Permit r
CITY TIGARD MECHANICAL PERMIT
i, DEVELOPMENT SERVICES PERMIT #: MEC2005 - 00070
4!i 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/22/2005
PARCEL: 2S111 CD -00400
SITE ADDRESS: 09725 SW DURHAM RD
SUBDIVISION: ALDERBROOK FARM ZONING: R -
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: A2.1 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
LPG 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: 3 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Replace (3) furnaces, add ductwork to mezzazine area. Project Value: $14,800.
Owner: FEES
SOUTHWEST CHURCH OF Description Date Amount
CHRIST
[MECH] Permit Fee 2/22/200E $296.30
9725 SW DURHAM ROAD [MECPLN] Plan Rev 2/22/200E $74.08
TIGARD, OR 97223 [TAX] 8% State Surchar€ 2/22/200E $23.70
Phone: Total $394.08
Contractor:
ACCURATE HEATING, INC.
P.O. BOX 2276 REQUIRED ITEMS AND REPORTS
CLACKAMAS, OR 97015
Phone: 650 - 1229
Reg #: LIC 88423
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 thr. • •h OAR 952 - 001 -0100. You
may obt. • of these rules or direct questions to OUNC � callin• (S46 -6691 .
Issue• By: / I ,i`44 i Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the n • xt business day
Mechanical Permit Application FOR OFFICE USE ONLY
Received G
City of Tigard Date/By: 7o Permit " ' G r
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 -4:#6,40110',.. tt � Date/Ely � Other Permit:
Inspection Line: 503.639.4175 4 Date Ready 7 : luris: M See Page 2 for
Internet: www.ci.tigard.or.us 4 Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ New construction ❑ Addition /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.
I(
CATEGORY OF CONSTRUCTION Value: $ �X
•
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION • Heating/cooling
Job site address: 9725 SW DURHAM ROAD Air conditioning or heat pump
(requires site plan showing placement) 14.00
City/State /ZIP: TIGARD, OR Furnace 100,000 BTU (ducts/vents) 14.00
Suite/bldg. /apt. no.: Project name: SWCC Furnace 100,000+ BTU ( ducts/vents) 17.90
Gas heat pump 14.00
Cross street/directions to job site: DURHAM ROAD WEST. 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 WO RK Water heater 10.00
Gas fireplace 10.00
REPLACE 3 FURNACES. Flue vent for water heater or gas
ADD DUCTWORK TO MEZANINE AREA. fireplace 10.00
Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
❑ PROPERTY OWNER Chimney /liner /flue /vent 10.00
❑ TENANT Other: 10.00
Name: SOUTH WEST CHURCH OFCHRIST Environmental exhaust and ventilation
Address: 9725 SW DUEHAM ROAD Range hood/other kitchen
equipment 10.00
City/State /ZIP: TIGARD, OR 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: ACCURATE HEATING Other: 10.00
Fuel piping
Contact name: MICHAEL BLACKMON $5.40 for first four; $1.00 for each additional
Address: PO BOX 2276 Furnace, etc.
Gas heat pump
City/State /ZIP: CLACKAMAS, OREGON 97015 Wall /suspended/unit heater
Phone: (503) 650 -1229 Fax: : (503) 650 -4845 Water heater
Fireplace
E- mail: MBLACKMONJR@ACCURATEHEATING.COM Range
CONTRACTOR Barbecue
Business name: ACCURATE HEATING Clothes dryer (gas)
Other:
Address: PO BOX 2276 MECHANICAL PERMIT FEES*
City/State /Z1P: CLACKAMAS, OREGON 97015 Subtotal
Phone: (503) 650 -1229 Fax: (503) 650-4845 Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lic.: 88423 State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized signature:
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: MICHAEL BLACKM 1 .. . • 1.15 * Fee methodology set by Tri -County Building Industry Service Board
i:\Building\Permits\NEC- PermitApp.doc 12/03 440 -4617T (11 /02/COM/WEB)
CITY OF TIGARD 6
BUILDING DIVISION PERMIT #: MEC200 &00070
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/22/2006
Phone: (503) 639 -4171 / �� , "l!"lmp61A'(i
Inspection Requests (24 Hrs.): (503) 639 -4175 „Jai-
INSPECTION WORKSHEET FOR DATE: 4/66/2005 TIME: 7:09AM PAGE: 35
SITE ADDRESS: 09725 SW DURHAM RD CLASS OF WORK:
SUBDIVISION: ALDERBROOK FARM LOT #: TYPE OF USE:
PROJECT NAME: SOUTHWEST CHURCH OF CHRIST
DESCRIPTION: Replace (3) furnaces, add ductwork to mezzazine area. Project Value: $14,800.
OWNER: SOUTHWEST CHURCH OF, PHONE #:
CONTRACTOR: ACCURATE HEATING, INC. PHONE #: 650 -1229
Inspection Request Scheduled For: Date: 4/6/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 003733-01 503-650-1229 V
Corrections /Comments /Instructions:
4 AT
!IIIUIt' .....
I ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I I FAIL El CALL FOR INSPECTION ❑ ADDITIO AL FEES ASSESSED 4 / 05 -
4-- ,
A L Inspector: '` . Date: Phone #: (503) 718-
P )
CITY OF TIGARD 24 -Hour . -
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION • Business Line: (503) 639 -4171 MST
BUP
Received Date Requested a2 - 3 AM PM BUP
Location 7 5 I >l,Ul��e�, Suite MEC�/.�' . s'wo 7
Contact Person . Ph ( ) 1 -7 _50 � / 7 PLM
Contractor Ph ( ) SWR
BUILDING • • Tenant/Owner . ELC
Footing
Foundation ELC
Ftg Drain Access: ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
•
Int Sheath/Shear
Framing
Insulation
Drywall Nailing •
Firewall
Fire Sprinkler .
Fire Alarm
1 4110
Susp'd Ceiling
Roof
411111.- C LAIfIV� �•,
O
If
ther: \ W V
Final
PASS PART FAIL
PLUMBING'
Post & Beam
Under Slab .
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other: .
Final
PASS PART FAIL
MECHANICAL
Post& Beam .
Gas Line
Smoke Dap s
Final
PASS 13, FAIL
ELECTR -
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call or reinspects • n RE: ■ A • , . • o insp— - n e access
Fire Supply Line r *el
ADA Date v Inspector �fl
Approach /Sidewalk p
Other:
Final DO NO REMOVE this Inspection record from the job site.
PASS PART FAIL