Permit t7 ®
CITY OF TIC�AR®
MECHANICAL PERMIT
I DEVELOPMENT SERVICES PERMIT #: MEC2005 -00453
I' DATE ISSUED: 7/27/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 102 BD -00800
SITE ADDRESS: 12630 SW GRANT AVE ZONING: R -12
SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND LOT: 009 JURISDICTION: TIG
Project Description: Installation of 2.5 ton air handler, heat pump & heat pack w /duct work. Val: $4430.
•
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: 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: 0 OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
ROMAN CATHOLIC ARCHBISHOP OF Description Date Amount
PORTLAND IN OREGON
2838 E BURNSIDE [MECH] Permit Fee 7/27/200E. $127.70
PORTLAND, OR 97214 [TAX] 8% State Surcha 7/27/200E $10.22
Phone: Total $137.92
Contractor:
ARROW MECHANICAL
10330 SW TUALATIN RD
TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS
Phone: 692 -1565
Reg #: LIC 5193
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: 2y24..�.1/ Permittee Signature:
Call 503 - 639 -4175 by 7:00 a.m. for inspections t • u ` e 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 Application ,,,:,,,' -- :-' ,..- - , ' i: 'US E: 'ONLY 4 ' '''''• ' e' ' - ' '' r ' ' '
City of Tigard ,, Received
3
2- 7 ZI 4111111=MIMMIN.
13125 S'W Hall Blvd., Tigard, OR 97223 REC r e- Date/By
Plan Review
Phone: 503.639.4171 Fax: 503 598.1960 g .: 1. '1 Date/By: Other Permit
Inspection Line: 503.639 4175 -4' ,,N4 4111 Date Ready/By rill 0 See Page 2 for
Internet: www.ci.tigard.or.us JUL 27 2 Notified/Method Supplemental Information
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t"ao „oir-v!t
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Mechanical permit fees* are based on the value of the work
of all
1:3 New construction Addi
performed. Indicate the value (rounded to the nearest dollar)
0 Demolition , T1 1 1 Other: •
mechanical materials, equipment, labor, overhead, and profit.
„ ,,,,,,,,,-. ,,, ...,--,,
0 1- and 2-family dwelling in Commercial/industrial 0 Accessory building 704 ' ,3, ,, ,i• , , ,,,, , , :iN.,::: ' ' .: --NlIttg-wo.!=*:, .....--4,,t,;= -; .
For special information use checklist.
0 Multi-family / 0 Master builder 0 Other: _
Description I Q I Ea. I Total
e ; 04fitirfeYan„N , .- % H • g/ lin
,,,,.. :.,,,,,,o,i..., ,-A-„,......„ ,a ..,-*-„,:-?,,, v.,;-;,4., _ eatm coo g
Air conditioning or heat pump
Job site address: / 1_6 30 S (,,i (71- Az ,--- (requires site plan showing placement) 14.00
City/State/ZIP
• 716AR- a R 1? a 2...3 Furnace 100,000 BTU (ducts/vents) 14.00
■ Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: I 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
Flue/vent for any of above 10.00
Subdivision: 1 Lot no.:
Other: 10.00
Tax map/parcel no.. Other fuel appliances
`,-:"Eq4..."VAilOSZIV:0`,X Water heater 10.00
`Y.5'.-I-Y,3
Gas fireplace 10.00
/,\/ -ra t...c.. 006 L. S rom AIR_ PA N 22 Z-E R. ; Flue vent for water heater or gas
fireplace 10.00
::) - icivt P owi t) smt :::::
/ Log lighter (gas) 10 00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
o t h alinui ,., eY/linerlfluelvent
10.00
10.00
Name: To 1 . 4 Nj c..090K Environmental exhaust and ventilation
Range hood/other kitchen
Address: / z t 3e 5,6 u ( ie 4 r equipment 10.00
City/State/ZIP: Mt A AO, •: • o k, 9? z 2_ 3 Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: ( f:),5 ) 1 7 -043 i-: Fax. ( ) toilet compartments, utility rooms) 6.80
- 1.4040:trea,,,,,,,,,,,, .•-•,,„, ,,,,,,,, ,,,,, , ;',,,,,,,„ • , sT , , '4;- , ',,,J. ,,,,,,, T ,, 0. „fi,:",,,„4,4 „ e_v- ,
Attic/crawlspace fans
"I
Other. 10.00
10.00
Business name: A izgbk) ' hec,H4.4 ) 1.....
Fuel piping
Contact name: ,..re Pet (.1...A A... $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: /03 3 5 vo T- L.A. k
Gas heat pump
City/State/ZIP: erbA 0/2, 5 7 06,7__ , Wall/suspended/unit heater
Phone: (5 ) Oz ice I Fax: : ( 503 ) & i - 7„e'll Water heater
Fireplace
E-mail: Range
Barbecue
Business name:
Clothes dryer (gas)
A
./4 Clothes /16C4 Other:
Address:
,.5 A., MoYE
City/State/ZIP: Subtotal 42 .
Minimum permit fee ($72.50)
Phone: ( ) Fax: ( )
Plan review (25% of permit fee)
CCB lie.: 5/ c 3 State surcharge (8% of permit fee) /0.. .2_ 2-
.4#111, TOTAL PERMIT FEE J• -7, 95Z.
/
Authorized signature:if-AO ' This permit application expires If a permit Is not obtained svithIn 180
days after it has been accepted as complete.
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' BUILDING DIVISION ` '
~~~~"~~~~..°~° ~�.°"~~"~~"° PERMIT #: PLhA2004-00863
18125GVVHall Blvd., Tigard, OR 97223 DATE ISSUED: I/1/2005
Phone: (503) 639-4171
Inspection Reque�o(24Hmj:(5O8)G30'4176 ....4A '
INSPECTION WORKSHEET FOR DATE: 3/25/2005 TIME: 7:07AM PAGE: 84
SITE ADDRESS: 12630 SW GRANT AVE CLASS OF WORK:
SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND LOT #: 009 TYPE OF USE:
PROJECT NAME: ST ANTHONY
DESCRIPTION: Bldg. fixtures.
OWNER: ROMAN CATHOLIC ARCHBISHOP OF, PHONE #:
CONTRACTOR: MAREK PLUMBING PHONE #: 761'0105
Inspection Request Scheduled For: Date: 3/25/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 002838-01 603'780-8837 N
Corrections/Comments/Instructions:
.
lt n PARTIAL APPROVAL 0 CANCEL fl NO ACCESS
FAIL n CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
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|nopgotInspector: ' Date: .==:% Nr Phone #: (5O3) 718'
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MFC2005-00453
13125 SW Hall Blvd., Tigard, OR 97223 "DATE ISSUED: 7/27/2005
Phone: (503) 639-4171 elletwittiliT\
Inspection Requests (24 Hrs.): (503) 639-4175 ..AO- ' 3 -.1..
INSPECTION WORKSHEET FOR DATE: 8/19/2005 TIME: 7:07AM PAGE: 90
SITE ADDRESS: 12630 SW GRANT AVE CLASS OF WORK:
SUBDIVISION: NO. TIGARDYILLE ADDITION AMEND LOT #: 009 TYPE OF USE:
PROJECT NAME: ST. ANTHONY'S CHURCH
DESCRIPTION: Installation of 2.5 ton air handler, heat pump & heat pack w/duct work. Val: $4430.
OWNER: ROMAN CATHOLIC ARCHBISHOP OF, PHONE #:
CONTRACTOR: ARROW MECHANICAL PHONE #: 692-1566
Inspection Request Scheduled For: Date: 8/19/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
.699 Mechanical final 013870-01 503-692-1565 Y
Z/ic tf
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Corrections/Comments/Instructions: I A 1 e
0 EEO EzL A \
h' 4.L 0,k, 4F-7 .-1 A BOVE
......../-------
. \ . .. . . . . . . . . . . . . . . . .„
›QASS I I PARTIAL APPROVAL 0 CANCEL I I NO ACCESS
I I FAIL k CALL OR INSPECTION 0 ADDITIONAL FEES ASSESSED
.., Pik 110,
Inspector: A Date: 1q —0 S Phone #: (503) 718-