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Permit
7 a CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2009 -00007 TIGARD DATE ISSUED: 1/14/2009 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S102DB - 00500 . SITE ADDRESS: 08815 SW O'MARA ST ZONING: CBD SUBDIVISION: FANNO CREEK PARK LOT: JURISDICTION: TIG PROJECT: TIGARD SENIOR CENTER GARDEN RM Project Description: HVAC for Garden Room addition. Project Value: $12,000 CLASS OF WORK: ADD FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: A3 VENTS W/O APPL: VENT SYSTEMS: • STORIES: 2 BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN: ELE 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOERS: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: 1 GAS OUTLETS: Owner: FEES TIGARD, CITY OF Description Date Amount 13125 SW HALL TIGARD, OR 97223 [MECH] Permit Fee 1/14/200c $258.50 [MECPL•] Plan Rev 1/14/200E $64.63 [TAX] 12% State Surchai 1/14/200c $31.02 Phone: Total $354.15 Contractor: MILLENNIUM HVAC INC 2723 NE 159TH CIRCLE RIDGEFIELD, WA 98642 REQUIRED ITEMS AND REPORTS Contact #: PRI 971 - 235 -3699 FAX 360 -546 -0512 Reg #: LIC 154708 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 B / / t . 0 Permittee Signature: Call 503.639.4175 by 7:00 a.m. for inspections that • • +ness , /y. This permit card shall be kept in a conspicuous place on the job sitOtil completion of the project. Approved plans are required on the job site at the time • each inspection. 'of . Mechanical Permit Application FOR OFFICE USE ONLY IN City of Tigard S1WC11D Date/By: 109 Permit No.: n ) �/JQi oQ �7 ° 13125 SW Hall Blvd., Tigard, OR 9722 1 r J� Received Plan Revie •. Phone: 503.639.4171 Fax: 503.598.1960 Date/By: ` ' (' 7 CT Other Permit: T I G A R D Inspection Line: 503.639 JAN 0 5 2009 Date Ready/By: m ® See Page 2 for Internet: www.tigard or.gov Notif ethod: e Q � Supplemental Information TTY OFTIGARD TYPE OF , 1 e • I !NO DIVISIO COMMERCIAL FEE* SCHEDULE - USE CHECKLIST ❑ New construction ddition/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, overhead, and profit. �_ c:00 - — CATEGORY OF CONSTRUCTION - Value: $ / 7 RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ I- and 2- family dwelling 1g Commercial/industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: © 1 Air conditioning or heat pump O 8 15 5 1..x.) n / /14,..e, (requires site plan showing placement) 14.00 City /State /ZIP: T D R. 1 7 - Furnace 100,000 BTU (ducts/vents) 14.00 • ,� Furnace 100,000+ BTU ( ducts/vents) 17.90 Suite/bldg. /apt. no.: Project name:-11a R kb (0 t2. at r[/L Gas heat pump 14.00 Cross street/directions to job sitc: Duct work 10.00 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. 14.00 Flue /vent for any of above 6.80 Subdivision: Lot no.: Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 Gas fireplace 10.00 SK S' / /7 ti e . r 2 7 A' et2 71, / St! < f Flue vent for water heater or gas �o ` Cam! / g od A -� / � � 1 / fireplace 10.00 . oI c e d -....__.) Log lighter (gas) 10.00 ' , � e r - Wood/pellet stove 10.00 • Wood fireplace /insert 10.00 ❑ PROPERTY OWNER I ❑ TENANT Chimney/liner /flue/vent 10.00 Other: _ 10.00 Name: 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 APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00 � i / Other: 10.00 Business name: / (, / / per n t l a .,.1 vd C �n L . Fuel piping Contact name: .......a t $5.40 for first four; $1.00 for each additional Furnace, etc. - Address: 2 -72- 3 /YE X57 .* c : rde._, Gas heat pump City/State /ZIP: R i d Qe_ , f • (d � 4. c, g4 t fZ Wall /suspended/unit heater , Phone: ( 97( ) . S-- 3 6,11 Fax: : (36o) _s — x'/ 52 — Water Fireplace E -mail: Al A tigc. a ii nom* A Goss- Range CONTRACTOR Barbecue Business name: Clothes dryer (gas) Other: Address: n e- 4_5 4 Za ) MECHANICAL PERMIT FEES* City /State /ZIP: Subtotal Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) Plan review (25% of permit fee) 44. . & 3 CCB - lic.: 4 State surcharge (12% of permit fee) 3 j.o2, TOTAL PERMIT FEE 591, (5 Authorized signature' //� This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: _�p�,. ,� --fe%._ I Date: / 5 - � 7 • Fee methodology set by Tri County Building Industry Service Board I:\ Building \Permits\MEC- Permit7+pp.doc 01 /19/07 440 -46171' (1I /02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: Permit Fee: $1.00 to $2,000.00 Minimum fee $72.50 ' F . $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 $1000.00 $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. 1:\Building\Permits\MEC- PermitApp.doc 01/19/07 2 CITY OF TIGARD r BUILDING DIVISION PERMIT #: ME_C2009 -00007 13125 SW Hall Blvd., Tigard, OR 97223 ISSUED: 1/14!2009 Phone: (503) 639- 4171 6 : � r A Ins Requests (24 Hrs.): (503) 639 -4175 1 ' � INSPECTION WORKSHEET FOR DATE: 2/1312009 TIME: 7:00AM PAGE: 13 I SITE ADDRESS: 08815 SW O'MARA ST CLASS OF WORK: SUBDIVISION: FANNO CREEK PARK LOT #: TYPE OF USE: PROJECT NAME: TIGARD SENIOR CENTER GARDEN RM DESCRIPTION: HVAC for Garden Room addition. Project Value: $12,000 OWNER: TIGARD, CITY OF, PHONE #: CONTRACTOR: MILLENNIUM HVAC INC PHONE #: 971- 235~3699 Inspection Request Scheduled For: Date: X13/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 080520-01 971- 221 -7464 N Corrections /Comments /Instructions: 1 x PA : / RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS • FAIL / /,'CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED i —/'' Inspector: _ I _ Date: Z © Phone #: (503) 718- _Z 4 • CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC200�,000!17 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/14/2009 Phone: (503) 639 -4171 wm , �, ' l I i Inspection Requests (24 Hrs.): (503) 639 -4175 W :_.. INSPECTION WORKSHEET FOR . DATE: 1/16/2009 TIME: 7:02AM PAGE: 11 SITE ADDRESS: 08015 SW O'MARA ST CLASS OF WORK: SUBDIVISION: FANNO CREEK PARK LOT #: TYPE OF USE: PROJECT NAME: TIGARD SENIOR CENTER GARDEN RM DESCRIPTION: HVAC for Garden Room addition. Project Value: $12,000 OWNER: TIGARD, CITY OF, PHONE #: CONTRACTOR: MILLENNIUM FIVAC INC PHONE #: 971- 2353699 Inspection Request Scheduled For: Date: 1/1+6/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 616 Mechanical rough -in 079736 -01 971 - 263699 N Corrections/Comments/Instructions: '> U, r I AdJ. /(. C) A) L k/ PASS *ii • •1'. ' L APPRO.VA► 0 CANCEL Ei NO ACCESS ❑ FAIL IJA CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED i r► Inspector: Date: I S 07 Phone #: (503) 718-