
PLNi 3-286PB
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-0 1-0010 through OAR 952-001-0080.
You may obtain c190es of these rules or direct questions to OUNC by calling (503)246-9189.
Issue By: Q ._ 'r 1�. Permittee Signature: Al'
Call (503) 639-4175 by 7:00 P.M.for Inspections r eeded the next business day
Mechanical Permit Apprijon
"Dateeived: (] Permit no j -e-r)-S
ally Of Tigard Projecdappl,no.: Expire date:
City nfTigard Address: 13125 SW Hall Blvd,Tigard,Q �77A — — —
Faxon(503 )98-i 96071 � \N O�Vf``\QME�batc issuedCase file o•.: Payment typnceeipt no.: —
C4MM�N -
Land use approval: _ Building permit no.:
U I &2 family dwelling or accessory U Commercial/industria U Multi-family J'Tenant improvement
U New constnlcti,m U Addition/alteration/replacemenl U Other:
Job address: � C'\ Indicate equipment quantities in boxes below. Indicate the dollar
Bldg.no.: Suite value of all mechanical materials,equipment,labor,overhead,
Tax map/tay lot/account no.: profit.Value$
Lot: Block: Subdivision. _ *See checklist for important application information and
Project name: !,-�jCx; �Abjj jurisdiction's fee schedule for residential fernit fee.
City/county: zlr:
Description a��tt�WI beat' n of work n premises:. o l
L- Ia)kiai Ot►� Ot�j ,W ",tA-N Fee(ea.) rrrral
Est.date of completion/inspection: ( J Dewriplion Qty. Res.only Res.ortll
Tenant improvement or change of use: `
Is existing space heated or conditioned?U Yes U No Air handling unit CFM
nconditioning r )
Is existing space insulated?U!'es U No tcration MeisttingVACsystem
oiler compressors
Bu iness name: State boiler permit no.:
HP Tons BTI 1/14
Address: Firetsmoke clampers/due(smoke detectors
City: Stat ZIP: eat pump(site plan required)
Phone:&5(0Fa E-mail 001 Ail nsta rep ace urnac urner /
CCB no.: Including ductwork/vent liner U Yes U No Install,rep ac re ocate heaters-stlspen e
City/metro lic.no.• wall,or floor mounted _
Name( lease tint): Vat for apgliance other than furnace
I gerat on:
Absorption units BTU/H
Name: Chillers HP
Address: `
Compressors lip
State Z(P: Av ronmenta ex oust an vent at on:
Cit
YC Appliance vent
Phone: Far E-mail: r erex aunt
Hoods, :,pe res. itc a azmat
hood fire suppression system
P:amc: _ Exhaust fan with single dc,::(bath fans)
Mailing address: 7)t SLJ
x taus)syste�m a�a_rt nom ea n or
City: State: ZIP: opiping n-iTg�nddlst`Tr 1►st oe up to out ets)
Type: LPG NO -- Oil
Phon 6', 5qo— Fax F-mail: -ue piping each additienal over 4 outlets
rocas,piping(sc ematic required)
- Number of outlets
Narne. — — ter appliance or equipment:
Address: _- _ Decorative fireplace
"ity tate: ZIP: nseT n-type
.,me: -mail: on stov pe et stove
( er.
Ap,,licant's signature. a - other:
Nam' (Print): \ -- o
Not ail jurisdictionsacceld 1,card,,please call jurisdiction Im mom W;;;iot,. Permit fee...... ..............$ LA1—
U visa U Masts ,1 Notice:this permit application Minimum fee................$
expires if a permit is not obtained
Credit card number ._v-. --_-- / / Plan review(at 96) $
Exp.res within 180 days after 1t has been
State surcharge(8%)....$
--- � accepted as complete.
None at cardlroldrr n drown on credit card
Can'Mder signature Amowi— W4617(&OWMM)
MECHANICAL PERMIT FEES
COMMERCIAL FEE SCHEDULE: 1 &2 FAMILY DWELLING FEE SCHEDULE:
TOTAL VALUATION: FEE: Description: F-ice
I Total
$1.00 to$:,000.00 Minimum fee$72.50 TEble to Mechanical Code Qty (Ea) Amt
$5,001.00 to$10,000.00 $72.50 for the first$5,000 00 and 1) Furnace to100,000&Ytints 14.00
0 BTU
$1.52 for each additional$100.00 or Including ducts 6 _
fraction thereof,to and Including 2) Furnace 100,000 FITU+
$10,000.00. Including ducts S tents 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
fracti(n thereof,to and Including 41 Suspenued heater,wall heater
$25,000.00. or floor mounted heater _ 14.00
$25,001.50_to$5__0,000.00 $379.50 for the first$25,000.00 end 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
_
$50000*00. 12.15
$50,001.00 and up $742.00for the first$50,000.00 and Check all that spply: Boiler Heat Air
$1.20 for each additional$100.OG or For Items 7-11,see or Pump Cond
fraction therecf. footnotes below. Comp*
7)<3HP;absorb unit /
ASSUMED VALUATIONS PER APPLIANCE: to 100K BTU 1 14.00
Value -Total 8)3-15 HP;absorb
unit 100k to 500k BTU 25.60
0o3cription: Qt (Ea) Amount 9)15-30 HP;absorb -
Furnace to 100,nOn 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&vents11)>50HP:absorb
Floor furnace Including vent 955 - unit>1.75 mil BTU 87.20
Suspended heater,wall heater or I 955 12)Air handling unit to 10,000 CFId
floor mounted heater _ 10.00
Vent not included In applicance 445 13)Air handling unit 10,000 CFM+
ermit _ _ _ 17.20
Re air units 805 1A)Non-portable evaporate cooler
<3 hp;absorb.unit, 955 _ 1000
to 100k BTU 1°)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 zppliance permit 10.00
mil. 1TU _- _ - 17)Hoo('served by mechanical exhaust
30-,`0 h,);absorb.unit, 3,400 10.00
1-1.75 nil.BTU -
>50 hp;absorb.unit, 5,725 18)Domestic incinerators
17.40
>1.75 mil.BTU 19)Commercial or Industrial type incinerator
Air handling unit to 10,000 cfm 658
89.95
Air handling unit>10,000 cfm 1,170
20)Other unitsIn
Non-portable evaporate cooler 658 , ciud!ng wood stoves 1000
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 exhaL.St 656 1.00
Domestic indnefatur _ 1 170 _ Minimum Permit Fee$72.50 SUBTOTAL.: [,A -
OtherCommercial or industrtai!ncinerstor 4,590 t $ l,A-
Other unit,Including wood stv,ds, 656 8%State Surcharge
Inserts,etc.
J•
Gas piping 1.4 outlets - _ _ 360 ----- .-- - --�-
Each additional outlet 63 25/.Plan Review Fee(of subtotal) $
---- - - Required for ALL commercial permits only
TOTAL
VALUATION:COMMERCIAL TOTAL RESIDENTIAL PERMIT FEE: $
Mar Ins a ton and Fees:
1 Inspections outside of normal h•-siness flours(minimum charge-two tours)
$72 50 per tour.
2 Inspections for which no fee is spec:rinally Indicated (minimum charge-half tour)
$72 50 per hour
3 Additional plan revie,-r required by changes additions or revisions to plans(minimum
charge-one-half hour)$72.50 per hour
State Contractor Boller Certification required for un!ts>200k BTU.
""Residential A/C requires site plan showing placement of unit.
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503/G56-7511 't�a l' 360/256-1184
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GAS and ELECTRIC FURNACES
SERVICE - REPAIRS - AIR CONDITIONING
GENERAL SHEET ME iAL
15550 S.E. .`1azza Avenue Clackamas, Oregon 97015
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