Permit CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005 -00647
s'II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/12/2005
PARCEL: 2S110DC -02300
SITE ADDRESS: 11545 SW DURHAM RD B -6 ZONING: C -G
SUBDIVISION: WILLOWBROOK BUSINESS PARK LOT: JURISDICTION: TIG
Project Description: Install new bath fans & re - route existing ducts. Valuation: $9000.
CLASS OF WORK: OTR 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: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: •
> 10000 cfm:
Owner: FEES
HARSCH INVESTMENTS Description Date Amount
1121 SW SALMON ST [MECH] Permit Fee 10/12/20( $213.50
PORTLAND, OR 97205 [TAX] 8% State Surchar€ 10/12/20( $17.08
Phone: Total $230.58
Contractor:
OREGON HEATING + NC INC
PO BOX 397 REQUIRED ITEMS AND REPORTS
DUNDEE, OR 97115
Phone: 503 - 538 - 2953
Reg #: LIC . 125815
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 0 NC 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 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.
Mec nical Permit A lication ' FOR OFFICE USE ONLY
City of Tigard C ED Received • • . j
Date/By / y Of M M
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1¢ iht7 q: 0 \ Date/By. Other Permit:
Inspection Line: 503.639.4175 �,T 1 2 2005 - �+ Ii' _ Date Ready/By: BM ® See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
CITY OF TIGARD '
BUflikiN61DWd N . 'COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ New construction ' Addition/alteration /replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, o d, an profit.
. CATEGORY OF CONSTRUCTION Value: $ Jf1
RESIDENTIAL 'EQUIPMENT /'SYSTEMS FEES*
❑ 1 - and 2- family dwelling igr Commercial /industrial ❑ Accessory building
❑ Multi - family ❑ Master builder ❑ Other: For special information use checklist.
Description I Qty. I Ea. I Total
. , ' • '' , °JOB' SITE.: INFORMATION AND LOCATION A ' ° Heating /cooling
Job site address: /(5 " Y _"(l a/( ,, � _ Air conditioning pl or heat placement) pump
J / w (requires site plan showing 14.00
City /State /ZIP: / Furnace 100,000 BTU (ducts/vents) 14.00
Suite/bldg./apt. no &;' Project name:fa/ /,t /J / Furnace 100,000+ BTU (ducts/vents) 17.90
• ( l•'Y / (l t Furnace Gas heat pump 14.00
Cross street /directions to job site: Duct work 14.00
/?T / 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
' Flue /vent for any of above 10.00
Subdivision: Lot no.:
• Other: 10.00
Tax map /parcel no.:
4. l,,,/,, Other fuel appliances
DRIPN OF WORK Water heater 10.00
ESCTIO K
Gas fireplace 10.00
��A ivS Flue vent for water heater or gas
. fireplace 10.00
���/// Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert . 10.00
❑ .PROPERTY ❑ TENANT Chimney /liner /flue/vent 10.00
Other: 10.00
Name: Environmental exhaust and ventilation
Range hood/other kitchen
Address: 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 /crawispace fans 10.00
Other: 10.00
Business name:
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
' - CONTRACTOR • Barbecue
A ^ , L Clothes dryer (gas)
J
Business name: y� (41---z, L
n `l Other:
Address y/ �� MECH_ANICAL'PERMIT FEES* '
City /State /ZIP: 1 �� '� `, IT Subtotal
///
Minimum permit fee ($72.50)
Phone: (� Fax: (�� ` Plan review (25% of permit fee) •
CCB lic.: • c°32. State surcharge (8% of permit fee)
(2- TOTAL PERMIT FEE
Authorized signature: Thi permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: J Date: * Fee methodology set by Tri- County Building Industry Service Board
is \Buitding\Permits\MEC - PermitApp.doc 12/03 440 -4.17T (11 /02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
Total Valuation � • Permit ° Fees
$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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BUILDING DIVISION
~°~°"~~~�""~=° ~�"°"~°"~~"° PERMIT #: KA�C�0O�OO6�7
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/1212005
Phone: (503) 639-4171
Inspection Reque�o(24Hro.):(5O3)G39-4175 ~� �8
INSPECTION WORKSHEET FOR DATE: 114/2005 TIME: 8: 59AM PAGE: 57
SITE ADDRESS: 1154b DURHAM RDB CLASS OF WORK:
SUBDIVISION: WI|10WBR0()R BUSINESS PARK LOT #: TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: Install new bath fans & re-route existing ducts. Valuation: $9000.
OWNER: HARSCM|NVESTkAENTS. PHONE #:
CONTRACTOR: OREGON HEATING 1' A/C INC PHONE #: 503-638-2953
•
Inspection Request Scheduled, For: Date: 1/4V2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message 6/0'4
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699 Mechanical final 024311-01 503-84N3162 Y �8h'����� `° ~ Z.
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Corrections/Comments/Instructions: (;:-.
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�� PASS -- PARTIAL �� CA���EL �� NO ACCESS
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Inspector: 9� Date: � Phone #: (503) 718'4
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-_--- ' ' �_
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2005.00647
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/1212005
Phone: (503) 639 -4171 4a /00,
Inspection Requests (24 Hrs.): (503) 639 -4175 «
INSPECTION WORKSHEET FOR DATE: 10/20/2005 TIME: 7:09AM PAGE: 64
SITE ADDRESS: 115466 SW DURHAM RD B-6 CLASS OF WORK:
SUBDIVISION: WILLOWBROOK BUSINESS PARK LOT #: TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: install new bath fans & re -route existing ducts. Valuation: $9000.
OWNER: HARSCH INVESTMENTS. PHONE #:
CONTRACTOR: OREGON HEATING + NC INC PHONE #: 503 - 5382953
Inspection Request Scheduled For: Date: 10/20/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 018831 -01 5088488162 Y
6zs C 1 Imc.4 Q atof So3 Ren S62
Corrections /Comments /Instructions:
•
•
I►1 PASS I I PARTIAL APPROVAL n CANCEL n NO ACCESS
FAIL n CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: C 1 glr2 A Date: O CIS Phone #: (503) 718-