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Permit CITY T I ® D MECHANICAL PERMIT Ih DEVELOPMENT SERVICES PERMIT #: MEC2006 -10044 °I I a 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 4/13/2006 PARCEL: 2S 102BD -00100 SITE ADDRESS: 09905 SW MCKENZIE ST ZONING: R -12 SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND LOT: 052 JURISDICTION: TIG Project Description: HVAC modifications. Project Value: $102,000 CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: 1 TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: ELE 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: 1 GAS OUTLETS: > 10000 cfm: Owner: FEES ROMAN CATHOLIC ARCHBISHOP OF Description Date Amount PORTLAND IN OREGON 2838E BURNSIDE [MECH] Permit Fee 4/13/200E $1,418.50 PORTLAND, OR 97214 [MECPLN] Plan Rev 4/13/200E $354.62 [TAX] 8% State Surcha 4/13/200E $113.49 Phone: Total $1,886.61 Contractor: AMERICAN HEATING INC 1339 SE GIDEON ST, STE. 1 PORTLAND, OR 97202 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 239 -4600 FAX 503- 239 -7038 Reg #: LIC 33135 This permit is issued subject to the regulations contained in the Tigard Municipal Code, 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 -0010 through OAR 952- 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. '�,(� c7 /i4alic h es + e Issued By: _. 7 —�� 11 Permittee Signature: 8/� GI Call 503 - 639 -4175 by 7:00 a.m. for inspections that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Y706 Scv rnedkeiet ./. ►,. i i r�k Mechanical Permit Application FOR OFFICE USE ONLY City Of Tigard / i DateBya3 �`7 / U ''- --• PernutNo��! ,x/ // V 13125 SW Hall Blvd., Tigard, OR 97223 REC��� Plan Review Date/By: �c�. r� !J ,,a Other Permit: Phone: 503.639.4171 Fax: 503.598.1960 Inspection Line: 503.639.4175 ti /' / ` ' __16 y - # ,40,,11,„,,A,11\ 1 Date Read /• y Iuris: El See Page 2 for R 1 l 1. Internet: www.ci.tigard.or.us j e Notifie. ethod:y / do / / - (- Supplemental Information T Y • ii. r WORK ' ' Jr: . OMMERCIAL'YEE* SCHEDULE — USE CHECKLIST i n iii I Mechanical permit fees* are based on the value of the work El New construction . ir! Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY -OF CONSTRUCTION Value: $ 19".-7--.N, r1 -) • R EQUIPMENT / SYSTEMS FEES* ❑ 1- and 2-family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description 1 Qty. I Ea. I Total 1 JOB SITE IN:FpwATION, LOCATION Heating/cooling r— ^ _ Air conditioning or heat pump Job site address: L) J �1J 1 t ; ,'., `-y , ` . , — Tr (requires site plan showing placement) 14.00 City/State /ZIP: ' ° 1 /_\ Furnace 100,000 BTU (ducts/vents) 14.00 E ( C �� Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: I Project name: S R V1.M 5 Gas heat pump 14.00 Cross street/directions to job site: C (n AA h ( Duct work 14.00 — Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Flue /vent for any of above 10.00 Subdivision: I Lot no.: Other: 10.00 Tax map /parcel no.: Other fuel appliances ' `° DESCRII'TI©N OR?WORK` Water heater 10.00 J . - .,...; Gas fire.lace 10.00 4 PCC In\ O A' fri (641/1A\ \ :r 0 y ,lv^ /a ; (,( Flue vent for water heater or gas CO fire.lace . 10.00 L 0 t • _ r O 0 Log lighter (gas) 10.00 Wood /pellet stove 10.00 . Wood fireplace /insert 10.00 Chimney /liner /flue /vent 10.00 ®'`PROP OW , I • ❑:. TENANT : . _ • . " Other: 10.00 Name: Environmental exhaust and ventilation Range hood /other kitchen Address: equipment 10.00 City/State/ZIP: Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80 .,;A;,;!1!',:1:..: i ;, PLICANT' Y'- [ NTiACT PERSON " ' Attic /crawlspace fans 10.00 Other: 10.00 Business name: (>nr\p , 1 --- ' Fuel ti in. Contact name: Ve,tn M i A l u 0 f d , _ . $5.40 for first four; $1.00 for each additional % �� ` '� Furnace, etc. Address: J� — ^l S e `7 ' '� p`� �� Gas heat pump City/ State/ZIP: /I-) 0-‘,----, A (i , / 0 a . q 7 -3 0/O Wall/suspended /unit heater fry �� s� °� Water heater Phone: (56?) ,.,—i,....,(4 ( Q O Fax: (r 5 / a ', ` - .. b!. Fireplace E -mail: Range d - r : -, k: CONTRACTOR ti. , ti Barbecue � � 1 I i Clothes dryer (gas) 'A Ro Business name: ji(1 Ca,1 .q,Q 1 , , G `, , , Other: Address: 1 �' _ / p ', j 4 ' • l MECHA P ERMIT FEES* i �. d; City/State/ZIP: {,)j). . �.; t , �!< - � ; /) „) Subtotal t r. Minimum permit fee ($72.50) Phone: ( ) � (1,q 00 Fax: (�, ) r „ '703 Plan review (25% of permit fee) CCB tic.: ! � � ` . St surcharge (8% of permit fee) MA ��� TOTAL PERMIT FEE ,I'/I/.11 2 , fl1JAa.. ' This permi ap p lication expires it a permit is not obtained within 18i Authorized signature: days after it has been accepted as complete. • Print name: r. l ,' . , ') / i / / '\ 7' Date ' Fee methodology set by Tri- County Building Industry Service Board i:\ Building \Permits \MEC- PemutApp.doc 12/03 440 -4617T (11 /02/COM/WEB) CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC200G -10044 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/13/2006 Phone: (503) 639 -4171 � ' , , i Inspection Requests (24 Hrs.): (503) 639 -4175 - AL INSPECTION WORKSHEET FOR DATE: 130 TIME: 7:0110/1 PAGE: 47 SITE ADDRESS: 09905 SW MCKENZIE ST CLASS OF WORK: SUBDIVISION: NO 7IGARDVILLE ADDITION AMEND LOT #: 052 TYPE OF USE: PROJECT NAME: s ANTHONY'S CATHOLIC CHURCH DESCRIPTION: HVAC modifications. Project. Value: $102,000 OWNER: ROMAN CATHOLIC ARCHBISHOP OF, PHONE #: CONTRACTOR: AMERICAN HEATING INC PHONE #: 503.2 4 -4600 Inspection Request Scheduled For: Date: 6/3012006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 032495-01 503-793-4009 Y Corrections /Comments /Instructions: • i' . f,�- f. , NV . PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL o. ALL f FOR IN ECTION ❑ ADDITIO AL F S ASSESSED ■ drA / L7f Inspector: Date: 4 Phone #: (503) 718 - 1 ---• CITY OF;TIGARD BUILDING DIVISION PERMIT #: MEC�.0 -10 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 41.13/2006 Phone: (503) 639 -4171 Ai ,, � , ��� ,i, �. Inspection Requests (24 Hrs.): (503) 639 -4175 AIL. INSPECTION WORKSHEET FOR DATE: 612//2006 TIME: 7:07AM PAGE: 6 SITE ADDRESS: 09905 SW MCKENZIE ST CLASS OF WORK: SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND LOT #: 652 TYPE OF USE: PROJECT NAME: Eq ANTHONY'` CATHOLIC CHURCH DESCRIPTION: HVAC modifications. Project Value: $102,000 OWNER: ROMAN CATHOLIC ARCHBISHOP OF, PHONE #: CONTRACTOR: AMERICAN HEATING INC PHONE #: 503-239 600 Inspection Request Scheduled For: Date: 6/21/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough - in 032065 01 503 -793 -4009 N Corrections /Comments/ Instructions: Ai _1 -11 _A witereigreo_ 1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL • CALL FOR I \ PECTION ❑ ADDIT NAL EES ASSESSED e Inspector: AMIN Date: V V Phone #: (503) 718 - L/—' CITY-OFTIGARD BUILDING DIVISION PERMIT #: MEC200C:;-10044 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 411312006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 6/21/2006 TIME: 7:07AM PAGE: 25 SITE ADDRESS: 09905 SW MCKENZIE ST CLASS OF WORK: SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND LOT #: 052 TYPE OF USE: PROJECT NAME: ST ANTHONY'S CATHOLIC CHURCH DESCRIPTION: HVAC modifications. Project Value: $102,000 OWNER: ROMAN CATHOLIC ARCHBISHOP OF, PHONE #: CONTRACTOR: AMERICAN HEATING INC PHONE #: 50::3 Inspection Request Scheduled For: Date: 6/21/2006 Pour Time: Code # . Inspection Description Confirm # Contact # Message 625 Duct work 032066.02 603-793-4009 Corrections/Comments/Instructions: btc .r GOOP-k4-- 1 V.3 id A -pp _ PASS ri PARTIAL APPROVAL n CANCEL El NO ACCESS FAIL • CALL FOR SPECTION n ADDITI NAL EES ASSESSED • Oky 41 Inspector: Date: 2 Og Phone #: (503) 718- Aa-27 CITICDF, TIGARD BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4; Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 1 . L , INSPECTION WORKSHEET FOR DATE: I/2()a; TIME: 7: 00171 PAGE: SITE ADDRESS: (14:90'..s CLASS OF WORK: SUBDIVISION: NO. it E f; AMEND LOT #: TYPE OF USE PROJECT NAME: i:.;it,"3 CI DESCRIPTION: WAG mcvjictpaii OHS $102,000 OWNER: iZt".) C . A 12. A 1f.HOP OF, PHONE #: CONTRACTOR: p\:'4CAI4 iEs.A1 Nk3 PHONE #: Inspection Request Scheduled For: Date: Z41/2)::117; Pour Time: Code # Inspection Description Confirm # Contact # Message ii-A1 0`..t0912 eiX Corrections/Comments/Instructions: RICY ,,, - t • F PASS PARTIAL APPROVAL pi CANCEL 0 NO ACCESS 1 FAIL 0 CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED / 9/) . _ Inspector: Date: 6 :Jo Phone #: (503) 718-