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13425 SW GENESIS LOOP I ��11a I N W N Ln U7 E c7 CD CD 0 t- 0 r- 0 0 ti 1 i ,i i i � I dool SISSN' D MS SZ17:T r.-. CITE' OF TIGARD MECHANICAL PERMIT [DEVELOPMENT SERVICES PERMIT#: MEC2002-00025 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/15/02 PARCEL: 2S103DB-02200 SITE ADDRESS: 13425 SW GENESIS LP SUBDIVISION. GENESIS ZONING: R-4.5 BLOCK: LOT: 018 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR TURN: UVAP COOLERS: TYPE OF USE: SF UN T HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENT. W/O APPL.: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS_ _ HOODS: FU_FL TYPES 0 - 3 HP: J DOMES. INCIN: (;AS 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 H_ANDLINC UNITS OTHER UNITS. 1 FURN >='IOOK BTU: <= 10000 cfm: v > GAS OUTLETS: 10000 cfm: Remarks: Installation of gas fireplace insert. Owner: -- FEES ROBBINS,BRADFORD R + NANCY K Type By Date Amount Receipt 13425 SW GENESIS LOOP 5PCT CTR 1/15/02 $5.80 272002000C TIGARD, OR 97223 PRMT CTR 1/15/02 $72.50 272002000C Total $78.30 Phone: -- - Contractor: HOME FIRE STOVE 1695 ST NE SALEM, OR 97301-1370 REQUIRED INSPECTIONS— Mechanical Insp Phone:503-364-6339 Final Inspection Reg 9:LIC 48630 This permit is issued subject to rhe regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will exp're if work is not started within 180 days of issuance, or if work is suspended for more than 1 F days. ATTENTION: Oregon law requiro.is you to follow rules adopted in the Oregon Utility Notification Gen'.er. Those rules are set forth in OAP. 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling l�fl'�17dR_Q1AQ , � � s� Issue 8y: Gf.r�L Permittee Signature: (_t Call (503)6739-4175 by 7:00 P.M. for inspections needed the next business day a Mechanical-Permit A+,pplicat en Date received: / �. Permit no.:NEC 9,b -040 City of Tigard Project/appl.no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By4j�> Receipt no.: I Phone: (503) 639-4171 Fax. (503) 598-1960 Case file no.: Payment type: Land use approval: Buiwmg permr no.: =&2cfamtirly dwelling oraccesso-. U Commercial/industtial U Multi- amily U Tenant improvement ction U Adr/ition/alteratuon/replacement U Other: F&I I Ull j 0 1 LIU 10 UIII a Job address:/ //,:�� '5. 1,,) (' 1tj")_") , e`{ J Indicate equlpnic„t quantities in boxes below.Indicate the dollar Bldg,nn.: j I Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value$ Lot: Block: Subdivision: *See checklis, for important application information and Project name: jurisdiction's fee schedule for residential hrrnniI fcc. City/county: ZIP: EE � Description and location of work on premises: C ILK [vv(ea.) Total Est.date of completion/inspection: i t ;y Ilkstri ion ONY. Res.only Res.only Tenant improvement or change of use: Tron nit CFM Is existing space heated or conditioned?CJ Yes ❑No ng(site pan require ) Is existing space insul:ded?U Yes U N( xlsttngHVAC ysiernssors Stale boiler permit no.: Business nuns E 77t a .t 2(1 t� ALJ ___ lip Tons BTUH Address:16• C /V, C ­1105- a ampers uct smoke actectotfi _ City' ' StZIP: .?el Heat purap(sne plan require ) _ Phone: . L•4-4.>.5 y IFax:34• -/CS Email: nsta replaceurnace urner /} 1 ---— Including ductwork/vent Inner U Yes U No CCB no.: C Install/rep acre orate heaters-suspends City/metro lic.no.: — wall,or floor mounted Name(please print): I�; Vent fora iance other than furnace e i je al on: Absorption units--- BTU1" Name: Chillers Hp Cum ressors IIP Address: -,nv ronmenta ex us'an ventilation: City: --J—s —tate: ZIP' Appliance vent Phone: Pax: E-mail: 7;fl aust _ — ypc f/ res. ttc et azmat suppression system Nance: /J r_cL6t� )�ti.t Le /L e "/' . ,�a--' an with single duct(bath fans) _ L Mailing address: !j ,7 �� �1 ' stem a art from teaun or C City , tate, : ZIP: / 7—,� 's' ng an n- on(t.p to out ccs)tl LPGNG (.)il Phone: b ,. Fax: ' -6t'�'t E-mail: b r y �'c _'.' ueac a Toone ever 4 outlets Process piping T-7ematicrequired) Number of outlets Name: t er c app or eqpm—T--enl: Address: _ Decorative fireplace City: State: ZIP: nsert--type -� Phone: ax: ail: oo sto^ pe et stove — Applicanl's signature: �t, f. i -Bate: C ,� t t er: Name (print): N't NL k Int !u I i 1N -5 Not all)udadktlow;rep reedit cards,please cut)urirli.aon fm more lnfartna8on. Permit fee.....................$ 0� 552. U boa U MasterCard expire: {n permit not obtain Minimum fee................$ Ordit csd number: __ _.___-�� _ expires if n permit a not as a en Plan review(ret _ %) $Stat pap Re— within I NO days after it has been -- Worst of c Iden.�i shown on c t— , t c�— - accepted as complete. TO ALsur ..... . (8�1. ..$ — S TOTAL ..... ...... .........$ �_ Cardholder signature Amount 446-0:7(6MWOM) MECK" ';ICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: _PERMIT FEE: Description: _ J~ Price Total $1.00 to$5,000.00 Minimim fee$72.50 Table 1A Mechanical Code Qb' (Ea) Amt $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Furnace to 100,000 BTU $1.52 for each additional$100.00 or includingducts&vents 14.00 fraction thereof,to and including 2) Furnace 100,000 BTU+ $10 ,000.00. including ducts&vents 17.40 $10,001.00 to$25,000.00 $148.50 for the first$10,000.01.and 3) Floor Furnace $1.54 for each additional$100.00 or Includingvent 14.00 fraction thereof,to and Including 4) Suspended heater,•v-ill heater $25000.00. 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 appliance permit 6,80 $1.45 for each additional$100.00 or _-- 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: Boner Heat Ah $1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond fraction thereof, footnotes below. Comp Minimum Permit Fee$72.50 SUBTOTAL: $ 7)<3HP;absorb unit l0 100K BTU 14.00 8%State Surcharge $ 8) 15 absorb 25.60 _ unit t 100kk t to 500k BTU 25%Plan Review Fee of subtotal 9) HP;absorb ) $ unit .5-1 Required for ALL commercial permits only .5-1 mil BTU 35.00 --- 10)30-50 HP;absorb TOTAL COMMERCIAL PERMIT FEE: $ unit 1-1.75 mil BTU 52.20 11)>50HP;absorb unit>1.75 mil BTU 8 - 7.20 ASSUMED VALUATIONS PER APPLIANCE: 12)Air handling unit to 10,000 CFM10.00 Value Total 13)Air handling unit 10,000 CFM+ Des crl lion: Q Ea Amount 17.20 V Furnace to 100,000 BTU,Including 955 14)Non-portable evaporate cooler ducts&vents 10.00 Furnace> 100,000 BTU Includlny 1,170 15)Vent fan connected to a single duct ducts&vents _ 6.80 Floor furnace Including vent 955 16)Ventilation system not included in Suspended heater,wall heater or 955 appliance permit 10.00 floor mounted healer 17)Hood served by mechalical exhaust Vent not Included in applicance 445 10.00 permit 18)Domestic incinerators Repair units 805 17.40 <3 hp;absorb.unit, 955 19)Commercial or Industrial type Incinerator to 100k BTU 69.95 _ 3-15 hp;absorb.unit, 1,700 20)Other units,Including wood stoves 101k to 500k BTU 10.00 + 15-30 hp;absorb.unit,501K to 1 2,310 21)Gas piping one to four outlet-, mil.BTU 5.40 30-50 hp;absorb.unit, 3,400 22)More than 4-per outlet(each) 1-1.75 mil.BTU 1.00 >50 hp;absorb.unit, 5,725 Minimum Permit Fee$72.50 SUBTOTAL: $ >1.75 mil.BTU Air handling unit to 10,000 cfm 656 8%State Surcharge $ Air handling unit>10,000 cim 1,170 Non-portable evaporate cooler 656 TOTAL RESIDENTIAL PERMIT FEE: $ Vent fan connected to a single duct 448 Vent system not Included In 658 a Ilance permit Hood served b mechanical exhaust 856 Other Mpections o and fees: _�_ 1 Inspections outside of normal business hours(minimum charge-two hours) Domestic Incinerator _ 11170 $02 50 per hour Commercial or Industrial Incinerator 4,590 2 Inspections for which no fee is specifically indicated (minimum charge-hall hour) Other unit,Including wood stoves, 656 $62.50 per hour Inserts etc. 3 Additional plan review required by changes,additions or revisions to plans(minimum Gas piping 1-4 outlet4_ 380 charge-one-half hour)$62 50 per hour Each additional outlet 63 Stale Contractor Boiler Certification required for units>20Lk BTU. TOTAL COMMERCIAL $r ' Residential.wC requires site plan showing placer.ient of unit. VALUATION: All New C^:Tmercial Buildings require 2 sets of plans. 1:\fists\forms\mech-fees.doc 12/26/01 CITY 4F TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 SUP - — Received -Date Requested_��3 AM ___ PM .._ SUP Location Suite - - MEC �,hG a OG'=►►•�? Contact Person _ --_____ Ph( ) -_ PLM Contractor. Ph(--) SWR BUILDING — TenanVP!Tpr ��✓�'� �} v � ELC Footing S d O J�CJ ELC Foundation -_-_ - Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT - - -_ Post&Beam Shear Anchors _ Ext Sheath/Sheaf Int Sheath/Shear Framing Insulation Drywall Nailing - - - Firewall Fire Sprinkler - Fire Alarm Susp'd Ceiling Roof Other: _ Final — PASS PART FAIL - _ ---- - --- -- _ -- - - PLUMBING — Post 8 Beam — Under Slab Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Final -- PASS PART FAIL MECHANICAL _-- Post 8 Beam Rough-In --- ---- - -- Gas i_ine Smoke Dampers --- - - -- --------- -_-- - -- --- ---- ti!n ' �PART FAIL --- ELECTRICAL--- -- - --- -- ----- _--- ---- Service Rough-In _ UG/Slab Low Voltage -- — ----- --- --.. ------- - Fire Alarm Final Reir epection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE_ __� Please call for reinspection RE: ,_-_ [j Unable to inspect--no access Fire Supply Line ADA Dae 4 Inspector Ext Other: _ Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 – BUP _— �1 77 Date Request/ed 1"2-1=ql� —AM PM _ BLD r/ Location -� / Suite MEC Contact Person Y61LA% _VY' FILM Contractor _ _ Ph SWR _ BUILDING TenanVOwner ELC e _ Retaining Wall ELR Footing Access: FPS Foundation -- Ftg Drain SGN Crawl Drain Inspe;;tion Notes: Slab __ _ Post&Beam Ext Sheath/Sheari�- Int Sheath/Shear Framing — Insulation ) 5; Drywall Nailing % � t�► 't ^�"zr: r� ' FirewallZ cq7A Fire Sprinklery Fire Alarm Susp'd Ceiling `s Roof Misc: - Final PASS PART F AIL - -- PLUMBING _ Post&Beam Under Slab -- Top Out Water Service Sanitary Sewer Rain Drains — Final P P*K FAIL _ --- --- - - MEC ANICAL- Post& Beam / Sr1�nk�r;ampers —_- —-- - ,pAai ; PART FAIL ELECTRICAL Service - Rough In UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL -• SITE Backfill/Grading Sanitary Sewer Storm Drain [ J Reinspection fee of$— required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin I I I Please call for reinspection RE: ( J Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk pate /�' Z/__ Inspector r.__-- -Ext Other _! Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY O F TIGARD MECHANICAL DEVELOPMENT SERVICES PERMITPERMIT #. . . . . . . : MEC98-05617: 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 DATE ISSUED: 12/16/98 PIARCEI.-..- C"'SI03DB-02200 SITE ADDRESS. . . : 1.34215 SW GENESIS LP SUBDIVICION. : GENESIS ZONIIqG-. R -4. 3 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :018 JURISDICTION: TIG CLASS OF WORK. . :ALT FLOOR TURN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP. . :R3 VENTS W/O APPIL: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL TYPES-------------- 0-3 HP. . . . : 0 DOMES. INCIN: 0 .GAS 3-15 HP. . . . : 0 COMML.. INCIN. 0 MAX INPUT: 0 BTU 15-30 14P. . . . : 0 REPAIR UNITS: 0 FIRE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0 GAS PRESSURE. . . 50-f HF'. . . . : 0 CLO DRYERS— : 0 NO. OF AIR HANDL-ING, UNITS OTHER UNITS. .- TURN ( 100K BTU: 0 10000 cfm : 0 GAS OUTLETS. : FURN ) =100K BTU. 0 > 10000 cfm : 0 Installation of gas piping and gas fireplace logs to two *2" fireplaces. Owner,: FEES --_._----_--_—_. BRAD ROBBIN & NANCY ROBBIN type amount by date r-eept 13425 SW GENESIS LOOP, PRMT $ 25. 00 DLH 12/16/98 98-311589 TIGARD OR 97223 55PCT $ 1. 25 DLH 12/16/98 98-311589 Pone #: 598-8505 Contract or,: ________________--___-------_____ JOHN 0 BRANCH FIREPLACES A. MDR JOHN OSCAR BRANCH PO BOX 23698 26. 25 TOTAL TIGARD OR 97281 Phone #. 620-0255 Reg #. . : 003958 REOUI RED INSPECTIONS This permit is issued subject to the regulatinns contained in the Gas Line Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechani.^al Insp applicable lars. All work will be done in accordance with Final. Inspection approved pllan, . This permit will expire if work i.s not started within 180 d.jys of issuance, or if work is suspended for more than 180 dans. ATTENTION: Oregon law requires you to follow rules adopted by ie Oregon Utility Notification Center. Those rules are set forth in DAR 952-00I-00I0 through DAR You may obtain copies of these rules or direct questions to OUNC by calling (503)246-1187. ...................... Tssl-te By : 416 Permittee 9ignatur,et ....4-4-++4................�,-+++4•....................4... +/... ++++++++++++t•+++++ Call 639-4175 by 7100 p. m. for inspections nepded the next business day ..........................................4-+++4+-$.............L......4.......... Check CITY OF TIGARD Mechanical Formit Application Plan Ch Recd h Z.� =� 13125 SW HALL BLVD. Commercial and Residential Dale Rec'd2__:V%�? TIGARD, OR 97223 Date to P.E. (503) 639-4171, x304 � Date to DST Print or Type Permit# Incomplete or illegible_applicati_ons will not be accepted called — -- Name of Development/Project Description -- Table 1A Mechanical Code Qt Price Amt Job Street Address —Sunetl A) Perrriit Fee 10 60 Address LI 2, 5 � �jCr�+}�_ ') Furnace to ducts & 0 BTI$ „ including ducts&vents Bldg ceylstate Zip 2) Furnace 100,000 BTU+ -72-23 including ducts&vent. 7,50 Name(or n me of buAr.ess) 3) Floor Furnace Owner J`/J including vent _ 6.00 3 MeigAddress a~� U 4) Suspended heater,wall heater��- �w / �r3�3 (��n or floor mounted heater 6.00 ( _ 5) Vent not included in appliance permit chIstate ZIP Phone _ 300 U) CHECK ALL 'Boiler Heat Air Ne a(o me of business) THAT APPLY or Pump Cond Qty Price Amt ( `v. Com '• r,)<3HP;absorb unit to Occupant Mailing Address 100K BTU 600 7)3-15 HP,absorb unit CRY/State Zip Phone 100k to 500k BTLJ 11.00 8)15-30 HP,absorb Contractor Name --- unit 5-1 mil BTU — Y — 15.00 9)30-50 HP, absorb �v� unit 1-1.75 mil BTU 72.50 _ Prior to permitMalling Address 10)>50HP;absorb unit Issuance,a copy 9 >1.75 mil BTU I J 1 37.50 of all licenses CnyrState �+ ZIP Phone 11)Air handling unit to 10,000 CFM are required if ,Cr v--/ /7L 4.50 expired in COT o Const Cont,Board LIc.N Exp.Date — 12)Air handling unit 10,000 CFM+ database -0 -:21 7,50 Architect Name 13)Non-portable evaporate cooler 4.50 or Manlnq Address -- - 14)Vent fan connected to a single duct 3.00 15)Ventilation system riot included in EngineerCltylstaIs 7"lp Phone appliance permit 4.50 _ 16)Hood served by mechanical exhaust Describe work to be done: 4.50 _ 17)Domestic Incinerators New O Repair O Replace with like kind: Yes O No O 7.50 _ Residentlat j Commercial O 18)Commercial or Industrial type Incinerator � 30.00 Additional Information or description of work: — 19)Repair units /9/ t /> r 'r/ /' t �9 S P//p///G4.50 6W.'r > //Pf f/Ff(� (,.n(�� 20)wood stove 4.50 J) F/Af"T'F-7 el L 21)Clothes dryer,etc. 4.50 Type of fuel oil O natural gas LPG O electro,O 22)Other units 4.50 :'• �Z1 I hereby acknowledge that I have read this application,that the information 23)Gas piping one to four outlets given is correct,that I am the owner or authorized agent of r� 2.00 the owner,that plans submitted are in compliance with Oregon State laws. 24)More than 4-per outlet(each) .50 SIZnaturppf Owner/Agent Date Minimum Permit Fee$25.00 SUBTOTAL Q 1 5%S'JRCHARGE �' ntact Person Name Phone PLAN REVIEW 2.5%r�F SUBTOTAL �` Requited for ALL commercial permits only c C) — V 2o- 02- .> _ _ ---- -- TOTAL — 'State Contra;tor Boiler Certification required "Residential FIC requires site plan showing placement of unit I\mechperm.doc rev 07/20198