15990 SW BRENTWOOD COURT i
15990 SW Brentwood Court
CITY OF I ICARD _l MECHANICAL PERMIT
PERMIT#: MEC2.002 00148
DEVELOPMENT SERVICES
DATE ISSUED: 4/15/02
13125 SW Hail Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S111CD-04800
SITE ADDRESS: 15990 SW BRENTWOOD CT
SUBDIVISION: SUMMERFIELD NO.9 ZONING: R-1
BLOCK: LOT: 507 JURISDICTION:_ TIG
CLASS OF WO?K: 01-R FLOOR FURN. EVAP COOLERS:
rYPE. OF USE: SF UNIT HEATERS: VENT FANS:
OCCJPANCY GRP: R3 VENTS W/0 APPS. VENT SYSTEMS:
STORIES: BOILERSICOMPR_ESSORS HOODS:
FUEL TYPES _ 0 - 3 HP: 1 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: CLO DRYERS:
FURN < 100K BTU: AIR_ HANDLING U14ITS _ OTHER UNITS:
FURN >=100K BTII: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Replace 9xisting a/c unit.
Owner: FEES
PAUL MILES Type By ^ Date Amount Receipt
15990 SW BRENTWOOD CT PRMT CTR 4/15/02 $72.50 2720020000
TIGARD, OR 97224 5PCT CTR 4/15/02 $5.80 2720020000
Total $78.30
Phone:503-624-2105
Contractor:
SERVICE NOW OF OREGON INC
404 SE SEAVEPCREEK RD #22l?
OREGON CITY, OR 97045 REQUIRED INSPECTIONS _
Cool-ng Unt Insp
Phone:655-7558 Finr,i Inspection
Rag#•LIC 0110214
This permit is issued subject to the regulations contained in the Tigard Municipai Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plEns. This permit will expire if work is not started within 180 days of 3suance, or if work is suspended
for more than 180 days. ATTENTION: Orpryon law requires you to follow rules adopted in the Oregon
Utility Notification Center. -Those rules are set forth in OAR 952-001-0010 through OAR
952-00'1-0080. -Yop may obtain copies of these rules or direct lquestions to OUNC y calling
(�.rl 17dR-U1RQ
ISS By, Permittee Signature: �C z `
Call (503) -4175 by 7:00 P.M. for inspections needed the next business day
Mechanical Permit Application
Date received: 4 pa" Permit no.:/Cee q-q .J/Y
%,ity of Tigard RECEIVED Project/appl.no.: Expire date_
Cltygr igard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.
Phone: (503) 639-4171 —
Fax: (503) 598-1960 Case file no.: I Payment type: —
W I Ou i IUAII U Building permit no.:
Land use approval - nn
ki 1 & 2 family d�r accessory U C011111 lcrc•a1/111dustrial U Multi-family U Tenant improvement
U New construction 13(Addition/alteration/replacement U Other:'11119311 11116111MV _
1
Job address: 1 r gg n _ _R _ Indicate equipment quantities in boxes below. Indicate the dollar
Bldg.no.: Suite no.: _— value of all mechanical materials,equipment,labor,overhead,
profit.Value$
Tax map!tux IoUar..ount no.:
Lot: block: Subdivision:_ `Sec checklist for important application information and
jurisdiction's fee schedule for residential permit far.
Project name:
City/county: Tigard — ZIP: 97224 — _
Description and location of work on pre'nises:---—
17�r)1 Ftee(rtn.) Told
Est.date of completion/inspectio,. �IJ-02--_ Des ' '" t . Rea.onl Rea.only
Tenant improvement or change of use: Air handling unit CFM
Is existing space heated or zonditioned?U Yes U No ircon iuoning(site an required).
Is existing space insulated?U Yes U No Iteration of existing C system
o er compressors
State boiler permit no.:
business nano: Service Nuw of Oregon __ HP __Tons- BTI/H
Address: 4 A 54 Bea ve {� __ Fire/smoke dam tier smo a elector s
City: or a9prt �' rc,rA, State: ZIP: *1Qd� eat pump(site plan reguire—�—
r Fax. E-mail: nsta Ilrep acefurnac urner,__
503 Phone:655-75af3 - Including duetwork/vent liner U Yet U No
CCB no.:110nsta rep ac re ocatc heaters-suspended,
City/metro lic.no.: �62 wall.or floor mounted _
Name(please print): Vent I'm appliance
other than furnace
Refrigeration:
Absorption unitsBTU/11
Chillers,_ HP
;ia,tte: thy- — Com iressors tip
Add1^ss _ �,nr rnamenU ex utit wn iron t uu:
City: State: — ZIP: AppLance vent _
Phone: Fax: �E-moil: )ryerexhaust __—
s, ype res. itc c azmat
KAM hood fire suppression system --- ---
Name: Paul Miles EKhaust fan with single duct(bath fans) _
x aunts stem n art from eaun or AC
Mailing address: _— ue piping an st ut on up to 4 outiets)
City: State: ZIP: Type: I.PO No Oil
503 Phone: Fax: E-mail: ue piping 1 eac a dilTnaf-over out ets
rocesi piping(sc emat c require )
Number of outlets
Name: _ ter Ilded appliance or eqa pmene
Address: _ Decorative fireplace
City: _ State: ZI Insert-type
Woodstove/pellet stove
Phone: Fax. Email: Otfier.
Applicant's signatur gate: ".- Otber.
_
Natnc (print): __=�—L- -----
_ Pen»it fee.....................$ _
Na all jurimicrlom wcgw credit cards,pieax call)urioction for rtttxe infornwion.
Notice:'1TtiS permit application Minimum fee................$
U Vjaa U MasterCard expires if a pe.rinit is not obtained Plan review(at __ %) $ _—
Credit card number --.------ -—�---1- - within 190 days after it has been -_
t xM1Ye State surcharge(896)....$
L
-Nrurte c o air uu Chown rm credit cid accepted as complete.
$ TOTAL .......................$
-- �ard'roider rtgr.aturc _-- — Amuant 440461I WOWOM)
y I
MECHANICAL PERMIT (FEES
COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE:
TOTAL VALUATION: PERMIT FEE: Description: price -To-tai
$1.00 to 55,000.00 - Minimum fee$72.50 Table 1A Mechanical Code Oty (Ea) Amt
$5,001.00 to$101000.00 $72.50 for the first$5,000.00 and 1) Fumace to 100,000 BTU
$1.52 for each additional$100.00 or Including ducts&vents 1400 -
fraction thereof,to and including 2) Furnace 100,000 BTU+
_ _
$10,000.00. Includingducts&vents 17.40
$10,001.0 0 to$25 000..G:1 $148.50 for the first$10,000.00 and 3) Floor Furnace
$1.54 for each addlUonal$100.00 or Including vent 1400
fraction thereof,to and including 4) Suspended heater,wall heater
$25,000.00. or floor mounted heater 14.00
$25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not Included in applianr4 permit
$1.45 for each additional$100.00 or _ _ 6.80
fraction thereof,to and including 6) Repair units _
$50,000.00. 12.15
$50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boiler Heat Air
$1.20 for each additional$100.00 or For Items 7.11,see or Pump Cod
fraction thereof. footnotes below. Cornp ••
Minimum Permit Fee$72.50 SUBTOTAL: $ 7)<3HP;absorb unit
to 100K STU 14.00
8%State Surcharge $ 8)3-15 HP;absorb
unit 100k to 500k BTU 25.60
25%Plan Review Fee(of subtotal) 9)15-30 HP;absorb
__Required for ALL commercial permits only _ unit.5-1 mill BTU 35.00
TOTAL COMMERCIAL PERMIT FEE: $ uni 30-50 HP;absorb
unit 1-1.75 mil BTU 52.20
11)>50HP;absorb
unit>1.75 mil BTU 1 87.20
ASSUMED VALUATIONS PER APPLIANCE:_ 12)Air handling unit to 10,000 CFM
Value Total 10.00
13Af
Des�Uon: Qt" all Amount ) r handling unit 10,000 CFM+ 17.20
Furnace to 100,000 BTU,Including 955 14)Non-portable evaporate cooler
ducts&vents 10.00
Furnace> 100,000 BTU including 1,170 15)Vent fan connected to a single duct
ducts&vents _
Floor furnace Includingvent 955 _ 8.80
Suspended heater,wall heater or 955 -- 16)Ventilation system not included In
floor mounted heater appliance permit 10.00
Vent not included In applicance 445 17)Hood served by mechanical exhaust
Lpermit 10.00
Repair units _ 805 18)Domestic incinerators
--- 17.40
<3 hp;absorb.unit, _ 955
to 100k BTU 19)Commercial or Industrial type incinerator
3-15 hp;absorb.unit, 1,700 69.95
101k to 500k BTU 20)Other units,Including wood stoves
15-30 hp;absorb.unit,501k to 1 2,310 10.00
21itoutlets
mil.BTU )Gas piping one o four
5.40
30-50 hp;absorb unit, 3,400 �^ _
1-1.75 mil.B'fU 22)More than 4-per outlet(each)
_ 1.00 _
>50 hp;absorb.unit, 5,725 Minimum Permit Fee$72.50 SUBTOTAL: a
>1.75 mil.BTU _
Afr handling unit to 10,000 cfm 658 -
Alr handiin urg It>10_000 chn _ 1,170 B•/.State Surcharge a�
Non-portable evaporate cooler 656 _ _ -
Vent fan connected to a single duct 446 TOTAL RESIDENTIAL PERMIT FEE: $
Vent system not Included in 656 _
a Ilance ermit
per' '- - s Other In pections and Fees
Hood served ne ator mechanical exhaust 170 __ 1 Inspections outside of normal business hours(minlrnum charge-two how s)
Domestic incinerator _ 1,170 $62.50 per hour
Commercial or industrial Incinerator 10 590 2 Inspections for which no fee is specifically indicated (minimum charge-hall hour)
Other unit,including wood stoves, 856 $62.50 per hour
Inserts,etc. 3 Additional plan review required by changes,additions or revisions to plans(minimum
Gas piping 1-4 outlets 380 charge-one-half hour)$62.50 per hour
Each addirJonal.)Utlel 63 _ *State Contractor Boller Certification required for units>200k BTU.
TOTAL COMMERCIAL /Residential AIC requires site plan showing placement of unit.
VALUATION: _ _ _ _ __ All Now Commercial Buildings require 2 sets of plans.
OxIstslformslnrec hopes doc 12/26/01
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CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 i MST
INSPECTION DIVISION Business Line: (503)639.4171 BUP
� — --
Received —_ --Date Re uested" �, �SLY AM__� ._ PM _ BLIP p�
Location _ U —_ '_�1cZ_w_ ---Suite--___ <11�IE�C
Contact Person ____ _____ Ph( —) PLM
Contractor_.—__ _ —_ _-_-- Ph( ) S—ZS:d SWR _
BUILDING—__-_
Tenant/Owner ELC
__.
Footing ELC
Foundation Access:
.r�
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes:
GC..•, SIT -- - - —
Post&Beam _- _ _
Shear Anchors Je
Ext Sheath/Shear _
Int Sheath/Shear
Framing
Insulation
Drywall Bailing
Firewall 1Z. U CJ
Fire Sprinkler �-��-�`---- -- -
Fire Alarm
Susp'd Ceiling
Roof
Other: --
Final
PASS PART FAIL ------ ------..- - _------------ --
PLUMBING
Post& Beam ^�
Under Slab ------ ---- -- --
Rough.In
Water Service -_ -- - ---
Sanitary Sewer
Rain Drains -
Catch Basin/Manhole
Storm Drain --
Shower Pan
Other: --�
Final
PASS PART FAIL ---------
MECHANICAL
Post& Beam
Rough-In --- _. ---------- -
Gas Line
Smoke Dampers --- -- --- - ---- - -- -----
n
S$ PART FAIL - - - -- -—- -------- -- - -- ---------
RICAL
Service - - --
Rough-In ----
UG/Slab
Low Voltage ----- --.._ --- - - --- - - ----
Fire Alarm
Final L] Reinspectlon fee of$ required before next inspection. Pay at City Hell, 13125 SW Hall Blvd.
PASS PART FAIL
SITE___ ] Please call for reinspection RE: __ --_ _--__�_ -_ _ Unable to inspect-no access
Fire Supply LineC
Approach/Sidewalk Date ? / y' Inspector v C�_-_ El[t� `
Other:
Find — — DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL