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Permit
.1 CITY OF TIGARD Y MECHANICAL PERMIT - : •4 COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00182 A r, DATE ISSUED: 4/3/2007 T s s , C ' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S103DD -00900 SITE ADDRESS: 13855 SW PACIFIC HWY ZONING: C -G SUBDIVISION: LOT: JURISDICTION: TIG PROJECT: COMMUNITY OF CHRIST CHURCH Project Description: Replace gas furnace with like kind. Project Value: $2,000 CLASS OF WORK: ALT 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: NAT 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Owner: FEES COMMUNITY OF CHRIST CHURCH Description Date Amount 13855 SW PACIFIC HWY TIGARD, OR 97223 [MECH] Permit Fee 4/3/2007 $72.50 [TAX] 8% State Surcha 4/3/2007 $5.80 Total $78.30 Phone: Contractor: OWNER REQUIRED ITEMS AND REPORTS Contact #: Reg #: 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 y: _.11. ' I I A , , 4_L - - Permittee Signature: .' 1i 41111Car 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. / - , Mechanical Permit Application r! i OFFICE ICI. ISF OiNLY . City of Tigard Date/By: 1 , D � Permit No.: j „ _opt k7— III 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review M . Phone: 503.639.4171 Fax: 503.598.1960 Date /By: Other Permit: • T fG A R D Inspection Line: 503.639.4175 Date Ready /By: RI See Page 2 for . . Internet: www.tigard - or.gov Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees' are based on the value of the work ❑ New construction al Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. Value: $ � CATEGORY OF CONSTRUCTION 1 -and 2 dwelling RESIDENTIAL EQUIPME / SYSTEMS FEES* El y g [. Commercial /industrial ❑ Accessory building M builder For special information use checklist. M ulti -famil ❑ Multi ❑ 0 Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: ��) Air conditioning or heat pump /3 8? ps(2 f �a 1i � 1 G (J (requires site plan showing placement) 14.00 City /State /ZIP: �� i ,,, , 9 7 / Furnace 100,000 BTU (ducts /vents) 1 14.00 Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: Project name:6 ~qi2 ; o /ari Gas heat pump 14.00 Cross street/directions to job site: `J 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 Subdivision: Lot no.: Flue /vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 Gas fireplace 10.00 27)_//1 ,o0' . Me/7 ©( / /ryf/) c-e/ 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 OWNER ❑ TENANT Chimney/liner/flue/vent 10.00 l A r 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 g CONTACT PERSON Attic /crawlspace fans 10.00 Other: 10.00 Business name: Fuel i m p g Contact name: / 4 4 4 67/61.--/- $5.40 for first four; $1.00 for each additional Address: . 302/ S,�l /2 4sf�. -/ /4' 1_ Furnace, etc. /�� i4 Gas heat pump City /State /ZIP: // /Pw- f /l /7� /C, , 9 7 ) 6 r Wall /suspended/unit heater ! /v / Water heater Phone: (.Q�) /_ v7 7 g-17l� Fax: (�3 p�- -tea/ 7 �P / 1 ` Fireplace E -mail: a�19�-/IGy7 cemeas • //e / Range CONTRACTOR Ow . 1 � /) Barbecue C/ AJ /rte Clothes dryer (gas) Business name: Gele ail Der 4'/&/ re/2dir G(f/ Other: Address: f lu/2„. /1?t 76,” Ile Aia MECHANICAL PERMIT FEES* City /State /ZIP: Subtotal Minimum permit fee ($72.50) 7a, 519 Phone: ( ) Fax:( ) Plan review (25% of permit fee) CCB lic.: State surcharge (8% of permit fee) S. 84 TOTAL PERMIT FEE -7v,, 3b � � � This permit application expires if a permit is not obtained within 180 �Gf�fi Authorized signature: C' y� days after it has been accepted as complete. Print name: 42 SA 67 _ 1 / Date: 4i' /,/ 7 * Fee methodology set by Tri-County Building Industry Service Board 1: \ Building \ Permits \MEC- PermitApp.doc 04/06/06 440 -4617T ( 1 1 /02/COM/WEB) CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2007 -00182 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/3/2007 Phone: (503) 639 -4171 l Inspection Requests (24 Hrs.): (503) 639 -4175 "�, INSPECTION WORKSHEET FOR DATE: 5/18/2007 TIME: 7:02AM PAGE: 47 SITE ADDRESS: 13855 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: COMMUNITY OF CHRIST CHURCH DESCRIPTION: Replace gas furnace with like kind. Project Value: $2,000 OWNER: COMMUNITY OF CHRIST CHURCH, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/18/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 048613-01 503-997-4010 N Corrections /Comments /Instructions: C f / (1---1/ — . 0 7 - A - 1 - § Li PARTIAL APPROVAL 1 1 CANCEL ❑ NO ACCESS n FAIL 1 1 CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED Inspector: V (/i (' l/ Date: S qC) Phone #: (503) 718- 2-12- Ye CITY OF TIGARD BUILDING DIVISION ' t PERMIT #: MEC2007- 0O182 13125 SW Hall Blvd., Tigard, OR 97223 417 DATE ISSUED: 4/3/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/15/2007 TIME: 7:OOAM PAGE: 110 SITE ADDRESS: 13855 SW PACIFIC HWY CLASS OF WORK: • SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: COMMUNITY OF CHRIST CHURCH DESCRIPTION: Replace gas furnace with like kind. Project Value: $2,000 OWNER: COMMUNITY OF CHRIST CHURCH, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/15/2007 Pour Time: Code # Inspection Description Confirm # Contact # Me =age 699 Mechanic:al final 048231 -01 503 -997 -4010 Y Corrections/Comments/lnstructio s: C D:Rd( L 1 C '7 / II 'ASS n PARTIAL APPROVAL CANCEL i NO ACCESS N FAIL ,/ • , LL FOR INSPECTION n ADDITIONAL FEES ASSESSED Vi i � ec Ins p tor: (' V Date: / Phone #: (503) 718- 2— / Tidemark Advantage [Jeanne _Temple JMT] File Edit Options Window Help Exit New Open Trk List QBE GIS ] Close Vkw Add Delete Sign Off Print Document. : Dalai rte! fy r t _ I ❑ j Name:TUALITY COMMUNITY OF CHRIST Updated: 2%21,2006 DEB General Address:13855 SW PACIFIC HWY Jur: JTI6 Description: Master # FBUP200600066 Project: TUALITY COMMUNITY OFCHI specifics 8 I F0r cover over existing entrance, 576 sgft area i . Activit for BUP200B- 00066 . " ❑ E X Menu Code Created Datel Description _ Date1 Date2 Date3 l Disp Done Byliotes 101,0 01/31!20066 Applicytiun "received -. 1; 2006 F;EC:D B5 2/21.06, per Gry P, PLN no -pl nninu dept. re ie v required tor thi . pgolect. 1110 0211412006 Approved plans routed to PT 2/14/1006 'DONE VSH 1065 02/13/2006 Begin plan review 2/1312006 VSH 1100 02/1412006 Building plans approved by PE 2/1412006 APRV VSH 1060 0113112006 Building plans routed to PE 1/31/2006 DONE BB 1030 01/3112006 Check for parcel tags/CVVS 113112006 DONE BB`' 1280 0212312006 Issue permit 2113/2006 DONE DER 1020 0113112006 Permit created 1131/2006 DONE BB 1240 0212112006 Post - review completed 2/2111006 DONE DEB 1270 0212112006 Ready to issue permit 211112006 REDY DEB i ..�� i lReady Start! 1 ® Tidemark Advantage . Novell GroupWise - Mailbox 1 « 3:06 PM