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7855 SW HUNZIKER RD
T1 OF T I GA R D MECHANV AL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2004-00704
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639- i 171 DATE ISSUED: 10!25/2004
PARCEL: 2S101 BD-00103
SITE ADDRESS: 07855 SW HUNZIKER RD
SUBDIVISION: ZONING: I L
BLOCK: LOT: JURISDIC `ION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O ADPL: VENT SYSTEMS:
STORIES: BOL-ERS/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 VIP:
OD
GAS PRESSURE: 50 + HP: CLO
ERS:
FURN < 'i00K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm: -
> GAS OUTLETS:
10000 cfm:
Remarks: A(1(1 (')Na hied Ilcairn.
Owner: _ J �— FEESE _
H G M CO Description Date Amount
BY NORRIS BEGGS+ SIMPSONATTN )MECHJ Permit Fee 10/25!20( $1.i5.90�
PORT BLAKE R 9720RING fTAX) R"� State Stirchari 10/25/20( $12.48
PORTLAND, OR 97204
Phone: Total $168.38 �—
Contractor:
OREGON AIRE INC
7715 NE 33RD DR., STE. A
PORTLAND, OR 97211 REQUIRED INSPECTIONS
Phone: 503-335-2222 Heating Unt Insp
Final Inspection
Reg#• LIC 64235
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTIONS Oregon law
requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0100. You may obtain copies of!t-ese-rules or direct questions to OUNC by calling
(503)246-6699. �� \
Permittee Signature:
Issued By: �k-,C� g
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
na�ical Pc nit A jp cation FOR OFFICE[ISE ONLY
Receivedl Pernut No
City of Tigard Dete/ey: - �" Y /Oa ��c 2�7 -7,113125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.19601 GE1 UtherPermit:
Dete/By:
Inspection Line: 503.639.4175 Date Ready/By guru ® ice Page 2 for
Internet: www.ci.tigard.or.us Or"i } r Notitied/Method: Supplementallnformatlon
_ l � L�W
TYA4V
ft�t,�I� , CoIV(MERCIAL FEE" SCHEDULE - USE CHECKLIST
t Mechanical permit fees'are based on the value of the work
F-1Newconstruction Additit 4likfts3ioJff pcnt performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor er a d, rorit.
CATEGORY OF CONSTRUCTION Value$
--- — -- - - - -- RESIDENTIAL EQUIPMENT!SYSTEMS FEES•
❑ I-and 2-fancily dwelling Commercial/industrial ❑Accessory building
For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. I Ea. Total
job Sim INFORMATION AN LOCATION Heating/cooling
Air conditioning ur heat pump
—7
Job site address: " c6( y - / 37 _�1 Y (requires site plan showing placement) 14.00
City/State/ZIP: Qv !t{-(^� -- Furnace 100,000 BTU(ducts/vents) 14.00 _
Furnace 100,000+BTU ducWvents 17.90
Suite/bldg./apt.not. Project name: i4p t-scvl (-wl.1, Gas heat pump. 1400
Cross street/directions to job site: Duct work 14.00
H dronic hot water system 14.00
Residential boiler(radiator or
h dronic 14.00
Unit hcnt.rs(fuel-type,not electric),
in-duct,suspended,etc. 1000
Flue/vent for any of above 1000
Subdivision: Lot no.: Other: 10.00
Tax map/parcel no: Other fuel a liances
DESCRIPTION OF WORK Water heater 10.00
--- ---- Oas fire lace 10.00 _
Flue vent for water heater or gas
fireplace 10.00
_4 l t)� Cs}S _— Log lighter(gas)_ 10.00
Wood/pellet stove_ _ 10.00
Wood fireplace/insert _ 10.00
Chimney/liner/flue/vent 10.00
❑ PROPERTY TOWNER ❑ TENANT Other: 10.00 I
_
Name: Environmental exhaust and ventilation
— -- — --_—- Range hood/other kitchen
Address: a ui ment 10.00
City/State/ZIP: - — —- -- —.__- Clothes dryer exhaust 10.00
- .-- --- -- Single-duct exhaust(bathrooms,
Phone.I ) Fax:( ) toilet compartments,utility rooms) 6.80
APPLICANT CONTACT PERSONAtttc'crawlspace fans 10.00
_ Other: 1000
Business name: "i /i z�:k (, _ _ _ __ Fuel piping
Contact name: .G L L $5.40 for Ilrst four,$1.00 for each additional
��(� Furtace,etc. _
Address �1 33_SL" — Gas hen t pump —
City/State/ZIP: ,0 / A-)1 Walllsus ended/unit heater
- _ Fax' Water heater
Phone:LJ '3) g�-2 l'
Fire; lace
E-mail Range
— OR i Barbecue
Business name: (��t�"�U/ /1tC,�- Clothesd dryer as
Other:
Address:___ / Df.3-'�'� „R � IfCAL>Is i><lIVt1'll"'�ES"
City/state/ZIP: p/l' / 7 --
Subtotal
Minimum permit fee($72.50)
Phone:( � ) of 2 Fax: Plan 33tS' Plan review(25%of permit fee)
CCB lie._" V State surcharge(8%of permit fee)
TOTAL.PERMIT FEE
This permit application aspires If a permit Is not obtained w thin 180
Authorized P Zp tt days after It has been accepted as complete.
Print name: c—^� Date: • Fee methodology set by Tri-County Building Industry Service Board
e
i lauilding,PemiitskMEGPermitApp doc I V03 440-451 IT(I I/OLCOWUWF.R)
I — - -- - - A
Mechanical Permit Application - Cite of Tigard
Page 2 - Supplemental ltilbrmation
Commercial fee Schedule:
FTotal Valuation:_ v Perm_ it fee: _
$1.00 to$2,000.00 Minimum fee $72.50___
$2,001.00 to$5,000.00 $72.50 for die first$2,000.00 and$2.30
for each additional$100.00 or fraction
thereof,to and includin $5,000.00.
$5,001.00 to$10,000.00 $141.50 for the first$5,000.00 and
$1.$0 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$100,00 or
fraction thereof.
Note: All uew Bort mercial buildings require 2 Fets of plans.
r.Id3uwiding'd'ermrts',NtEC-PermitApp.duc 12/03 2
c
■
CITY C.- T'IGARD 24-Hour
BUILDING Inspection t (503 75
INSPECTION DIVA.-iON Business Line: (503) -4171 MST
BUP
Received Date Reque ted b �� PM BUP
'7 — n ME
Location —Suite ME
Contact Person Ph ( ) PLM
Contractor — /] ' Ph( ) __ SWR
BUILDING Tenant/Owner / ELC -�
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post& Beam _-- -- -- —
Shear Anchors 9# r04 S
Ext Sheath/Shear
Int Sheath/Shear cr"' � •�� /Gi � ��
Framing
Insulation
Drywall Nailing
Firewall a
Fire SprinklerFire Alarm
Susp'd Ceiling
Roof /
Other: ----
Final
PASS PART FAIL
PLUMBING _
Post&Beam
Under Slab
Rough-In
Water Service
Sanitary Sewer
Rain Drains --
Catch Basin/Manhole
Storm Drain - -- - - A
Shower Pan
Other:
Final
PASS T FAIL ;l
-- -- ----------
Post& eam
Rough-n - -----
I
--- -- - - - -- ---
SmQke Dampers --- --—
... m
S PART FAIL — ----- - -- - - -ELECTRICAL
Service
Rough-In —
UG/Slab
Low Voltage --
Fire Alarm
Final Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE _ Please call for reinspection RE:_ — F] Unable to Inspect-no access
Fire Supply Line
ADA Date Inspector—,_
Approach/Sidewalk Inep�+ctar T.___� _
Other: -
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL