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Permit • " gl i l ? � i ; �� CITY OF TI G A R D MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00133 TIGARD DATE ISSUED: 3/8/2007 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S102AC 00400 SITE ADDRESS: 09230 SW BURNHAM ST ZONING: CBD SUBDIVISION: BURNHAM TRACTS LOT: 001 JURISDICTION: TIG PROJECT: DOLAN Project Description: Replace gas furnace, add NC, gas line to range, bath fan, vents & ductwork. CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: 2 OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN: NAT 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1 > 10000 cfm: GAS OUTLETS: Owner: FEES DOLAN + CO LLC Description Date Amount BY FLORENCE T DOLAN 4025 SE BROOKLYN [MECH] Permit Fee 3/8/2007 $72.50 PORTLAND, OR 97202 [TAX] 8% State Surcha 3/8/2007 $5.80 Total $78.30 Phone: 503- 225 -9009 Contractor: DAMAR HEATING PO BOX 56327 PORTLAND, OR 97238 REQUIRED ITEMS AND REPORTS Contact #: FAX 503- 236 -6552 PRI 503- 236 -6344 Reg #: LIC 87256 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. Issued By: Permittee Signature: Call 503.639.4175 by 7:00 a.m. for inspections 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. Mechanical Permit App1ict tion - FOR OFFICE USE ONLY Received City Of Tigard Date/By: — ii U Permit N, e... -, //I iy� 13125 SW Hall Blvd., Tigard, OR 97223 f ; C, �. 7 Plan Review [w UJ ' Phone: 503.639.4171 Fax: 503.598.1960 A) . Date/By: Other Permit: Inspection Line: 503.639.4175 T 1 GA RD Date Read B � � Ready /By: Iur s 0 See Page 2 for Internet: www.tigard or.gov 7,.,,,...", i y.,,,, - , e.,A�ird.,, Notified/Method: Supplemental Information •i: :t .., r,4•.Yip —r- TX�`.; ry.', TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees* are based on the value of the work ❑ New construction El 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: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* E fI- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building Master builder For special information use checklist. Multi -famil ❑ Multi-family ❑ 0 Description [ Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: 2z n Air conditioning or heat pump � 2✓ Q S �v N I, ��I /I /y� ' t (requires site plan showing placement) / 14.00 City /State /ZIP: j) L /, a NI. Furnace 100,000 BTU (ducts/vents) 1 14.00 Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00 Cross street/directions to job site: 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 Subdivision: Lot no.: Flue /vent for any of above 1 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 [ Gas fireplace 10.00 S (U f _ / qQ t i p u � c rww. I A(t cope ) -- 1 c Flue vent for water heater or gas Q t i f ik o ` V oq.- au fo r 2Y vt IFCki / / - , /J( /K , fireplace 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace /insert 10.00 ❑ PROPERTY OWNER I ❑ TENANT Chimney/liner /flue /vent 10.00 Other. 10.00 Name: 9 n j f 00(._11),i Environmental exhaust and ventilation Address: ' I Range hood/other kitchen equipment / 10.00 City /State /ZIP: Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80 ❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00 Other: 10.00 Business name: Fuel piping Contact name: S5.40 for first four; $1.00 for each additional Address: Furnace, etc. I Gas heat pump City /State /ZIP: Wall/suspended/unit heater Phone: ( ) Fax:: ( ) Water heater _Fireplace E -mail: Range CONTRACTOR Barbecue Business name: /), m A n Iciv Clothes dryer (gas) Other: Address: al l e())( S G 322 MECHANICAL PERMIT FEES' City /State /ZIP: f Q/11r (ft , 7 )2 S k Subtotal Phone: (303 ) 236-- (. t1( Fax: (n . g ) 2 34.- ° r b .-S Minimum permit fee ($72.50) Plan review (25% of permit fee) CCB lic.: g7,2-- State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature: A f This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. I Print name: Date: • Fee methodology set by Tri- County Building Industry Service Board 1•\ Building \Permits\MEC- PermitApp.doc 04/06/06 440-4617T (11/02 /COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total: Valuation. Permit Fee: $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. 1 : \Building\Permits \NEC- PermitApp.doc 12/30/05 2 CITY OF TIGARD A • BUILDING DIVISION / PERMIT #: MEC2007-00133 13125 SW Hall Blvd., Tigard, OR 97223. DATE ISSUED: 30 Phone: (503) 639-4171 anaM; t Inspection Requests (24 Hrs.): (503) 639-4175 .04- 7111. Af-t 7.... DO / 3 3 INSPECTION WORKSHEET FOR DATE: 10/12/2007 TIME: 7:01AM PAGE: 18 SITE ADDRESS: 09230 SW BURNHAM ST CLASS OF WORK: SUBDIVISION: BURNHAM TRACTS LOT #: 001 TYPE OF USE: PROJECT NAME: DOLAN DESCRIPTION: Replace gas furnace, add A/C, gas line to range, bath fan, vents & ductwork. OWNER: DOLAN + CO LLC, PHONE #: 503-225-9009 CONTRACTOR: DAMAR HEATING PHONE #: 503-236-6341 Inspection Request Scheduled For: Date: 1W12J2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 057539-01 503-519.8807 N Corrections/Comments/Instructions: 1 4_......J,,,_ LTY dAry---(Z. 1.-;,..._.9-- 4m - ,-/---4-1-c- ,->, Q)‹.--k.-----A;L... "2-e •.-e----,------ 4 ,c...,____ 0 \I lk* 'L./ • 6 ) )■-1 0 PriC- /\-' c 1 1 pAs' fl PARTIAL APPROVAL n CANCEL I I NO ACCESS � V.Z8IL 1 I CALL FOR INSPECTION EI ADDITIONAL FEES ASSESSED A (_.. I /i2-16-) , Inspector: .., , Date: Phone #: (503) 718- (..-- - 1 2-'-i" . , , . CITY OF TIGARD t, BUILDING DIVISION Ai PERMIT #: MEC2007-00133 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/8/2007 Phone: (503) 639-4171 1 • al l it Inspection Requests (24 Hrs.): (503) 639-4175 ,,, - ---.. / Ao 0 7 - 40o/- 3 INSPECTION WORKSHEET FOR DATE: 5/29/2007 TIME: 7:02AM PAGE: 40 SITE ADDRESS: 09230 SW BURNHAM ST CLASS OF WORK: SUBDIVISION: BURNHAM TRACTS LOT #: 001 TYPE OF USE: PROJECT NAME: DOLAN ' DESCRIPTION: Replace gas furnace, add NC, gas line to range, bath fan, vents & ductwork OWNER: DOLAN DOLAN + CO LLC, PHONE #: 503-225-9009 CONTRACTOR: DAMAR HEATING PHONE #: 503-236-6344 Inspection Request Scheduled For: Date: 5/29/2007 Pour Time: Code # Inspection Description Confirm # Cola : - 1 - '\ Me.,..- - - 615 Mechanical rough-in 049173-01 503-519-8807 41P 7IA V• 6c7 Corrections/Comments/Instructions: IIII:0■) (iTh _ 4 - oit --- 4; c_ ■IVi _ r kj r Ty -- 1 - 0 i'..._ ) t ad _AlLarb. Z . __ .1.... 5 Am.. ' U C_// 1...ke ,_ , ,----: __w coND rri 0 Ai (_,, , s • _ ,., . ,......._--- _ ,.... -...- A 1 C__ ■ A1-4-z 41111P , _ ■ • PASS 92 -, RTIAL APPROVAL I I CANCEL I I NO ACCESS I I FAIL rdi - A LL FOR INSPECTION I I ADDITIONAL FEES ASSESSED ■IIIM■ Inspector: —41114■ Date: '.---- 2-1 6 7 Phone #: (503) 718- 2-- • . CITY OF TIGARD - BUILDING'DIVISION PERMIT #: MEC2007 -00133 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/92007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 M��s- 0 2 QQ /53 INSPECTION WORKSHEET FOR DATE: 5/22/2007 TIME: 7:01AM PAGE: 13 SITE ADDRESS: 09230 SW BURNHAM ST CLASS OF WORK: SUBDIVISION: BURNHAM TRACTS LOT #: 001 TYPE OF USE: PROJECT NAME: DOLAN DESCRIPTION: Replace gas furnace, add NC, gas line to range, bath fan, vents & ductwork. OWNER: DOLAN + CO LLC, PHONE #: 503- 225 -9009 CONTRACTOR: DAMAR HEATING PHONE #: 503 -236 -6344 Inspection Request Scheduled For: Date: 5/22/2007 Pour Tim-• Code # Inspection Description Confirm # Contact # Me, -- 615 Mechanical rough -in 048825 -01 503 - 5196807 Y Corrections/Comments/Instructions: I PASS ! n PARTIAL APPROVAL n CANCEL n NO ACCESS AIL ,, CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: = c.Z —o Phone #: (503) 718- Z�f � ( ii30 (Leo/1111 CL 0C \•4(