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Permit CITY TIGARD MECHANICAL PERMIT ` '` DEVELOPMENT SERVICES PERMIT #: MEC2004 -00704 �•��l DATE ISSUED: 10/25/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S101 BD -00103 SITE ADDRESS: 07855 SW HUNZIKER RD SUBDIVISION: ZONING: I -L BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS: STORIES: 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: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Add (2) gas fired heaters. Owner: FEES H G M CO Description Date Amount BY NORRIS BEGGS + SIMPSON [MECH] Permit Fee 10/25/20( $155.90 ATTN: BLAKE HERING [TAX] 8% State Surcharl 10/25/20( $12.48 PORTLAND, OR 97204 Phone: Total $168.38 Contractor: OREGON AIRE INC 7715 NE 33RD DR., STE. A PORTLAND, OR 97211 REQUIRED INSPECTIONS Phone: 503 Heating Unt Insp Final Inspection Reg #: LIC 64235 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 th e- es or direct questions to OUNC by calling (503)246 -6699. NN Issued By: Permittee Signat e:- Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day i,' 1 r'• M ,11aiical P(, ' lilt Application FOR OFFICE USE ONLY Cit of Ti and Received ( l� permit No. G y g Date/By: �m 1 Q I 4 2a9 / !/U 7' 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.639.4171 Fax: 503.598.1960 EC/+� Plan Review /�'� f //x �rl' t \ Date/By: n R Other Permit: Inspection Line: 503.639.4175 M �,��� L� Date Ready cam' Ready/By: Elm a See Page 2 for Internet: www.ci.tigard.or.us OCT 2 ,A Notified/Method: Supplemental Information .ai i -:; i.: � •; ._ �,. =a'.,C.. -_ � v.. � e .. q ,,,,. ca�k4 : ,B�'� -° =?s.�� � x y :X:o: >,s. � �<a+ - �• ",K� : z .° � -, . , 's F3a "",: i y aiga �` ..a.l .� a Ft�r :T l .lv tl�r --'r�p _ b,,, wr` 4 � �^ . , �E12 CI AL - -FE ,: SCHED . i1LE -` UE ` *° a Mechanical permit fees* are based on the value of the work ❑ New construction Addili �Fi ' nt performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor overhead,t profit. .ate= r i - ::. $. , i &I' r z;� `. r -° ^ o . " C CONST RUCTION~ " ' Value: $ C/� 3 � �+}a, � �al?�s�:._, .<,uzss.�. .3�.ee�,r: p er, `s ,..�,�r�ss�..., ri.,.. .a .n� �k .:� .. sP ^r�'� sa.� ^�:�sc,�.a �-r� - � - -� - - ❑ 1- and 2- family dwelling Commercial/industrial ❑Accessory building -. ' . ESIDEN„TL�I dEQUIPME..T / SYSFEIVIS�FEES* For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total ,.lIa�, ...;_ �,�...'1� � . �- :.. ° J4 S ITE, INIFOI2M 'A �,OC'ATI®.N - ... AT .,,:.�� <:� <r�.:.:. �" �q.m.,a. s � -� Heating cooling Job site address: 7 7 _� - / (j p 7' s Lb Air conditioning or heat pump n t>\ � a (requires site plan showing placement) 14.00 City/State /ZIP: /d & tz - steA-1/1_,C, Fumace 100,000 BTU (ducts /vents) 14.00 nt Project name: ,nn Fumace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg./apt. 1' � /sm �`�h ii Gas heat pump 14.00 Cross street/directions to job site: 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 l .'; N: . ' ; � . , A�'ESCRI OF WORK ; 0 t , ,' r Water heater 10.00 Gas fireplace . 10.00 rI A w J _ i A ) ;/ - 4 O ` 1& r -,2 Flue vent for water heater or gas _J_ C fireplace 10.00 J O fr / � , " ,, / Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 , se, ° � ; o ,,,,, M K Chimney /liner /flue /vent 10.00 <0 t PROPERTY OWNER. � , l < �. .. .TE >., ,L z,...'.. , Other: 10.00 Name: Environmental exhaust and ventilation Address: Range hood /other kitchen equipment 10.00 City/State /ZIP: Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80 I „ v „ . . : „.„,,,, -t,. ,: ,,°;. -, ,, ,,, x. ,,, ,,, , - s .. , ..g ., 10.00 Yz � :..Y.< o ; LIC.ANT t„ ',- � < .�'.t n I GO T'�A,C` RS ON i' Attic /crawl fans Q c o,_ C Other: 10.00 Business name: / �1 l�� Fuel piping Contact name: L c41 2 A. L_ $5.40 for first four; $1.00 for each additional , � 7 � i-A L_ 33 t� e Furnace, etc. Address: , Gas heat pump City/State /ZIP: /pCSCL 2� 62 7 z 51 1/ Wall /suspended /unit heater ll U 3 ) 335 ` dco 2 / f 33,5'...9 77 Water heater Phone: 't9 Fax: : O 3 Fireplace E - mail: Range r a 2 use w w i e .. � V,M t t �O C( NT C,, :, , ' r t '-%0Z-141.-, �t , - Barbecue ,.. ,. � .. �:.�.d "'. , .: �� - :�s....�, ... -mss. _ z w ,. .,, .w...`�.�.�..,...��.. .. .., . Business name: ('1 /Z� © Clothes dryer (gas) 12�� Other: Address: 7/� �� � ' =sa ., x .. "�, <.s:: >.xa:�.a�.a�r *1 < : :''' . 6 I r `l. iiti C IGAL PERIVI4I "F < : °.` . ,::, City/State /ZIP: / /Q' /l -L �✓� � / /c 9.2 v ht.. ,- ,. ' Subtotal / 4' 0s Phone: ( j 3) S `_ O� , , l Fax: Ob..> 33o — ?F?,7 Minimum permit fee ($72.50) Q - Plan review (25% of permit fee) CCB lie.: C� ,l30 State surcharge (8% of permit fee) / 0„2 , (�k � WD TOTAL PERMIT FEE . Authorized s i a This permit application expires if a permit is not obtained within 130 days after it has been accepted as complete. Print name: L Date: * Fee methodology set by Tri- County Building Industry Service Board i:\Building \Permits \MEC- PermitApp.doc 12/03 440 -4617T (I 1/02 /COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Totals 'aluat on Perm><t Fee #.. , .. �;:ti'� $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:\ Building \Permits\MEC- PermitApp.doc 12/03 2 CITY OF TIGARD . 24 -Hour BUILDING Inspection ... ,(50 75 INSPECTION DIVON- Business Line: (503) -4171 MST BUP Received Date Reque ted. 1 b� � 4 PM BUP Location 7 0 �� c —� ( e Suite M � >`"� .716 V Contact Person -- Ph '7�` O � 5 PLM Contractor �J�, Ph ( ) SWR BUILDING ,' / Tenant/Owner D/3 c/Y PL-1.- "k) ' ELC N Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors - 9* Ga-S Ext Sheath /Shear ''f Int Sheath/Shear c tE . g. J © -o is o 'T e3 z / ?6 Framing Insulation Drywall Nailing ` `� ' Firewall 1--& pki �, -'' `r „ q (�� �j Fire Sprinkler Fire Alarm pr ' 0`).._ C Q'_-�! tr� C-, (/‘ - Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING :° ;'. ‘k Post & Beam Under Slab Rough -In Water Service Sanitary Sewer ' Rain Drains • Catch Basin / Manhole Storm Drain . Shower Pan Other: Final I ,.. -r r ` PASS T FAIL ,n " At CH" NI Post & Beam ough Tn .,, Sm•.e Dampers in ,,P ART FAIL ELECTRICAL.. t 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, •. - El Please call for reinspection RE El Unable to inspect — no access Fire Supply Line ADA Approach /Sidewalk Dat I o f �� Inspecto / t Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL