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14210 SW FANNO CREEK DR
�_ MECHANICAL PERMIT
CITY
OF TIGARD
DEVELOPMFN T SERVICES PERMIT#: MEC200C 00435
DATE ISSUED: 11/2/00
AIM 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 4171 PARCEL: 2S112BD-07000
SITE ADDRESS: 14210 SW FANNO CREEK. OR
SUBDIVISION: COLONY CREEK ESTATES NO.2 ZONING: R /
BLOCK: LOT: 053 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VEN'r 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 4' HP: CLO DRYERS:
FURN < 100K BTU: 1 _ AIR HANDLING UN;TS OTHER UNITS:
FURN >=100K BTII: <= 10000 cfm: _ GAS OUTLETS: 1
> 10000 Cf m:
Remarks: Replace electric furnace with gas fun ace.
Owner. _-� _ _ _ FEES
MARK SCHLI,�HTING Type By rate Amount Receipt
14210 SW FANNO CREEK DR. PRMT CTR y�1112100 $72.50 272000000C
TIGARD, OR 97224 5PCT CTR 11/2100 $5.80 272600000CI
Total $78.30_ _I
Phone:503-310-3095 -'
Contractor:
B & M HEATING
P U BOX 348
CORBETT, OR 97019 REQUIRED INSPE^"ONS_____
Mechanical Insp
Phone:503-695-3500 Final Inspection
Reg #:LIC 124757
This permit is issued subject to the regulations contained in the Tigard W licipal Code, State of Ore. Specialty Codes
and all other applicable laws. All work will he done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance. or if worts is suspended for more than 180 days ATTENTION: Oregon law
roquires you to follow rules adopted in the Oregon Utility Notificat o,, Center Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0080 You may obtain cv;),v , of these rules or direct questions to OUNC by
calling (503)246-9189.
Issue By: `x� — Permittee= Signature
Call (503) 6394175 by 7:00 P.M. for inspections needed the naxt business day
Mechanical Permit Application
Date received: //12
10—e) Permit no.:HLceZ000-DD -3
City of Tigard Project/appl no.: Expire date:
city ofngard Address: 13125 SW I fall Blvd,Tigard,OR 97223 Date issued. B Recei t no.:
Phone: (503) 639-4171 y
Fax: (503) 598-1960 Case file ro.: Payment type:
Land u..e approval: t Building permit no.:
011,I &2 family dwelling or accessory ❑Commercial/industrial U Multi-family U Tenant impn ventent
U New atnstruclion U Addition/alteration/replacement U(ether.
Job address: ` 1 . I (.� i.t. �. , , r (' Indicate equipment quantities in boxes below.Indicate the dollar
Bldg.no.: Suitt no.: value of all mechanical materials,equipment,labor,overhead,
Tax map/tax lot/account no.: profit.Value$
Lot: Block: I Subdivision: *See checklist for important application information and
Project name: _— — jurisdiction's fee schedule for residential permit fec.
City/county: f ( . v. (l Z1P: cr, -) r
Description and location of work on premises: _ I
tl krt
Fee(ea.) 'Total
Est.date of completion/inspection: i I _ ca Ikscri Nion (Ay.I Res.only Res.only
Tenant improvement or change of use:
Is existing space heated or conditioned?U Yes 0 No Air handling unit CFM
Air con itiorting(site p an require )
Is existing space insulated?U Yes U No A teraoon of existing HVAC system_ _
of er compressors
,� State boiler permit no.:
Business name: ►y l r+r-��l to _ HP 'cons BTU/H
Address: It Aez Fire/smoke dampers/duct smoke detectors --
City: 0,IV, Staten, ZIP:`1-!Q eat pump(stte p an require )
Phone: c . ' 0Fax: E-mail: nsvi rep ace urna
including ductwork/vent liner U Yes U No
CCB nn.: /r;?�/ % f� /JP ,. nsttd rep ace re sp
oeate eaters-suen e ,-
City/metro lic.no.: wall,or floor mounted
Name t•please print): Vent 4t,appliance of ter t tan furnace
Refrigeration:
Absorption units 10(1/11 I —
Name: , r t, t •t t� Chillers—
Compressors
hillers—
Address: Com rcssors
Environmental exhaust and vent lar on:
City: ( ,,y 1 State:o ZIr: />`I6/ Appliance vent
Phone: ,r r l a r E-mail: —Myer exhaust
0o s, 'ypc res. rte a azmat
hood fire suppression system
Name: L \ry j t 6 i 1 f (..�� + j ,� Exhaust fan with single duct(bath fans)
Mailing address: ;1, `. =xhaust system a Qart from heating or AC
110piping an str ul on(up to 4 outlets)
City: N ( Stale:r Z1P: 'T) Its_ Type: _ _LI't; _— NG nil
Thune: 3 ► Fax: E-mail: uel piping each additional over 4 outlets
roeesspiping(sc emaocrequire 1 —
Name: Number of outlets ----
— -- Ot er 1Tst app Lance or equ pment:
_Address: _ Decorativefireplace
('fly: Slate: �I ZIT':_ Insert-ty _
Phone: Fax: I E-mail: Woodstove/pellet stove —_
Othe,,.
Applicant's signature: _ Date: ___ t
Name(print):
Noi all Juradictions accept credit tarda,pleme call Jut,sdiction for nwm infomwion. Permit fee.....................$ _2� G
C)visa U Masti.-Ward Notice:This permit application Minimum fee................$ _
credit cant nutroec _ expires if a le�rtit is not obtained
Ea ir/ Plan review(at __ 96)
within ISO days after it has been $
_ p State surcharge(856)....$
Nene of cardholder as shown on credit card accepted as complete.
S
TO UAL .......................$ G
__ Cardholder signature--- — Amount 040-4617 I(Jtllt/('OMl
MECHANICAL PERMIT FEES
COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE:
- - ------ -- -- --- Description: Price Total
TOTAL VALUATION: E. Table 1A Mechanical Code _ city (Ea) Amt
$1.00 to$5,000.00 - _ Minimum fee$72.50 1) Furnace to 100,000 BTU -
$5,001.00 to$10,001.00 $72.50 for the first$ OWOO and includingducts&vents 1400
$1.52 for each additional$100.00 or 2) Furnace 100,000 BTU+ - -
fraction thereof,to and including including ducts&vents 17.40
$10,000.00. 3) Floor Furnace r
$10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and including vent 14.00 _
$1.54 for each additional$100.00 or Suspended heater,wall heater
fraction thereof,to and including 4) p 14 00
$25,000.00. or floor mounted heater _
$25,001.00 to$50,000 00 $379.50 for the first$25,000.00 and `) Vent not included in appliance permit
6.80
$1.45 for each additional$100.00 or
fraction thereof,to and including 6) Repair units
_ 12.15
$50,000.00. -
!0,001.00 and up $742.00 for the first$50,000.00 and (Trk all that apply: Boiler r Heat Air
$1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond
fraction thereof. footnotes below. Comte_
_--- 7)<3HP,absorb unit
_ ----- to 100K BTU 14.Jn
ASSUMED VALUATIONS PER APPLIANCE: g)3-15 HI';absorb
Value Total unit 100k to 500k BTU - 25.60 _
Descri tion: of Ea _Amount 9)15-30 HP;absorb
Furnace to 100,000 BTU,Including 955 unit.5-1 mil BTU 35.00
ducts&vents 10)30-50 HP;absorb
Furnace>100,000 BTU Including 1,170 unit 1-1.75 mil BTU 52.20
ducts&vents 11)>50HP:absorb
Floor furnace Including vent _ 955 unit>1.75 mil BTU I 1 87.20
Suspended heater,wall heater or 955 12)Air handling unit to 10,000 CFM
floor mounted heater - 10.00
Vent not Included In applicance 445 13)Air handling unit 10,000 CFM+
e _ 17.20
permit
Repair units _ 805 1 _ 14)Non-portable evaporate cooler
<3 hp;absorb.unit, 955 10.00
to 100k BTU - 15)Vent fan connected to a single duct
3-15 hp;absorb.unit, 1,700 6.80
101k to 500k BTU --- 16)Ventilation system not Included in
15-30 hp;absorb.unit,501k to 1 2.310 appliance permit 10.00
mil.BTU --- - 17)Hood served by mechanical exhaust
30-50 hp;absorb.unit, 3,400 10.00
1-1.75 mil.BTU - 18)Domestic incinerators
>50 hp;absorb.unit, 5,725 17.40
>1.75 mil.BTU 19)Commercial or industrial type incinerator
Air handling unit to 10_,000 cfm 656 89.95
Air handling unit>10,000 cfm _ 1,170 20)Other units,including wood stoves
Non-portable evaporate cooler _ 658 10.00 _
Vent far connected to a single duct 446 21)Gas piping one to four outlets
Vent stem not Included In 656 5.40
sy
a Ilance permit _ 22)More than 4-per outlet(each)
Hood served by mechanical exhaust 656 1 00
Domestic Incinerator _ 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 piping 14 outlets ,360 T 25%Plan Review Fee(of subtotal) $
Each additional outlet 63 Required for ALL commercial permits only
TOTAL COMMERCIAL $ TOTAL RESIDENTIAL PERMIT FEE: $
VALUATION: - --
Other Ins ectlons and Feeq:
I Inspections outside of normal business hours(minimum charge-two hours)
$72 50 per hour
2 Inspections for whi-h no fee is specifically indicated (minimum charge-half hour)
$72 50 per hour
3 Additional plan review required by changes, +dditions or revisions to plans(minimum
charge-one-hail hour)$72 50 per hour
'Slate Contracto,Boller Certification required for units�-200k 8T11.
"Residential A/C requires site plan showing placement of unit.
1:\dsts\formsvnech-fees.doc 10/11/00
UTYOF TIGARD __PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: 1112100 00411
DATE ISSUED: 11/2/00
13125 SW Hall Blvd.,Tigard, OR 9722.3 (503) 639-4171
PARCEL: 2S 11286-07000
SITE_ ADDRESS: 14210 SW FANNO CREEK DR
SUBDIVISION: COLONY CREEK ESTATES NO.2 TONING: R-7
_ BLOCK: LOT: 053 -^-JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PRE'VNTRS:
OCCUPANCY GRP. R3 FLOOR GRAINS: TRAPS:
STORIES: WA;ER HEATERS: 1 CATCH BASINS:
FIXTURES __ LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS__ URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: installation of water heater --
_ FEES
Owner: Type By Date Amount Receipt
MARK SCHLICHTING PRMT CTR 1'1/2/00 $72.50 27200000000
14210 SW FANNO CREEK DR. 5PCT CTR 1112100 $5.80 27200000000
TIGARD, OR 97224 -- ---
Total $78.30
Phone 1: 503-310-3095
Contractor:
OWNER
REQUIRED INSPSC "IONS
Final Inspection
Phone 1:
Reg #:
This permit is issued subject to the regulations contained in the Tigard M',micipal Code, State of OR.
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 by the Oregon Utility
Notification Center. Those rules are set Furth in OAR 952-0001-0010 through OAR 952-0001-0080.
You may obtain copies of these rulF: or direct questions to OUNC by calling (503) 246-1987.
1 t Permittee Signature: `
Issued By: - `i,7i1 _�. — --
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
Plumbing Permit Application
—i—i Datercceived: *i/:f,,7) Permit no.
City Of Tigard Sewer permit no ff Building pertnit no.:
Address: 13125:iW Hall Blvd,Tigard,OR 97223 --
('in,e)/Tigard Phone: (503) 639-4171 Projecl/appl.no.: Expire date:
Fax: (503) 598-1960 Date issucd:_ By: Receipt no.:
Land use approval: (ase rile.no.: I'aynu:d iypc: _
U I &2 family dwelling or accessory U Conuner.ial/industrial U Multi-family U Tenanl improvetncnl
U New constructicn U Addition.'alteration/replacement U Food service U OIhcr:
7.110111SI-ITINFORNIA1110N FEY SCI I E.011:LE(for%litTinfinfoillull loll use checklist)
Joh address: :+ ( ( � lv rt t"r` ci �_, 1 Description (1t Fec(ea.) 'Total
Bldg.no.; Suite no.: New I-and 2-family dwellings only:
(includes 1000.For each utility connection)
Tax map/tax lot/account no.: SFR(1)bath
Lot: I Block__1_ibdivision: SFR(2)bath �-
Project name! SFR(3)bath
City/county: ��1 r�(t( ZIP: S'� `tZ �/ Each additional hath'kitchen _
Description and location of work on premises: Siteutililies:
Catch basin/area drain
fist.date of completion/inspection: D wells/leach line/
trench drain
Footing drain(no,lin.ft.) _
._ Manufactured home utilities
Business name: Manholes
Address: _ _ Rain drain connector
airy: Slate: ZIP: Sanitary sewer(no.lin.ft.)
Phone: Fax E-mail: Storm sewer(no.lin.ft.) _
CCB no.: I Plumb.bus.reg. no: Water service(no.lin.ft.)
City/metro lic.no.: Fixture or item:
Absorption valve
Contractor's representative signature: Back flow preventer
Print name: Dat t: Backwater valve
IBasin%/]av ittory -�
Name: 1(y'c^i J 1( t' ��� t t �-���r Clothes washer _
Dishwasher
.Address: t -t � c (1l Er.• r,�r.� C � <' E Drinking fountain(s)
City_ ac, IState:hti ZIP: r I-)2't t/ Ejectors/sump
Phone I u ti'„ Fax: F-mail: Expansion tank
Fixture/sewer cap _
Name(print): M� tt C (' ,� t f Floor drains/floor suik�/hub
- Garbage disposal
Mailing address: y %I I l r `�,.,., �. r. r c, ' 1 Hose Bibb
City: w� State: 0 t ZIP: c j=j ►'i'/ Ice maker
Phone: I C 3 U'' Fax: E-mail: Interceptor/grease trap
Owner installation/residential maintenance only: The actual installation Primer(s)
will be made by me or the maintenance and repair made by my regular Roof drain(commercial) _
employee on the propetty I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) _
Owner's signature: t -� Date: 7 Sump _
Tubs/shower/shower pan _
Urinal
Name: _. Water closet
Address: Water heater
City: State: ZIP: Other:-
Phone: LJ:Fax-. _ L' mail_ Total _
_
rid all JuNdktloru eccepr credit ceras,please cell jurisdiction fix mare irrfexmation. Notice:'111iS permit application Minimum fee................$ 22. SU
O viers U MasterCard expires if a permit is not obtained Plan review(at _ %) $
Credit card number within ISO days after it has been State surcharge(8%)....$
Fxpires TOTAL . $
'
--- ------- accepted as complete. •••••'•'••••"'•"•"'
Name of cardholder ea shown nn crtdit card
S
Cardholder signature ---- Amount 140.1616(6MCOM)
PLUMBING PERMIT FEES:
-- PRICE TOTAL New 1 and 2-family dwellings only: - - -�
FIXTURES (individual)_- QTY ea _ AMOUNT (includes all plumbing fixtures in PRICE TOTAL
Sink 16.60 the dwelling and the first100 ft. QTY (oa) AMOUNT
for each ut
Lav,tory - -- 16,80 ---- �l gonr ectlon
One 1 bath _ -- $249.20 -
Tub or Tub/Shower Como. 16.b0 Two_( bath $350.00
Showor Only 16.60 Three 32 bath _ _j $399.00
Water Clos9t - 16.60 ----� SUBTOTAL
Urinal - 16.50 8%STATE SURCHARGE
Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL
Galbane Disposal - 16.50 - TOTAL_
Laundry Tray - 16.60
Washing Machine 16.60
FloorDralnlFloorSink 2" _ - 1G60 - PLEASE COMPLETE:
3° 16.60
q^ 16,60
ater HAater O conversion O like kind 16.60Quantic b Work Poriormed
W
Fixture Type: -�New Moved Ru
Gas piping requires a separate mechanical YP laced Removed/p
permit -_ -_ Capped
MFG Home New Water Service 46.40 Sink
MFG Homo New San/Storm Sewer 46.40 Lavato _
Tub or Tub/Shower
Hose Bibs - 16.60 _ _ Combination _
Roof Drains - 16.60 - Shower Only
Drinking Fountain 16.60 Water Closet _
--- Urinal
01her Fixtures(Specify) 16.60 _ Dishwasher
----
Garbage Disposal - -- -
- - a Laundry Froom Tray -
- -- -- - Washino Machine
Floor Drain/Sink: 2"
Sewer-1st 100' 55.00 --- 3„ - -
Sewer-each additional 1004640 4" _
Water Service-1st 100' 55.00 Water Heater -
Water Service-each additional 200' 46.40 Other Fixtures
_ (Specify)
Storm 8_Rain Drain-1st 100' 55.00 - -
Storm&Rain Drain-each additional 100' 46.40 -
Commercial Back Flow Prevention Device 46.40 - --
Residential Backflow Prevrmtion Device' 27.55 --
Catch Basin 16.60 - v
Inspection of Existing Plumbing or Specially 72.50
Requested Inspections _ per/hr COMMENTS REGARDI"G ABOVE:
Rain Drain,single family dwelling 65.25
Grease Traps 16.60 ---- _--- - --- -------
QUANTITY TOTAL
Isometric or riser diagram is required if -
-Quantity Total Is >9
"SUBTOTAL --- - -- --�-
8%STATE SURCHARGE - ----- -- - -
"PLAN REVIEW 25%OF SUBTOTAL.
Required only If fixture qty total is>9 I I _-_
TOTAL a
.Minimem pernit fee is$72 50.B%state surcharge.except Residential Backflow
Prevention Device.which Is$36 25•B%state surcharge
**Alt New Commercial Buildings require plans with Isometric or riser diagram and
plan review
IAdsts\forms\plm-fees.doc; 10/10/00
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ---�
/ BUP _
Date Requested___ �/-�_ ANI L/ .PM — BLD
Location Z"1-'IU / " u CA"-,J( c'-/ Suite MEC
Contact Person Ph PLM Xp P1 -Go
Contractor _ _ Ph __ SWR --- - —
BUILDING � Tenant/Owner — ELC — ---
Retaining Wall E L R
Footing Access- FPS
vS
Foundation
rig Drain -- SIGN
Crawl Drain Inspection Notes: -
Slab - - -�..---- - -_------- - ------- SIT
Post 8 Beam �T--
Fxt Sheath/Shear
Int Sheath/Shear
Framing - ------ - - -- —
Insulation
Drywall Nailing - - ---- --- - -- - - -- -- .
Firewall
Fire Sprinkler -_ - --- ---- - - --- ---
Fire Alarm
Susp'd Ceiling -- - -- - - - - - - _
Roof
Misc - - -- - - - - - --
Final
PASS PARIF FAIL - -- ------ - - -
PLUMBING
I-lost R Beam
Under Slab -__.—
Top Out
Water Service�p�
Sanitary Sewer
Drains
�F
MN PART FAIL
111WANICAL
Post& Beam
Rough In
Gas Line
Smoke Dampers
_.-
PASS PART FAIL
ELECTRICAL ___--
Service -._ ----- — ----
Rough In
UG/Slab -
Low Voltage
Fire Alarm --
Final
PASS PART FAILSITE
Backfill/Grading -—
Sanitary Sewer
Storm Drain [ }Reinspection fee of$-- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ )Please call for reinspection RE- [ )Unable to inspect-no access
Fire Supply Line -
ADA
Approach/Sidewalk Date Inspector / /� -_ __ Ext
Other +�_ -f- - -- --�
Final
PASS PART FAIL DO ;JOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 6:39-4171 _-
' //.- auP _
Date Requested_ /4 AM !1—PM BLD _
Location 0J _ Suite __— MEC
Contact Person Ph _ _ PLM —
Contractor Ph SWR
BLrILDING ---- Tenant/Owner _ ELC _—
Retaining Wall — -- ELR
Footing ---- ---
Foundation Ao�eSS: FPS
Fig Drain — SGN —
Crawl Drain Inspection Notes: -------- ----
Slab -- --- - -_,_-.- - SIT
Post&Grum -- -
Ext Sheath/Shea!
Int Sheath/Shear
Framing
Insulation -------__-____-.--
Drywall Nailing
Firewall -
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof - - - ------ --
Misc. -- --- --
Final
PASS PART FAIL ------ --- -------
PLUMBING
Post&Beam _--
Under Slab
Top Out
Water Service
Sanitary Sewer - --
Rain Drains
Final
PASSi_ PART FAIL.
ECHANIC -- ---- -- ..
Post& Beane - - ------
Rough In
Dampers
PART SAIL
FETEVTRICAL - -
Service
Rough In _ - - - ----- —
UG/Slab
Low Voltage
Fire Alarm _
Final —
PASS PART FAIL
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain ( j Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW'loll Blvd
Catch Basin
Fire Supply Line ( J Pleas, call for reinspection RE: _ _— __ ( j Unable to inspect-no access
ADA
Approach/Sidewalk - y
Other Date ��' ` l 1 , Inspector _ t'- , Y�_ Ext
Final
PASS PART FAIL J DO NOT REMOVE this inspection record from the job site.