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Permit
CITY TIGARD MECHANICAL PERMIT PERMIT #: MEC2004 -00828 '6 DEVE H B r S E 2CES 639 -4171 -- DATE ISSUED: 12/23/2004 - PARCEL: 2S10100-02100 SITE ADDRESS: 08260 SW HUNZIKER ST SUBDIVISION: ZONING: I -P BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: • VENT FANS: OCCUPANCY GRP: B 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: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Replacement of wall furnace & piping. Was originally permit mec2002 - 00560 - expired by limitation. Owner: FEES JOHN D. ANNAND II Description Date Amount 8260 SW HUNZIKER [MECH] Permit Fee 12/23/20( $72.50 TIGARD, OR 97223 [TAX] 8% State Surchart 12/23/20( $5.80 Phone: Total $78.30 Contractor: KENTEC HEATING CONTRACTOR PO BOX 233 WOODBURN, OR 97071 REQUIRED INSPECTIONS Phone: 503 Heating Unt Insp Final Inspection Reg #: LIC 63621 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 questions to OUNC by calling (503)246-6699. • Issued By: Permittee Signature: y ,_ _,��. Call (503) 639 -4175 by 7:00 P.M. for inspections ne• - • the nex business day Mechanical Perm' r - - ,. AAA, • City, of ..,�, n FOR OFFICE USE ONLY �' _ . !J 1 'gard ' _.- Received �y P 4/ et) 13125 SW Hall Blvd., Tigard, OR 97223 Review - Plan Revi Phone: 50163974171 Fax: 503.598.1AQ � re �'NI „N O O DateBy: Other Permit: _ Inspection -Line: 503.639.4175 ,■ ULC _2 3 2 - 004 1J._ . 11 e 'a - Date-Ready/By:- RI See-Page 2 for - Internet: www.ci.tgard.or.us Notified/Method: Supplemental Information •' ,.,. , f CI " E OF,: 1GA " '. .. ., y + e•` '`', < `.: ' 'fit € r -„ - , { = .. . SE CHECKLIST _. say ., i iin _, ''i'- "'`': '- _ " - ' .._ , . `? : ' _. 10 s -N F EE. SC1HEDiTLE .0 , � Mechanical permit fees* are based on the value of the work 111 New construction Vi Addition/alteratio eplacemen performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit • . } 3 r ", k s s sa-. -z :s..s "� " � : r , e '?... 3:�:::; #� r ; '..,e" "., n - ` Value: $ -.. .. ' � � °, , �. ... , C ATEGORXI OF'CONST RUCTrIQ i" . c,,,,� w 1,,,• _„- , i : /,SYSTEMS•FEES 11 1- and 2- family dwelling ,Commercial /industrial ❑ Accessory building '° " ,., ' • Multi For special informati use checkl 1:] y ❑ Master builder ❑ Other: Description Qty. Ea. Total n e � � �, � �'� JO � SITE iI1�P'OI2M�iTIONt A D�LO .�` a' '� :aj�mk; ,.zrs_.d�.ay.. 3 .�s;.,xYaa�•aa_ xar�w�?....`.rw „P , -.,... �:�3,..��, "' ��_� -_a � >�.;s HEatInWC0011nQ Job site address: Air conditioning or heat pump cj� c S.tih/. 1-t u t ti v 11�� 1'� �`T'�' �`�" (re site plan showin placem 14.00 City/State /ZIP: R-i.' t Pi � j�( C+ 1 2 2. ' Fumace 100,000 BTU (ducts /vents) 14.00 " Fumace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: 1 Project name: Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 arm L � 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 *4 4 7 54 0 tz-4 5 $ 5 L O 1 Lot no Flue /vent for any of above 10.00 , Other: 10.00 Tax map /parcel no.: 2.S l l MC.- C) 21 00 Other fuel appliances x lr Al „ DESCR TION" OF WORKS L , t§ x :, M e Water heater 10.00 Gas fireplace 10.00 iZmPL. /at:. e_ l ,?Ck -- -r 1 41. r- rt-(' 4.) - Flue vent for water heater or gas fireplace 10.00 . J S i d G� ® at. Tt..) Log lighter (gas) 10.00 `Vv'A i...L.. Cr k9 11.N if.L - ± 4-4-- T', Wood /pellet stove 10.00 4/1,.- t• 1 i i f.) [, Wood fireplace /insert 10.00 r - � e _ ' Chimney /liner /flue /vent 10.00 .- .., , „ _. a«�;.�,�.. ,z�ga . ..-. , s ; ra z� m. :� .,.. ,„ ,� � _ .r.�, _ - r�,�a.�, . w.rr .�� ,�. � � Other' 10.00 Name: ..1t.14 (■J p . "*. fV N.) /.t∎1 Environmental exhaust and ventilation Address: 8, C ..6O Q . , . �-1 u N `Z -1 - 1� Range hood /other kitchen • ��• equipment 10 00 City/State /ZIP: '1 1 ( 17_6 sztN,1 Q 2Z Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: (54:6 6 2O-S ffl4238 Fax: 5a'93 (.82, 5 j -cl Coll toilet compartments, utility rooms) 6.80 t " , ,, `� ,` f y: C ± r PYIAGT ,RS :.; Attic /crawlspace fans 10.00 Other: 10.00 Business name: Fuel piping Contact name: Q i11/4.,) NI ., rl--.._ $5.40 for first four; $1.00 for each additional Address: Furnace, etc. Gas heat pump City/State /ZIP: Wall /suspended/unit heater Phone: ( ) I Fax: : ( ) Water heater Fireplace E -mail: Range >� 01 r t 1 CONTRACTOR V „ , r xi,�a.�'..; w�9�,�,1. �' t ',:...'�§�a� err: �.. , a ..��w_. ... .��_, SW Alt, Barbecue Business name: K 5 t...3 "" g_ C. F A s /,��... ,+ Clothes dryer (gas) I � y Other: Address: `P C `D . � � ..A. 2..3 O r I 4CHAN.IC4 PE 121VT t FEES *v . City/State /ZIP: N S p er, ZS It.., qJ 4> rt._ IF__ q rl ®°7 `+ Subtotal Phone: (y 3) q Fax: (jt:.� q E_6,Z84- Minimum permit fee ( permit "22- (YIN q. ° GDC7�, © Plan review (25% ofpermit fee) CCB lie.: Cr) . ' C \ State surcharge (8% of permit fee) j -) Oh / TOTAL PERMIT FEE '7Y d Authorized signature: r D. ci S This permit application e xpires'if a permit is not obtained within 180 days after it has been accepted as complete. Print name: J l4 ( `► "N N,Als,N :XL Date: t ''2./2_ Sic 4 * Fee methodology set by Tri County Building Industry Service Board i:\ Bui lding\PermitAMEC- PermitApp.doc 12/03 440 -4617T (1 I /02 /COM/WEB) Mechanical Permit Application - City of Tigard - ►,, Page 2 - Supplemental Information Commercial Fee Schedule: ,otal Valuat><on .; Permi Fee ,, > 1 ,. "_ $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. $100,000.0.1 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. 1 t r 1. t� r i:\Building\Permits\MEC- PermitApp.doc 12/03 2 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 I ECTION DIVISION Business Line: (503) 639 -4171 MST 3Y-1 BUP Received 17 DateReq ue t AM PM BUP Location b Z O _ \.�z Suite 206 �" oz2e Contact Person Ph ( ) tp t¢ b PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner 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 qc? r Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling • Roof Other: Final PASS PART FAIL �-- I PLU - Post & Beam Under Slab Rough -In Water Service ' Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain • Shower Pan Other: Final PASS PART FAIL ECH : AL Post & Beam Roush-In /Gas Lin- p ers RT FAIL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required befor=, next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE - - 0 Please c- or rein- oection RE: s,. r . 0 Unable to inspect — no access Fire Supply Line Approach /Sidewalk Date Inspector ' /�• Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL