Permit •
C ITY OF. TIGARD MECHANICAL PERMIT
i i DEVELOPMENT SERVICES PERMIT #: MEC2004 -00281
A' ��11i. DATE ISSUED: 9/16/2004
13125 S Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S114AA -00100
SITE ADDRESS: 09000 SW DURHAM RD
SUBDIVISION: ZONING: R -4.5
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: ADD FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS: 9
OCCUPANCY GRP: El VENTS W/O APPL: VENT SYSTEMS:
STORIES: 2 BOILERS /COMPRESSORS HOODS: 3
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: Y 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: 2 <= 10000 cfm: 38 GAS OUTLETS:
> 10000 cfm:
Remarks: Phase 2 addition /remodel Valuation = $450,000
Owner: FEES
SCHOOL DISTRICT 23J Description Date Amount
13137 SW PACIFIC HWY [MECH] Permit Fee 9/16/200 $5,246.50
TIGARD, OR 97223 [MECPLN] Plan Rev 9/16/200 $1,311.63
[TAX] 8% State Surcharl 9/16/200 $419.72
Phone: Total $6,977.85
Contractor:
OREGON CASCADE PLUMBING & HEATING
PO BOX 12127
SALEM, OR 97309 REQUIRED INSPECTIONS
Phone: 503 - 588 - 0355 Gas Line Insp
Mechanical Insp
Reg #: LIC 127 Mechanical Insp
Heating Unt Insp
Heating Unt Insp
Hood Inspection
Duct Inspection
Duct Inspection
Fire Damper Insp
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 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules r direct questions to OUNC by calling
(503 • .-6699.
Is-ued By: . ,,,_.,_ Permittee Si nature:2c G il /69
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next b iness day
' I Poe) .5 j. P ijt/Mrc
7f"-2R mechanical aI Permit Application FOR.OFFICErUSE ONLY ''
• City
ity of Tigard C ) Receive Permit No d � y
�}� p
!� I Date/By G+ " ' "" ILrd� ��0�0
13125 SW Hall Blvd., Tigard, OR 9722 Plan Review
Phone: 503 639.4171 Fax: 503.598.1960 / "A""`'p ' ti_ Other Permit Date /By o2 eTi - 1 C�.e , b
Inspection Line: 503 639.4175 i t � _ Date Ready /By lures l ee Page 2 for
Internet: www ct.ttgard.or us MAY 1 2004 - 41 . 41,, t Notified/Method . Supplemental Information
{.ITV OF TIGARD
.3mh 's.�:a'fn;;�: i •�S`S; ==r -' .. `s" S.v: _ ,,.¢:.;. Y'<,?'4 - t.' c .. _ . -� s' *
. "µ t .yt i T , _ ,',,: =i= :'1;,` :- '<COIVIM 'SCHEDUL — LSE
['New construction � 21 Addition /alteration /replacement Mechanical pem3rtfees* are based on the value of the work
performed Indicate the value (rounded to the nearest dollai) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, ovrrhgari.and •rofit.
: a 7 ''''W ;�Sfa ell . :', dr TEGORYtOF;CONSTRUCTION;I„ - _; : .y wt A Value $ � �1M0
� .i�.: � ... .Et r,+ - , y Ffit � <
' ' ' - x.. , RESIDENTIAL 'EQUIPMENT / S STEM FEES* `.
❑ 1 and 2 family dwelling ' Commercial /industrial ❑ Accessory building
For special information use checklist
❑ Multi family ❑ Master builder ['Other.
• Description I Qty I Ea. 1 Total
A nH'Y� �:.ir, e-+_ _ +` ,.��,.. z : .: h - • "S:�int 't
:„ '' T,, ' k" ,
, ;:' JOB..SITE,;INFORMATIO1 ND. TION *;'_ "" „ Heating/cooling 1
� (
..a „ �: ;-aa , &'k, :a`� =': "° « ,K. �.,a=ev- ssm�,..�, =�-� �. r. .= ,a.�a „n...,_� ^k.:,��. z_v...� ,�,..r�- v >.
Job site address: ODD 6/A) (7(�1�},41 -(
Air conditioning or heat pump
(requires site plan showing placement) 14.00 14
City /State /ZIP: 116„ y) Dg. 1, 21,3 Furnace 100,000 BTU (ducts /vents) 14 00
Furnace 100,000+ BTU (ducts /vents) 17 90
Suite/bldg. /apt. no.: Project name,jj& . .Q .151.klaft Z Gas heat pump 14 00
Cross street/directions to job site: SW 4 6 ` )1, , TD Duct work 14 00
p Hydronic hot water system 14 00
5 1A) k9U�H f.>trH X17 Residential boiler (radiator or
hydronic) 14 00 ^
�
Unit heaters (fuel -type, not electric), v
in -wall, in -duct, suspended, etc 10 00
h.
Flue /vent for any of above 10.00
Subdivision: Lot no.:
Other: 10.00
Tax map /parcel no.: ''L t� S L L -t .AA. 0 0 1 OD Other fuel appliances
[> :
�.= '� t _ ll-V,A .I #£t3;",D ,. -- °:4s {` ;� : "'. ,v: , °1 , . x' Water heater 1000 , r
i<,} :_, kty #_� } , -`•�� '_�:�` x��DESCRIP ;I'IOIV , OF' °�WORI{ = ":` '' , �,,, ,�,
,'. .�....� �,. s, -,.e�; tea .. ".-..- .m..,.� -,.., r- < ,. , sk?i• t. �,*a...r....c?- i:x� = � ,. "
,,.����//� ,/� Gas fireplace 10.00
1✓Tit1D O`r l g5D�S 1-I� Oh O 13i ` Flue vent for water heater or gas
. / fireplace 10.00 KA
txl-vw W/ NEW 2 STDn' CC..Ier6SRx, 14/' Log lighter (gas) 10 00 '\
"I/NATAL!, NI EA) VelVeT0 p t) rrs .. 4JD L C F.(STIU .. Wood /pellet stove 10 00
Uk1(TS X-){'l ""
t� Oc` W x b MI/1,106- C.rc. Wood fireplace /insert 10.00
,. .,: gym,• '; °tz
10 00
- #.• v .. ..,G, .... m,,s Chimney /liner /flue /vent
P :; ROPPERTIY'•.'OWNER` 4 '. = ): i ; " .TEANT” .. ' ';y'
.r: - r�': art.��:.�,... �, ..._� _ �- . .'��<��w �a,>��.,�,°,�wv . �� _ , _ �1::,. Other: 10.00
Name: TICsAr TUbA.ATI/I/ SG/ --aoL 1/J(STYLIc-r Environmental exhaust and ventilation
Range hood /other kitchen
Address:
(o 94,0 ` 5 equipment , 1000
City/State /ZIP: 11cr4 1 ot2-, ii 2 - z -5 Clothes dryer exhaust 10 00
Single -duct exhaust (bathrooms,
Phone: ( 565 431- Fax: (9)3 ) y 'g ( - q p y — I toilet compartments, utility rooms) 6 80
fr '” 4413,V1 1 ° "°`" Attic /crawlspace fans 10.00
° R � `-'. � = a�x . ` ' :r `� " ® .'vAPPI:ICANT��e�" �`' > x,��°= y�� ,CO1` VT'A.CT PERSO
.t-. �
Other: 10 00
Business name: DOLL bL oN 1.5 A1G Fiti cz Fuel piping
Contact name: ttl'rk.i, ob.8. ja -(T(Cr $5.40 for first four; $1.00 for each additional
Address' 3t c 5/4 & S1- W WJ6 -CO(J 4T 4i zbO Furnace et -
Gas heat pump
City/State /ZIP: R J,.117 r cvz i/ ZD 4 Wall /suspended /unit heater
Phone: (Go, j14, - A, 1 co Fax: : (9'7) Di 3 - 5( q z. Water heater
Fireplace
E -mail: Vtl li-N c i ei 4 W ! . (41-.,., Range
-r1 ,,V, r,x •;- W.I.P'• .x ",' t , Y 4; z, ,, . l "1 A p:s,•, ,': ..' Barbecue
Ise r a ,, CONTRACTOR " i. 1�,,„ '' °< 4
Business name Cl Clothes dryer (gas)
Other:
Address: `: °` '` ;') ":1VIECIIANICAL,PERMI =T,FEES.
City/State /ZIP: Subtotal 5 'it - 50
Phone ( ) Fax: ( ) Minimum permit fee ($72.50) /
Plan review (25% of permit fee) / 3/ I . 63
CCB lic.: State surcharge (8% of permit fee) Z
Nr , TOTAL PERMIT FEE ( IT 5S
This permit application expires if a permit is not obtained within 180
Authorized signature: clays after it has been accepted as complete.
Print name: CA A - A ( � F: ct Date: S/I Li /6 L * Fee methodology set by Tri- County Building Industry Service Board
I \Bmldmg\Permits \MEC- PermitApp doe 12/03 V 440 -4617T (I I /02/COM/WEB)
I\
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
... 't',z ...•,R ozµ; :; - "` " ^;.:e" ;sa -,.. 3:s: '$i.'n °`y u'�. ,:'`n, fi,`"., t.s,,a.,;�e..a. .,
$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:\ BuildingPermits \MEC- PermitApp.doc 12/03 2
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2004-00281
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/16/2004
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 8/18/2005 TIME: 7:06AM PAGE: 102
SITE ADDRESS: 09000 SW DURHAM RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: TIGARD HIGH SCHOOL
DESCRIPTION: Phase 2 addition/remodel Valuation = $450,000. 1/25/05 Revised to Phase IIA and Phase JIB
OWNER: SCHOOL DISTRICT 231 , PHONE #:
CONTRACTOR: OREGON CASCADE PLUMBING & HEATING PHONE #: 603.58B.0355
Inspection Request Scheduled For: Date: 8/18/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 013761-01 503-932-2156
Corrections/Comments/Instructions:
0,K
N. PASS I I PARTIAL APPROVAL 0 CANCEL LI NO ACCESS
I I FAIL • ALL OR INSPECTION 0 ADDITIONAL FEES ASSESSED
v.
Inspector: PI Date: Y Phone #: (503) 718-