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Permit '`CITY OF T I GA RD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2004 -00370 `�` a�� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/14/2004 PARCEL: 2S1 10 DC -02400 SITE ADDRESS: 11565 SW DURHAM RD 100 SUBDIVISION: SDR1999 -00022 WILLOWBROOK II ZONING: C -G BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: 6 OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: 1 BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: 1 OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Mechanical TI, (6) vent fans, (1) booster fan, air distribution for 2 existing units. Wall louvers for nitrous closet, venting for clothes dryer with booster fan. Project Value: $12,600 Owner: FEES DOUGLAS FRY Description Date Amount 2423 REMINGTON CT [MECH] Permit Fee 6/14/200 $176.60 WEST LINN, OR 97068 [MECPLN] Plan Rev 6/14/200 $44.15 [TAX] 8% State Surchart 6/14/200 $14.13 Phone: 503 - 348 - 2237 Total $234.88 Contractor: ACCURATE HEATING, INC. P.O. BOX 2276 CLACKAMAS, OR 97015 REQUIRED INSPECTIONS Phone: 650 Mechanical Insp Duct Inspection Reg #: LIC 88423 Misc. 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 rul ; direct questions to OUNC by calling (503)24 - 699. / 01 Issu B .J d Permittee Signature: ■-■ .■ Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard DateBY LEI / , ` ` Received l ! l 2 Permit No.: �rt;�r�� T J 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Other Permit: Phone: 503.639.4171 Fax: 503.598.1960 - e atp 8 ���.� L (% Date/By: Inspection Line: 503.639.4175 _y{� 7. Date Ready/By: la See Page 2 for Internet: www.ci.tigard.or.us 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. . CATEGORY OF CONSTRUCTION • Value: $ $12,600.00 RESIDENTIALIEQUIPMENT / SYSTEMS FEES* ❑ 1- and 2- family dwelling ® CommerciaUindustrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description Qty. I Ea. I Total JOB SITE INFORMATION AND LO CATION Heating/cooling Air conditioning heat Job site address: 11565 DURHAM ROAD (requires pump uires 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.:fpl &)C Project name: DR SCHWINDT Gas 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: 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 SEVEN EXHAUST FANS WITH VENTING Gas fireplace f 10.00 7 () Flue vent for water heater or gas AIR DISTRIBUTION FOR TWO (2) EXISTING UNITS. fireplace 10.00 Log lighter (gas) 10.00 WALL LOUVERS FOR NITROUS CLOSET Wood/pellet stove 10.00 VENTING OF CLOTHES DRYER WITH BOOSTER FAN Wood fireplace /insert 10.00 Chimney/liner /flue /vent 10.00 ❑ PROPERTY OWNER ® TENANT Other: 10.00 _ Name: DR. SCHWINDT Environmental exhaust and ventilation Address: 11565 DURHAM ROAD Range hood /other kitchen 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 /crawlspace fans 10.00 Other: 10.00 Business name: ACCURATE HEATING, INC. Fuel tin PP g Contact name: MICHAEL BLACKMON JR $5.40 for first four; $1.00 for each additional Address: PO BOX 2276 Furnace, etc. Gas heat pump City /State/ZIP: CLACKAMAS, OR 97015 Wall/suspended/unit heater Phone: (503) 650 -1229 Fax: : (503) 650 -4845 Water heater Fireplace E -mail: Range CONTRACTOR Barbecue Business name: ACCURATE HEATING, INC. Clothes dryer (gas) Other: - Address: PO BOX 2276 MECHANICAL PERMIT FEES* City/State /ZIP: CLACKAMAS, OR 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 S1 14.0 - // (31L This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: . , N I mate: 6.11.04 1 * Fee methodology set by Tri -County Building Industry Service Board 0 41 . 41 - 10 3ouSKA CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST �BUP ©D Received Date Requested _ Z AM PM I/ BUP Location I / -" Z7 S D Suite /a MEC 2 — 0, 37 . Contact Person aflyt."}-eA Ph ( ) PLM Contractor Ph ( ) 7/0 OS3 SWR BUILDI Tena Owner ELC 0o g ELC Foundation Ftg Drain Access: j 6D X ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation jt ` Ira Drywall Nailing _ f Firewall I� Fire Sprinkler L�1� Fire Alarm Susp'd Ceiling wow Roof Ober: 4 0; 40 PART FAIL r ING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final P AIL ,,11lIECJA 4C Post & Beam Rough -In Gas Line ■■ • - Dampers 0 1r PART FAIL RICAL Service 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. Please call f. reinspection RE: ❑ U - • to inspect • no access Fire Supply Line \ ADA ` 1�i 1 j iW,�� / i� _ OVAAtk Approach/Sidewalk Date Inspect r I1 Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL