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12265 SW MARION STREET IS NOIMVW 99M cn z 0 a: a ,n w N N r 12265 SW MARIAN ST CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)638-4171 MST OUP Received Date Requested ( oZ AM-- PM OUP Location _, /��.�- (P.S � fL'1-�-dYl � Suite_ MEC 00 �s 9 Contact Person _ Ph(_ _) PLM Contractor _— Ph( ) SWR BUILDING T:.nartf _ ELC _ Footing La i'd/ ELC Foundation Fig Drain . W041 /fp ELR — Crawl Drain Slab Inspection Notes: SIT Post&Beam —__ dkleell Ad Shear Anchors - Ext Sheath/Shear +� _ Int Sheath/Shear Framing Insulation — Drywall Nailing - ----- --- Firewall Fire Sprinkler - ---- —•---- Fire Alarm Susp'd Ceiling - —- - Roof Other: - PASS PART FAIL _ PLUMBING Post&Beam Under Slab Rough-In Water Service Sanitary Sewer Rain Drains - -- Catch Basin/Manhnle Storm Drain — — — Shower Pan Other: -- Final PA�ART FAIL �— -- cHAMc L — Post 8 Beam ---- Rough-In -_ Gas Line doke Dampers - —-- -- ----- r NA PART FAIL — — CTRICAL J Service m Rough-In _ j UG/Slab WLow Voltage Fire Alarm Final L__.I Reinspection fee of$ �--�required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE n Please call for reinspection RE: ___ - Unable to inspect-no access Fire Supply LineADA Approach/Sidewalk Dab_�`� -.Inspector �� —_Ext Other: Fina! _ NOT REMOVE this Inspee!!on record from the Job oft. PASS PART FAIL - •V CITY O F T I G A R D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2002-00459 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 10/16/02 PARCEL: 2.S103CB-03000 SITE ADDRESS: 12265 SW MARION ST SUBDIVISION: WILLAMETTE NO.2 'ONING: R-4.5 BLOCK: LOT:034 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FUkN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: _ BOILERS/COMPRESSORSHOODS: 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+ HP: CLO DRYERS: FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Remarks: Install furnace replacement and 1 outlet. Owner: _FEES NICK SHEPARD Description ��Date r Amount 12265 SW MARION ST. IMECH] Permit Fee 10/16/02 $72.50 TIGARD, OR :;;'223 [MECII] Permit Fee 10/16/02 $0.00 [TAX]8%StateTax 10/16/02 $5.80 Phone: ["TAX] 8%StateTax 10/16/02 $0.00 Contractor: — Total $78.30 BRUTON COMFORT CONTROL INC 12855 SW 22ND ST BEAVERTON, OR 97008-5152 REQUIRED INSPECTIONS Mechanical Insp Phone: 503-626-7477 Heating Unt Insp Reg#: 65296 Final Inspection IL OC F J_ m This permit issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All vvork will he done in accordance with approved plans. This permit will expire if work is not started within 180 days of isst.iance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00 Issued By: zL� Permittee Signature:,. Call (503)639-4175 by 7:00 P.M.for Inspections needed the next business day Mechanical Permit Application Datereceived:jj',, Permit no.: fi)CIp J-'fO17'5e7 City of Tigard Pmject/appl.no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 pate issued: By: eek Receiptno.: Phone: (503) 639-4171 Fax: (503) 598-196f) /t'') Case file no.: Payment type: Land use approval: _ Buildingpetmitno.: Ll j�1 I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement U New constniction U Addition/alteration/replacement U Other: Job address: S Svc S Indicate equipment quantities in boxes below.Indicate the dollar Bldg,no.: Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value$ IA' �Dlock: Suhdivision: $See checklist for important application information and Project nar te: jurisdiction's fee schedule for residential permit fee. City/coumy: Description and location of work on premises:_ tv" 944eEr&q1 `T Fee(a.) 5oW Est.date of completion/inspection: Dewrilidon Qty. Res.only Rea.only Tenant improvement or change of use: Is existing space heated or conditioned?U Yes U No Air handling unit __CFM___ ace insulated?U Yes U No Air coni Is existintiomng(sueplan regmrecT— _ g space P Iteration of existing HVAC system Boiler/compressors BState boiler permit no.: Business name: 1ttl�l" C.�IT�t' lip Tons BTU/H Address: )tq,, eI - y��_�' _ it smoke dampeWductsmo a etcctors City: I I e a t pump(.tte p an require ) _ Phone: Fax: E-mail: nsta rep acefurnac umer�"B a� Including ductwork/vent liner U Yes U No CCB no.: nsta rep ace re ocateheaters—suspen e Cily/metro lic.no.: wall,or floor mounted _ Name(please print): cnt for a Lance other than unlace kjmmmun e ge Absorption units RTU/14 Name: Chillers-- lip Address: Com ressors Hp r ronmenla exhaust and re.>,t at on: City: State: ZIP: Appliance vent _ Phone: Fax: E-mail: )rycrcxmus-7 o s,Type 11 1 res. itc en azmat _ hood fire suppression system rNamc:.: t C l -. ` _�� ` �� j� Exhaust fan with single duct(bath fans) Mailing address: Exhaust system apart from heating or AC State: ZIP: Fuelpiping• t on(up to outlets) C City: _ Ylx� T 1,PG _ NC Oil E-mail:0 Phone: 57 ax: ts roes piping(sc ematic require ) Number of outlets Name: ter listed appliance or equipment: 'p Address: Decorative fireplace u City: State: ZIP: nsert—type Phone: Fax: Email stove pe et stove Other: Applicant's signature. i_ bate: Name (print): Not all jurisdictions accelu credit cnrtls,plena call juriufic0an for more information. Permit fee.....................$ Cl visa U MasterCard Notice:This permit application Minimum fee................ expires if a pennit is not obtained plan review(at �_ 96 Credit card number' —.�_ ) $ Expires within 180 days after it has n State surcharge(8%)....$ Name of cardholder u shown on credit card S accepted as complete. TOTAL .......................$ l Cardholder signature Amount 4404647(&%"LY)M? 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 Mechanical Code Oty (Ea) Amt 00 to$10,000.00 $72.50 for the first$5.000.00 and 1) Fumace 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 $25,000.00. 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 6.60 fraction thereof,to and Including 6) Repair units $50000.00. 12.15 $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boiler 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:5 � 7)COOP;absorb unit to 100K BTU 14.00 8.1.State Surcharge $ _ 8)it 15 absorb 25.60 unit 100kk t to 500k BTU 25%Plan Review Fee(of subtotal) S 9)15-30 HP;absorb 35.00 eq Ruired for Ap_LL commercial ermits only unit.5 1 mil BTU -- 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 _ 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 Fumace to 100,000 BTU,including 955 14)Non-portable evaporate roofer ducts&vents 10.00 Fumace>100,000 BTU including 1.170 15)Vent fan connected to a single duct ducts&vents 6.80 Floor fumace 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 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 BTU 69.95 3-15 hp;absorb.unit, 1,700 20)Other units,Including wood stoves 101 k 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 mil.BTU 1.00 d >50 hp;absorb.unit, 5,725 Minimum Permit Fee$72.50 SUBTOTAL: $ >1.75 mil.BTU __- a Air handlin unit to 10,00 cfm 656 -- ~ Alr handling unit>10,000 cfm 1,170 8/.State Surcharge $ N Non-portable evaporate cooler 656 TOTAL RESIDENTIAL PERMIT FEE: S Vent fan connected to a single duct 446 J Vent system not Included in 656 �_- m appliance permit Other Inspectigns and Fees: Ur Hood served by mechanical exhaust 656 1. Inspections outside of normal business hours(minimum charge-two hours) J Dr nestic 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 wood stoves, 656 $62.50 pet hour insertsetc. 3. Additional plan review required by changes,additions or revisions to plans(minimum Gas i in e 1 4 outlets 360 charge-one-hrif hour)$62 50 per hour Each additional outlet 63 *State Contractor Boller Certlllcatlon required for units>200k BTU. TOTAL COMMERCIAL $ "Residential A/C requires site plan showing placement of unit. VALUATION: All New Commercial Buildings require 2 sets of plans. IAdstslformslmech-fees.doc 02/11/02