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11540 SW GREENBURG ROAD i I N 1-� I I � t I .w� o17q FILL COPY CITY OF TIGARD February 25, 1999 OREGON Michael Estoda 11540 SW Greenburg Rd. Tigard, OR 97223 Re: Permit MEC95-0013 issued for a mechanical installation at 11540 SW Greenburg Rd. Dear Michael Estorja� Our records indicate that the required inspections for the permit MEC95-0013 have not been completed and app.,oved as required by Section 113 of the State of Oregon One and Two Family Dwelling Specialty Code. Please call within 30 days and schedule an inspection of the work for which permit MEC95-0013 was issued. You can leavf.a message requesting an inspection on our 24- hour inspection request line at 639-4175. I"you prefer you can call me directly at 639- 4171 extension 414. I am often away from my desk so please leave a detailed message and I will return your call at soon as possible. Sincerely, Warren Jackson Building Inspector 13125 SW Hall Blvd., Tigard, OR 97223(503)639-4171 TDD(503)684-2772 CITY MJF TIGAR© COMMUNITY DEVELOPMENT DEPARTMENT I"ILLHONICAL 13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)839-4171 F-E R I'l 1 1 PL RIvI IT #. . . . . . . (-.,:2'9-4171 DATE ISSUED: 01/11 /9' PARCEL: I T E AD D R F I 1540 SW GREE'NBURG RD UBD 1 V I S i ON. 111 LLE R ZONING.- F-4. 5 LOT. . . . . . . . . . . . . LASS UF W0I`iK. • :IqE'W F71,-OOR T=URN. . . . : EVAP COOLERS: 6-'1:. (jc" U',4-. . . SIP UIq IT HEATERS. VENT FANc_). CLLJP(4IqL."Y UPP, R12 VENTS W/o VE14T SYSTEMS: TUR I L�.,. . . . . . . POILERS/COMPRESSORS HOODS. . . . . . . : UEI_ TYPLG lZi-3 , . . . DOMES. INCIN- /ci A Ij/ 3-15 VIP,. . . . LOMMIL. ll\IL,'IN: AX INPUT : PTU 15 -"3'0 1 IF PEPAI R UNI FS RL DAMPS R.Ij 71. 30-50 VIP. wuoDsmVLJ. . - WS V:-R[.' )SURL. 30+ I II-'. . . . C:LO DRYERD. U. OF UNITS-- AIR HANDL..I NG UKI I TS OTHER UNITS. URN ( 100K 51u.., i 1o"A00 f-Jm : GAS OUTLEI ',. : 1 JRN ) =:1140K 1? L.1: 10000 cfm : ThISIf"it-LINIC; (;'?A5) LINE' P--ELc AM CAPTL*R ffl a'.I n t by (J,�1. (1 rec P ItAIII :iW 6REENBURG R! VIRMT I ai'5. 00 BLT 01 / 1 1 IUkRD OR, ft I LAI / I LS I'O'T(41- REQUIRED INLJ'LGFIONS -is pewit is issuer, subject iect to the regulations cintained in the F ini-il 1nrper:i-. ioi, Bard Munic..nal Code, 5tate of 01-P. Sperillty Codes and all '.cher -P:Icab' Al; I . I.,_ -- ie laws. Al work will be done ir ac7crdrce with ,.Drl)Ytd plans. This pent will e.4pire i,1 :.ark is not started .Chrl 180 days of iss,�arce, or if work is suspended for sort r 180 days. ;S'.lefj t�v 1. 11 fol, i ti s piec,t j tin 6.2,19-41 13 City of Tigard MECHANICAL PERMIT Planck/Rec. # ii., 13125 sw Han Blvd. APPLICATION Permit # ince yo/3 Tigard, OR 97223 a`v' (503) 639-4171asGription \ ` Table 3A Mechanical Code QTY PRICE AMT .lob 1) Permit Fee -0- -J- 10.00 Address Ap - 2) Supplemental Pef!nit 3.00 Furnace to J-BT'T---•- / Z� 1) incl. ducts d vents 6.00 - //,, 7� umaca + Ow.ger :-) t 2) incl. ducts&vents 7.50 1 ooruF rnance 3) incl. vent 6.00 uspeneater,wa leateT- — 4) or floor mounted heater 6.00 gn not mcT to --- - Occupant 5) appliance porTnit 3.00 Repair o eating, re n—f g:--- - 6) cooling,absorption unit 6.00 ter or comp.. hoarpump,Flt-con . ( 7) to 3 HP:a bsorp ini'to LOOK BTU 6.00 Taro comp,Fid-Pump,iiir car. ` U 8) 3-15 H?; absorp unit to 500K BTU 1100 Contractor _ -1337, _—_ er u�comp,TieaT-pump, aim 9) 15-30 HP;absorp unit .5-1 mil BTU 15.00 R.9-N.— •'N. —Fifer or comp, eat pump,air cond- 10) 30-50 HP;absorp unit 1 1.75 mil BTU 22.50 er-eTiy ac owfe gad @ that I have rea is apTpTanon, that e Boiler or comp, ea pump, ai ren . -! information given is correct, that I am the owner or authorized agent 1 1) >50 HP;absorp unit 1.75 mil BTU 3750 of the owner, that plans submitted are in compliance with State it hart-Jing unit to -- - ` laws, that I am registered with the Construction Contractor's Board, 12) 10.000 CFM 4.50 that the number given is correct. (It exempt from State registration, —man-& u-rni--•---- — please give reason below.) - 13) 10,000 CTM+ 7.50 Non porta e - -- 14) evaporate cooler 4.50 en Tan connecTecT - -- 151 to a single duct 3.00 �-Venu auon systsim not — -_ 16) included in appliance permit 4.50 l /� �.� 17) mechanical exhaust 4 50 e cri worknew addition alt erauon repair Commercial o'T rmc'FFustit al— to be done rpsidentialA nonresidential Q 18) type incinerator 3000 xis-ngus---T---- �71her ia.;wocesiove; W5 eF r---- building or property / �' 19) Beater, solar, cluthes dryers,etc. 450 Proposed use of /I ,� J �hLt -- 20) Gas piping one to four ou�ets - - 200 building or property---�'aiL]r� -- — -- Type of fuel -oil Q natural gas 21) More t n 4-per outlet � LPC Q electric Q — —-- NOTICE Minimum Fee$25.00 SUBTOTAL 5 PERMITS BECOME VOID IF WORK OR CONSTRUCTION - —�-"-- - AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE IF CONSTRUCTION OR WORK IS SU! 72NDFD OR - ------ -- - ABANDONED FOR A PERIOD OF i80 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL AFTER WORK IS COMMENCED. -- - -- -- TOTAL Special Conditions -- --_ — Date issued _by _ k*MFGNPMT vadraM.r CITYOF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2003-00537 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9/3/03 PARCEL: 1 S135DB-06000 SITE ADDRESS: 11540 SW GREENBURG RD SUBDIVISION: MILLER ZONING: R-4.5 BLOCK: LOT: 006 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: BOlk.ERS/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: OD GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR _HANDLING UNITS CS: OTHER UNITS: FURN —100K BTU: <- 10000 cfm: - > GAS OUTLETS: 10000 cfm: Remarks: t hi, hirmiL c rci laccment. Owner: — _ —-- �- --— FEES�— BENEA, RENE & ANDREEA Descriptiun Date Amount 11540 SW GREENBURG RD TIGARD, OR 97223 JIM1,('ill I'crmit Fee 9/3/03 — N$72.50 I AXI x",,StateTax 9/3/03 $580 Phone: 503-341-8495 Total $78.30 Contractor: OWNER REQUIRED INSPECTIONS Phone: Heating Unt Insp Final Inspection Reg #: This permit is issued ;ubject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicabl s 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 for,tb�UAR 952-001-00 Issued By: �' Permittee Signature: <" Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day Mecbrynical Permit Application ` ' liammifferin �■ �- Received Mechanical DaPermit No.: )ICC 34'"x'3 7 City 4T1 and NOISIAIGONldllnf, Planning Approval Building Tigard C7F you�O Alin Date/B : _ PermitNo.: 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 / Date/By: Permit No.: Phone: 503-639-4171 Fax: W598496g3,' Post-Review Land Use Internet: www.ei.tigard.or.us Date/By: - Cue No,: (13 24-hour Inspection Request C�9�4"1 7,6`^ Contact J see Page 2 for Name/Method: /6 1 Supplemental Information.diAe EYPE O,IS•,. W11-1 _New con3truction_ Demolition Mechanical permit fees*are based on the total value of the work EJ Addition/ terratio e lacement Other: performed. Indicate the value(rounded to the nearest dollar)of all M'r�' + �— �,, mechanical materials,equipment,labor,overhead and profit. 1 &2-Family dwellin �!Commercial/Industrial value: S See Page 2 for Fee Schedule Accessog,Building __ Multi-Family Master Builder Other: Dei Qty I Fee ea. Total _ Hentin Coolln Jt� IN • BION d LO�A,'1-ON Furnace=add-on air condi_tionin ** 14.00 �- Job site address: 1 15 ti C) � Llj ' trt""he t pump _ — 14.00 Suite•#: Bldg./Apt.#: Duct work 14.00 Project Naine: H dronic hot water system 14.00 Cross street/Directions to job site: Residential boiler for radiator or h dronic system) 14.00 Unit heaters(fuel,not electric) in wall in-duct suspended,etc. 14.00 Flue/vent for any of above 10.00 Subdivision: - —�Lot#: Repair units 12.15Other Puei Apj itlances _ Tax ma / arcel #: Water heater �— 10.00 RK. ` ' Gas fireplace 10.00 r s Flue vent water heater/ afir lace _ _ 10,00 _ L CV � Log lighter as _ 10.00 _ Wood/Pellet stove 10.00 Wood fireplace/insert 10.00 Chimney/liner/flue/vent 10.00 Other: -- 10.00 Name: ' y;,�/, cG �j�,�•, s cvit�inmettiall£xhhusl&VentllsNoh: Address: Range hood/other kitchen equipment _ 10,00 Clothes dryer exhaust 10.00 City/State/Zip: %cAX'f 0- 1.3 - Single duct exhaust Phone: =,yi• ��_�: FttX: (bathrooms,toilet compartments, QAV1WW_ ,4'?MFJ1C ,AST MEMO im utility roomer 1 6.80 Name: Attic/crawl s ace fans 10.00 Address: Other. 10.0(1 City/Stattr''ZLIP_ _ "*($5,40 for first 4,$1.00 each additional Phone: Fes; Furnace,etc.. - •* - -- -- F mail Gas heat um «• _ _ --- -- Wall/suspended/unit heater +* _ Water heater +* -- BUStriesS Name: Fireplace +* -- - ----- Address: RangeBBQ ** Cit /State/Zt : _ Clothes dryer(gas) *+ Phone: Fax: Other: _ "+ CCB Lic. #: _ Total: - Authorized �Mechanica) erMitNees+ _T _ Signature: _ _ Date: Subtotal: SMinimum Permit Fee$72.50 $ )- -- _ Plan Review Fee(25%of Permit Fee). S (Please print name) State Surcharge(8%of Permit Fee S 5 J TOTAL PERMIT FEE S F, 7 Notice: This permit application expires If a permit Is not obtained within "Fee methodology set by TH.County Building Industry service Board. I80 days after It has been accepted as complete. "Site plan required for exterior A/C units. i:DstsTermit Dorms\MecPermitApp.doc 01/03 Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valustoon: I Peradi Fee: $1.00 to S5,000.00 _ Minimum fee$72.50 $5,001.00 to 510,000.00 1 $72.50 for the first 55,000.00 and$1.52 for each additional$100.00 or fraction thereof,to and including S 10 000.00. 510,001.00 to$25,000.00 $148.50 for the first 510,000.00 and $1.54 for each additional$100.00 or fraction thereof,to and including $25,000,00. 525,001.00 to$50,000.00 $379.50 for the first 525,000.00 and $1.45 for each additional$100.00 or fraction thereof,to and including $50,000-00. $50,001.00 and up $742.00 for the first$50,000.00 and $1.20 for each additional$100.00 or fraction tLereof. Ayi�U>iCied VRIUa Ons Per A Is nee: -- ---� Value lutal Description: Ea Amount Furnace to 100,000 BTU,including 955 ducts&vents Furnace>100,000 BTU including ducts 1,170 &vents Floor rumace 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 I00k BTU 3.15 hp;absorb.unit, 1,700 101k to 500k BTU _ 15-30 hp;absorb.unit,501 to I mil. 2,310 BTU _ _ 30-50 hp;absorb.unit, 3,400 1.1.75 tail.BTU >50 hp;absorb.unit, 5,725 >1.75 mil.BTU _ Air handling unit to 10,000 cfm 656 Air handling unit>10000cfm 1,170 _ Non-portable evaporate cooler _ 656 Vent fan connected to a single duct 446 ^ Vent system not included in appliance 656 permit Hood served b mechanical exhaust 656 Domestic incinerator 1 170 Commercial or industrial incinerator 4 590 _ Other unit,including wood stoves, 656 inserts,etc. doa piping 1-4 outlets 360 Each additional outlet 63 TOTAL COMMERCIAL ,:„f ; : $ —-- VALUATION: ' ;:: 0DstsTermit Fottns\MecPetmitAppPg2.doc 01/03 CITY OF TIGA,RD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171BILIP — Received _- _ _ r)ate Requested _ �" AM PM BLIP Location ____ . Suite_ _ MEC 3 -60 3 Contact Person Ph( ) �{ 9.� PLM Contractor ..--.-- Ph(-)._ __ SWR BUILDING Tenant/Owner __ ___ -_ ELC _ Footing EL.0 _ Foundation Access: Ftg Drain ELR Crawl Dmin Slab Inspection Notes: SIT Post& Beam Shear Anchors - Ext Sheath/Shear Int Sheath/Shear Framing --- - -------- ---- Insulation Drywall Nailing - -Firewall 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 RT FAIL ear Jz TED Gas Line Smoke Dampers &-RICAL )PART FAIL -- - - -- - - - _ _ Service Rough-In UG/Slab Low Voltage - -- - -_-_�.. ------_-- Fire Alarm Final C Reinspection fee of$—_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. _PASS _PART FAIL_ SITE_ - r� Please call for reinspection RE: --- Unable to inspect-no access Fire Supply Line ADA / _ Approach/Sidewalk C�t� � ?� Inspector _- Other: Final DSO NOT REMOVE this Inspection record frow the job site. PASS PART FAIL.