Permit " � CITY OF TIGARD MECHANICAL PERMIT
l DEVELOPMENT SERVICES PERMIT #: MEC2004 -00309
? VI I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/25/2004
PARCEL: 2S113AC-00103
SITE ADDRESS: 07204 SW DURHAM RD Q300
SUBDIVISION: PACTRUST ZONING: I -P
BLOCK: LOT: JURISDICTION: TIG •
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Remarks: Relocate ducts & grilles, replace (3) thermostats for TI
Project Value: $2,700
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 -WMI [MECH] Permit Fee 5/25/200z $88.60
PORTLAND, OR 97224 [TAX] 8% State Surcharl 5/25/200 $7.08
Phone: Total $95.68
Contractor:
BELL HEATING
15550 SE PIAZZA AVE
CLACKAMAS, OR 97015 REQUIRED INSPECTIONS
Phone: 503 Mechanical Insp
Final Inspection
Reg #: LIC 447
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 -0s ! • ough OAR 952 - 001 -0100. You may obtain copies of these rules or direct uestionsto OUNC b calling
(503) . -6699.
Iss -d By: ' ,-,,/ %/L�,4. Permittee Signature: ,
-- / 1
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business • ay
Mechanical Permit Application FOR OFFICE USE ONLY . -
Clty of Tlgard Received / � Permit No.:
13125 SW Hall Blvd., Tigard, OR 97223 Plan Re: y ';
Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 / /entt i I + DateBy •
Ins Other Permit:
Inspection Line: 503.639.4175 .' L�
p ___ Date Ready/By: urs • H See Page 2 for ard.or.us °� y Y li Information
g
g Notified/Method: � / Supplemental Inton
i
Internet: www.ci.tigard.or.us
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Mechanical permit fees* are based on the value of the work
❑ New construction B Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
p Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
x , 3 Value: $ 7 ®C>
AE GOR
1. ;, a r. l
.� G F 1 u "0 G OI.TSTRU C I?IO .,. _ „' >ly i :F .. 4 ? -1,, ,: _ :.,,.� ..
❑ 1 - and 2-family dwelling Commercial /industrial , RESID NT AL,E QUTTMR7. SYST F ES *
y g ❑ Accessory building � '�` �'
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other:
Description Qty. Ea. Total
t ? JOB Stfli , FO T�ION A�FtA . ®� ION'e
;.� . ,..�°'i's�k _ .., �:���r�, . �����'r,� 1 .i.�:.,; ,r�� Heating cooling
Job site address: 7 26 ( 1 :5" GO D(//2/744.1 fib- 300 Air conditioning or heat pump
(requires site plan showing placement) 14.00
City/State /ZIP: az7 04- 9722.5' Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: Project name:cG, CF/ /c.i/ Q 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 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
Nl" l„ i = vm �4 . E EDESgRIP ION oRIC � 't `. -t Water heater 10.00
,ti 's . _ , _ '7. i,% b . ,tea, ,.i � U vo . � i�, ,,C: st �u * .
K f-TC ) d/4 D ✓G Gas fireplace 10.00
Flue vent for water heater or gas
fireplace 10.00
EC/3//t L - £ ,f,,e...t S Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
ct��; ' -� ��,.�;;�,; �- : ��,r.::� °� a;�'�''`:a:: &:;,, °� , -�:�• Chimne /liner /flue /vent 10.00
t.91 R OWNER .. ° NANT,� :k , '�� y
�,z .� ° - �:��ea , - .u.: -- . �.�' Other: 10,00
Name:
P G ?'k' u S J Environmental exhaust and ventilation
Address: 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
., - .t.... ,�. .�:. :s s �:m ;' , •.'i, a 9a ,., n _ :p��'s
i VIA T4ir ` rffi ANT MF NZW4 , ; ® SON 1 .+ *: Attic /crawlspace fans 10.00
Business name: Other: 10.00
• Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
Gas heat pump
City/State /ZIP: Wall /suspended /unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E - mail:
Range
m.4. � .�. fa .'.,,>. ;� 0 N tTRA C � OR' A " °'''! � .47 � ' . V, 4m '` Barbecue
Business name: 3x=24_ l - E4 - T A./ G �,�c Clothes dryer (gas)
Other:
Address: /S 5FJ % 9 2 2 A pr y, (.4_ _ >sm'E s ' 1 I AI P,] R1Y11T FEES
City/State /ZIP: 6/4. 44 AS e,,,e. 7 7U-Jj _ Subtotal
Phone: (5-4 3) cs'4 P ) / ?Li Fax: (, 3) GS - 4 k,5- Q Minimum permit fee ($72.50) $g� ��
Plan review (25% of permit fee)
CCB lic.: y1/ 7 State surcharge (8% of permit fee) g i, a cr
TOTAL PERMI FEE /,t
Authorized signature: C ,ii
This permit application expires if a permit is not obtained within Tao
days after it has been accepted as complete.
s _
Print name: M z3( l/ Date: t ' 4_,S /cP/ * Fee methodology set by Tri- County Building Industry Service Board
i:\ Building \Permits \MEC- PermitApp.doc 12/03 440 - 4617T (I l /02 /COM /WEB) •
Mechanical Permit Application - 'City of Tigard • • --
Page 2 - Supplemental Information
Commercial Fee Schedule:
=oaljuat> Peini�'ee
$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.
•
i:\Building\Permits\MEC-PermitApp.doc 12/03 2
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DEMOLITION PLAN
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n1mtp,.4•Sg`FR.4fIE DATA I. 1 Asnr ..", Al- A I
CITY OF TIGARD 24 -Hour
'BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested 6' a AM PM BUP
Location 7 �� suite Q_30 O MEC aa c ( - a 30 7
Contact Person _ C)i Ph ( ) a - 9 �S 3 S' PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: 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 PPP21
ae% PLUMBING � ,1
Post & Beam �
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
I? 1 PART FAIL
RICAL
Service
Rough-In `, . _ _.
Low Voltage
L age
Fire Alarm i/ . - >ormor-
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach /Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL