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Permit C ITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2004 -00581 °f- � l 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/30/2004 PARCEL: 2S114AA -00100 SITE ADDRESS: 09000 SW DURHAM RD SUBDIVISION: ZONING: R -4.5 BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: El 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: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Alter HVAC in counseling area. Value: $46,900 Owner: FEES SCHOOL DISTRICT 23J Description Date Amount 13137 SW PACIFIC HWY [MECH] Permit Fee 8/26/200 $729.65 TIGARD, OR 97223 [MECPLN] Plan Rev 8/26/200 $182.42 [TAX] 8% State Surcharl 8/26/200 $58.38 Phone: Total $970.45 Contractor: OREGON CASCADE PLUMBING & HEATING PO BOX 12127 SALEM, OR 97309 REQUIRED INSPECTIONS Phone: 503 Mechanical Insp Duct Inspection Reg #: LIC 127 Misc. Inspection Final Inspection 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. Issued By: �`el£� -— Permittee Signature: A C Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day i i ll H � / I �ianical Permit 1 up cIF t lo i o y 1 " FO IC E U ONLY -� ' : � Y City of Tigard I Receive / Perini[ No „ t ��1 -��,,y �,q Q � �UG 2 6 2004 Date/By !� {f a . 1►l<7C.�oS T "_W 6O . 13125 SW Hall Blvd , Tigard, OR 9722x3 Plan Revi , n Phone• 503 639 - 4171 Fax 503 59�' f60 � 1 t Date/By Other Pemnt- a/. �9 \ -.00 A5,.. Inspection Line: 503.639 4175 OF TIGARD 4 �...-�� hhh////K o'7�G/ B UILDING DIVISION s �•' Notified/Method Ready/By 7s 16 Supplemental See Pen 2 for Internet. www ci tigaid or us Notified/Method ie/Metho Stal Information ' OF WORK'<<' , ; _��>: ' � -. . ,� : COMI IIER 'IAL <:FEE - SCHEDUL-,-,U $E.(: C { '' >1ST.'' Mechanical permit fees* are based on the value of the work El New construction ) Addition /alteration /replacement perfornied Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other mechanical materials, equipment, labor, overhead, and profit i y; h ;�:' r ., j ,F TI2'' Value c {�O 1�P a 3G CA,TEGOR O COINS. UCTIUN . ,L ,.i.a - ,, '* "$'i Y4: '.M kt - - tea ' ''` „,n., i f °! . " - ' , e- ^ aR .. ,u, - ;; F'... �, RES FIA E Val = U NT;/ S S TEM S F q: El 1- and 2- family dwelling ��. Conunerctal /industrial ❑ Accessory building -- '" ' AQ "`" ``-' ;,"°"... -' . ' '' y Multi-family M builder For spec information use checklist. El y ❑ ❑Other: `;fit ^,. _ �.; �; r- n;�,E -�.. �;�_ ._ ��•: - - 4 '' INFQRIVIA _, � �. � ?SON' A ���, L�GATIoica,., ` : Description Qty. Ea. Total Heating/cooling w. = ��.•�_ cam aP :, �``t " Job site address: 9 t st� bk.). t-kp•-►� 12.15 (requires conditioning heat pump (requires site plan shoo wing placement) 14 00 City /State /ZIP: `y j 1 ©Q -7 Z'2 Furnace 100,000 BTU (ducts /vents) 14 00 m j„,,,,..4 Furnace 100,000+ BTU (ducts /vents) 17 90 Suite bldg. /apt no.: Project name S Gas heat pump 14.00 Cross street/directions to job site • '.. r . E Zq■ _ 11, r Duct work 14 00 .t-- �.-t_- 3 � �� 1 Qy �� J tn Rydromc hot water system 14 -00 Le, ' a•� �t} 7 Z c6 Residential boiler (radiator or (-- co"- Sly-- 0 t,� mac` J N hydronic) 14 00 11 Unit heaters (fuel -type, not electnc), in -wall, in -duct, suspended, etc. 10.00 Subdivision: Lot no.. 1 Flue /vent for any of above 10.00 ok Other 10 00 Tax map /parcel no.: t Other fuel appliances 41• `DESCRIiffON ®Ti .«'ORK:' ;' 411.1- a,,, _ - 1 Water heater 10 00 r � ` u Gas fireplace 10.00 LtV` 13 tt...A \ \ir 1.-VV 1: C.,, 1 A �yjWA5t`l1tike_ -A -66544 Flue vent for water heater or gas ie P!! if 1 S D 6 Cm Z25 . tsi v treplace 10.00 1 t Log lighter (gas) 10.00 C Wood /pellet stove 10.00 ply - : S ; "i7.:1, 1; � 1 � (�� � Wood fireplace /insert 10 00 ' •- - Chimney/liner/flue/vent 10 00 ';, EOF ;PIt®PERTY , TENANT � , , , Other. 10.00 Name: " 1' ,A/.t -A`�-t v. 5cjA tit ,sILI Z.g.J 11+ Environmental exhaust and ventilation Address: G� t ( g t,-) S' Range hood other kitchen equipment 10 00 City/State /ZIP: ce V 97 'L-3 Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: (3D3) 1451- 4000 Fax: (503) LI 5 1- eiQ'/7 toilet compartments, utility rooms) 6 80 '' "< ;" > ace fans 10.00 Attic/crawlspace M �� � �* ELTC� f ;�� � °'' '�CONT =p' ° p Business name- OQ...6G y� off J t & 1 el piping 10 00 �- 'q- SC�Y�� � �p . Jr...., S� �a Fuel Contact name: j i . /j gL.T -✓Z U $5.40 for first four; $1.00 for each additional Address: 1'7 7 2 Z " " S` S E Furnace, etc. Gas heat pump City /State /ZIP: S DR .8.•k, t © L. 9 13 c52. Wall/suspended/unit heater Phone: (5753) S 5 6 035 Fax: (So3) 3G q a 2..Z7lo Water heater Fireplace E -mail: � � tsw'L t qn w e ' (3r'` - _ v •$' Range 4 ), ' ; , , . ,, - , CONTR4C , TOR 4 , , *1,I : ef t` _, -, , Barbecue Business name: Clothes dryer (gas) Other: hag A_GCt.)e: t �� 1 _ *t , r ' - Address: r ,�,�>' �. � r ;1VIECIANICAI:�EEiil1'iiTFi'EES �.` ,,' �. City /State /ZIP: Subtotal �/(n �� Phone: ( ) Fax ( ) Minimum permit fee ($72.50) • 7Z1 • GC Plan review (25% of permit fee) 1 62 • y2 CCB lie.: 1 p_. State surcharge (8% of permit fee) 5S • 3i5 TOTAL PERMIT FEE M ) Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: J �3, - 1 - Date. $ - Z...3 ^ (.19 * Fee methodology set by Tn- County Building Industry Service Board I i \Bulldlne\Perm,is\MEC- Pernu(Aou doe 12/03 440 -4617T (I 1 /02 /COM/WEBi CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested 9 -3,, AM PM BUP Location 9 60 1J-&-4'7t Suite MEC A b0 7 (/ —d63— c Contact Person Ph ( ) 93 a -3. PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: /f SIT Post & Beam (.4 -- .l_44.4 .P Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation ..-, ' " _ i , ! a, i A ., .,_ r - -�- J , `' N% Drywall Nailing �. - 1∎�[�.`'.��;�.�a�n.:�:��.. -- Firewall t - '' ,..--- Fire Sprinkler �� I `a Fire Alarm Susp'd Ceiling ' Roof Other: AS PART FAIL Ati.� `771 1?' = ING �, 1 ` Post & Beam - alL (wive , Under Slab Rough -In i Water Service t I e Sanitary Sewer � f � • • Rain Drains , Catch Basin / Manhole ► Storm Drain 1 d Shower Pan • Other: ` Final PASS PART FAIL . MECHANICAL Post & Beam Rough -In Gas Line . Smoke Dampers is PASS PART FAIL ELECTRICAL . Service Rough -In UG /Slab Low Voltage Fire Alarm 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: El 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