6645 SW VENTURA PLACE 6645 SNN Na i�tur;� I'I
CITYCITYOF TIGARD[� D MECHANICAL PERMIT _
! VI �► PERMIT 4: MF.C2001.00313
GCVELOPMENI" SERVICES DATE ISSUED: 9/5/01
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S125DD-01200
Sl i E ADDRESS: 06645 SW VENTURA PL
SUBDIVISION: WASHINGTON SQUARE ESTATES ZONING: R-4.5
BLOCK. LOT: 032 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRI': R:3 VENTS W/(` APPL: VENT SYSTEMS:
STORIES: BOILFRS/COMORESSORS HOODS:
FIIEL TYPESL 3 HP: DOMES. INCIN:
3 15 HP: COMML. INCIN:
,AX INPUT: BTU 15 - 10 HP: REPAIR UNITS:
FIRE DAMPERS'?: 30 - ,10 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN >=10UK BTU: 1 <= 10000 cfm: GAS OUTLET:
> 10000 cfm:
Remarks: Furnace replacement in garage.
Owner: FEES
PARMENTER FAMILY TRUST Type By Date Amouid Receipt
16939 SW SILER RIDGE LN PRMT CTR 9/5/01 $72.50 272001000C
BEAVERTON, OR 97007 5PCT CTR 9/5/01 $5.80 272001000C
Total $78.30
Phone: -
Cuntractor:
WESTERN HEATING + A/C
14314 SW ALLEN BLVD
STE 220 REQUIRED INSPECTIONS
BEAVERTON, OR 97005 Mechanical Insp
Phone:648-5808 Heating Unt Insp
Reg #:LIC 00076978 Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire it work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR
952-001-0080. You mpy obtain copies of these rules or direct questions to OUNC by calling
/Ffl'317dF_g1 �
Issue., By: k__ jC/Gruel=- ;r. Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for inspections needed the fiext business day
i
Mechanical PerrnitApp ication
—
jDaterccei ed: U ! Permit no.:/
City of Tigard 5ProjecUappl.t1o.: Expire date:
CityufTigard Address: 13125 SW flail Blvd,iigardQK 97223
Phone: (503) 639-4171 Date issued: Byjl�& I Receipt no,:
Fax: (503) 598-1960 Case file no.: Pad ment type:
Land use approval: Building permit no.:
0001ORMTj 71 MIT
I7Newc,)nstruction
y dwelling or accessory U Commercial/industrial U Multi-family U`Tenant improvement
U U,,\dditi(,n/alteration/mplacentent U Othcx:Joh �Y5 (/r indicate equipment quantities in boxes below. Indicate the dollar
Bldg.no.: _ Suite no.: of all mechanical materials,equipment,labor,overhead,
Tax map/tax lot/account no.: profit.Value$
Lot: Block: Subdivision: _ 'See checklist for important application information and
Project name: jurisdiction's lee schedule liir residential permit fee.
City/county: 7Z i;A I Z D
Description and location of work on premises: _ 7Air
t t t
Est.date of completion/inspection: Descriptifn tpV. Res.only
Tenant improvement or change of use: -Is existing space heated or conditioned?of Yes UNo dling unit _ CPM___
Air conditioning(site plan required)
Is existing space insulated%'3 Yes U N Alteration of existing IIVAC system
allelitfilm 01 I3oi cr cornpressors
Business name: 1/I/ - E - ✓ HP Tons 13TU/H
State boiler permit no.:
Addn s: / ,e-j r/ L`/ G Pirclsmoke dampeWduct smoke etectors
City: _ State 7.IP:9 O D en►pupump(site plan required)
Phone: S` Fax: E-mail: nsta I/rep acefurnac use�i rner,&��WFU/11
— — - - Including ductwork/vent liner U Yen VNo
CCB no.: 7 nsta rep ace re ocate heaters-suspended,
City/metro lic.no.: _ wall,or floor mounted
Name(pleaseprint): Vent fora lance other Ihan furnace
egerat on:
Ahsorplion units----- BTU/Ii
Name: �� N / ��i0 Chillers—: NP
Address: Com ressors
City: _ State: 7jp: — v ronmenta ex ust and ventilation:
_�• Appliancevent _
;a"'r"i
Fax: E-mail: )ryerex aunt
oT�Ticcs, y1�pe 1111res. ne en azmal
hood fire suppression system
Exhaust fan with single duct(bath fans)
adzTiaust s stem a art rom cortin or C
ue p p ng ore at ton(up to out ets)
Statc:p I.1 P: ,2�,1 Type: _.—LPO NO Oil
x f mail: ocl tirin;cac a itiona over out etsrocessp p ng(ec ematicrequ red)Number of outlets
rer iTt opp anceorequ pment:
: Ikeorativefireplace
State: 1.11': users-type
0o stove/pe let stove
Phone: Far: G-mai.:
Other.
Applicant's signature: Date: =Q f _ t n.,Name (print): p ; p
r c,
Not all jurisdictions aceta credit canh,please call jurisdiction for more Information Permit fee.....................$ —
Nulice:•Thisi application
CJ Visa U MasterCard expires it'a peermitrmit Minimum fee................$is not obteineJ
Cr /n� ) $ ---
edit card number Plan review(at —_
spires within I80 days after it has been ,t
State surcharge(896)..,.
Nntne of car of i urn on cm it c — accepted a9 complete.
$
TOTAL .......................$ _
Cardholder dRnature Amami 440-4617(WOWCOM)
MECHANICAL PERMIT FEES
COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE:
Descri tion: Price Total
TOTAL VALUATION: PERMIT FEE: p
51.00 to$5,(,00.00 Minimum fee$72.50 Table na Mechanical Code Qty (Ea) Amt
$5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Furnace to cis& 0 BTU
$1.52 for each additional$100.00 or Including ducts&vents 14.00
fraction therecf,to and Includ.ig 2) Fi,mace 100,000 BTU+
$10,000.00. ;nduding ducts&vents __ 1740
$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 inckiding vent 1 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) Vent not included in appliance permit
$1.45 for each additional$100.00 or 6.80
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 Cheat all that apply: Boller Heat Air
$1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond
fraction thereof. footnotes below. I comp* "
_ 7)<3HP;absorb unit
Minimum Permit Fee$72.50 SUBTOTAL: $ to t00K BTU 14.00
_ 8)3-15 HP;ab-,orb
8%State Surcharge $ unit 100k to 500k FITU _ 25.60
9)15-30 HP;absorb
25%Plan Roview Fee(of subtotal) $ unit.5-1 mil BTU 35.00
Required for ALI.commercial permits only _ __ 10)30-50 HP;absorb
TOTAL COMMERCIAL PERMIT FEE: S unit 1-1.75 ml)BTU _ _ 52.20
11)>50HP:absorb
-- - - unit>1.75 mil BTU 87.20
ASSUMED VALUATIONS PER APPLIANCE: 12)Air handling unit to 10,000 CFM -
10.00
Value Total 13)Air handling unit 10,000 CFM+
Description: Q Ea Amount 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 fan connected to a single duct
ducts&vents _ 6.80
Floor furnaoe Including vent 955 16)Ventilation system not included In
Suspended heater,wall heater or 955 _ appliance permit 10.00
floor mounted heater 17)Hood served by mechanical exhaust
Vent not included In applicance 445 10.00
unit 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
0.00 __15-30 hp;absorb.unit,501k to 1 2,310 2 1)Gas piping one to four ot..11ets
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: $7� Sv
>1.75 mil.BTU
Ar handling unit to 10,000 cfm 656 8%State Surcharge $
Air handling unit>10,000 cfm 1,170
Non-portable evaporate cooler _ 656 TOTAL RESIDENTIAL PERMIT FEE: $
Vent fan connected to a single duct 446
Vent system not included In 656 -- -"'
BID) Ilance permit _ Othar Inspecligns end Fees:
Hood served by mechanical exhaust _ t3r,8 _ 1 Inspections outside of normal business hours(minimum charge-two hours)
Domestic Incinerator 11170 _ $72 e0 per hour
Commercial or Industrial Incinerator 4,590 2 ins;ecltons for which no fee is specifically Indicated (minimum charge-half hots)
Other unit,Including wood stoves, 656 - $72 50 per hour
Inserts etc. 3 Additional plan review required by changes,additions or revisions to plans(mininoin
charge-one-half hour)$72 50 per hour
Gas piping 1-4 outlets 380
Each additional outlet 63 _ 'State Contractor Boiler Certification required for units>2000 6 W.
_ _..-..___ *"Residential AIC requires site plan showing placement of unit
TOTAL COMMERCIAL �
VALUATION:
I:\dsts\forms\nlech-fees.doc 08/06/01
CITY OF TIGARCD 24-Hotir
FjUILDING Inspection Linc: (503)6.39-4175
MST
INSPECTION DIVISION Business tine: (503),659-4171
- BUP
Received .-- /- -- -Date Req ested AM- PM BUP -
lt� '� V',.a4" li.(�.i il`-- Suite-- _ MEC �' G f 3
Location � �--- -
Contact Pe;son I Ph( ) J -5 �S l PLM _
Contractor _-- Ph(—) SWR
BUILDING Tenant/Owner _-- — ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes. SIT
Post&Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framinf) �v12�14Lu: 51�. �L -
Insulation
Drywall Nailing -
Firewall _
Fire Sprinkler
Fire Alarm _
Susp'd Ceiling _--
Roof
Other:
Final
PASS PART FAIL -
PLUMBINQ_ ---- ---- -.-- - ---
Post&Beam-
Under Slab - - ---
Rough-In
Water Service
Sanitary Sewer
Rain Drains --- -
Catch Basin/Manhole _
Storm Drain
Shower Pan
Other: —
Final
PASS PART FAIL
MECHANICAL --- -- ---- --- ---- - ------- - —
Post&Beam
Rough-In - --- - -- ----- --- - --- - -. -
Gas Line
Smoke Dampers - -- ----- - -- -- --- - ---
a
S �PART FAIL —-- -----___---. -.--.-_—� — - -------
E CTRICAL - - _ _--- - _ _--- - --__----
Service
Rough-In -
UG/Slab
Low Voltage - - --- ----
Fire Alarm
Final Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
CITE -__ Please call for reinspection RE: Unable to inspect-no access
Fire Supply Line
ADA 1.
Approach/Sidewalk fDIU e Inspector --
Other: _-
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL