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Permit ' 'CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00041 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/28/2008 PARCEL: 2S114AA -00100 SITE ADDRESS: 09000 SW DURHAM RD ZONING: R -4 5 SUBDIVISION: LOT: JURISDICTION: TIG PROJECT: TIGARD - TUALATIN SCHOOL DIST. Project Description: Replacing 200ft. of gas line (to bunsun burner) CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: E2 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: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 10 > 10000 cfm: Owner: FEES TIGARD - TUALATIN SCHOOL DISTRICT 23J Description Date Amount 6960 SW SANDBURG ST TIGARD, OR 97223 [MECH] Permit Fee 1/28/200E $72.50 [TAX] 12% State Surch 1/28/200E $8.70 Phone: Total $81.20 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 -. - Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100 You may obtain copies of these rules or dir -- questions to •. C by calling 503 246.6699 or 1.800.332.2344 Is By: c .. 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. o i V Mechanical Permit Application �� *City . FOR OFFICE USE ONLY i f Tigard !. Received c+ jp if a g ' Date/By � D D d Permit No • � i " — Oa - 13125 SW Hall Blvd., Tigard, OR 2 —j I I� Plan Re w I Phone 503.639.4171 Fax 503.598 19 j°A N 2 5 t U U 8 Date/By Other Permit TI`GARD Inspection Line. 503.639 Date Ready/By ®See Page 2 for Internet www tigard -or gov L /_ Notified/Method C'T �f (�4IaA® MI Supplemental Information BulmmonnfisloN TYPE OF WORK COMMERCIAL' FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees* are based on the 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. $A an RESIDENTIAL EQUIPMENT / SYSTEMS FEES* - El 1- and 2- family dwelling ikt Commercial /industrial ❑ Accessory building ❑ Multi- family ❑ Master builder ❑ Other: For special information use checklist Description Qty. Ea. Total . JOB -STYE INFORMATION AND LOCATION Heating cooling Job site address: gC00 ( e , C i,� „ �/� Air conditioning ie p or heat pump t� L ' `c^. (requires site plan showing placement) 14.00 _ City/State /ZIP: cp a L 5 o 2 - rl !y�c Ai, Furnace 100,000 BTU (ducts /vents) 14.00 Furnace 100,000+ BTU (ducts /vents) 17 90 Suite/bldg. /apt. no.: Project name. Gas heat pump 14 00 Cross street/directions to job site: 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 1 p Gas fireplace 10.00 �� `7 E Cl. C, 2 ©' ci s l I k cAhn l ,(.'- b 7 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 Other. 10 00 Name: 7(14,--c a - 1- CKN SCkC \ a cCt ` ZY-- Environmental exhaust and ventilation Range hood /other kitchen Address: 6 I l / � O ) & 7 ,c� SA. `-�'-� equipment 10 00 y Cit /State /ZIP: C Clothes dryer exhaust 10 00 l C �Z d ZZ 3 Single -duct exhaust (bathrooms, Phone: ( 503) Z-/ S) - 1 10 i 9 Fax: ( ‘13l - 4 1 C toilet compartments, utility rooms) 6 80 ❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10 00 Business name: Other �j� -Sys c_•( ,� 10 woo la" Fuel piping Contact name: ' 1 C v\A -2, Z-n 0.scxC C N��� Sri l N� $5.40 for first four; $1.00 for each additional r1H l Y��e • Q Address: 676, 5,0 � SKQefi Q Furnace, etc. Gas heat pump City/State /ZIP: Tt r _ c N oFL - 22 _3 Wall/suspended/unit heater Phone: (5p3) y3\ _ C VO I l Fax: : ( ) Water heater E -mail: Fireplace Range CONTRACTOR Barbecue Business name: .T I- � e. - T v\ \ 2`� J Clothes d ( 1 SC �l' Other 6-et 3 I t ha. e kb i- Address. MECHANICAL PERMIT FEES* City/State /ZIP: Subtotal Minimum permit fee ($72 50) 11../ Phone: ( ) Fes ( ) ' Plan review (25% of permit fee) CCB lic.: State surcharge (12% of permit fee) S '70 TOTAL PERMIT FEE 'g/ - AD / / ermit application expires if a permit is not obtained within 180 Authorized signature: v This p days after it has been accepted as complete. Print name: Bes\ C 1 - ' . C lc Date 1 - 2 - 1 5 - 0 8 * Fee methodology set by Tn- County Building Industry Service Board I \Buddmg\Permits\MEC- PermuApp 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.\Bmldmg\Permrts\MEC- PermitApp doc 01/19/07 2 - - CITY OF TIGARD BUILDING DIVISION PERMIT #: ft4E,C2008-00041 A 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/2812008 Phone: (503) 639-4171 A0/41901 Inspection Requests (24 Hrs.): (503) 639-4175 .4411■ r INSPECTION WORKSHEET FOR DATE: 2/6/20 f TIME: 7:00AM PAGE: 46 SITE ADDRESS: ()9000 SW DURHAM RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: TIGARD-TUALATIN SCHOOL DIST. DESCRIPTION: Replacing 200f1. of gas line. (to bunsun burner) OWNER: TIGARD-TUALATIN SCHOOL DISTRICT 23J, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 242008 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 064562-01 503.367-0421 Per Corrections/Comments/Instructions: a gt- : ratigr. Ave pt FARTIAL APPROVAL fl CANCEL I NO ACCESS FAIL ALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED Inspector: Date: Z 8 13 Phone #: (503) 718-