Permit CITY OF TIGARD MECHANICAL PERMIT
` o COMMUNITY DEVELOPMENT Permit #: MEC2010 -00106
(CARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 03/12/2010
Parcel: 2S110AC01700
Jurisdiction: Tigard
Site address: 11305 SW BULL MOUNTAIN RD
Subdivision: Lot: 0
Project: Christ the King Lutheran Church
Project Description: Install (2) gas furnaces.
Owner: FEES
CHRIST THE KING Description Date Amount
LUTHERAN CHURCH, 11305 SW BULL MTN RD Permit Fee 03/12/2010 $182.65
TIGARD, OR 97224 12% State Surcharge - Mechanical 03/12/2010 $21.92
PHONE:
Contractor:
ARROW MECHANICAL
10330 SW TUALATIN RD
TUALATIN, OR 97062
PHONE: 503 -692 -1565
FAX: 503- 691 -1879
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp: Occupancy Load:
Stories:
Fuel Air Handlers
Fuel Types: Units < 10000 cfm:
Gas Pressue: Units > 10000 cfm:
Furnaces Boilers & Compressors
Furnaces < 100K BTU: 0 -3 HP:
Furnaces >= 100K BTU: 3 -15 HP:
Floor Furnaces: 15 -30 HP:
Unit Heaters: 30 -50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $204.57
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire /Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
4 (2\
Issued By: ^ k_ , 1 n Permittee Signature:
VC Q.SL_ 4r")
Call 503.639.4175 by 7:00 a.m. for an inspection 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.
03/11/2010 14:49 5036911879 ARROW MECHANICAL PAGE 02/02
Mechanical LA Iicatjon RECEIVE
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�* City of Tigard MAR pp 1 e .-4,,,,-
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IYI Q R d Received .i. �, . r '' a.
1 SW Ii,tll Blvd.. Tigard, OR 47223
2 u I u Dnm/F3y: (' Ferran Nn•
t.--' ' 3125 'T1 4. Phone: 5 03.639.4,171 Fax 503.598.1960 t'tpn Review Or 1 4 O��
c71 ft) Inspection Lino: 5 03.639:4175 I .-w,, ;
:.,. Internet: www•ti CITY OF TfGNR . Other retmit;
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Mechanical permit Etta* me hosed on the value of the work
0 ,Tkrnt)htit)n [�. Other: performed. Indicate the value (rounded to the nearest dollar) of nil
, � t� 3 " r , perfor k d. i • moot labor o the t. an
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0 1- and 2- family dwelling Commercial /iad iai ,, li • 4 ,, t ' v L `
0 Accessory building - k0',''. $ ��ri >I a Ni`1414. ` "r 4 '94#1.9 a
❑ Multi -family 0 Mager builder .' �" , ;
�tsm..d, 3 t
crye r� rlr _ 0 Oth Po i nformation usC checklist,
>U° # t o r s lt' ° r' ° I i ,, Iao y 1`� 1F a t `"i'i e71 eillT ° 7,121' 7I Description qty. I.Z. Total
Job site :tddt>rax r '" °' � t � ,: +, •,� # Ttc � wow IQ ,.....ti PjJ Air conditioning
` City /SMto/�II O ( iron site .lam shawl,_ •lncement ►
4G.75
Suite/bldg./apt no.; 9 7 lit co 100 000.B711 duets/ yenta MIIIIIM
Project Pat": C If S ' 11. • 4- Th I00,000r 13Ttt�Aunslv<+mq) Cross greet/directions to site: ' G ` µ Z��t urn Aiict work 61.06
? 3
- > water .a�rstom
f to aenNa1 boiler (radiator or
.- - It irronic 23.32
Unit writers (heal -typo, not electric), M
in -wall induct, sanpended otc-
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Subdivision: Flue/vent far ally of about
•
alli
l of no.: 23.32
Tax map/partct l tx) . Other;
23.32
4 14 h ° r�Y :' ( p i vt�4� �� j� a7r� S ao r Other fort.- . anpllitnceo
N� ^a 1 .i1iS �} c �ti„a t • �,.Y . Pt , !rw � ! , ?tag ri 4;.. , J64,3D r , , t r' x Water
.. ,, :a a i , heater IIIIIII 23.32
2 c' . 6-41 Gas fireplace 33.39 MI
` 1 Flue Vent for water hooter or Gno .111,1
fire • lace
��� fog li e r gas) 2332
ood/ allot stave 33.39
t K n MK . Wood fire lace /insert. 23.32
µ. ,a t o r' r 1 r „ f Cr ,gyp ,+, ,
�. t , , j . n >°u ' tirzog '?1 f o X.,, h:C fi ti g. , ^ .S;1r ' ' e • { r,, ,li nnitio . Chimney /fi4orIllue/vont 23.32
eth,, 23.32
En'ironmentnll exhaust and ventilation
Adthe : - • Range hood/other kitchen ��
City/State/ZIP: e q u ipment
Clotho dt or exhaust 33.39
hone: ( ) ( ) gin le ontp
Ftut £. exhaust (bathrooms. Mlle IMIM
n,,,, 0 34 !it*p11. Y.Y+9 rr N r Aui coatpar unlit rooms
, , kiti K 4, « o 44m ` ' ;_ , Ari F 1 A ; 0. 4 , 4 s ff2K � ,, 1"iV, „) Atuo /ctuwispatce fans
Rosiness acme: AN2a2c Other:
1std-15f4�14 -A 4 -A J
Fuel _ ;7a lc r.,s-., -
S114fiS forfirat'four- S4:03 Mr tacit nddttional
luidress: I O D s w T_V i 1 " m Rd • him, test -
. • , /attte/zfr: 146 t fAm O It 70 6Z. w an t: cat pump
g2.-45-66- Wstll /aus, ded/unit heater
'hone:(503) 9F r+
max: ' (�03) 6 q/ — /8 79 waterl
:•mail :7 fj �t Fir lace
t }!'j/ .�n W _ ^ t t- " { r , j`! .
MIMI ., ,t, . t !^..2N vn ./ :� %7� , i -o ' fi r `w t , 3 , RAM + 5 Hatt10L110
nSIne33 name: A let2
0 ,/''L - ( efittiNj A Clothes dr ar _ J
±dress: J03 3ta 6_stg.. �? l/ ATE lecl C , �7 �
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tone: 6 ) 6,z— , % iL�Pox: �3) / 9 ) .../8?,/
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Plan review Minimum cmtit of it1,00
G+ °
_,t3 tic -: (Z5 t� of pctmt fcc)
State surcharge 12S of permit /be
TO? A. rEttmrr PEE fai all
rth mixed signature: PK This permit application °!peens Irn permit k not AMMO within t so
2.2 r ..�»+, -
days atter 11 has been neeopted as complete.
tc'12i g Lw,4 R. 1 9 ii.... 2 /1 j i O 1 * Ter, methodology set by Tri-(`
v ` oimtV Building tachtstry Strverc annul