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Permit CITY TIGARD MECHANICAL PERMIT *I6 DEVELOPMENT SERVICES PERMIT #: MEC2004 -00184 -1 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/9/2004 PARCEL: 2S111 CD -00400 SITE ADDRESS: 09725 SW DURHAM RD SUBDIVISION: ALDERBROOK FARM ZONING: R -7 BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ADD FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: 3 OCCUPANCY GRP: A2.1 VENTS W/O APPL: VENT SYSTEMS: STORIES: 1 BOILERS /COMPRESSORS HOODS: 2 FUEL TYPES 0 - 3 HP: DOMES. INCIN: LPG 3 - 15 HP: COMML.INCIN: MAX INPUT: 615,000 BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: N 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN > =100K BTU: 3 <= 10000 cfm: GAS OUTLETS: 3 > 10000 cfm: Remarks: MECHANICAL. $70,950 VALUATION Owner: FEES SOUTHWEST CHURCH OF Description Date Amount CHRIST [MECH] Permit Fee 6/9/2004 $1,034.00 9725 SW DURHAM ROAD [MECPLN] Plan Rev 6/9/2004 $258.50 TIGARD, OR 97223 [TAX] 8% State Surchart 6/9/2004 $82.72 Phone: Total $1,375.22 Contractor: ACCURATE HEATING, INC. P.O. BOX 2276 CLACKAMAS, OR 97015 REQUIRED INSPECTIONS Phone: 650 Gas Line Insp Heating Unt lnsp Reg #: LIC 88423 Hood Inspection Duct Inspection S.D. Shut -down inspection Final Inspection 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 -0s : - •h OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling (503)2 . -6699. Issu =d By: / • , ti Permittee Signature: - Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day .::r 2.r 00. elpii4ri Apr 13 0 :46a p.3 v° /v I -i opG ,jf RECEIVED * Mechanical Permit Application FOIL Orfu l SE 0\1.1 pin( � City of Tigard did 1 3 200 ecea ` r DatelBy: ' Permit No.: t A/ , r / � 00 jr 13125 SW Hall Blvd., Tigard, OR 97223 G iTY O F T IGA , Plan Revi R Ph 503.639.4171 Fax: 503.598.1960 ° ..,. ; Date/By: 5 / ? e l l P5 Other Pe mit: Inspection Line: 503.639.4175 BUILDING ®tV i l Date Ready/By. S /,�s j /D > l g ` u�: in See Pa 2 for Internet: www.ci.tigard.or.us Notifted/Method: Supplemental Information lA TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST ❑ New construction ® Addition /alteration /replacement Mechanical permit foes* 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. CATEGORY OF CONSTRUCTION Value: $$70,950.01) \ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ 1 - and 2- family dwelling ® Commercial/industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. 4 Ea. I 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, OREGON Furnace 100,000 BTU (ducts/vents) 14.00 Furnace 100,000+ BTU (ducts/ vents) 17.90 Suite/bldg./apt. no.: I Project name: SW CHURCH OF CHRIST G as heat pump 14.00 Cross street/directions to job site: HALL BLVD SOUTH TO 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: I 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 ADD (3) GAS HEAT ELECTRIC COOL ROOF TOP UNITS WITH AIR as fireplace 10.00 DISTRIBUTION. WITH GAS LINES. Flue vent for water heater or gas fitsylace 10.00 ADD 2 CEILING MOUNT EXHAUST FANS. Log lighter (gas) 10.00 ADD 2 RESIDENTIAL MODEL KITCHEN HOODS. Wood/pellet stove 10.00 ADD Wood fireplace/insert 10.00 DD 1 INL(NE EXHAUST FAN. Chimney/liner /flue/vent 10.00 ❑ PROPERTY OWNER I ❑ TENANT Other: 10.00 Name: SOUTH WEST CHURCH OF CHRIST Environmental exhaust and ventilation Range hood/other kitchen Address: 9725 SW DURHAM ROAD equipment 10.00 City /State/ZIP: TIGARD, OREGON Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80 ❑ APPLICANT ❑ CONTACT PERSON Attic crawlspacc fans 10.00 Other: 10.00 Business name: Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Furnace, etc. Address: . - Gas heat pump City/ State/ZIP: Wall /suspended/unit heater Water heater Phone: ( ) I Fax: : ( ) Fireplace E -mail: Range CONTRACTOR Barbecue Clothes dryer (gas) Business name: ACCURATE HEATING, INC. Other. • Address: PO BOX 2276 MECHANICAL PERMIT FEES* City / State/ZIP: CLACKAMAS, OREGON 97015 Subtotal / 03 rf , 00 Minimum permit fee ($72.50) Phone: (503) 650 -1229 Fax: (503) 650 -4845 Plan review (25% of permit fee) 25;9 , so CCB lie.: 88423 State surcharge (8% of permit fee) 82,71 TOTAL PERMIT FEE /3 15.1E This permit application expires if a permit is not obtained within 18D Authorized signature: days after it has been accepted as complete• I . .. • ....... I .. .. 1 • tee methodology set by Tri- County Building Industry Service Board PEPt JT } PLAN , d fi _ I Li EIle= Edit Opt is Window He Eacit Ntw Open Task U t QBE S ° '' JJ Glow Edit Pra3act Group Add Glom Parcel hctiaitp Ptopis gets valuation Coadkio Cace Notc. Taq OocumcMs Gi3 r iehani al Permit -- ° ;EC200 -084 DL .M Name: SOUTHWEST CHURCH OF Updated: 12/29/2004 JMT General [j Address :09725 SW DURHAM RD slur: ITIG �, r,� "Description: Master # LM2004- -00154 Project: SOUTNWE ST CHURCH OF CH , r � 7Q,950 valuation. 12/29/04 revised to split occupancy. This permit covers Phase I and II Phase H No. o Class of Work: IADO j tom. of Type of Use COM` -�- Dates Occupancy Group: 2.1 Received: 4/1312004 Stories: J 1 Target: Issued: i9I2OO4 Expired: Ji2./2o04 Finaled: . ,. __ Save current work Start .! Novell Grci ... 1IPER « 1209 i CITY,F„TIGARD BUILDING DIVISION PERMIT #: MEC2004- 00184 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/9/2004 Phone: (503) 639 -4171 /�mrompn u�@I " Inspection Requests (24 Hrs.): (503) 639 -4175 ' '- .. INSPECTION WORKSHEET FOR DATE: 4/6/2006 TIME: 7:10AM PAGE: . 12 • SITE ADDRESS: 09725 SW DURHAM RD CLASS OF WORK: SUBDIVISION: ALDERBROOK FARM LOT #: TYPE OF USE: PROJECT NAME: SOUTHWEST CHURCH OF CHRIST DESCRIPTION: $70,950 valuation. 12/29/04 revised to split occupancy. This permit covers Phase I and Phase II - Phase 1 complete • OWNER: SOUTHWEST CHURCH OF, PHONE #: CONTRACTOR: ACCURATE HEATING, INC. PHONE #: 650.1229 Inspection Request Scheduled For: Date: 4/6/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 003866 -01 503.5522 -5163 N Corrections /Comments /Instructions: (1 . vhd V ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL [ C ALL FOR INSPECTION ❑ ADDITIO - L F ES ASSESSED 1111k• '& ( Inspector: AIL Date: Phone #: (503) 718- CITY OF BUILDING DIVISION PERMIT #906 ( ( _ 00 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 �th�igtf�l� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3 e TIME: PAGE: SITE ADDRESS: 7 - 4 2 k j CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #:3 _ `[3 Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message ,COLI-Vry Corrections /Comments /Instructions: AMR A t IL,111 1 N MI C ASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �1 Ins p `� Date: � Phone #: (503) 718- CITY OF TIGARD 24 -Hour . _ - BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST • BUP Received Date Requested ✓c21-3 AM PM BUP Location 7? Duul Suite MEC c9 ( d fee-i- Contact Person Urn � -Q J Ph ( ) .3l 7 — l d 9 7 itigEr Contractor �� 1 Ph ( ) T SWR BUILDING Tenant/Owner S �(/ ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: ( SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing - Insulation Drywall Nailing l Ariumouvimr-gfi--eragel 4 stmt Firewall MINA Ire inTr Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: 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-& Bea • as r • • - ea • Final PASS FAIL ELECTR - Service Rough -In UG /Slab Low Voltage . Fire Alarm Final n Reinspection fee of $ requir-d befo e next inspectio Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE : I Please c. I for reins. -ction RF• ❑ Unable to inspect - no access Fire Supply Line n �° ADA v �/ Approach /Sidewalk Date Inspector Est Other: Final DO I T REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour ..;;SU)L.DING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST • BUP Received Date Reguested / !" AM PM BUP C� Location ! 7 a' s _DI,L l JA Suite MEC 6/6)( -6 ' 6 / gV' Contact Person 7 A Ph ( ) . I 7 9Og7 PLM Contractor , ) Ph ( ) SWR BUILDING Tenant/Owner 5 4 C ti ELC Footing ELC Foundation Access: Ftg Drain - ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler A 10 Fire A It ) Alarm Susp'd Ceiling Roof ` , ...4. / I Other: , I !--"_ W V Final . PASS PART FAIL 1 —' 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 Rough -In Gas Line Smoke Dam .•_ � � FAIL VA ►: RI Service Rough -In • UG /Slab Low Voltage Fire Alarm Final ❑ Reinspection fee of $ required be re next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ' El Please .1.. II for rei spection RE: - El Unable to inspect – no access Fire Supply Line \ yeti 'I ADA '° \ \ ! • Approach/Sidewalk Date . Inspector pj Ext Other: Final DO OT REMOVE this inspe ion record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour '_Bt.ILDINP Inspection Line: (503) 639 - 4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Re nested /( r 8 AM PM BUP Location Suite MEC Contact Person Ph ( ) 3/ 7 `1d 9 7 PLM Contractor P ( SWR BUILDING Tenant/Owner =S • dA ELC Footing (� ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing ��� — '�' Firewall robl i''�r to t. Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: 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 Rough -In S e • ampers nal PASS PART FAIL ELEd RICAL - vice Rough -In UG /Slab Low Voltage Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Ei Please cal 4r rein- 'section RE: El Unable to inspect – no access Fire Supply Line j 01111 / ADA Approach/Sidewalk Date l Inspector � r Ext PP Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL • CITY OF TIGARD ,24 -11our ' : BaILpINP Inspection Line: (503) 639 -4175 MST INSPECTION DIVISION Business Line:. (503) 639 -4171 BUP Received rte, Date Reaue ted i AM PM BUP Location ''7 7--)-c �i</ t / // t2- YL Suite > MEC e9'b' `��(9'c�IS Contact Person )4.(,G(.L, Ph ( 57 `) J 74� -7 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC A ccess: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam • Shear Anchors Ext Sheath /Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall III i Fire Sprinkler Fire Alarm ir./1111=1MillMilErral Susp'd Ceiling , w r Roof Other: Final PASS PART FAIL PLUMBING I di - Post & Beam Under Slab - 40 V Rough -In Water Service - , Sanitary Sewer 1 'f i. - Rain Drains ; . ■ — , ' -� ���_ - L� r Catch Basin / Manhole Storm Drain Shower Pan O ther: af---.-.-.. Final PAS RT FAIL • CHANICA Pos & - ough- �9 A , . pit Ga e (jU'�'"' " 'Pampers F - .ASS PART FAIL LEC IC-AL Service Rough -In UG /Slab Low Voltage Fire Alarm Final E Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 0 Please call for re' spection RE: 0 Unable to inspect - no access Fire Supply Line ► I Approach /Sidewalk Date ii: Inspe � '�!I_ E xt Other: ; Final DO NOT REMOVE this inspe ,, ion from the Job site. PASS PART FAIL ITY OF TIGARD ,,, 24 -Hour • BUILDING- Inspection Line: (503) 639 -4175 MST ISPECTI.ON DIVISION Business Line: (503) 639 -4171 � / BUP r e /6- ;eived Date Requested (-- j AM PM BUPA C r ! 5 ration 7 3,5 7 ; J Suite MEC X ntact Person Ph ( ) ..���. — .5 - /,S 3 PLM , ntractor c' Ph ( ) SWR ;UILDING Tenant/Owner J � � r ELC Doting ELC Dundation Access: tg Drain ELR rawl Drain lab Inspection Notes: ,f� SIT ost & Beam j�L /� , , l `I,CC.IZQ� �� hear Anchors / i xt Sheath/Shear it Sheath/Shear raming mutation '7' ('''t � ( ` I tC tLI- irywall Nailing � . - � / E` � +' ' • ir®wal ire aA la inkler . & j larm 1, :usp'd Ceiling toof jI, )they /E0.1.021.1112- �4 ! Ll+ r PASSA FAIL bst & B G + 1d=b-6/1- 6 4 1C /V 'ost & Beam - .Inder Slab tough -In Vater Service , � �� �� >anitary Sewer . ° ariv j . I � � �t ---- lain Drains ; Basin / corm Drain g--U__S storm Drain ihower Pan )they. - =inal _ ~ P , .FAIL altir � �!t 'ost & Beam lough -In 3as Line Dampers Final PASS FAIL ELECTR • iervice • lough -In - JG/Slab _ow Voltage =ire Alarm Final 0 Reinspection fee of $ require• before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please c- for reinsp• ction RE: 111M El Unable to inspect - no access =ire Supply Line 4DA l Ext 4pproach/Sidewalk Data Inspect r` Dther: inal DO ''OT REMOVE this inspection record from the job site. PASS PART FAIL