Permit CITY TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00093
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/22/2008
PARCEL: 2S 114AA - 00100
SITE ADDRESS: 09000 SW DURHAM RD ZONING: R -4 5
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: TIGARD HIGH SCHOOL
Project Description: TI. Valuation $22,400.00.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS: 1
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: 1 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 2
FURN > =100K BTU: <= 10000 cfm:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
TIGARD - TUALATIN SCHOOL DISTRICT 23J Description Date Amount
6960 SW SANDBURG ST
TIGARD, OR 97223 [MECH] Permit Fee 2/22/200E $398 90
[TAX] 12% State Surch 2/22/200E $47.87
[MECPLN] Plan Rev 2/22/200E $99.73
Phone: Total $546.50
Contractor:
MILLENNIUM HVAC INC
2723 NE 159TH CIRCLE
RIDGEFIELD, WA 98642 REQUIRED ITEMS AND REPORTS
Contact #: PRI 971 - 235 - 3699
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 By: // � Permittee Signature: ` w i. `1E
Call 50 •39.4175 by 7:00 a.m. for inspections that bnessfay.
This permit card shall be kept in a conspicuous place on the job site - til completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechani -al Permit Application FOR OFFICE USE ONLY _
City of Tigard Received
lig i �� . Permit No k '� - et
�' 1 3125 SW Hall Blvd., Tigard, OR 97223 Date/By ■
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Phone: 503.639 4171 Fax 503 598.1960 Plan Review Other Permit / /.�� 1 ��,, pp `�
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Date/By
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T LG A R D Inspection Line 503.639 4175 Date Ready/By tuns ® See Page age 2 2 for
Internet www tigard -or gov Nohfied/Method Supplemental Information
TYPE OF WORK COMMERCIAL FEE *,'SCHEDULE - USE CHECKLIST
Mechanical permit fees* are based on value of the work
❑ New construction ❑ Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value $ 2 Z 71)
El 1 - and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building RESIDENTIAI EQUIPMENT / SYS S
For special information use checklist
❑ Multi- family 0 Master builder
❑ Other:
Description
Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address 9609 S0 D�, l t Q Air conditioning o heat pump
1/ ( lil/x -tM (t�G( (requires site plan showing placement) 14.00
City/State /ZIP: Furnace 100,000 BTU (ducts/vents) 14 00
�t cld to A. 'I 722Lf F
Furnace 100,000+ BTU (ducts /vents) 17 90
Suite/bldg. /apt no.: Project name: -41111 Pcirf . , frn* r Gas heat pump 14 00
Cross street/directions to job site. 7;y4 —W 44„,.( ^? - � 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
Subdivision: Lot no. Flue /vent for any of above 6 80
Other 10.00
Tax map /parcel no. • Other fuel appliances
DESCRIPTION OF WORK Water heater 10 00
Gas fireplace 10.00
.T t •-4 1/ -2 new ,Rt A n y .S 5c ph Flue vent for water heater or gas
// / fireplace 10 00
4 - = car , r ` - Log lighter (gas) 10.00
" i «r.. e. et (sue /1t.P_ " ,lj „ Wood/pellet stove 10.00
Wood fireplace /insert 10 00
•
❑ PROPERTY OWNER ❑ 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
Business name: Other 10 00
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
E -mail: Fireplace
Range
CONTRACTOR Barbecue
Business name: ftU L �T C_ Clothes dryer (gas)
` ���" / ' Other
Address: .2-72-3 ,y /3--7 s ew C s r , _ MECHANICAL PERMIT FEES* ,
City /State /ZIP A 4e_, 747-1 A / � ! � V2_ Subtotal
Phone: (`�7t) 233-'- 34, 9`l Fax: ( ) Minimum permit fee ($72.50)
Plan review (25% of permit fee) qq. 7
CCB he ��L� '7 4 3 State surcharge (12% of permit fee) '7 q
,
TOTAL PERMIT FEE G s
Authorized signature: This permit application expires if a permit is not obtained within 180
Or' days after it has been accepted as complete.
Print name. ../ (S . Date: ,. .2 . -...2.--,/g * Fee methodology set by Tn -County Building Industry Service Board
I•\Buddmg\Permits\MEC- PermnApp doc 01/19/07 440 -4617T (11 /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
$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 \Bmlding\Permits\MEC- PermitApp doc 01/19/07 2
- -.
CITY OF TIGARD ` p
BUILDING DIVISION PERMIT #: hAEC2008-00093
13125 SW Hall Blvd., Tigard, OR 97223 ' DATE ISSUED: 2/22/2008
Phone: (503) 639-4171 A/
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 3/21/2008 TIME: 7:01AM PAGE: 23
SITE ADDRESS: 0%0U DURHAM RQ CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: TIGARD HIGH SCHOOL
DESCRIPTION: TI. Valuation $22.400.00.
OWNER: T|G8RD`TUALAT|N SCHOOL DISTRICT 2SJ. PHONE #:
CONTRACTOR: MILLENNIUM HVAC!NC PHONE #: 871'235-3699
Inspection Request Scheduled For: Date: 3V21/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 067129-01 971'236-3699 N
Corrections/Comments/Instructions:
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PARTIAL APPROVAL 0 CANCEL n NO ACCESS
n FAIL n CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
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CITY OF TIGARD .
BUILDING DIVISION .
#: MEC2008-00093
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/2212008
Phone: (503) 639-4171 1/ il 1\
1,1111' /
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 3/13/2008 Ta / 7:02AM PAGE: 1 'I
SITE ADDRESS: 09000 SW DURHAM RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: TIGARD HIGH SCHOOL
DESCRIPTION: TI. Valuation $22,400.00.
•
OWNER: TIGARD-TUALATIN SCHOOL DISTRICT 23J, PHONE #:
CONTRACTOR: MILLENNIUM HVAC INC PHONE #: 971-235-3699
•
Inspection Request Scheduled For: Date: 3/13/2008 Pour Time: pilv.1
Code # Inspection Description Confirm # Contact # Mes- -ge
625 Duct work 066658-02 971-235-3699 Y
Corrections/Comments/Instructions:
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Inspector: Date: Phone #: (503) 718-
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CITY OF TIGARD -
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BUILDING DIVISION
. PERMIT #: MEC20011-00093
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2122J 2000
Phone: (503) 639-4171 /A
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Inspection Requests (24 Hrs.): (503) 639-4175 M E: INSPECTION WORKSHEET FOR DATE: 3/12/2008 ME: 7:00AM PAGE: 41
SITE ADDRESS: 09000 SW DURHAM RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: TIGARD Illt311 SCHOOL
DESCRIPTION: TI. Valuation $22400.00.
OWNER: TIGARDI SCHOOL DISTRICT 23J, PHONE #:
CONTRACTOR: MILLENNIUM FIVAC INC PHONE #: 971
Inspection Request Scheduled For: Date: 3/12/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Merf
615 Mocl)anical rough-in 066559-01 971-235-3699 Y
Corrections/Comme ts/Instructions:
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Inspector: Date: i 2-- Phone #: (503) 718-
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CITY OF TIGARD .
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BUILDING DUNG DUVUSUON PERMIT #: h4EC2008-80093
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/22/2003
Phone: (503) 639-4171
Inspection Requo�a(24Hm.):(603)630'417G ^��W+ o�� ^�"�7
INSPECTION WORKSHEET FOR DATE: 3/13/2008 ' TIME: 7:02AN1 PAGE: 12
SITE ADDRESS: 09000 SW DURHAM RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: TIGARD HIGH SCHOOL
DESCRIPTION: II. Valuation $22,400.00.
OWNER: T|GARD'TUALAJ|N SCHOOL DISTRICT 23J. PHONE #:
CONTRACTOR: MILLENNIUM HVAC INC PHONE #: 971'735-3699
Inspection Request Scheduled For: Date: 3$13/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message `_`
`,„
615 N1wd\oniva}rmu0hin 066658'01 971-235-3699 N `
Corrections/Comments/Instructions:
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0 PARTIAL APPROVAL 0 CANCEL n NO ACCESS
0 FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
. \ ^� �� � -7� / 0 Phone Inspector: ^Oate� ' #: (503) 718- �~�1 �~ y
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CITY OF TIGARD
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BUILDING DIVISION --- - PERMIT #: MEC2003-00093
13125 SW Hall Blvd., Tigard, OR 97223 , ISSUED: 2/22/2000
Phone: (503) 639-4171 AMA /41
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Inspection Requests (24 Hrs.): (503) 639-4175 ...A- IL -
INSPECTION WORKSHEET FOR DATE: 2128/2008 TIME: ' :OP ' / PAGE: 40
SITE ADDRESS: 0,9000 SW DURHAM RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: TIGARD HIGH SCHOOL
DESCRIPTION: TI. Valuation $22,400.00.
OWNER: TIOARD-TUALATIN SCHOOL DISTRICT 23J, PHONE #:
CONTRACTOR: MILLENNIUM HVAC INC PHONE #: 971-235-3699
Inspection Request Scheduled For: Date: 2128/2008 Pour Ti - • /
Code # Inspection Description Confirm # Contact # Mess.:!
615 Mechanical rough-in 065790-01 971-235-3699
Corrections/Com nt§/Instructions: „
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Inspector: \-V L(-- 1 ?---- Date: 4.- Phone #: (503) 718: 2-4°
CITY OF TIGARD . -
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BUILDING DIVISION PERMIT #: MEC2000.00093
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13125 SW Hall Blvd., Tigard, OR 97223 I DATE ISSUED: 2122/2005
Phone: (503) 639 -4171 us�4 @�1ip��l� / V
Inspection Requests (24 Hrs.): (503) 639 -4175 _��
INSPECTION WORKSHEET FOR DATE: 2 /25/0008 TIME: 7:00AM PAGE: 18
SITE ADDRESS: 09000 SW DURHAM RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: TIGARD HIGH SCHOOL
DESCRIPTION: TI. Valuation $22,400.00.
OWNER: TIGARD- TUALATIN SCHOOL DISTRICT 23J, PHONE #:
CONTRACTOR: MILLENNIUM HVAC INC PHONE #: 971 - 235.3599
Inspection Request Scheduled For: Date: 2/25/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
6 IS Mechanical rough - irs 085573 -01 971.235 -3699 N
Co rec /Comments /Instructions:
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Inspector: `� ` ` " `' Date: � ) Z� / Phone #: (503) 718- y 2-V