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8335 SW COLONY CRE} C CT
CITY OF T I GA R d MECHANICAL_ PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2003-00479
13125 SW Hail Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/8/03
PARCEL: 2S1 12BB-01 300
SITE ADDRESS: 08335 SW COLONY CREEK C:T
SUBDIVISION: COLONY CREEK ESTATES ZONING: R-7
BLOCK: LUT: 009 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: 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: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS: 6
FURN >=100K BTU: <= 10000 cfm: GAS OUI'LETS:
> 10000 cfm:
Remarks: (In, hilus,one outlet to aler heater, ventint, t'urnace and water licatcr. ;1 IfInmhmP permit is required lin the water
healer.
Owner: FEES
MILLIGAN, JENNY M Description Date Amount
8335 SW COLONY CRI.EK CT
TIGARU, OR 97224 IMIA111 I'rrnnt I cc 8/8/03 $72.50
ITA\I Staley\ 08/C3 $5.80
Phone: 503-084-1004 1 _ Total $78.30
Contractor:
RICKS HEATING & COOLING
RICK STICKA
68F S 25TH COURT REQUIRED_ INSPECTIONS
CORNELIUS, OR 97113-7273
Phone: 503-649-4400 Gas Line Insp
Mechanical Insp
Reg #: LIC 57068 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 952-001-00
Issued By: Permittee Signature: —
Call (50 639-4175 by 7:00 P.M. for inspections needed the rtpxt business day
F011i OFFICE tISE ONLY
Mechaneal Permit ApplicationReceived Mechanic I
Date/By: 0 $ 03 PermitN GZ�3-ern_
It Of rrl ar� Planning Approval Building
J Date/By: Permit No
13125 SW Hall Blvd. Plan Review 01FICT -- -
Tigard,Oregon 97223 Date/By: Pcnmt No
Phone; 503-639-4171 Fax: 503-598-1960 Post-Review l and I"se
Date/By: Ca,e No
Internet: www.ci.tigard.or.us - -
g - _
- Contact - � lui��. 1 See Page 1 for -
24-hour Inspection Request; 503-639-4175 ame/Method: 1 Snn Icmental Information.
TYPE OF WORK _ COMMERCIAL FEE*SCHEDULE-UEE CIIECKLIST
❑ New construction Lo De litian Mechanical permit Res'are based on the total value of the work
performed, Indicate the value rounded to the nearest dollar of all
�✓]Addition/alteration/replacement ❑ Other: p ( )
_ CATEGORY OF CONSTRUCTION mechanical materials,equipment,labor,overhead and profit.
❑ 1 & 2-Family dwel ing Commercial/Industrial Value: S See Page 1 for Fee Schedule
❑ Accessory Building _Multi-Family RESIDENTIAL EQUIPMENT/SYSTEMS FEE*SCHEDULE
---
Description I__I Qty I Fee(ea.) I Total
_❑ Master Builder Other: Heating/Co lin
JOB SITE INFORMATION and LOCATION Furnace-add-on air conditionin •• I 14.00 14. n
Job site address_: 3 j S,W, Coo�r, Gas heat pump 14.00
Suite#: I Bldg./ Duct work 14.00
Project Name: 1r M I I I t(,I(,( h Hydronic hot water system 14.00
Residential boiler
Cross streedDirection.i t job site-? for radiator or h dronic system) 14.00
Fa n n o C f ee-�— N-1 b L 3 C<A On�l C T, Unit heaters(fuel,not electric)
in wall,in-duct,suspended,etc.) 14.00 _
Flue/vent(for any of above) 10.00 gyp, e
Subdivision: Lot#: Re air units _ 12.15
---- --- ---� Other Fuel A lienees
Tax map/parcel #: Water heater 10.00 lig
DESCRIPTION OF WORK _ Gas fireplace 10.00
CIA< r l JDL- Or)(2 CSU t LL"T' 1 G W PT( 'Z Flue vent(water heater/ as fire lac!) 10.00 16, 0
r / _
Log lighter as 10.00
Wood/Pellet stove 10.00
Wood fireplace/insert _ 10.00
Chimne /liner/tlue/vent_ 10.00
PROPERTY OWNER TENANT Other: v _ __10.00
Name: T Environmental Exhaust&ventilation
IS Address:
., i��—r` Range hood/other kitchen equipment 10.00
�i
Cit /State/Zi Clothes dryer exhaust 10.00
I —1 2 Single duct exhaust
P one t5t)3) - I CC Fax: (bathrooms,toilet compartments,
APPLICANT I LJ CONTACT PERSON utility rooms _ 6.80
Name: i 5TI C K Attic/crawl space fans 10.00
Address: > +� - Other: 10.00
Fuel Piping
City/State/Zip: C a(n P_hu< **($5.40 for first 4,$1.0 each additional
Furnace,etc. '+
Phone: q _q Fax: --- —L
Gas heat pump __ ••
E-mail: _ _ Wall/sus nded/u.iit heater __ - +•
CONT CTO� Water heater i ••
Business Nami Fireplace — ••
Address: Amaknob 01- S Z5 C7-, Range — — '•
Cit /State/Zi -_- < G ( BBQ — - — ••
Clothes dryer as ••
Phone: 4;p•' -14q Fax: Other: — -- - «•
CCB Lic. #: 0& _ —�- Total:
Authorised Mechanical Permit Fm* N
Signatures moi, r� Date: _ _— Subtotal: $
_
� ,d.1 �i S
�. Minimum Permit Fee$72.50 S �-
--ff i clt° 5 6'1/1 U v Plan Review Fee 25%of Permit Fee S
(Please print name) State Surcharge(8°6 of Permit Fee S
_ !_TOTAL PERMIT FEE S
Notice: This permit application expires if a permit Is not obtained Nithin *Fee methodology set by Trt-County Building Industry Service 06ard.
180 days after It has been accepted as complete. "Site plan required for exterior A/C units
r\Mts\Permit Forrns,MecPermitApp doe 01103
Mechanical Permit Anplicatiou - City of Tigard
Page 2 - Supplemental Information
_Commercial Fee Schedule:
Total Valuation:� Permit Fee:
$1.00 to$x,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 $148.5)for the first$10,000,00 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 (x)and up $742.00 for the first$50,000.00 and
$1.20 for each additional$100.00 or
fraction thereof.
Assumed Valuations Per Apj)liancel
Value Total
Description: _ Ea Amount
Furnace to 100,000 BTU,including 955
ducts&vents
Furnace>100,000 BTU including ducts 1,170
&vents
Floor furnace including vent 955
Suspended heater,wall heater or floor 955
mounted heater
Vent not included in appliance permit 445
Repair units 805
<3 hp;absorb.unit, 955
to 100k BTU
3-15 hp;absorb.unit, 1,700
101k to 500k BTU
15.30 hp;absorb.unit,501k to I mil. 2,310
BTU
30-50 hp;absorb.unit, 3,400
1-1.75 mil.BTU
>50 hp;absorb.unit, 5,725
>1.75 mil.BTU
Air handling unit to 10,000 ct'n 656
Air handling unit>10,000 cfm _ 1,170
Non-portable evaporate cooler 656
Vent fan connected to a single duct 446
Vern system not included in appliance 656
-permit
Hood served by mechanical exhaust656
Domestic incinerator 1,170
Commercial or industrial incinerator 4,590
Other unit,inch ding wood stoves, 656
inserts,etc.
(3as pi in 1-4 outlets 360
Each additional outlet 63
TOTAI.COMMERCIAL
VALUATION:
i.\I)sts\permit Forms\Mecl'ermitAppPg2.doc 01103
CITY OF TIGARD 24-Hour
BUILDING Inspection Liple: (503)639-4175
INSPECTION DIVISION Bus;ness Dills: (503)639-4171 MST
BUP ----------
Received -___ _ Date Requester__ � AM _ PM BUP _
Location ___ '2;, 3 - e�ati—Suite
Contact Person ___ _ Phil—) 30-(a PLM _—
Contractor _ Ph (-..___._ j _ _ _ SWR
BUILDING Tenant/Owner —-- --- CELDC
Footing ELC —
Foundation Access: /�
Ftg Drain L �\ ��'i'«-�' ELR —
Crawl Drain _ _ --
Slab Inspection Notes: � D�'�nSIT
Post& Beam
Shear Anchors O — --
Ext Sheath/Shear
Int Sheath/Shear V ---� ---
Framing
Insulation �� I I s f`k
Drywall Nailing / ' VVI�-4
Firewall vl.J� w 6
Fire Sprinkler
SusAlarm 1^^
usp'd Ceiling
Roof
Other — - ---.
Final
PASA PART— FAIL
PLUM81
Post Beam \ ��
Underr Slab
Hough-In ) --------------
Water Service
Sani,ary Sewer - —
Ra'O Drains - -
Catch Basin;Manhole /
Storm Drain
Shower Pan
Other: - --
�Fin i
FAIL
_dr� aL---
Post& Beam -
Rough-in
Gas Line
Sm_o Dampers _
final'
AS$ PART FAIL --- ------ - -- - --
A"JRWAL
Service
lt
Low Vo1
Low Voltage 1l .—� --_`--
Fire Alarm — --
[] Reinrypection fee of$ required before next Inspection. Pay at City Hall, 1:5125 SW Hall Blvd.
A ) PART FAIL
SI -� Please cal!fo 'relnspec�ton RE:__ Unable to inspect- no access
FireSupply LineADA
L
r
Approach/Sidewalk Date C ' Insp or �"�'? Ext
Other: /
Final DO NOT REMOVE this Inspection record f m the Jot�'si#e.
PASS PART FAIL