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15955 SW 87TH AVENUE I ''moww C,A^ ,W,w ,M,w C'A W W y D rD C ro f 1!-,955 SW 87'x' Avenue CITYOF TIGARD ___MECHANICAL PERMIT DEVELOPMENT SERVICES E ISSUT #: 9/24/02 noazo 13125 SW Hall Blvd.; Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9/24/02 PARCEL: 2S111 DD-09400 SITE ADDRESS: 15955 SW 87TI-I AVE SUBDIVISION: CHESSMAN DOWnIS ZOP41NG: R-7 BLOCK: LOT. 020 JURISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN- EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APDL: VENT SYSTEMS: STORIES: _ BOILERS/CO_MPRF_SS_ORSHOODS: FUEL TYPES J 0 3 HP: DOMES. INCIN: 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 ISP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: %':OOUSTOVES: GAS PRESSURE: 50 +- HP: CLO DRYERS. FURN < 1(10K BTU: 1 AIR HANDLING UNITS OTHER UNITS: FURN >=1JOK BTU: <= 10000 ,fm: CAS OUTLETS: > 10000 cfm: Remarks: Replacement of furnace with like kind. Owner: _ _ - — --- - - FEES - ERICKSON, MARTIN RAND MARGIE Type By Date Amount Receipt 15955 87TH AVE PRMT CTR 9/24/02 $72.50 2720020000 TIGARD, OR 97214 5PCT CTR 9/24/02 $5.80 2720020000 Total $78.30 Phone: Contractor: FAITH HEf TING&AIR COND. INC 15157 NW DANCE DRIVE PORTLAND, OR 97229 REQUIRED INSPECTIONS Heating Unt Insp Phone:503-356-8686 Final Inspection Reg #:LIC 133911 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility jVc>tification Center. Those rules are set forth in OAR 952-001-0010 through.QAR 952 01-0080. You may obtain espies of those rules or 6irect questions -Ly­ rtin 17dR-Q1R�Q - ==� isle By; yL �'( ''Permittee Signature: - Call (503) 631-4175 by 7:00 P.M. for inspections needed the next business day �wta- MechanicalPermit Application Date received: Permit no.: City of Tigard Project/appl.no.: p're date: City(!f Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Dale issued: By Receipt no.: Phone: (503) 639-41'71 Fax: (503) 598-1960 Case file no.: Payment type: Building permit no.: Land use approval: I &2 family dwelling or a.:ccssory U Commercial/industrial LJ Multi-family ❑Tenant improvement U New construction Addition/alteration/rerl icement U Oilier. _ 110 Job address: d'7 , AC, Indicate equipment quantities in boxes below. Indicate the dollar Rldf no.: Suite no.. value of all mechanical materials,equipment,labor,overhead, Tax map/lax IoUaccount no.: prof:'.Value$ _ l oe Block: Subdivision: *tire Chccf:list for important application information and Project name: juriulir on'., I,•r whedule for residential permit fec. 2z 1 , r x1 City/county: T or e l_I P: r r U211jillum DescP' tion and ocalion of work on premises:__ H'ee(at.) IotAl Ur.criptinnI 01y. Res.only Res.only Gsl.date(11'completion/inspection: ? Z 'renant improvement or change of use: Air handling unit CFM_, Is existing space heated ru L'Onditioned?U-Ws U No Air conditioning(site plan require ) Is existing space insulated ' J )rti U Nu teration of existing IIVACsystela MECIIIANICAL CONTRACTOR o er/compressors State boiler permit no.: Business name: f�. MVAC, ih C 11P Tons IiTU/II Address: /S/6 7-,^J aJ Vcvi c e Or Fire smo a dampem/ uct smoke etectors city: �•.rt �.,d State:*O ZIP: �7?_ 7 j ctrl pump(site p an require ) Install/replace furnace/burner 3' AI Phone: 35� 86U I'ax: 617. [%ntulL _ Including duetwork/vcnt liner U YesJKN0 CCB no.: 13 " / nsta rep ace,rc octtic lcatcrs-suspcn(e(, City/metro lic.no.: 54 "L wall,or floor mounted Name(please print). cr i)r♦ f v'"., cal fora iancc of ter than furnace Refl'r{�crt+t on: Ahsotpuonunits` _ BTU/11 t-11 t, �snt. Chillers— H{' Name: /--7/ hex+^�• Com rrcssots_ HP Address:/ f 9 S r X r cJ �? t a<< ;nv ronmenuW exhaust aidveal at on: C_ity_IF, A "WState:Slater/L ZIP:472 '2 ifAppliancevent _ Thune: 6 A u- '. 6 f, [; mail: )ryer ex gust —- 1 y' ou(s, ype tes.KitcherithaZinat hood fire suppression system Nanv.-: U) CC{..r ,w• Exhaust fan with single duct thath fans) Mailing address: Exhaus s stem a art from zeatin or C �-- oe p itng and dhiribution lap to 4 out cls) City:-` Slate: i L Tynr: LPG _.._ NO -_ Oil Phone: ,�, I �n nI 'uc i in g cac t a itionai over 4 rntUctti rocenp p ng(sc ematicrequiicdl Number of outlets Name: ter ste .pp +ince or equipment- Address: Decorativefireplace State: ZIP: nsert-type - City: oo stove pe et stove Phone. I' F-mail: Ut ere Appliean:'s signature: Name (print):, 4.1'X0 7, , ( tit~ If 6/ ...k,',,- Permit fee......... 7r Not all jurixlictione 1%celit credit raids,Please call jurisdiction ter nnae int2xmoann Notice'. I his permit application Minimum fec................$ U Visa U MaStt'IC'atd expires il'a permit is not obtained Plan review(at _• `if) $ _ � ---- t within 180 days after it has been spirer y' Stale surcharge(8%) ....$ -_- -- accepted as complete. time cardiol r to a two on c its s TOTAL .......................$ ('wdhnl r signature - Amount440.1617 1610a/COM1 MEuHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEF SCHEDULE: ---- -_ .---- - TOTAL VALUATION: PERMIT FEE: -_ Description: Price Total $1.00 to$5,000.00 Minunum fee$72.50 _ Table 1A Mechanical Code Qty (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 including ducts&vents 14.00 fraction thereof,to and including 2) Furnace 100,000 BTU+ $10y00C,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 includingvent 14.00 fraction thereof,to and Including 4) Suspended heater,wall heater $25,000.00. or floor mounted heater 14 00 $2_5.001.00 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 Air $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)100K absorb unit to 100K BTU 14.00 80,1°State Surcharge $ 8)3-15 HP;absorb 25.80 unit 100k to 500k BTU 25%Plan Roview Fee(of subtotal) $ 9)15absorb 35.00 _ Required for ALL commercial permits only unit.55-1 1 mit l BTU _ TOTAL COMMERCIAL PERMIT FEE: $ unit mi absorb 52.20 unit 1-1.75 mil BTU 11)>50HP;absorb unit>1.75 mil BTU 87.20 12)Air handling unit to 10,000 CFM ASSUMED VALUATIONS PER APPLIANCE: 10.00 _ Vpiue Total 13)Air handling unit 10,000 CFM+ Description: 4t _,,Ea Amount 17.20 Furnace to 100,000 BTU,Inchiding 955 14)Non-portable evaporate cooler ducts&vents __ _ 10.00 Furnace>100,000 BTL)including 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 iappliancepermit _ 10.00 floor mounted heater 17)Hood served by mechanical exhaust Vent not included in appliance 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 BT_U69.95 3-15 hp;absorb.unit_ 1,700 20)Other units,Including wood stoves 1101k to 500k BTU_ _ _ 1000 15-30 hp;absorb,unit,501k to 1 2,310 21)Gas piping one to four outlets mil.BTU _ 5.40 30-50 hp;absorb.unit, 3,400 72)f,lore than 4-per outle!(each) 1-1,75 mil.BTU _ _ 1.00 >50 hp;ah-mb.writ, 5,725 Mlolmurn Permit Fee$72.50 SUBTOTAL: $ >1.75 mil.BTI) _ Air handling unit to 10,000 cfm 656T ^_ 8'/.State Surcharge $ Air handling unl'.>10,000 cfrn _ 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 a Iiance permit _ Hood_s_erv9d b mechanical exhaust 656 Other n pwcdonstnd Fees: y _--- --- 1 Inspections outside of normal business hours(mirnmurn charge-two hours) Domestic Incinerator _ 1,170 $62 50 per hoer Cummerclal or Industrial Incinerator _4,590 _ 2 Inspections for which no fee is specifically Indicated (minimum charge-half hour) Other unit,Including wood stoves, 656 $02.50 per hour Inserts etc. 3 Additional plan review required by changes,additions or revisions to plans(minimum Gas piping 1-4 outlets 360 charge-0ne-hell hour)$62 50 per hour Each additional Outlet - _ 63 Slate Contractor Boller Certification required for units>200k BTU. TOTAL COMMERCIAL $ **Residential AIC requires elle plan showing placement of unit. VALUATION: 1-_ All Now Commercial Buildings require 2 sets of plans. i.ldsts\forms\nwch-fees.doc 02/11/(,2 CITY OF TIGARD 24-Hour BUILDING Inspection Line:. (503) 639-4175 MSS INSPECTION DIVISION Business Line: (503) 639-4171 BUP -- REceived -- Date Requested-_1' - _ AM--- PM _--__---_ BLIP - Location � )l� S�` S4" 2 _ __—Suite -_ MEG `i l < Contact Person _ ht , _—_ _— Ph ( ) PLM Contractor_ _ — Ph(—[L) ,7 i' Z Z- S W R BUILDING TenanUOwnei - -_-__-- -. _ _— ELC --_-- _- ----_- _ - Footing ELC Ac Foundation cess: Ftg Drain ELF Crawl Drain Slah Inspection Nutes: SIT Post 6 Beam Shear 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 R Boars — Under Slab _� --- -- - -- --- - Rough-In Water Service ------ Sanitary Sewer Rain Drains ----- -- - Catch Basin/Manhole Storm Drain Shower Pan Other: -- -- - Final -- - P "AhT FAIL - --- — - —i MECHANIC 1 Post& Beam - �'---- ---' Rough-In f y —..__..___-- Gas Line Smoke Dampers --_ ------_-_-- — --in A5 PART FAIL --- -- -_ -- --- —� ECTRICAL — Service — Rough-In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of$— _ required befrre next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: u Unable to inspect-no access I ire Supply Line ADA Approach/Sidewalk bNte1_© �V- - -.- Inspector r . Other: Final 110 NOT REMOVE this Inspection record from the job site PASS PART FAIL