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7765 SVV Gentle Woods Drive
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CITYY o v" rI GA R� i MF�;'HANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2002--JO269
13125 SIN Hall Blvd ;Tigard, OR 972.23 (503) 639-4171 DATE ISSUED: 6/25/02
SITE ADDRESS: 07765 SVA/ GENTLE WOODS DR PARCEL: 2S112CI�-U 1200
SUBDIVISION: GENTLE WOODS ZON NG: R-4.5
-- - BLOCK: LOT: 005 JURISDIC`ION: TIG
CLASS OF WORK: ALT' FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT r-ANS:
OCCUPANCY GRP: R? VENTS W/O_4PPL: VENT SYS rF•.MS:
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL TYPES` _y 0 - 3 HP: 1 DOMES. INCIN:
Lf'L; 3 - 15 HP: COMML. 16 CIN:
MAX INPUT: BTU 1.5 - 30r'P:
FIRE DAMPERS'?: 30 - 50 HP: REPAI'2 UNITS:
GAS PRESSU'CE: J0 + HP: WOOC'�TOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLC DRYERS:
FURN >=100K _Til: <= 10000 cfm: OTHER LNITS:
> 100000m: GAS OUTLETS:
Remarks: Repace ga;furnace and add oxtcrior PrC. A/C cannot be placed witl. , the required setbacks.
Owner: -_—FEES
IRVIN JOHNSON Type By Date Amount Receipt
7765 SW GEN fLEWOOD DR.
TIGARD, OR 97224 PRMT CTR 6/25/02 � $72.50 272002000C
SPCT CTR 6/25/02
$5.80 272002000C
Phone:503-968-3005 Total $78.30
Contractor:
TRI-TECH HEATING
6603 NE 137TH AVE
VANCOUVER, WA 98682 REQUIRED INSPECTIONS _
Mechanical Insp
Phone:360-891-2002 Heating Unt Insp
Reg#:LIC 101873 Cooling Unt Insp
Final Inspection
This permit is i;;sued subject to the requ;ation:; contained in the Tigard Municipal Code, ;State of Oro.
Specialky Codas and all rather applic: t:le laws. All wort- ,will br dine in accordance with rahprcvea
pians. -i-his permit will expire if work is not started wi►•.iin 18'J days of issr ance, or if worl; is suspended
for mors than 180 days, ATTENTION: Oregon law requires you to follow rules adopter; in the Oregon
Utility Nutification 1:enter. Those rules ,ire set forth in OAR 952-001-0010 through 0/4R
952-001-0030. Yr%t merry obtain ce;.►ies of these rules or direct questions to . UNC by railing
(r,n s17ar;-g1AQ� 7
Issue By: }�-k
:' ' _ , { Pe.mittee! Signature: ,
Call (515!, 639-417.5 by 7:06 P.M. for insrecticris needed the next business clay
I
Mechanical'PermitAppllcation Zv��
L ate received: - Permitno.: i
City of Tigard Project/appl.no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223
Phone: (503) 639-4171 Daw issued: Hy;&' Receipt no.:
Fax: (503) 598-1('60 t'asc file no.: P yment type:
Land use approval: Building permit no.:
V5 I &2 family dwelling or accessory U Commercial/industrial UMulti-family J Tenant improvement
U New construction U Addition/alteration/replacement U Other:
JOGSITF INFORMATION COMMIAMIAL VALUATION1
Job address: - Indicate equipment quantities in boxes below.Indicate the dollar
Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead,
Tax map/tax lot/account no.: profit. Value$
Lot: Block: Subdivision: — 'See checklist for important application information and
Project name: y, `E� jurisdiction's fee schedule [or residential permit i
Cityti:ounly:_ ;� 1.I P: -- -- w t
Description and loc ion of work on premises: _ r t t
.Lz t -1- `� )C--, -
, Iec(eh I Total
Est.date of complction/inspeclion: Dc%cription (r). Res.only,Res.only
Ter ant improvement or change of use:
Is existing space heated or conditioned?U Yes U No Air handling unit _ cFM
rre wrec)
I9 existing space insulated?U Yes ❑No ircon itiortin (site lai
A teration o existing PHVAC s y item
of er compressors --- --
Business name: T j ,V%._gaC State boiler permit no.:
-- HP Tons NTU/H
Address: #4- Fire/smoke damperquctsmo a delectors
City: r t State: ZIP. Heat pump(site plan required)
Phone:&,& L Fax es F-mail: Installtreplace urnace turner '
Including ductwork vent liner U Yes U No
CCB no.: l(�iS73 __ nst, rep ace re ocate eaters-suspen e
4n,
o lit_no.: will,or floor mounted
e:.:e print): E r y) r ! , , i int for app lance other than runmacc -
��ILI 1 rlFigerallon:
Absorp.rounit� BTU/It
_ Chillers _ _ HP
Address: Compressors _ 11p
— - -- -- fiv ren
onmta rte must and tent al on:
City: Slate: ZIP: Appliance vent
Phone: I ax: L-mail: ltrycrex taust `
1.for s,TypeU II/resAilchert/haimal -
h K-,d fire suppression s(stem
_N mme: Ent Exhaust fan with single duct(bath fans)
Mailing addiess:77&5 f' t. pf �xLx ust ss Stam apart from heatiW2 or AC
CityLCL-ki►P: -7TyFuel
:p p ng and
st _tut on(up to
outlets)
NO OilON
E-mail: Fuc pip ng eachadditional over outlets
3101tim 1010 rocesspiping(scematicrequire )
me:
Nutnb�.r of outlets
--- --- -
____bUficrffid-ed app ance or equipment: _
Address: _ Decorative I ireplace
State: _ ZIP: — nsert-type
Phone: _ Fax: I:-mail o stov pe et stove
Applicw.:'s signature: _ Date:( V 1 er:
t ter:
Name(print); 1z l V h-
Not all jurisdictions accept credit cards,please call jurisdiction fox more Infonnatlon Permit fee.. ............ •....$
U Visa U MasterCard Notice: 11tis permit application Minimum fee................$ �—
expires if I n permit is not obtained , —
Crtrdllcard mtmher:-- -- _ Inn review(at �) $
—_ Expires xvidtin 180 days alter it has been State surcharge f8%)....
$
$
Name of rardholder ns�wn on credit carts — accepted is complete. TOTAL $
�_ Car�hol:kr sI`rro.ure _� �mounl .......................
440461716MWOM 1
irocCHAWCAL PERMIT Z=EES
COMMERCIAL_ FEE SCHEDULE: 1 & 2 rAMILY DWELLING FEE SCHEDULE:
f_TOTAL VAI DATION: PERMIT FEE: Description: Price Total
51.00 to$5,000.00 Minimum fee$72.50 Table 1A Mechanical Code Uty (Ea) Amt
$5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Furnace to 100,000 0TU
$1.52 for each additional$100.00 or Including ducts&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$10,000.00 and 3) Floor Furnace
$1.54 for each additional$100.00 or including ant 14.00
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) V-:•nt not Included in appliance permit
$1.45 for each additional$100.00 or 6.8,'. _
fraction thereof.to and including 6) Repair units
$50 000.00. 12.1_5
$50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boller Fleat Air
$1.20 for each additional$100.00 or For Items 7-11,see or nurnp :end
fraction/hereof. footnotes below.
Comp •'
-- J
Minimum Permit Fee$72.60 SUBTOTAL: 7)<3HP;absorb unit i
$ to 100K BTU 14.00
8h:State Surcharge $ 8)3-15 HP;absorb
unit 100K to 500k BTU 25.60
25%Plan Review Fee(of subtotal) a 9)15.30 HP;absorb
Required for ALL commercial permits onlyunit.5-1 mil BTU 35 00
TOTAL COMMERCIAL PERMIT FEE: $ unit
30absorb
unit 1-11.7.7 5 mil BTU 52.20
11)>50HP;absorb -
unit>1.75 mil BTU 87.20
ASSUMED VA`L_UA_T_10_N_S-PER APPLIANCE: 12)Air handling unit to 10,000 CF'M
- Value Total 10.00
Description: _ Qt E_a Amount 13)Air 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}an connected to a single duct
ducts&vents 6.80
Floor furnace InGuding vent _ 955 16)Ventilation system not Included in
Suspended heater,wall heater or 955 appliance pe,mit _10.00
floor mounted heater 17)Hood served by mechanical exhaust
Vent not Included in appliance 445 _ 10.00
errrq ---- 18)nomestic Incinerators
Repair units 805 17.40
<3 hp;absorb.unit, 955 19 Commercial or Industrial
to 100k BTU ) type Incinerator
3-15 hp;absorb.unit, -� - 1,700 69.95
101 k to 500k BTU 20)Other units,Including wood stoves
'.J.00
15-30 hp absorb.unit,501k to 1 2,310 -- -
mil.BTU 21)Gas piping one to lour outlets
540
30-50 hp;absorb.unit, 3,400 22)More than 4-per outlet(each)
1-1.75 mil,BT'1
1.00
>50 hp;absorb.unit, 5,725 Minimum Permit Fee$72.50 SUBTOTAL: a
>1.75 mil.BTU
Air handling unit to 10,000 dm 656 - -'
a
Air handling unit>10,000 cirn 1,170 A%State Surcharge I
Non-portable evaporate cooler- 658 - --I
Vent fan connected lc a single duct - 446 TOTAL RESIDENTIAL PERMIT FEE: - 5
Vent systetm not Included in 656
appllaniqUermit
Hood served by mecharn:al exhaust 656 otherer�n ec lona - Fees:
Domestir,Incinerator _ 1 170 - l Int.pections outside of normal business hours(minimum charge-two hours)
$62.50 per hour
Commercial or Industrial Incin erator 4,590 _ 2 Inspections for which no fee Is specifically indicated (minimum chav)o-half hour)
Other unit,including wood stoves, 656 $62 50 per hour
Inserts,etc. _ 3 Additional plan review required by changes,ec•titions or revisions tc Mans(minimum
Gas111 p ng 14 outlets 360 charge-one-half hour)$62 50 per hour
Each additional outle, 83
-- - *Statt Contractor Boller Certification required for units>2eek BTU.
TOTAL COMMERCIAL - "Rerldenlial A/C requires site plan showing pl,rcement of unit.
VALUATION_ _____ All New Commercial Buildings require 2 sets of plans.
I:\dsts\formsVnech-fees.doc 02/11/02
>rrstrti
05/20/2002 06:51 503-591-6391 PON RoBitISOti daE I
1 �
CITY OF TICARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION ''IVISION Business Line: (503)639-4171 MST _
BUP
Received Date Requested 1 AM PM _ BUP
Location 40 5- LL, Suite _ MEC
Contact Person - _— Ph(. ) PLM
Contractor _ - _ — Ph( ) _ SWR _.
BUILDING _ Tenant/Owner ( [.�L?'Lde _ __ ELC _
Footing _ ,- ( - 7 3 �.� ELC _
Foundation Access:
Ftg Drain ELR
Crawl Drair. _
Slab Inspection Notes: SIT
Post F.Beam
Shen Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing - ---
Insulation
Drywall Nailing -- - — - -Firewall
Fire Sprinkler --- - ---
Fire Alarm
Susp'd Ceiling ------ ---------- --- -
Roof
Other: -------
Final
PASS PART FAIL ---- - -
PLUMBING
Post& Beam_-__� ------------------ - - -
Under Slab
Rough-In
Water Service --- -------
Sanitary Sewer
Rain Drains --- -- -
Catch Basin/Manhole
Storm Drain ----- —
Shower Pen
Other: - -_-- —
Final --
PA PART FAIL
-&68am ----- - --- -
qugfi-TrT• _----- -____
e
Smoke Dampers -- --- ---_---_-----_ -
PART
FAIL -- —----
TRICA -
Rough-In -
UG/Slab v~
Low Voltage
Fire Alarrn �r
Fi PART FAIL F1 Relnr)ecbon fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd.
A
S F] Please call!cw reinspection RE: _____. - n Unable to inspect-no access
Fire Supply Line
Approach/Sidewalk Dab- �_ Inispsctor - Ext
Other: _
Fina! DO NOIR REMOVE this; Inspection record From tho job site.
PASS PART FAIL