9720 SW DURHAM ROAD %n
y
N
u
cn
O
c
s
a�
3
0
a
a
l
i
9720 SW Dtjrham Road
CITY OF
T I G AR D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2000-00397
DAfE ISSUED: 10/6I00
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-41-11 PARCEL: 2S114BA-16600
SITE ADDRESS: 09720 SW DURHAM RD
SUBDIVrSION: PI-11995-135 ZONING: IG
BLOCK: LOT: 001JURISDICTION: TIG TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
__ FUEL TYPES _ _ 0 - 3 HP. DOMES. INCIN:
t_PG _ 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPFR`.i?: 30 - 50 HP: WOODSI OVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN c 100K BTU: 1 AIR HANDLING UNITS _ OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 -fm:
Rernirks: Installation of ne.v qas furnace and associated gas piping.
Owner: -_ FEES
IJARB'Y, GERALD L + JACQUELYN C Type By Date Amount Receipt
9720 SW DURHAM RD PRMT GTR 10/6/00 $72.50 272000000C
TIGARD, OR 97224 5PCT CTFl 10/6/00 $5.80 272000000C
Total $78.30
Phone:
Cuntractot:
MUEHE (QUALITY HEATING INC
PO BOX 9
WEST LINN, OR 97068 REQUIRED INSPECTIONS
Gas Line Insp
Phone:598-0966 Heating Unt Insp
Reg #:LIC: 50096 Final Irspection
This permit Is issued subject to the regulations contained in the Tigard Municipal Co&3, State of Ore. Specialty Code.,
and all other applicable laws. All work will be done in accordance with approved plans. Th,s qmit will expire if work is
not st-rted within 180 days of issuance, or if work is suspended for more than 180 days. A7, ►--Nl ION Oregon law
requires you to fol;ow rules adopted in the Oregon Utility Notification Center. Those rt!les are set forth in OAR
952-001-0010 through OAR 952-001-0080 You may -Main copies of these rules or d�"stions to OUi,JC by-
calling (`03)246-9189.
lt�t�Iss�e By: _�� Permittee Signature:
Call (503) F.39.4175 by 7:00 P.M. for insp-ciions ne d the next business day
Mechanical Permit Application
Date received: &•no Permit no.:NF'!A-m-cc 347
City of Vigard Projecl/appl.no.: ---- Expire date: -
CilyajTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: .-Dd y[h itea:iptno.:
Phone: (503) 639-4171 —
Fax: (503)598-1960 Case file no.: Paymeu type: a
Land use approval: _ Building permit no.:
U I &2 family dwelling or accessory U Commercial/industrial U h1niti-fantil�' U Tenant improvement
U New constnrctior, U Addition/alteration/replacement U(Itltcr:
Job address: 7 7U S. / Indicate equipment quantities in boxes below. Indicate the dollar
Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead,
Tax map/tax lot/account no.: profit.Value$
Lot: _ Block: Subdivision: *See checklist for important application information and
Project name: 2!mpresors
on's fee schedule for residential permit fee.
City/county: ZIP. 7 1
Desch tion and ocat on lof work on premises: /G b +CEst.date of completion/inspection: Desert on (X . Hes.only Res.onlyTenant improvement or change of use: ing unit — CFIvfIs existing space heated or condilioned7;t(Ycs U Noitioning st e( p anl regwr )Is existing space insulated? Yes LI No n of exit gTMC spmrs
Business name: h'. 1C State boiler permit no.:
HP Tons B'rU/H
Address: ` (�1 Fire/smoke ampers/duct smokeetec— td ors_—
City: j State ZIP: (j eat pump(site plan required)
Phone:, L ..SY Fax.!, Ijb t1j%1F.-mail: nsta rep rnaccJ/1T—
CCB no.: SO() Including ductwork!vent liner Yes U No s!
nos I/repac re,tcateheater.-suspend
e
City/metro lic.no.: wall,or floor mounted _
Name(please mut): Jt jv\ ( , , . Vent fora lance other t.an furnace
CONI'ACY.PERSON Kefrigerallow
Absorption units BTU/H
Name: PIA CA-b(-r Chillers- -- HP --
--- — Com nsuus lip
Address: ;nv ronmenWifexhaust and vent al on:
Stat " ZIP. I ,,),-AAppliance vent
.
Phone: `J Fax:` r &+t1� _J ryerex aust y— --
Hoods,Type i/ res.kitche azmat
hood fire suppression system
Name: ��.Q Dc tt°b Exhaust fan with single duct(bath fans) _
Mailin address: '�1 ` t t1".yXU'1e'-ra
its(systema art from heating or AC
g Wil_. �tCu1 / p p ng ands stl rIi Ton(up to out els)
City: c Stater[ ZIP: 97old : LPG __— NG __OilPhone: - Fax: E-mai : tingeac additional over outlets
poem.piping(scematicrequirc )
Name: Number of outlets _—
___ _ �iFier Nt app ance or e—q-ulpmen1:
Address: Decorative fireplace
City: ~tate: ZIP: Insert- type—
Phonc:__— '---px: E-mail: oodstovelpellctstove _
(hhct:
Applicant's signature: Date: Other:
Name (print):
Not all jurisdictions accept credit cards•pleas-call jurisdicti m f x nKxr into"Itati,m. Permit fee.....................$
U Visa U MasterCard Notice:This permit application Minimum fee................$ _ 8 5�
Credit card number:_— expires if a permit is not obtained Plan review(at — %) $
--- -
t.:"piR within ISO days after it has been Slate,surcharge(8%) ....$ _
Name of cardholder eshown on ciialt e - accepted its complete.
i TOTAL .......................$ 7
---- Cw&ofder signature Amount 440.4617(69"Mi
Commercial Schedule
182 Family Dwelling Schedule
ASSUMED VALUATIONS PER APPLIANCE
---_- --- Description
Furnace to 100,000 BTU Table to Mechanical Code city Price Total
.including ducts 8 vents 9J, i)Furnace to 100,000 BTU
n
g including duds b vents 14.00
Furnace>100,000 BTU 2) Furnace 100,000 BTU+
Mcludi duds a vents 17.4o
including ducts 8 vents 1,170 3) Floor Furnace -�-�
floor furnace ardading vent 11410
1) Suspended healer,wall heater
including vent _ 955 a��ntedheater_ _ 14.00
suspended heater,wall heater 5 Vent not included in appliance permn 6 90 __
pr floor mounted heater 955 e) RR alt units 12.15
Clock all that apply 'Boller Heat Air
Vent not Included in appliance Dermit ` t' 445 For Items 7.10,a"e or Pump Cond Oty Price Total
Repair units 605 roolno(es 1,2 com
7)<3HP,absorb ur it t0
<3 hp;absorb.unit 100K BTU 14.00
61 3.15 IIP,absorb unit
to 100k BTU _ _ 9551 1001,to 5ook BTU 25.60
3-15 hp;absorb.unit� 9)15-3o HP,absorb
unit.0-1 and BTU 35.00
101k to 500k BTU 1700 10)30.50 HP,absorb
-
- unit 1.1.75 mil BTU 52.20
15-30 hp;absorb.unit 11)>5011P.absorb una>i 15 mil BTU
%,01k to 1 mil,bTU 2310 $7.20
12)Air handling unit l0 10,000 t;FM
30-50 hp;absorb.unit -- 1000
13)Air handling unit 10,000 CFMt
1-1.75 n1il.BTU 3400 17.20
14)Non-portable evaporate cooler
>50 hp;absorb.unil 10,00
> 1.75 mil.BTU 5725 15)Vent fan connected to asihle dud
6.60
Air handling unit to 10,000 cfm 656 16)Ventilation system not included in
appliance .00
Air handling unit>10,000 cfm 1170 11)Hood served by m 10
echanical exhaust
Non-portable evaporate collar 65b ,-- 1000
'61 Donteslic Indrteralon
vent fan connected to a single duct 448 17.40
Vent syst.not Included In appliance permit 656 19)commercial or Industrial type Incinerator 69.95
Hood served by mechanical exhaust 656 2d1 other ulns,Including wood stoves 10.00
Domestic incinerator 1170 21)cospions yne toto foul outlet:
5.40
Commercial ur Industral Incinerator 4590 22)More than 4 pet outlet(each)
Other unit,Includingwood stoves,inserts,etc. 656 t.ao
Minimum Permit Fac 72.60 SUCTOTAL
Gas piping 1-4 outlets 360 ex SURCHARGE
Each additional pullet 63 PU N REVIEW 25%OF SUBTOTAL
Required for ALL commercial permits only
TOTAL
Other,fnspecllens and fen:
I tnaPe'viom outside or moral s,nme>s hart f--.chs,"I-hares)
172,W lrer t-
2 lnspecaons for whkt,M 1-n y*fury Nd<it@4(,rw,urwrn dhagelun t o )
a72 W per oar
811�i alUat►O ._.- _ �C' 2 A&M-W pan re-repnaM by chapel.addd-ot roHaro,n to plans
tsa,ge a,r han hurt)$7,se per hour
r-1,1&"bdn-A"t-mQired
$1.00 to$5,000.00 Minimum$72.50 "deN11 Ar-Mldin SR.pra"ar," °"0-11
$5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and S1.52 for
each additional$100.00 or fraction thereof,
to and including$10,000.00
$10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54
for each additional$110.00 or fraction
thereof,to and including$25,000.00
$25,001.00 to$50,000.00 � $379.50 for the first$25,000.00 and$1.45
for each additional$100.00 or fraction
thereof,to and including$50,0170.170
$50,000.10 and up S742.00 for the first$50,000.00 and$1.20
for each additional$100.00 or fraction
thereof
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour inspection Line: 639-4175 Business Line: 639-4171 — ------
BUP
-- --Date Requested J U' y AM�_——FM BLU _ --
Location q��✓ 21-v1 ,yGf4'`Il►�`- _ Suite MEC
Contact Person — _ PhPLM
Contractor—_ _ Ph SWIR
BUILDING Tenant/Owner ELC —
Retaining Wall _ ELR
Footing Access.
Foundation FPS
Ftg Drain SIGN - ---- �—
Crawl Drain Inspection Notes:
Slab SIT
Post&Beam --.-- - - ---- -- - ------ - ----- - -
Ext Sheath/Shear
Int Sheath/Shear
Framing -
Insulation -
Drywall Nailing
Firewall
Fire Sprinkler -
Fire Alarm
Susp'd Ceiling --- --- -- _---
Roof --
Misc _... ------- —
Final
PASS PART FAIL --
PLi:,GIBING
Post& team
Unde.-Slab
Top Out - - —
Water Service
Sanitary Sewer - - --
Rain Drains
Final
p PART FAIT_
CANI ----_._----- ---- ----
Post R hear
u
moke Dampers
-
PART FAIL
TRICAL_ -- — —._-
Service
Rough In
UG/Slab
Low Voltage -
Fire Alarm ------_
Fina'
PASS PART FAIT- - -------------------- - -- -- - - ----------_SITE
Backfill/Grading ---- ------— - -- -. -- ------ ---
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$_ required before next inspection Pay ac City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ]Please call for reinspec!ion RE _ [ )Unable to inspect-no access
ADA
Approach/Sidewalk
Other Date (� �� Inspector_ _—_ _ _ — Ext
Fi-.31
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.