Permit CIT OF TIGARD MECHANICAL PERMIT
i DEVELOPMENT SERVICES PERMIT #: MEC2005 -00101
+L,�:��I. 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 7/7/2005
PARCEL: 2S114AA -00100
SITE ADDRESS: 09000 SW DURHAM RD ZONING: R -4.5
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Business /Tech TI. Project Value: $80,000 •
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: El VENTS W/O APPL: VENT SYSTEMS:
STORIES: 1 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
ELE 3 - 15 HP: COMML. INCIN:
MAX INPUT: 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: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
TIGARD - TUALATIN SCHOOL DISTRICT 23J" Description Date Amount
6960 SW SANDBURG ST [MECPLN] Plan Rev 5/18/200E $286.63
TIGARD, OR 97223 [TAX] 8% State Surchar€ 5/18/200: $91.72
[MECH] Permit Fee 5/18/200: $1,146.50
Phone: 503- 431 -4000 Total $1,524.85
Contractor:
OREGON CASCADE PLUMBING & HEATING
PO BOX 12127 REQUIRED ITEMS AND REPORTS
SALEM, OR 97309
Phone: 503 -588 -0355
Reg #: LIC 127
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 qu tions to OUNC by calling 503 - 246 -6699
or 1- 800 -332 -2 4.4 -
Issued By: p cee.Paint4 Permittee Signature:
Call 503 - 639 -4175 by 7:00 a.m. for inspections t usiness 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.
Ca) u ,,,It„
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Mechanical Perini
City of Tigard
13125 SW Hall Blvd , Tigard, OR 97223 Received
ate/By. _ IfA Permit No .„....010 --Apo 6/
Plan Review WI ' -
P h o n e : 503.639.4171 Fax 503.598 1960 rt i n 706 40/ Date/By k Other Permit
Inspection Lme: 503.639 4175 til Arc 1 ,-, - ,....4„ , otip:i Date Ready/By , urns 0 See Page 2 for
Internet: Www ci tigard or.us Notified/methoW 7 j to , Supplemental Information
Wirg :- Feiti":' 4dAris'.':f'i&rs'bilt6ag •=--' li§t CHECKLIST
84 ,4v.r • ' - clo3 , 2,, ,,, p, a: ' -: , , --,,, , ,,,A z,,, ,, -, - --,, ,t., ,,,tt: ',-,-,..--
Mechanical permit fees* are based on the value of the work
III New construction Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
III Demolition n Other: mechanical materials, equipment, labor, overhead, and profit
niaariAUDAV iflai''MkWbi '; Are dr*, a'4P 4 ” 4 a P = i Value• $ Y20 / 0 •
- ---- ' ' ' 4-'4 ' '''-'-'''''' ' '''' -''-' '-- ''''' ' ''''''' '''''''' ' '' ''''''' ' '''-"' ''''''' ' ''
0 1 and 2 dwelling VCommercial/industrial 0 Accessory building
For special information use checklist
D Multi 0 Master builder El Other
Description Qty Ea Total
qi;! i'-ii:46E,VIEJ:=0:464:1*K9,17.1#4)1110,-,!,ONAlWittiVITAMI Heating/cooling
Air conditioning or heat pump
Job site address. ,z (..0 4 L t . ) „,,,... T.....1 ,
(requires site plan showing placement) 14 00
City/State/ZIP. * , c42 ... „ Furnace 100,000 BTU (ducts/vents) 14 00
Furnace 100,000+ BTU (ducts/vents) 17 90
Suite/bldg./apt. no.: Project nameq% - "(;,. /soie r t ...
-- i ( • Gas heat pump 14 00 _
Cross street/directions to job site --1 ,k-- ,_..L..2,-D[ 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
Flue/vent for any of above 10 00
Subdivision. Lot no.:
Other. 10 00
Tax map/parcel no.: Other fuel appliances
Kt V,-'ivAT ,ir rvaileaftraxwt: wv - :.iTY,A-Pw *74 Water heater 10.00
fr'z', i wf
40 44,,,,4,... -:--,,'' -.41,V1 '.4,`
(A 4
(47 - C6A_ 1 e 7 i aAre-1, Gas fireplace
Flue vent for water heater or gas 10 00
fireplace 10 00
Log lighter (gas) 10 00
Wood/pellet stove 10 00
Wood fireplace/insert 10 00
:'M , ,,A • I -ri:m.1°.,..a ==firker-ozr4 ,s= 1,414 Chimney/liner/flue/vent 10 00
't • = Y - ' • . ' ° 4- - ,,, ,,-, - - , - w - - ' , , ,k- , , , , .,: , ,I , T,-,'414,- , ,-Z,, , - , - , : ,
10.00
Name . " --- Ct _ 1-
- -Vi let ,t13734 i . 6 \ e*. Environmental exhaust and ventilation
Address: (Otte,0 (ei) -4 6 - Range hood/other kitchen
equipment 10.00
City/State/ZIP: ---c-,. Alz. Q Clothes dryer exhaust 10.00
s vt,
Single-duct exhaust (bathrooms,
Phone: (I.0)) i.1`) t .=- DO Fax: (9,3) 43 ( - 4 4 / toilet compartments, utility rooms) 6 80
1:r. V=' , 4i1P' ' '' - ll j gte1.W' t Mt , j-kii t' Attic/crawlspace fans 10 00
?•ou• ;6' ,, ,1 , b4*--'s1: - , - '3$ '.....4 1,-e, 1,, ,: ;. . ii , ' , • :.:” i i ii.iiy 7 •Cii,*.W.
i° Other
Business name: 10 00
1 (.... iL t , Ai e.. _,„._. 0 4 T),..
piping
[ Fuel
Contact name:
() *
$5.40 for first four; $1.00 for each additional
Address: C,A to b 4 t "?!:-f-4)1c6- _ Fumace, etc.
Gas heat pump
City/State/ZIP. (1 Ai-1 ‘ t)t) Wall/suspended/unit heater
Phone: b5 ) zel. - k1 c.( c.963 Fax: : ( i33) ifs i .,..._ Lit, q 1 Water ace hter
Firepl
E-mail. Range
fn•M Barbecue
' .:!i4=WN .'-.' '"it ,-,;r4 't- Y - ' AtA'-'q
Business name Clothes dryer (gas)
- \ Other
Address: - • l' • , ;S W 141\' 'ilirViitiaSirC - aVWffnit ' SV`';' '
s,l :';:: 4~i-, !•i,
City/State/ZIP: ■ frx . - if - Subtotal
1,_ •
- ...--...1 Minimum permit fee ($72 50)
Phone. ((c, ) Fax (
— Plan review (25% of permit fee)
CCB lie.' /43 ( 7 State surcharge (8% of permit fee)
ee,....„.„;( TOTAL PERMIT FEE
Authorized signature' (ii,-- ,i, -F-s_D This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: lia...4,-- MOLkr kC1/4.1S Date ft/ 0 , 1 Os * Fee methodology set by Tn-County Building Industry Service Board
IABuildIng \Perrruts \MEC-PennitApp doc 1U 440-4617T ( 11 /02/C0 M/WEB)
[
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information •
Commercial Fee Schedule:
.Totalaluation �
Ttigmittitizgv
$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.
L
\t/\ .4 /
i.\Buildmg\Permits\MEC- PermitApp doc 12/03 • 2
1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: IvMEC2005 -00101
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/72005
Phone: (503) 639 -4171 eop r
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/18/2005 TIME: 7 :06AM PAGE: 101
SITE ADDRESS: 09000 SW DURHAM RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: TIGARD HIGH SCHOOL
DESCRIPTION: Business/ Tech TI. Project Value: $80,000
OWNER: i IGARD- I UALATIN SCHOOL DISTRICT 23J, PHONE #: 503..431 -4000
CONTRACTOR: OREGON CASCADE PLUMBING & HEATING PHONE #: 503.588.0355
Inspection Request Scheduled For: Date: 8/18/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 013762 -01 503 - 932 -2156 N
Corrections /Comments/ Instructions:
l In Ck. I a 1 _
C c ----- 7),
_.,
\\_________________________-
PASS I I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
I I FAIL n CALL FO \ INSPECTION 1 1 ADDITIONAL FEES ASSESSED
. 1 �
Inspector: r \ Date: d' I ?--c.) S Phone #: (503) 718-
1