9310 SW MILLEN DRIVE-1 a -- - -
3AIdi1 N3111W MS 0L£6
w
a
z
w
J
J_
CL cn
at o
P
N
rn
W
J
9310 SW MILLEN DR
.s.
CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC 003-00287
13125 SW Hall Blvd.,Tigard.OR 97223 (503)63P-4171 DATE ISSUED: 5/30/03
PARCEL: 2 S 114AB-04400
SITE ADDRESS: 09310 SW 14ILLEN DR
SUBDIVISION: KNEELAND ESTATES ZONING: R-4.5
BLOCK: LOT:031 .JURISDICTION: TIG
CL ASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FP NS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT S1 STEMS:
STORIES: _ BOILERS/COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
3 - 15 HP: COMML. lh^IN:
MAX INPUT: BTU 15-30 HP: REPAIR
FIRE DAMPERS?: 30 -50 HP: OODS OYES:
GAS PRESSURE: 50+ HP: COD DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS CLU DRYERS:
OTHER UNITS:
FURN >=,00K BTU: <M 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Listallation of exterior A/C unit. Unit cannot be plac,-d within the required setbacks.
Owner: +FEES
MCCANNA, RYAN& AMBER Description Date Amount
I
S
9310 W MLLEN DR. �—' —
9310 S , M 9'224 [MECH]Permit Fee 5/30/03 $72.50
TIGAR [TAX]8%StatcTax 5/30103 $5.80
Phone: 503-6841557 Total _ $78.30
Contractor:
JOHN C. LOOMIS HEATING& COOLING
15811 SE HAWTHORNE CT
PORTLAND,OR 97233 REQUIRED INSPECTIONS
Phone: Mechanical Insp
Final Inspection
Reg#: LIC 61811
a
a
m
This permit ;issued subject to the regulations contained in the Tigard Municipal Cods, State of Ore.Spoci:ilty Codes
�
and all cther applicable laws. All work Wil be done in accordance with approved plans. This permit, .;ii expire if work is
,A started within 180 days of issuance, or if work is suspended for more tha7 180 &ys- ,�i I ENTION: Oregf n law
roqui:es you to fil low rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00
Issaed By. v ✓�_ Permittee Signature: '_�
Call(503)6394175 by 7:00 P.M.for Inspections needed the n xt usiness day
fYMechanical Perm>t V�ppl d�on RecE1,,ed s, chanicalJAM
u
MAY 2 n Date/By: -� eZS Permit No..//�?A�3 GIo ?
V U 2003 Planning Approval Building
City of Tigard CITY OF TIGARD D'tc/By' -- Permit No.: _—
13125 SW Hall Blvd. Plan Review Other
Tigard,Oregon 97223 BUILDING DIVISI DateT Permit No.:
Phone. 503-6394171 Fax: 503-598-1960 Post-Review Ind Use
Date/By: _ Cas _
Internet: www.ci.tigard.orms contact ns.: See Page 2 for
24-hour inspection Request: 503-6394175 Name/Method. 1upplemental Information.
-- TYPE OFA— �WIMC AI.II'EE"-SCHEUUL'E:%'USECOECKUST
New construction _ Demolition Mechanical permit fees'are based on the total value of the work
Addition/alteration/re lacement (Ither: perfonrted. Indicate the value(rounded to the nearest dollar)of all
_ 'CATEGORY OF CONSTRUCTION mechanical materials,equipment,labor,overhead and profit.
1 & 2-Family dwelling Commercial/Industrial Value: S Sec Page 2 for Fee Schedule
Accessory Building Multi-FamilyR_1 SIDENriAL.IEQUiPMFt!iT/SY _ 19 FEW 4_MDUI EI
_fHI Description Qty F en. Total
Master Builder Other: Ileatin CooItn
JOB SITE INFORMATION and LOCA IO Furnace-add-on air conditioning•' 1_ 14.00
Job site address:Q�3 �o.�W VYX Jer� n � , Gas heat pump _ 14.00
Suite#: Bld ./A t.#: Duct work---- 14.00
Project Name: +� H tonic hot%ater_n8tem 14.00
— -- Residential boiler
Cross street/Directions to job site: for radiator or h dronic system) 14.00
Unit heaters(fuel,not electric)
(it,wall,in-duct,suspended,etc. 14.00
Flue/vent for any of above) 10.00
v Lo #
t ; Repair units 12.15
Subdivision:
_ _ 1� _-- Other
Futl_ft illances
Tax i,,ap! arcel #: _ Water heater 10.00
_ DESCRIPTION OF WORK_ — Gas fireplace _ 10.00 _
Q. —� Flue vent water heater�Las MPlace 10.00
- _- 1�2sl10.00
— --- - - -- .�ocd/Pellct stove 10.00
Wood fireplace/insert _ 10.01)
Chine /liner/flue/vent 10.00 _
TENANT, Other: 10.00
Environmental Ethanat&Ventilation
Name' y c n — 'f`��-y n n — Range hood/other kitchen equipment 10.00
Address: Clothes dryer exhaust 10.00
City/State/Zl c� Single duct exhaust
Phone:tcf4 y- ICC Fax: Conthroorris,toilet compartments,
APPLICANT_ NTACT PERSON utility roomer _ 6.80
_Name:_ ,—� Attic/crawls ace fans _ 10.00
Address: _ -�_ _ - Other: — Fuel Piping10.e0
City/State/Zip: 4"(55.40 for Orst 4 SI.00 each additional) _
---- Fnmace,etc.
IL Phone: e - Fax�� Gas heat pump •' —
E mail: Watt/su.;pended/unit heater •• _
U) CONTRACTOR Water heater
Business Name: LOOM Fireplace
_J
..
-J Address: \F r -_-- Range
m Cit /State/Zi : r TQ Clothes dryer(gas)
WPhone_ , ""'f �C�tp– Fax: O,her: Total: ._
CCB' 1.iC• #: 1g ($ 1 — --- Mechanical Permit Fees*
Authorized Subtotal: S —
Signature: ^ Date` � Minimum Permit Fee$72.50 $
Plar.Review Fee(2'Yo of Permit Fee S
lea print name) _ State Surcharge(8%of Permit Fee $
TOTAL PERMIT FEE S 7 _
Notice: This permit application expires If a permit Is trot obtained within *Fee methodology ret by Tri-Conaty Bulldint Indmatry ervlce Board.
180 days aft.,r It has been accepted a,i complete. "Site plan required for exterior A/C units.
iADsts\Permit Fomrs\MecPermitApp.doc 01/03
r,
Mechanical Fcrmit_Application -City of Tigard
Page 2-Supplemental Information
Commercial Fee Schedule:
Total Valuation: _ Permit Fee:
$1(10 to$5,000.00 Minimum fee$72.50
55,001.00 to S10,000.00 $72.50 for the first$5,000.00 and$1.52
for each additional$100.00 or fraction
therc_oftto and including 510,000.00.
510,001.00 to$25,000.00 $148,50 Cur the first$10,000.00 and
51.54 for each additional 5100.00 or
fraction thereof,to and including
$25,000.00.
$25,001.00 to 550,000.00 $379.50 for the first$25,000.00 and
51.45 for each additional$100.00 or
fraction thereof,to and including
$50 000.00. _
550,001.00 and up $742.00 for the first S50,000.00 and
51.20 for each additional$100.00 or
fraction thereof. ®_
Assumed Valuations Per Appliance: _
Value Total
Uescri tion: t Ea _ Amount
Furnace to 100,000 BTU,including 955
ducts&vents
Furnace>100,000 BT'J including ducts 1,170
&vents__
Floor furnace including vent 955
Suspended heater,wall heater or flan — 955
mounted heater
Vent not included in applianc_permit _ 445
it omits _ 805
<3 np;absorb.unit, 955
to 100k(!TU _
3.15 hp;absorb.unit, 1,700
101 k to 500k BTU
15-30 hp;absorb.unit,sCIk to 1 mil 2,310
RTU
30-50 hp;absorb.unit, 3,400
1-1.75 mil.BTU _
>50 hp;absorb.unit, 5,77.5
>1.75 mil.BTU
Air handling unit to 1(1[20 cfm _ 656
Air handling unit>10 000 cfm _ 1,170 P_
Non-portable evaporate,cooler 656 _
Vent fan connected to a single duct 446 _
✓ent system not included in appliance 656
_permil -----
Hood served by mechanical exhaust 656
Domestic incinerator 1,170 -
Commercial or industrial incinerator 4 590
Other unit,including wood stove%, 656
CL inserts etc.
Gas piping 14 outlets 360.
Each additional outlet 63
TOTAL COMMERrIAL $
—t VALUATION: _.._.
W
J
is\Nts\Pennit Forms\MecPermitAppPg2.doc 01103
r�
r.
J
V•
a
a
ac
a
m
c�
W
TIGR
CITY GILBUILDING 0, t speclion Line: (503)639-4175 �
INSPECTION DIVISION Business Line: (503)639-4171 Mt3 r
SUP —
Received 4�0 3 Date Requested �n — AM_-_ —PM —__ 9UP
Locaiion l _ /�YL-�—Suite MEC -00,;19 7 _
Contact Person __—__ Ph kif LZ ISS- PLM
Contractor — Ph SWR
BUILDING Tenant/Owner _ _ _ ESC
Footing-
Founoation •— ELC
Ftg Drain ' ELP -
Crawl'Drain
Slab Inspection Notes: vU SIT ----- --
Post&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 --1.-_ ---- - - --
PLUMBING
Post&Beam
Under Slab
WaterWater e
WService
Sanitary Sewer
Rani Drains ---------- - --
Catch Basin/Man!role
Storm Drain --
Shower Pan -
Other: -- — --- -
Final
PASS ART FAIL
Post&Beam _
Rough-In -
a Gas Line
_arrWKe Dampers -- - ---
A PART FAIL -- �— - � -- --
C?RICAMA k
— -- _— — -- -
-, Service
m Rough-In
W UG/Slab ---
�l Low Voltage
Fire Alarm
Final II 1 Reinspection fee of$ requi-ed before next Inspection. Pa at Ci Hal!, 13125 SW Mall Blvd.
PASS PART FAIL L J Q P� Y City
SITE Please call for reins on RE: -.____�__ _ [� Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk DMO- �' Inspector�_ ___ --. _Ext
Other. t I
Final DO NOT REMOVd'this Inspoetlolrn refimrd from the job sits.
PASS PART FAIL