Permit CITY F TIGARD , MECHANICAL PERMIT
4 DEVELOPMENT SERVICES PERMIT #: MEC2004 -00505
ALLI;ftyi ISSUED: 7/28/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
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:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1
> 10000 cfm: GAS OUTLETS:
Remarks: Music area mechanical TI. Alteration of existing, addition of (1) water coil heating unit, and S/F dampers. Project
value: $36,000
Owner: FEES
SCHOOL DISTRICT 23J Description Date Amount
6960 SW SANDBURG RD [MECH] Permit Fee 7/28/200 $582.50
TIGARD, OR 97223 [MECPLN] Plan Rev 7/28/200 $87.75
[TAX] 8% State Surchart 7/28/200 $46.60
Phone: 503 -431 -4000 Total $716.85
Contractor:
OREGON CASCADE PLUMBING & HEATING
PO BOX 12127 •
SALEM, OR 97309 REQUIRED INSPECTIONS
Phone: 503 Gas Line Insp
Mechanical lnsp
Reg #: LIC 127 Duct Inspection
Fire Damper lnsp
Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted in the Oregon Utility Notification Center. Thos rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these ru s r qirec Igaiirrs to OUNC by calling
(503)246 -.- °'. i
Issued Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day 2 j
— 7 ( )o H %
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard
A, Received ...„
Date/By ( MIR. MI
Plan Review Permit No.•
13125 SW Hall Blvd., Tigard, OR 97223
Phone 503.639.4171 Fax: 503.598 1960 *ep&iti Date/By Other Permit
Inspection Line. 503.639 4175 ‘q./ 1
, --. • Date Ready/13y.
IIIM 2 See Page 2 for
Internet. www ci.figard.or.us Notified/Method. • II Supplemental Information
4::.*,6A-i,':eV PAtEvettii2w4,;t4::MEMT;rNYMcv$:;:a! -,0.7:vw ,, ,in(*K-J,T ..AorilAipteiO4 77-m -==. usE:CIIE GKLIST 55
Mechanical permit fees* are based on the value of the work
0 New construction X
k.. performed Indicate the value (rounded to the nearest dollar) of all
0 Demolition E Other: mechanical materials, equipment, labor, overhead, and profit
-nt ll "- :4P Value $ 7 1 Oa2
'.11ESINENtIAECQUIPMENT4 i YSTEMSTEES*
0 1 and 2 dwelling r Commercial/industrial D Accessory building
For special information use checklist.
0 Multi 0 Master builder 0 Other.
Description Qty Ea Total
r p',I;;:traa f ialicOW0*".i. MEMO. WU Heating/cooling
Air conditioning or heat pump
Job site address: . CC)0,0 PU( /4 (requires site plan showing placement) 14 00
City/State/ZIP: —7 :1 6. E4_ ( (0 6 r...-4-1\--DOL Furnace 100,000 BTU (ducts/vents) 14 00
t 1, Furnace 100,000+ BTU (ducts/vents) 17 90
Suite/bldg./apt. no.: Project name:■"11/ t ..4 ( a +
Gas heat pump 14 00
Cross street/directions to job site. Ty( ( . 4 ALL
/ f--(0(c.„ --/ [ & Duct work
Hydronic hot water system 14 00
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. Lot no.:
Other 10 00
Tax map/parcel no.: Other fuel appliances
,„-..,,, , Awz, oxt5. , 4 ,,,, ' ' '
WIVACIV* ‹ *"' V IASeWttakbtliWORK '''' '''' ' % "Et n-'4-4'-' Water heater 10.00
i — '%.-&;,:i '
Gas fireplace 10.00
0.3-K-ctzint2- - r--e17-to-v7e-, tf 11&) S (4, Af--GA — Flue vent for water heater or gas
fireplace 10 00
DEt ( i - t EGA 12 (?._ Le2c__A-sM )--i Ec4( ,
i Log lighter (gas) 10.00
ut.pr) rt,..) TA-i ...L. vt Wctu-rAg- Wood/pellet stove 10.00
l' Wood fireplace/insert 10 00
lbiiiifi
r IV : Ai l tnli;ii4kii t ' -'--*: , a 'v ', AFAC E 'liNVP ', -;e To :; Li
: r: ),s Chimney/liner/flue/vent 10 00
,r * f
1 1., - 4lx , <4: I ' ,`, ' AA" :I '. !.... ,... g,tng-, i',:'' ,.;*'.:: ,1" Other: 10 00
Name: ...f t
0 # 1., 17 ( 9 7 \ ...keT , Environmental exhaust and ventilation
Range hood/other kitchen
Address: toq to o suJ .5 0P-e, equipment 10 00
City/State/ZIP: 'T li Ask..to t ,. op Clothes dryer exhaust 10 00
Single-duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
;;,,,,::,,r-ztOt„„rak ;-, fiekkii:Ailp v, wk. wi ketAwkvir,viso'sihofyt, - Attic/crawlspace fans 10.00
, ::A-Ti ':' ,4;,,, rkr, wcilmr, _,,t,.„,;„, , AI i?
Other. 10.00
Business name
• "170l-l. C. L 91b- t-c,P, kc-g; i , Fuel piping
Contact name: tA .--Fik for first four; $1.00 for each additional
Furnace, etc.
Address: ..."‘. 1 t._A) U. i \ Gas heat pump
i
City/State/ZIP: Wall/suspended/untt heater
Is 4 ) ( 0 `I
Phone: ( 9 ,., ) 14.6 -0 co Fax : ( ) Water heater
Fireplace
E ip ./or d. — F . 1A( Q c t intok. ,. Range
" 6'' ' ,I 5' 555445555554'. -.cRig
. , Barbecue
-..*:r . A tr'rIr'.:MV,./.4, - o ariigrer,r r , , ...,,ir,r , ..,, - _-.4:
Clothes dryer (gas)
Business name:/.. d 11-EbcP Other
Address:
likettgeASWOSqN,1 ' ' "
City/State/ZIP: tV(i '6 1 — °V1 VIA )71 8 2-2P0 Subtotal
4/ 4 5 -( I Fax: ( ) 57. --. 4,1c6H
e Minimum permit fee ($72 50)
Phone: ( )
Plan review (25% of permit fee)
CCB lie.: /73 t State surcharge (8% of permit fee)
, cn -z).35- TOTAL PERMIT FEE
This permit application expires it a permit is not obtained within 180
Authorized signature:
days atter it has been accepted as complete.
Print name- Date: * Fee methodology set by Tn-County Building Industry Service Board
i \Building\Permits\ MEC-PermitApp doc 12/03 440-46 I 7T (11/02/CO M/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
TotalValnaan ;.aPermt Fee:„ :vim..` .'M°: rt ° ° ~'
$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:\Buildmg\Permits\MEC- PermitApp doc 12/03 2
CITY OF TIGARD 24 -Hour
,,BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 - 4171 MST
BUP
Received Date Requested 9 — a AM PM BUP
Location 5' D v U fall J/L a 4'Vl Suite MEC gO 6 yi- 66 - 5 6C
Contact Person Ph ( ) �73 — 3S PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation
Access:
Ftg Drain V ELR
Crawl Drain
Slab Inspection Notes: SIT
�
Post & Beam O I li..C.4.
Shear Anchors
Ext Sheath/Shear
Int Sheath /Shear
Framing
Insulation / u
Drywall Nailing 1_> �1 � �� - - _ L ��i n �� AL MA .4
Firewall ` `��
��
Fire Sprinkler �' , may BSI ' ` /�� / y
Fire Alarm Jjtak �'—�—""'/�
Susp'd Ceiling /�
Roof !IF f /`` raf ! 7 �I F : �� Jr' i1
Other:
1
Final
PASS PART FAIL ill
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service •
Sanitary Sewer "!
Rain Drains =1I -
Catch Basin / Manhole
Storm Drain i — ��.�.
Shower Pan
Other: tr
Final Orr
PASS PART FAIL
MECHANICAL , t
Post & Beam ,
Rough -In
Gas Line
Smok ampers
Fi ae
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 V ❑ Please call for reinspection RE: 0 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