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10950 SW 89'" Avenue
CITY OF TIGARD MASTER PERMIT
PERMIT#: MST2002-00317
DEVELOPMENT SERVICES DATE ISSUED: 7/23/02
13125 SW Hall Blvd., Tigard, OR 97223 (50.) 639-4171
SITE ADDRESS: 10950 SW 89TH AVE PARCEL: 1S135AD-01705
SUBDIVICION: GRAHAM ACRES ZONING: R-4.5
BLOCK: LOT: 009 JURISDICTION: TIG
REMARKS: Convert part of garage into habitable space.
BUILDING
REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ALT HEIGHT: FIRST: of BASEMENT: at LEFT: SMOKE DETECTORS:
TYPr_OF USE: SF FLOOR LOAD: 40 SM'OND: sf GARAGE: of FRONT: PARKING SPACES:
TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: of RIGHT:
VALUE: s 16,000 00
OCCUPANCY GRP: R3 SORM: BATH: TOTAL: 0 00 at REAR:
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUBISHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPE% FURN<100K BOIL/CMP<3HP: VENT FANS- CLOTHES DRYER:
GAS FURN>•100K: 1 UNIT HEATERS: HOODS: OTHER UNITS:
MAX INP: btu FLOOR FURNANCES: VENTS' WOODSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE,-EEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTION:•_
1000 SF OR LESS: 0 • 200 amp. 0 200 amp: WISVC OR FDR: PUMPIIRRIOATION: PER INSPECTION:
EA ADD'L 500SF: 201 • 400 amp: 201 - 400 amp: 1st WIO SVCIFDR: SIGN/OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 • 600 amp: 401 Sao amp: EA ADDL SR CIR: SIGNAL/PANEL: IN PLANT:
MANU HMISVCIFDR: 601 • 1000 amp: 6014ampa-l000v: IINOR LABEL:
1000.amplvolt
PLAN REVIEW SECTION -_
Reconnect only:
>-4 RES UNITS: SVCIFDR>•226 A.: >800 V NOMINAL CLS AREA/SPC Of.C:
ELECTRICAL•RESTRICTEU ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO d STEREO. FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL:
"ARAGE.OPFNER CLOCK: INSTRUMENTATION MEDICAL. OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 483.90
This permit Is subject to the regulations contained In the
HOFMANN,JERRY D RANDY PERKINS Tigard Municipal Code,State of OR. Spec'ally Codes and
10950 SW 89TH 7316 SE 83RD. all other applicable laws. All work will be done In
TIGARD,OR 97223 PORTLAND,OR c 7263 accordance with approved plans. This Dermll will expired
work is not started within 180 days of issuance,or If the
work is suspended for more than 180 days ATTENTION:
Phone Phone: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set
Rego .0 10169 forth in OAR 952-001.0010 through 952.001.0080. You
may obtain copies of these rules oi,direct questions to
0UNC by calling(503)246-1987.
REQUIRED INSPECTIONS
Post/Beam Structural Framing Insp Fin 31 Inspection
Underfloor Insulation Gas Line Insp
Mechaoiral Insp Insulation Insp
Electrical Service Electrical Final
LElectrical Rough In Mechanical Fini I
Issued By : t � . l - i ( _ Permittee Sig,JaWreCall (503)(503) 635-4175 by 7:00 p.m. for an inspection needed the next business day
r -
Building Permit Application
Date received, Permit no.y1
City of Tlga �� 'V t Projecdappl.no. Expire date:
Address. 13125 SW 1114vTigard,O i
-City of Tigard Date issued: By Receipt no.:
Phone: (503) 639-4 1
Fax: (503) 598-1960 Case file no.: Payment type:
t - i
,���� 1 .:2 family:Simplu Complex:
Land use approval: , _______r_ --
❑ 1 &2 family dwelling or accessory ❑Commercial/industrial ❑Multi-family ❑New construction ❑Demolition Y �,
I]Addition/alteration/replacement ❑Tenant improvement J fin ,prinkler/alarm Ll Other:
r ' r
Bldg.no.: Suite no.:
Job address: 1'e T I �t U_ Tax map/tax lot/account no.:
Lot: I Block: Subdivision: _ —
Proiect name: r r
Description and location of work on premises/special conditions: TrJ2 N _
r.ac a ii-�Tc� c7 Pte/
_Naris: e r r W t
Mailing address: t✓ , 71:1- A V 1 &2 fainly ditelling: �. U
City:-I-L6
State: Z!p' 7 2 2 Valuation of work................... .................... $ ,
Phone: fax: E-mail: No.of hedrooms/haths................................. — -
�„ Total number of floors.................................
Owner's representative: , rq N 6)
Fax: E-mail: New dwelling area(sq. ft.) .......................... -
Phone: /- S 7C+-S 75-
Garage/carport area(sq.ft.)......................... —_
Covered porch area(sq. ft.) ............... ....... — Y
Name: �w X40 Y r!l i iv S Deck area(sq.ft.)
Mailing address: -7.//0 5•,� 3 c' (sq, _ --
statcpj- ZIPr 7�'G G
Other structure arca u.). .........
Ciiy: t T� Commcrciallindustrial multi-family:
Phonc:9 1- 5 70-s 6 Fax:7 .- E-mail: Valuation of work........ ...............................
Existing bldg.area(sq. ft.) .......................... ---
Business name: g H Oy F i-le-1 tit S—_ �' 7 New bldg.area(sq.ft.) ................................
Addresst l 3�(e S R, S� 'C Number of stories........................................ --
City: 1 L #90,% 5tutc; - /.1P� 71(e - Type of construction.................................... —
Phanc;97/- 57t* 5 I-ax: S.�Jo E-mail: Ocr•upancy group(s): Existing:
CCB no.: 'j New: —
Cityhnetro tic.nu. Notice:All contractors and subcontractors are required to he
t licensed with the Oregon Construction Contractors Board under
provisions of ORS 701 and cony be required to be licensed in the
Name: �►` _1�� I� n S jurisdiction where work is being performed.It the applicant is
Address: -2 (� - exempt from licensing,the following reason applies:
City: ? L N State: ZIP:el 1, J _ —
Contact person: Plan no.: -- —
Photic. g Fax: [i-mail:
Nnlnc: Contact person: Fees due upon application ..................... .... $__
Address:
Date received: —
city:
State: ZIP: Amount received .........................................
Fax: E-mail: Please refer to fee schedule.
Phanc: --
hereby certify I have read and examined this application and the Not all Jurisdictions accept,tedit cu&%,Please call luNuliconn for nude inf"ll m
Visa U MasletCard V
attached checklist All provisions of laws and ordinances governing this O U Vit card number ___-------- --�--1—
work will he complied wit 1,whether spei�ilicd herein or not. _ r.rPires
1�-- — Name of car�lioT er a drown on credit cmd
Authorized signature: ct� � �lkL Date' S
Print name: �� Cmdat
holddr N nahrre Amuu
Notice: 17mis permit application expires if a permit is not obtained within Igo days eller it hes 'wen accepted a.complete.
40-4611 Ob"WOM)
One-and"I"wo-Family Dwelling
Building Permit Application Checklist Reference no.:
Citio(Ti�rn"`l
City f Tigard Associated permits:
y ogaC ❑Electrical O Plumbing J Me,;hanical
Address: 13125 SW Hall Blvd,Tigard,OR 97223 ❑Other:
Phone: (503) 639-4171
Fax: (503) 599-1960
TIIE FOLLOWING 1 I FOR PLAN ItEVIEW
1 Land use actions completed. tier Iuri"diction criteria for concurrent reviews.
2 Zoning.Flood plain,solar halancc p)m s,sei.snuc soils designation,historic district,etc.
3 Verification of approved plot/lot.
4 Fire district --approval required.
5 Septic systewn permit or authorization for remodel. Existing system capacity
6 Sewer permit.
7 Water district approval.
8 Soils report.Must carry original applicable stamp and ';nature on file or with application.
9 Erosion control ❑plan 0 permit required.Include drainage-way protection,silt fence design and location of
catch-basin protection,etc. _
10 3 Complete sets of legible plans.Must he drawn to scale,showing conformance to applicable local and state
building codes. Lateral design details and connections must he incorporated into the plans or on a separate full-sine
sheet attached to the dans with cross references between plan location and details. Plan review cannot be completed
if copyright violations exist.
I I Slte/plot plan drawn to scale.The plan must show tot and building setback dimension;;property corner elevations(if
there is more than it 44t.elevation differential,plan must show contour lines at 2-ft.intervals);location of easement."and
driveway;ftKatprint of stru_ture(including decks);locationof wellvseptic systems;utility locations;direction indicator;lot
area;building coverage area; ercentaZ^ol'coverage;impervious tura;existing structures on site;and surface drainage.
12 Foundation plan.Show dimensions,ams hor bolts,any hold-downs and reinforcing pads,connection details,vent
size acJ location. _
13 Floor plans.Show all dimensions,room identification,window sire,locatit., of smoke detectors,water heater. -- - --
furnace,ventilation fans,plumbing fixtures,balconies and decks 10 incheF above grade,etc. _
1.1 Cross section(s)and details.Show all framing-member sire',and spacing such as flour beams,hcadcrs,.juists. 'uh-floor,
wall construction,roof construction More than one cross section may hr required to clearly po., ay construction. Show
details of all wall and mol'sheathing,roofing,roof slope,ceiling hcig,tt,siding material,footings and foundation,stairs,
fireplace constntction, thermal insulation,etc.
I s Elevation views. Provide elevations for new construction;minimum of Iwo elevations for additions and remodels,
Exterior elevations must reflect the actual grade if the clumpe in grad: is greater than four foot til building envelope.
-'ull-size sheet addendums showing foundation elevations with cross references are acceptable.
I o Wall bracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations;for
nun-prescriptive path analy.ri-i provide specifications and cal(ul,ui(inv,fo rneIurrrinl standards.
17 Floor/roof framing. Provide plans I'm all flours/mol'assenul+hes. nnhc;auug n)t,unhea siring,spacing,and hearing
locations.Show aftic ventilalion. _
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. Vor engineered
_ systems,see ilem_22 "E'ngincer's calculations,"
19 Reato calculations. Provide two sets of,calculatio-,using current code design values for all heams and multiple.joists
over 101'ect long and/or any hear:/joist carrying it non-uniform loud, — —
20 Manufactured floor/tont truss design details.
21 Energy Code compliance.Identify thr prescriptive path or provide calculations. A gas-piping schematic is rrtluurd
fi r four or more appliances.
22 hnRbreer's calculations. When required t•r provided,(i.e.,shear wall,roof mass)shall he stamped by an engineer or
rrrchilrt f licensed in(hreon and shall he shown to hr applicable in alit, project under rev it
2 a Inc I S)sde plata"ale IcqunI'd fill hcnl I 1 d1 141tt. Site plan,1111111 hr I I' �n I I" x 17".
24 't wo(2)sets each are required for Items I(1. 10,20& 22 above. --
25 Building plans shall not contain red lines or tape-ons. 'Mirrored" budding plans will he nut accepted, —
26 "Reversed"building plans must inert criteria outlined in the Pernli' & System Development Fcc%document.
27 "Drawn to scale" indicates standard architect or enginre-scale. _
28 Site plan to include tree size,type& location per approved project street free plan f if applicable),and COT Streit Tree List _J
Checklist must he completed hefore plan review start date. Minor changes or notes on submitted plans may he in blue or black ink.
Red ink is reserved for department use only. .wru,aa,(uauCosa)
ElCCtC1CaI PCr�il_pI1_=fin oatereceived: Pe•mit.:o.'
D U��
— -
Expire da,,:
Projec'lappl.no•:
City u# Tigard By: t'cceiptno.:
OR 97223 pate issued:
CityujTipa►d
Address: 13125 SW Hall Blvd,Tigard, Caset"ileno. Payment type:
Phone: (503) 639-4171
Fax: (503) 598-1960
Land use approval: ---
UTenant improvement
D Multi-fanulY
dwelling or accessory U Partici
U Commercial/industrial �f)ther: -- —
C] I &2 family U Add ition/.rlteration/rc lacemc:+l
U New construction
smic 11", 10, Inap/tax lot/account no.:
F
Job address: / •' �
Block: Subtliv:,ion: N/%99
Lot: Dc-scription and locution of work on premises: �
Proiect name: _-----
Estimated date of contplctiun/inslx'cu"n . Fee Max
1 (ea, Tota no.ln%
t)escri,lion
Job notL-- t�ew rr+Idenlial•clu{tk or multi-►arnilr per
BUS iness name: ►T dwellingunit.Includesattaclucd)(aru{e•
t
S, - Scrriceincluded: 4
Address: S7 Slate' Ziff:c1 - -
luuo Uy,ft (It ler+
City: O r 1 .Mail: crrn
such additional SW sy.It or purl Ion tht 2
I'(tx'• ----•--
Phone: residential --
- C L nlit_ ed energy.Elccli
.bus. e;•no: 3 _ y 2 -j' L1.iiwitedeuergp,non.rrsldcntiul -
CCB n( 7
City/metro hc,no.: ouc
5?` - —='-
h mm�ufactured Immo or modular dwelling 2
1 - 'Servi'•e and/or feeder
Date_—i_ yetrlceaorteeden-Installation,
S+gnaturc of— s�!np elec cion)rel 11,5 Licemem+'. Z alteration orrelocation, 2
Sup.elect.nam^1prinU 200 amps or lest_ '-
I 201 amps 1n 400 amps 2
401 amps to 600 an+ps - 2
Name(print): r J" c c ZJ!/ U�' 6a1 an,psit,IOWE2s 2
Mailing address: "l,IP: 2 Over 11X)(1 amps or volts I
State'
Reconnect
City: � r+ rt Fax:�----- � ��
1 mall: Temporary services or feeders,
Phone: - ' InslallatlonIalteration,orrelocallon: 2
t)honer installation:The installation is being made ongpraperty I own 2tst amps nr less 2
which is not intended for sale,lease,rent.or exchun a according to 2aI amps to 401 amps 2
ORS 447,455,479,67(1.7(11 Dnlc: 401 to NO nn+ s
Owner's si nalUl e: Branch circuits-new,alteration.
or extension per Panel:
A fec for hranch circuits with purchase of 2
NalttC: service or feeder fee,each branch circuit
H. Fre fou'branch circuits without purchase 2
Address: 511111• IIP: of acrvice or fecdrr fee,first branch circuit:
City: _ i ltlail Each ad,hlionul hranch ctrcUW
Phunc:
Fax Mise,(Strrlce or feeder not included): 2
Each pum or irrigniton circle _ 2
' U Health Calc Ia11111y f•.och sign nr outline U htinr uncl•
U Service over 22. an+ps•culnmrrctnl U Ilunodou,location Si nal circuit(:)or a limited energy P 2
g
U Service over 1211 amps-rating of 1&• U ptlllding ON,•MAX)square fuel(our or alteration,or extension*
ftonily dwellings 11n,te residential units in one structure —
LISysten,overW)vollsmm�ival •IR'.cn tion _ - —
U F:erdero,4tKl amps ur nmre
U Building over three stories U sianofactured structures ur RV park Fich additlonal inspection over the aU��"y or tlK clave:
U(),cupant load Over tµ)pcusom U other- _ _----- Per inspecuan _ w
J I t+ess/lightingplw+ InveatigationIce
qubmh cels of phtns wuti any of the above, (nhcr�---
Ilcpble to lem!tt pry construction perfice.
Permit fee.....................$
lite phare are not ahr .____--—_— , lication — ri♦.) $
_.�-- Plan review(at _
expires il'a permit is not obtained
Nn1 all Junrtic:inas sccrpl
Urdu cards,plensr call)udxlkuon for nusr inGxnmucw Nnti,e:'Phis peflttl al State surcharge(';�1') ^•$ ----"—
U Vlsa O Mastercard ,.ithin 180 days atter it has been
TOTAL ........... ...... ....$ .._._-----
(•redo card number' --.-- ---—- — isptrer occepled us complete.
,t.ulJGl�:tvtx)It.'c1M 1
---"•fV Arne car r u s none tic It -
_----- '--•�irwuni
('sidhnl r signature
i
ELECTRICAL PERMIT LES: LIMITED ENERGY PERMIT FEES:
TYPE OF WORK INVOLVED -RESIDENTIAL
Complete Fee Schedule Below: Restricted Energy Fee................. .................... . ........... $75.00
Number of Inspections per permit allowed (FOR ALL SYSTEMS)
Service included: Items Cost Total Check Type of Work Involved:
Residential •per unit
1000 sq ft or loss _ $145 15_ +_. 4 Audio and Stereo Systems'
Each additional 500 sq ft.or
portion thereof $3340 _ 1 Burglar/,term
Limited Energy _ $75.00^
Each Manurd Home or Modular Garage Door Opener'
Dwelling Service or Feeder $90.90 2
Services or Feeders Heating,Ventilation and Air Conditioning System"
Installation,alteration,or reloca+Ian
200 amps or less $80.30 2 I] Vacuum Systems*
201 amps to 400 amps $106.85 2
401 amps to 600 amps $160.60 _ 2
601 amps to 1000 amps $240.60 2 OtherOver 1000 amps or volts $454.65 ___ 2
Reconnect only n66.05— 2
Temporary Services or Feeders TYPE OF WORK INVOLVED-COMMERCIAL ONLY
Installation,alteration,or relocation Fee for each system..................................... ................... $75.00
200 amps or less $6R 8j_ 2 (SEE OAR 918-260-260)
201 amps to 400+mps $'00.710 2
401 amps to F00 Imps __ 5133.75 _ 2 Check Type of Work Involved:
Over 600 amps If,1000 volts, I ❑
see"h sLvve. Audio and Ste'eo Systems
Branch Circuits Boiler Conf;ols
New,alteration or extension per panel
a)The fee for branch circuits
with purchase of service or Clock Systems
feeder fee.
Each branch circuit $6.65 Data Telecommunication installation
b)The tee for blanch circuits
without purchase of service Fire Alarm Installation
or feeder leo,
rirst branch circuit �. $46.85 t)' ❑
Each additional branch circuli �_ $6.65 j HVAC
Miscellaneous Instrumentation
(Service or feeder not included)
Each pump or irrigation circle $5340 Intercom and Paging Systems
Each sign or outline lighting $53.40
Signal circuits)or a limited energy
panel,alteration or extension — $7500 Landscape Irrigation Control
Minor Labels(10) $125,00
-- o Medical
Each additional inspection over
the allowable In any of the above Nurse Calls
Per inspection $62,50
Per hour $62.50
In Plant _ $73.75 Outdoor Landscape Lighting'
Fees: w ` Protective Signaling
Enter total of above fees $ G 6.iS Other
0%State Surcharge $ 'T Number of Systems
25%Plan Review Fee ' No licenses are required Licenses are Iequired for all other Installations
See"Plan Review"secuoa an $ _
front of application.
Fees:
Total Balance Due $
--- Enter total of above fees $
Trust Account 0 8%State Surcharge $—
Total Balance Due $
All Now Commercial Buildings requc 2 sets of plans.
i dets\femL,eic-fees doc 09/30101
Mechanical Permit Application
—_ Datereceived: Permit no.:V).6%
City of Tigard Project/appl.no.: Expire date:
01v of I igard Addrt ss: 13125 SW Hall Blvd,Tigard,OR 97223 --
Ua►c issu-i: By: Receipt no.:
Phone: (503) 639-4171 -
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: Building permit no.:
TYPE 01: PERMIT A.
U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family J Tenant improvement
U New construction _J Adciition/alteration/replacemcpt U Other:
1N SaMPUE
Job address: /G` S C C n& /O!Q_ Indicate equipment quantities in boxes belc.w.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: _Pr r TRt jurisdiction's fee ,chedule :or residential perm ' lee.
City/county: 'LIP: 2
f . t
Description and location of work on premises: /Y fir.✓ 1 t
liv J 1- _c erg
lec(va ) Iol:d
Est.date of completion/inspection: Ih'�cri tion (111. Ittw.onh ilry.onit
Tenant improvement or change of use:
���� Airhandlingunit CFM
Is existing space heated or conditioned?LYYes U No rr core.tion ng(site an required)
Is�;::sting space insulate_!'?Ods U No terauon o existing system
o er compressors
State boiler permit no.:
Business name: O z i Z&�_ __ HP Tons BTUAI
Address: 12� C ire svto aamper act smo c etectors
City: Slate>Dk Z1P: N Sr Oeat pump(site plan required)
Phone i c Fax' - Email: nsta rep ace uraace/burner_—
Including ductwork/vent liner U Yes U"ro
CCB ao.: ! 3 -TnTt-affrre-Fa—cclre 1 ocateeaters-suspr.lac-37
Cily/metro lic.no.: /Q.2-5 wall,or floor mounted
Name(please riot) �' ment ora appliance other than urnacc
e gerst on:
, ) Absorption units It W/H _
�� rJ hl c 11 'Pet,I'j<�j /V .5_ Chillers _
Name: —Compressors --_--_ _ I I l'
Address: • E is 3 rsU Nv nr ronme— n cr rausr am vrW tat ant
Slate• ZIP: 9.2.2"14, Apphanc �cnt
Phone Fax: F-mail: hyerczTmusi
0o s,Type If I I/res.kitchen/! at
hood fire suppression system
Name: I I }r ��G• {� r Exhaust fan with single duct(beth fans) _
Mailing address: 5 6,.wr' �'' •x rusts stem a an from heating or C
state ZIP: rte piping sndistribution(up to outlets)
City: ' 4 Type: --_L.PG NO Oil
Phone: 11. mail: Fuel pillinge3chail•:bona over outlets
71 roce+spiping(sc ematicrequirc )
Number of outlets
Name: _ -- (ter opplissice or equTp%eent:
Address: Decorative fireplace _
City: Sratc: ZIP: naert- type --- -
Phune; F1tx: E-mail:
rot stov pe etstove�
1 11 er:
Apr Dale:Dale:t) t
Name (print):
Na dl jurisdictions ac I credit cant,pteaw earl Juti"dictim GN mar infnnutnar Permit fee..................... —
UVise U MaaterC'enr Notice:!'his permit application Minimum fee................$
expires if a permit is not obtained Plan review Ot ____ %) $
Credit cnJ number. - —1— within 180 days alter it has been
�� State surcharge(89F)....$
Nitrite it jikidbolder a own on cmilit r accepted as complete.
$ TOTAL .......................S ---
C r lipii — Amount � 4"17(W)WOM)
MECHANICAL PERMIT FEES
COMMERCIAL FEE SCHEDULE: 1 & 2' FAMILY DWELLING FEE SCHEDULE:
TOTAL VALUATION: PERMIT FEE: Description: Price Total
$1.00 to$5,000.00 Minimum fee$72.50 Table 1A Meatianical Code City (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+
$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 vent 14.00
fraction thereof,to and including 4) Suspended heater,wall heater
$25,000,0V 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 3ppliancp ,ermit
0,1.45 for each additional$100.00 or 6.80
'action thereof,to and including 6) Repair units
$50,000.00. 12.15
$50,001.00 and up $7 ^_.00 for the first$50,000.00 and Check 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. Comp ••
Minimum Permit Fee$72.50 SUBTOTAL: •7)<3HP;absorb unit
$ to 100K BTU 14.00
°/.State Surcharge8)3.15 t IP;absorb
8
$ unit 100k to 500k BTU 25.60
25°/.Plan Review Fee(of subtotal) $ 9)15-30 HP; bsorb
Required for AL.L commercial permits.onl unit.5-1 mil BTU 35.00 -
TOTAL COMMERCIAL PERMIT FEE: $ 1n30absorb
unit 1.1 1.7.7 mil BTU5 m 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__ _ Qt Ea Amount 17.20
Furnace to 100,000 BTU,Including 9.55 14)Non-portable evaporate cooler
ducts&vents _ _ _ 10.0_0
Furnace>100,000 BTU including 1,170 15)Vent fan connected to a single duct-
ducts&vents 6.80
Floor furnace IncJudmg vent_ _ 955 _ 16)Ventilation system not Included in
Suspended heater,wall heater or 955 1000
floor mounted heater appliance permit
Vent not included in applicance 445 T 17)Hood served by mechanical exhaust 1000
permit_ _ -
Repalr units 805 A� _ 18)Domestic Incinerators 17.40
<3 hp;absorb.unit, 955
to look BTU 19)Commercial or indt trial type Incinerator
3-15 hp;absorb.unit, � -� � 1,700 69.95
1015 to 500k BTU 20)Other units,Including wood stoves
10,00
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 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: $
>1.75 mil.BTU
Air handling unit to 10,000 cfm656 ------ --- -
Air handling unit>10,000 cfm _ 1,170
8'/.State Surcharge $
Non-portable evnpor!l!e cooler - 856 TOTAL RESIDENTIAL PERMIT FEE: $
Vent fan connected to a single duct _ 446
Vent system not Included in 656 _
appliance ermit _
Hood served by mechanical exhaust 658 Other Inspections and Fees:
Domestic inclneretor _ 1,170 1 Inspections outside of normal business hours(minimum charge-two hours)
$et 50 per hour
Commercial or Industrial Incinerator u 41590 2 Inspections for which no fee Is specifically Indicated (minimum charge-half hour)
Other unit,including wood stoves, 656 $e2 50 per hour
inserts,etc. 3 Additional plan review roquired by changes,additions or revisions to plans(minimum
Gab piping 1-4 outlets_ r 360 charge-one-half hout)$82 50 per hour
Each additional outlet 63 - *State Contractor Boiler Certification required for units>200k BTU.
TOTAL COMMERCIAL E "Residential A/C requires site plan showing placement of unit.
VALUATION �_.__ All New Commercial Buildings require 2 sets of plans.
I:\dsts\forms\mech-fees,doc 12/26/01
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CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST
INSPECTION DIVISION Business Line: (503)639-4171 -
BUP
Received '_"' Date Requested— �� _ AM_—.-- PM BLIP —
Location �� L �(!� `' -- _Suite MEC
Contact Person — �- Ph(-----) -5-70--!5'&_PLM
Contractor �- Ph(_—_) SWR
ILpiWG Tenant/Owner — ELC
Footing ELC -- -
Foundation Access: / — ---
Ftg Drain 7 Q I e2 P dt � �- ELR
Crawl Drain --
Slab Inspection Notes: w 5(� SIT
Post&Beam `fes
Shear Anchors ------ —
IExt Sheath/Shear
Int Sheath/Shear —
Framing
Insulation
Drywall Nailing --
Firewall
Fire Sprinkler -
Fire Alarm
Susp'd Ceiling
Roof
Other:_ —
I
"AS3 PART FAIL
Post&Beam
Under Slab
Water Service -- --- --- --- ------- -- - -- -- —
Sanitary Sewer
Rain Drains -----------
Catch Basin/Manhole
Storm Drain -
Shower Pan
Other: - - -- - --
PART FAIL — ---- -- -- — ---- - ------
os eam
Rough-In —
Gas Line ------
Smoke Dampers — --—— —- ----- -- — — .... --- --
AS PART FAIL - _— — ---- ------ —_ ------- -- -- ----
L
Service
Rough-in
UG/Slab — - - -- -- ----- — - -
Low Voltage
Fire Alarm 11
ASS-'PART FAIL �- 1 Reinspection fee of$ --_---- required before next Inspection. Pay at L,' Hall, 13125 SW Hall Blvd.
SI _ Please call for reinspects RE: _ — Unable to inspect-no access
Fire Supply Line l 1 `
ADA
Approach/Sidewalk Date _�. Inspector -� _ Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL