14345 SW FANNO CREEK PLACE i
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14345 SW FANNO CREEK PL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line- (503)639-4175 MST
INSPECTION DIVISION Business Lite: (503)639- 1v --
BUIP
Receivec,C . 2_J-v�_ ate q_ 'p Request d _ � .-._ M _ BUP _
�.
Location _ ? � _ Suite
�_
Contact Person . __—� Ph 2—OF � 4 PLM
Contractor _ SWR
BUILDING Tenan,/Owner ELC
Footing ELL
Foundation Access:
Ftg Drain ELR
Crawl Drain _--
Slab Inspection Notes SIT
Post& Beam
Shear Anchors — _T
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing - - - -- - - - - --
Firewall
Fire Sprinkler -- --- - ---
Fire Alarm
Susp'd Ceiling -
Roof
Other:
Final
AGPART FAIL
PL - —
UMBING
Post&Beam
Under Slab
Rc_gh-In
Water Service -
Sanitary Sewer
Rain Drains -
Catch Basin/Manhole
Storm Drain -
Shower Pan
Other:
Final ----�.-------
PASS PART FAIL_ -------
MECH_f,NICAL
Post&Beam —
Rough-In - -- --inTs-Ylinee
e anipers
F'
PART FAIL -
E CAL
Service —` - -
Rough-In _
UG/Slab
Low Voltage C-
Fire Alarm
Final Reinspection fee of$ -- required before next inspection. Pay at City Hall, t;i2SW Hall Blvd.
PASS PART FAIL
SITE [ Please call for reinspection RE:--- _— [A linable to inspect-no access
Fire Supply Line - P
ADAZZ Data d Ins aatof1-` -._ 1!�y'.$ ''�C'` ---- Ext
Approach/Sidewalk �` f - --
Other:_
Final DO NOT REMOVE this Inspection record from the Job Ito.
PASS PART FAIL
CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2.004-00053
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2/9/04
PARCEL.: 2S112BB-09500
SITE ADDRESS: 14345 SV'.1 r--ANNO CREEK PL
SUBDIVISION: COLONY GEEK ESTATES NO.3 ZONING: R /
BLOCK: LOT: 077 JURISDICTION: TIG
CLASS OF WORK: OTR 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 0 - 3 HP: DOMES INL;IN.
LPG v` ` 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: COD RYS:
FURN < 100K RTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS: 1
FURN >=100K BTU: <= 10000 cfm:
GAS OUTLETS: 1
> 10000 cfm:
Remarks: Installation of gas logs and gas pipinr,.
Owner: _ FEES
JAMES SWENSON Description Date Amount
14345 SW FANNO CREEK LP
TIGARD, OR 97224 L�iF:CHJ Permit Fee 2/9104 $72.50
[TAX] 8"S)State Surcharl 2/9/04 $5.80
Pnone: 503-968-2874 Total $78.30
Contractor:
JAY'S GAS PIPING
PO BOX 393
BEAVERCREEK, OR 97004 REQUIRED INSPECTIONS
Phone: 503-632-8623 Gas Line Insp
Mechanical Insp
Reg #: LIC 119836 Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Codt, State of Ore. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law
requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00
Issued 8y: C Pertnittee Signature:
Call (503) 639-4175 by 7:00 P.M. for inspections neede he next business day
Mechanical Permit Application
Date received: ".A
City of Tigard ProjecUappl.no.: Expire date:
city nfTigard Address: 13125 SW Ifall Blvd,Tigard,OR 972-1.1
Date issued: _- By: Receipt no.:
Phone: (503) 639-4171
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: ,-- -__-- -- Building perrutno.:
I & 2 family dwelling or accessory U Conm)ercial/industrial U Alulti-family U Tenant improvement
U New construction XAdditioti/alteration/replacement U 011ier _..
30111 SITF,INFORNIA I ION COMMERCIAL VALUATION SCHEDULE
Job address: 14, Ll 5 S D ct n C.kelicAl �l Indicate Cgt�•Innent quanlitics in boxes below. Indicate if,,.;dollar
Bldg,no.: Suite no.: value of all mechanical materials,equipment,labor,overhead,
Tax map/tax lot/account no.: profit. Value$
Lot: Block: Subdivision: ov,, F S4r5 *See checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit fee.
City/county: ZIP:
Description and location of work on premises:
Pre(ea.) 7olal
Esl.dale of completion/inspection: Description qty. Res.only Res.only
Tenant improvement or change of use: Air handling unit CFM
Is existing space heated or conditioned'')(Yes U No Air con itioning(site p an require ) _is existing space insulated''U Yeti U No Alteratoexisting C system
N1111-111,%NIUAL CONTRACTOR oiler corepressors
State
, boiler permit no.:
Business name: ^ IIP Tons BTU/H
_Address: ) 'ire smoke ampers/duct smoke electors
City: p State ('c_ ZIP: cal pump(site plan require )
rT-
Phone: s"�'� b5 Fax: 713$ E-mai1: nsta I replace furnac urncr )i'
�J Including ductwork/vent liner U Yes U No
CCB no.: r I L�_ - --
�`L—T _ _-_ _. nstall/rep acc.rclocate eaters-suspcn<cd,
City/metro lie. wall,or floor mounted
Name(please print): vent for appliance other than furnace Refrigeration:
n units BTU/I4
Name: t Chillers. HP
Address: \ 1 -7Absorpl,,,(,.
Cum ressars_-. HP
c� A ronenta exhaust an ventilation:
City: Stater ZIP: Appliancovc,tt
Phone: Fax: E-mail: )ryereayst
l lootls,-Tyt)ill l lres.kite en lazmat
_ hood fire suppression systerl
Name: �cxyY a Q_ C, V,r,d t+>_ Exhaust fan with single duct(t ath fans)
Mailing address: it-t&48 &0 FuKho LExhaust system art from heating or AC
Fucl p p pg and distribution outlets)
city: SlIIll:�Q{2 I ZIP: _7
Type: —I-K; _ NG ()if _
tam
c � 1 y L Fax: E-mail: Fuel piping each^ additional over outlets
Process piping(sc ematic require ) ^_
Number of outlets
_— — __. -- lOther listedappliance or equipment:
: Decorative fireplace State: ZIP: Insert-type _ --
Phone: - I ax: Eoo stov et love-mail:
Applicant's signature: �..a Date: t Rther:
PP g �. _-L4Ae !T- aZ - r� _- -- --
Name (print): L i t,d S' —
57—
Not all jurisdictions rapt credit cards,place call jurisdiction for more information.' Pernod fee.....................$
U Visa ❑MasterCard Notice:This permit application Minimum fee................$
-_L� expires if a permi!is not obtained Plan review(at _ %) $
Credit card number . _ — Px rea within I1t11 days eller it has been
M State surcharge(8%)....$ $�
-- ted as complete.
Name d cardholder m shown on crediturd aces$ Ps �
Cardhd ar nturc mom 440-4617(60WOM)
MECHANICAL PERMIT FEES
COMMERCIAL FEE SCHEDULE: 1 8r,2 FAMILY DWELLING FEE SCHEDULE:
TOTAL VALUATION_: PERMIT FEE: _ Description: Price Total
51.00 to$5,000.00 Minimum fee$7[.50_ Table 1A Mechanical Code Oty (Ea) Amt
$5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Furnace to 100,000 BTU
Including ducts&vents 1400 _
$1.52 for each additional$100.00 or 2) Furnace 100,000 BTU+
fraction thereof,to and Including
$10000.00, Including ducts&vents 1140
----
$10,001.00 to$25,000.00 $148.50 for the first$10,060.00 and 3) Floor Furnace
$1.54 for each additional$100.00 or Including vent 1400
fraction thereof,to and including 4) Suspended heater,wall heater
_
$25,000.00. or floor mounted healer 1400 _
S25,Ool.00 Co$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not included In appliance permit 6.90
$1.45 for each additional$100.00 or ---
fraction the-so',to and Including 6) Repair unit
_ $50 000_OL. 12.15 -
$50,001.00 and up V $742.00 for the first$50,000.00 and Check all that apply; Boiler Fleat Air
$1.20 for each additional$100.00 or For items 7-11,see or Pump Coad
fraction thereof. _ footnotes below. Comp
$ 7)<3HP;absorb unit
Minimum Permit Fee$72.50 SUBTOTAL: to 100K BTU 14.00
8•/.State Surcharge a 8)3-15 HP;absorb
unit 100k to 500k BTU 25.60
-~^
25%Plan Review Fee(of subtotal) a 9)15-30 HP;absorb
unit.5-1 mil BTU 35.00
R,,guired for ALL commercial permits only 10)30-50 HP;absorb
TOTAL COMMERCIAL PERMIT FEE: $ unit 1-1.75 mil BTU 52.20
11)>50HP;absorb
unit>1.75 mil BTU
ASSUMED VALUATIONS PER APPLIANCE: 12)Air handling unit to 10,000 CFM 1000
Value Total 13)Air handl!ng unit 10,000 CFM+
Descri Hon: Q Ea Amount 17.20
Furnace to 100,000 BTU,Including 955 14)hon-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 turnace Including vent 955 16)Ventilation system not Included in
Suspended healer,wall heater or 955 a fiance emtit 10.00
floor mounted heater _ - 17)Hood served by mechanical exhaust
Vent not Included in appliance 445 10.00
hermit - 605 18)Domestic Incinerators 17.40
Repair units
<3 hp;absorb.unit, 955 19)Commercial or Industrial type Incinerator
to 100k BTU 69.95
3-15 hp;absorb.unit, 1,700 ?-0)Other units,including wood stoves
101k to 500k BTU 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 mit.BTU 1.00 _
>50 hp;absorb.unit, 5,725 Minimum'ermit Fee$72.50 SUBTOTAL: $
>1.75 mil.BTU __ _
Air handling_unit to 10,000 cfm 656 - 8%State Surcharge _ s
Aiha
r ndlln�g unit>10,000 ctm 1,170
Non--ortable evaporate cooler 656 TOTAL RESIDENTIAL PERMIT FEE: S
Vent fan connected to a single duct 446
Vent system not Included in 656
_appliance permit Other Inspoctlon and ees:
Hood served by mechanical exhaust 656 1 Inspections outside of normal business hours(minimum charge-two hours)
Domestic Incinerator 1,170 $62 50 per hour
Commercial or Industrial Incinerator 4,590 2 Inspections for which no fee is specifically indicated (minimum charge-half hour)
Other unit,including Y qoc stoves, 656 $92.50 per hour
Inserts,etc. 3 AMR!-^al plan review required by changes,additions or revisions to plans(minimum
Ga3 I In 1-4 Outlets 360 charge-a.-half houry$62 50 per hour
Each additional outlet i 83 "State Contractor Bollei Certh.catlon required fo units>200k BTU
s "'R -'entlal A/C requires site plan showing placement of unit
TOTAL COMMERCIAL
VALUATION: All New C)rnmercial Buildings rogUire 2 sets of plans.
is\dsts\forms\mech-fees doc 02/11102