9935 SW KABLE STREET co
co
W
CA
ai
r
m
i
-- 9935 SW KABLF ST
CITY OF TIGA►RD BUILDING INSPECTION DIVISION T � y, v G 3
24G-Hour Inspection Line: 639-4175 Business Line: 639-4171 -
Date Requested --AM 411, PM — BLD _
Location 3! -5 41✓ /to 61100 S —Y Suite ME
Contact Person —__ Ph PLM —
Contractor Ph SWR
BUILDING Tenant/OwnerELG —_—
Retaining Wall — ELR _
Footing Access. —' --
Foundation FPS
Ftq Drain — SGN —
Crawl Drain Inspection Notes:
Slab _-- _-.--.--_—.--- _ --. SIT
Post& Beam -- ------
Ext Sheath/Shear
Int Sheath/Shear -
Framing
Insulation - ---- - -_�._---------._. -___--
Drywall Nailing
Firewall - ----------
Fire Sprinkler -
Fire Alarm
Susp'd Ceiling __- - --`-------_-,-
i2 00( ---'�
Misr.
Final --_T___ —__ ---------- -
PASS_PAR7 FAIL
PLUMBING
Post&Beam ---____--
Under Slab
Top Out
Water Service
`'anitary Sewer - - ---"�
train Drains
F,nal -____--_- - ---------- - - ---------
FAIL
rbst B Beam - ----- - --------- -- -- — --- _�
Rough In
Gas Line ___- ------_-__._.__—_--
S e Qampers
in
PART FAIL
tPEEMRICAL
Service
Rough In - — ----__-_ ------ ----
UG/Slah
Low Voltage -
Fire Alarm
Final - — ---------- --- --
PASS PART FAIL ------_-- ------ ---_._-.
SITE
Backfill/Grading ----- — — ---- ---- --- ---------
Sanitary Sewer
Storm Drain I j Reinspection fee of$_ _-required before next inspera'on. Pay at City Hall, 13125 SW Hall Blvd
Catct,, Basin
Fire Supply Line I J Please call for reinspection RE _ _ -- [ J Unable to inspect-no access
ADA ---
Approach/Sidewalk � / --
Other Date Inspector_�� — —_—_Ext
F;nal
PAt", PART FAIL 00 NOT REMOVE this inspection record from the job site.
CITYOF T I G A R D MECHANICAL PERMIT__
DEVELOPMENT SERVICES PERMIT#: MEC2000-00463
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-1171 DATE ISSUED: 2000
PARCEL: 2S111SI11CA-08200
SITE ADDRESS: 09935 SW KABLE ST
SUBDIVISION: GUL F SIDE ESTATES NO. 2 ZONING: R-7
BLOCK: LOT: 026 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 v 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 DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS
OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm
> GAS OUTLETS:
10000 cfm:
Remarks: Installation of gas furnace and gas piping.
Owner: rFEES
RHODES, TODD E + LISA M � T'vpe By Date Amount Receipt
9935 SW KABI_E ST PRMT CTR 11/29/20( $72.50 272.0000000
TIGARD, OR 97223 5PCT CTR 11/29/20( $5.80 2720000000
Total $78.30
Phone: —_--
Contractor:
JACOBS HEATING., +-A/C
44'4 SE MILWAUKI�_ AVE
PORTLAND, OR 97202 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 503-234-7331 Mechanical Insp
Reg #:LIC 1441 Final Inspection
This permit is issuer subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This per,-nit will expire if work is not started %vithin 180 days of issuance, or if work is suspended
for more than 90 days. ATTENTION: Oregon law requires you to follow rui s adopted in the Oregon
Utility Notification Center. Th,)se rules are set forth in OAR 952-001-0010 tht u, i OAR 952-001-0080.
You may obtain ies of these rules or direct questions to OUNC by calling (503)2.46-9189.
Issue By: �(�( 1��.' .i Permittee Signature: ti
.
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
/ • Mechanical Permit Application
Datereccived: 1-cr:nit no.:
City of Tigard RECEIVED Project/appl.no.: Gxpiredate:
City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 `f
.
Phone: (503) 639-4171 Dap.,sued: _—-- By. f Receipt no.: —
Fax: (503) 598-1960 1 A' 2003 Case file no.: Payment type:
Land use approval: r%?7T:1 Building permit no.:
1 & 3 family dwelling or ac—:spry U Commercial/industrial U Multi-family U Tenant imhrovc^tent
U New:onstruction U A(lditioti'.dteration/replacement U(hhcr.
J,)b address: Q Indicate equipment quantities ip boxes i,rlow. Indicate the dollar
bldl,.ito.: I Suit-,no.: value o"all mechanical nlatetials,cquipin-nt.lahor overhead.
Tax map/tax lot/account no.: profit.Value$ _—
Lot: JBlock Sulxlivision: "See checklist for important application information and
Project name: -7-c,c,� �'�i 4L)C jurisdiction's f.e schedule for residential permit Ice.
City/county: -) I G A if b I Z1P: I Z41
Description and location of work on premises:
Pce(ea.) Total
Est.date of completion/inspection: Uesc jgivn Qty. Res.only Res.only
Tenant impro gement or change of use: �— Air handling
Is existing space heated or conditioned?U Yes U No dling unit __CFM _Is existings ace insulated?U Yes U No Air nom iI ,;f7r fisting plan regw— re' dj — --
•P• tcration of existing C sy.;tcm
CON rRUTO otter con,pressorr, �— — -- --
Business name: Y;e <_tL State boil-;r permit no.:
-- -- HP __Tons--BTU/H
Address: 411'711 _ P'•1 41.E _ Fire/smokedampers/duct smoke detectors
City: 10r1. • n ) State:tk I ZIP: el ;rd fp -fTent puiWp(site p�rcytiire )
Phony•:' ,L -S,c. r Fa- x; '",;'' •E mail: t'Sta -Tec l'urnacc7,iurner--H'F /11
CCB no.: 1 r I/replIncluding ductwork/vent liner U Yes U No �.
Insta'. ace/reocateheate st spen e ,
City/metro lic.no.: wall,or floor mountedAL
Name(please print):��/f I r?t K` F 1:t t, f -vein or-r—a t liar cc other than f urn ice
gest on:
Amorptionunit:- -_—_--_ BTU/1-1
Name: j"I 1 PI e ( 1 5yilAU-) l'hillcrs __.— HP
Address: Compressors___--_--- HP
nv ronmcntn cx tiTust s mJ ventllalton:
City: l ti ate: ZIP: Appliance vent _ _
Phone: -- Fax- F-rn"il: )ryerex oust
)no s, ypo / res. itchenTa,�mat
hood fire suppression systern
Name: r�r�{ /J r 1 _ Exhaust fan w,th single duct(bath fans)
Mailing address: j j%J t�_: r R/F �;1 ------ I'xhaust
, system.,nor(from heating or AC
City: Fuelpiping ndist ton(up to outlets)) Z1P /
Ty
Ix.: LI'C; NG til
_
1'honc: lax F.-trail: ;uc i :ngcachaddit-maloverTrruticis
rocessp p ng(whematicrcquirvO
Nance: Number of outlets
Ot et steTipp a-fi nce or equipment:
Address: Decorative fireplace
City: State:�IZIP: _ ns7 ert-type- _ —
'-- •-- oo stov pe et stove
Phone: F x: E-mail: —
other:
Applicant'; signature= _r,a Date:
Name(print): 0
Nor all jurisdictions accept credit cards,plena call jutiWiction for more information Permit fee.....................$
❑Visa U MasterCardNotice:this permit application Minimum fee................$ � ro
Credit cad nun,:,er / / expires if a permit is not obtained Plan review(at _ %) $
Expire, - within 180 days after it las been U
Nene ocean nl as,`Lown on cre ad raaccepted as complete. Slate surcharge(896) ....$ 7
C'ad,older signature Amount
._— _�_ �— 410.4617(W)D/COlrt
r
MECHANICAL PERMIT FEES
COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE:
TOTAL_VALUA_T_ION: FFE: - _ Description: - Pri( To
__1-1-06 to$_5,000.00 Minimum fee$72.50 Table 1A Mechanical Code __- Oty (Ea) ' 4mt
$5,001.00 to$10,000 00 $72.50 for the first 55,000.00 2nd 1) Furnace to 100,000 BTU
$1.52 for ea&.additional$100.00 or including ducts&vents 14.00 -
fraction thereof,to and including 2) Furnace 100,000 BTU+
_ $10,000.00. inc�r�iingducts&vents _-,- 17.40 _
$10_,001.J0._o$25,OCO.0C $148.50 for the first$10,000.00 and 3) Floor Furr,ice
$1.54 for each additional$100.00 or _ including vent_ 14.00 -�
fraction thereof,to and including 4) Susoended healer,wall healer
_ $25,000.00. or floor mo,rnted 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
$1.45 for each additional$1':^00 or 680
fraction thereof,to and incl,ding I 6) Ropair units
__ $50,QO'j _ _ _ 12.15
$50,001.00 and up $742.00 for the first$50,100.00 and Ch ck all that apply: Boiler Heat Air
$1.20 for each additiona,$1n0.00 or For Items 7-11,see or Pump Cond
fraction thereof. _ footnotes below. Comp* _ ««
7)<3HP;absorb unit
---- - -- -- - ---- to 100K BTU14 00
ASSUMED VALUATIONS PER APPLIANCE:
--��- �------� --� Value ---- 8)3-15 HP;absorb
Total -
unit 100k to 500k BTU _ _ 2_560
iJescrieUon` Qt ___�Ea� Amount g)15-30 HP;absorb
Furnace tctc 100,000 BTU,including 955 unit.5-1 mil BTU _ _ 95 00
ducts&vents 10)30-50 HP;absorb
Furnace>100,000 BT(I Including 1,170 unit 1.1.75 mil BTU Q,20
ducts&vents -_ _ 11)>50FIP:absorb - - --^
Flcor furnace Including vent 955 _ unit>1.75 mil BTU _ _ e7.2u
Suspender'heater,wall heater or 955 1 12)Air handling unit to 10,000 CFM -
Poor mouni3d heater _
®_ _ 10.00
Vent not included in applicance 4d5 13j Air handling unit 10,000 CFM+
permit 1720
Repair units _ 805 ---- -
<3 hp;20sorb.unit, 955 14)Non-portable evaporate cooler 1000
to 100k BTU -_ - - --- -
•-- ---- - 15)Vent fan connected to a single duct
3-15 hu;absorb.unit,
1,700 6.80
101k t)500k BTU -- - - ------
15-30 hp;absorb.unit,501k to 1 2,310 16)Ventilation system not included in
mil.B'.U appliance permit 10,00
30.50 hp;absorb.unit, 3,400 17)Hood served by mechanical exhaust
1-1.75 mil.BTU t0.17.40�0
>50 hp;absorb.unit, 5,725 18)Domestic incinerators
>1.75 mil.BTU -- --
Air handling unit to 10,000 cfm 658 19)Commercial or industrial type incinerator nn cr
Air handling unit>10,O110 cfrn 1,170 - 2U)Other units,including wo-A stoves
Non-portable evaporate cooler 656 10.0
Vent fan connected to a single duct 448 - 21)Gas piping one to four outlets^
Vent system not includod In 656 540
Hood served b mechanical exhaust 6513 22)More than -per. outlet(each)
1.00
Domestic inci,lerator 1 170 Minimum Permit Fee$72.50 SUBTOTAL:
Commercial or industrial incinerator 4,590
Other unit,Including wood stoves, 656 8%State Surcharge $
Inserts,etc.
Gas piping1-4 outlets 360 --- 25%Flan Review Fee(of subtotal)
Each additional outlet _ 63 Required for ALL commercial permits only
TOTAL COMMERCIAL TOTAL RESIDENTIAL PERMIT FEE: 1 5
VALUATION:
Other Inspections and Foes:
1 Inspections outside of normal business hours(minimum charge-two hours)
$72 50 per hour.
2 Irivectlons for which no fee is specifically Indicated (minimum charge-half hour)
F/2 50 per hour
3. Additional plan review required by changes,additions or revisions to plans(minimum
chargs-one-half hour)$72.50 per hour
*State Contractor Bol,,r Certification required for units>200k BTU.
}OResidential A/C requires site plan showing placement of unit.
t:\dsts\forms\rnech-fees.doc 10/11/00