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11312 SW IRONWOOD LOOP 4. J NC G O Z C O V Q r• r i t l 11312 SW IRONWOOD LP CITYOF TIGARD — MECHANICAL PERMIT DEVELOPMENT SERVICE. PERMIT#: MEC20041-00085 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/27/04 g (FJ,i) 639••4171 PARCEL: 1S134AB-00600 SITE ADDr ESS: 11312 SW IRONWOOD LP SUBDIVISION: ENGLEWOOD ZONING: R-4.5 BLOCK: LOT: 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: 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 DR'!t7RS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNI1 FURN >=100K BTU: <= 10000 cfm: > 10000 cfm: GAS OUTI-CIS: 1 Remarks: Inslall diwo gent gas fireplace. Owner: -- _ FEES -- _ NEWMAN• THOMAS D+ BONNIE K T RS Description Date Amount 11312 SW IRONWOOD LOOP -- ------- TIGARD, OR 9722.' 11I1 ( 111 I'rrnul I cx 2/27/04 $72.50 1 IAX 1 "„til;lle tiurrhal t 2/27104 $5.80 Phone: `1)3-s3r1-_'.a_'..1 _Total $78.30 _-- Contractor: ENERGY SAVERS PLUS, INC. 3747 SE 49TH AVE. PORTLAND, OR 97206 REQUIRED INSPECTIONS Phone: 5113.777-0389 Gas Line Insp Mechanical Insp Reg #: LIC 105273 Final Inspection This permit is issued SLA sect to the regulations contained in the Tigard Municipal lode, State of Ore. Specially Codes and all other applicable laws. All work will be done in accordance vl ith approved plans. This permit will expire if work is not started within 180 drys of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00 Issued By: Permittee Signature: X1, L t Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day RECEIV tL) Mechanical Permit AuaUcatJQ4 204 FOROFF1 City of Tigard Keceive I� - permit No 13125 SW Hall 8Dam/By: 1vd.,Tigard,OR ' I-Ty pF TIGAR' Plan Review Phone: 503.639.4171 Fax: 503,598.196( �I�)Cyl,l Da"y: Other Permit: Inspection Line: 503.639.4175 BUILDING Date Ready/73y: ® See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: <<j Supplemental Information TYPE OF WORK COMMERCIV, FEE* SCHEDULE - USE CHECKLIST J� New construction [�•Ad�iri�a/altoration/replacement Mechanical permit fees'are based on the value of the work ❑ performed.Indicate the value(rounded to the nearest dollar)of all F1 Demolition �]Other: mechanical materials,equipment,labor,overhead,androfiit, CATP'r; NSTRUCTION Value:$ and 2 famil �'1' dwelling - RESIDENTIAL EQUIPMENT/SYSTEMS FEES" y ❑Conimercialiindustrial J Accessory bui'ding For speurtl information use checklist ❑Multi-family ❑ Master budc'er ❑Cather. -- --- - Description Qry. Ea. Total JOB SITE INFORMATION AND LOCATION _ HeatinWcooling Jcb site address: Y- _ - -L - Air conditioning or heat pump re uires site plan showing placement) 14.00 City/State/Z[P: I - - Furnace 100,000 BTU(ductsivents) 14.00 Furnace 100,000+BTU ducts/vents) 17.9(. Suite/bldg./apt.no.: Project name: - Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 H dronic hot waters stem 14.00 Residential boiler(radiator or h dronic) 14.00 --- Unit heaters(fuel-type,not electric), +n-wall,in-duct,suspended,etc 10,00 Subdivision: Lot no.: -- Flue/vent for any of above 10.00 Other: 10.00 Tax map/parcel no.: Other fuel appliances DESCRIPTION.OF WORK Water heater 10.00 / ---- Gas fire�ce 10.00 i v v + flu -1., d;))& ,E a%1sE� Flue vent for water heater or gas fireplace 10.00 - -- - Log lighter as 10.00 _ Wood/pellet stove 10.00 Wood fire lac nsert ! 10.00 1 u 00 i OPERTV OWNER r ❑ TENANT Chimne /liner uc.vent_ 10.00 ----_-_._ _ ______�L---------- -- - Other _ - 10.00 Name. -T` 1 Environmental exhaust and ventilation Address: - Range hood/other kitchen ! 5..44.-.> Q ,i, �s y _ equipment 10.00 City/State/ZIP: t L C' Clothes dryer exhaust 10.00 T- —�-' Single-duct exhaust(bathrooms, Phone:("0 3) r t r ,�I Fax:( ) toilet compartments,utility rooms) 6.80 ate- P LICANT 9-CONTACT PERSON Atticrcrawls ace fans 10.00 Business name: - Other: 10.00 B _ wqj u u� t, t'lu� --� Fuel piping Contact name: v_ r fL T $5.40 ror first four;91.00 for each additional Address: s4, Furnace,etc. -7e S S �t to r -------_--. Gas heat pump - — City/State/ZIP: C Wall/suspended/unit heater Phone:(Su3) tm! Fax: :( ) :Vater heater E-mail: ---,-- - -- Fireplace -- ` V Rnn e CON'I`lltAC OR Barbecue _ Business name: r _ - _ T— ----�- Clothes dryer(pa _u—� _ -- 7 Address: 3.�G--i s +_ MECfftN1C'AL PERMIT FEES* City/State/ZIP: > � (h� Ci-i�4, y - - ---- .-T- - Subtotal S 4 U Minimum permit fee($72 50) SU Pon ) _ r Fax: L� ��1 S to i - of it l Plan review(25 0 of permit tee) N 0 3 >-.-13 ___.� State surcharge(8%of permit fee) TOTAL PERMIT FEE Authorized 91 slur This permit application expires If a permit Is not obtained Hwl In 180 S days after it hem been accepted as comolele. 1 V, a0 Print nam— e: 1 t r t l��u Date: ] 4� ' Fee methodology set by Tri-County Building Industry Service Roard i\Buildina\PemutslMECPemtitAppdoe IV03 440.46117111/ObCOM/WEaI Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: Permit Fee: $1.00 to$2,000.00 Minimum fee$72.50_ _ $2,001.00 to$5,000.00 $,72.50 for the first$2,000.00 and$2.30 for each additional$100.00 or fraction _ thereof,to and including$5,000.00. $5,001.00 to$10,000.00 $141.50 for the first$5,000.00 and `61.80 for each additional$100.00 or fraction thereof, to and ncluding $10,000.00. $10,001.00 to$50,000.00 $231.56 for the first$10,090.00 and $1.35 for each additional$100.00 or fraction thereof, to and including $50,000.00. $50,001,00 to$100,000.00 $771.50 for the first$50,000.00 and $1.25 for each additional$100.00 or fraction thereof,to and including _ $100,000.00. _ $100.000.01 and up $1,396.50 for the first$100,000.00 and $1.10 for each additional$100.00 or — fraction thereof. Note: All new commercial buildings require 2 sets of plans. is\Building\Permits\MFC-PermitApp.doc 12/03 2 CITY OF TIGAr,^ 24-Hour 13UiLL)INr Inspection Line: (503) 639-4175 INSPECTION LIVISION Business Line: (503)639-4171 M'T _ BLIP Received —_ _Date Requested AM ✓ ` PM BUP _ Location Suite —,--- - MEC - DDG 8 Contact Person — Ph ( ---) -✓LZ 7G .`7 PLM _-- 0,ntractr,r - - Ph( ) SWR BUILDING Tenant/On ------ �YELC Footing -- ---- Foundation Access: ELC Ftg Drain Crawl Drain _ ELR Slab Inspection Notes: SIT Post& Beam -- — ear Anchors --- -- -- Ext Sheath/Shear - - Int Sheath/Shear Framing - Insulation - --- - Drywall Nailing --_- ------ Firewall -- --_ ._---- F,r3 Sprinkler -- Fire Alarm ---- -- - Susp'd Ceiling - - -- Root -- -- Other: Final PASS PART FAIL PLUMBING - l ost&Beam -------- Under Slab e ���d►�— Water ter Service Sanitary Sewer / -- Rain Drains ----- _ Catch Basin/Manhole --- Storm Drain - - Shower Pan — Other: ------- - -- Final - - PAfcS PART FAIL - - ---- _ MECHANICAL P-sii& Beam --- ----Gas Line -- --- _—.--- SSmmp�ke Dampers PAS'x PART FAIL - - - ----- _ CTRICAL Service --- ---- - __ Rough-In UG/Slab _ ---- ----- — Low Voltage Fire Alarm -- ----- - - ------- -- Final F1 Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall 131vd. PASS PART FAIL SITE 0 Please calf for reinspection RE:._ _ _ _ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date - �- Inspector 4her: - — Ext Final DO NOT REMOVE this Insp©ctlon record from the Job site. APAIRS PARr FAIL