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Permit
CITY OF TIGARD BUILDING DIVISION AI PERMIT #: MEC2008.00468 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/30/2008 Phone: (503) 639-4171 /*holt Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 12/3 "008 TIME: 7 PAGE: 27 e...11494 , SITE ADDRESS: 10065 SW RIWRWOOD LN CLASS OF WORK: SUBDIVISION: PICKS LANDING NO.1 LOT #: 057 TYPE OF USE: PROJECT NAME: HARRISON DESCRIPTION: Replace furnace. OWNER: HARRISON, DORALIE PHONE #: 603-684-6129 CONTRACTOR: AAA HEATING & COOLING PHONE #: 503-2842173 Inspection Request Scheduled For: Date: 12/31/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 079278-01 503-501-5509 N Corrections /Comments/ Instructions: fZ.c.n'''h Z. 12.-/ /05 (K, ?ic Pt— - --17_-_-: I P 1 - - - /41 PARTIAL APPROVAL ri CANCEL I I NO ACCESS 0 FAIL / I I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspectotib------ ------- (---- Date: I . Phone #: (503) 718- - - 1 CeTY OF TIGARD BUILDING DIVISION PERMIT #: MFt27088 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9f30/20 3 Phone: (503) 639 -4171 Ay//441)i- Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12/1/2008 TIME: 7:00AM PAGE: 34 SITE ADDRESS: 10066 SW RIVERWOOD LN CLASS OF WORK: SUBDIVISION: PICKS LANDING NO.1 LOT #: 057 TYPE OF USE: PROJECT NAME: HARRISON DESCRIPTION: Replace furnace. • OWNER: HARRISON, DORALIE PHONE #: M3 -6134 -8129 CONTRACTOR: AAA HEATING & COOLING PHONE #: 503 - 284 -2i73 Inspection Request Scheduled For: Date: 12.1/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 078455 -01 503- 501 -5509 N Corrections /Comments /Instructions: i _ /aG i t /:. ) _l !. v.. / c ,apo- .,,, „� g'," i = � . L . , . A L !--!u/�C.5.r! ------ \/�-.4-9— 4 > >i,S . . PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CA LL FOR INSPECTION ❑ AD DITIONAL FEES ASSESSED . , \ Inspector: Date: r . —/ --r€ 8 Phone #: (503) 718- • -;,,-- Ai- ,-" r rom: 09/26/2008 14:41 11330 P. 002/002 ,...‘. , . ' - : . ..: -, ,,. .._. . , Mechanical Permit Application -- 11 -..., T, :., .: - ,.,-:.-,. . -1. • ()1Z1 9 1.11 I c41 I i 17: ° 1 = 1 Tigard Received -i. /./ hr 14 Date/By: g4 08 eofiv Permit No.: te, -t' g - t' - , . -'.'. a 13125 SW Hall Blvd., Tigard, OR 972.2.3ek,\ Plan Review Phone: 503.639A171 Fax 503.598., . Date/By: Other Permit: l • t..-.. ..r .1, Inspection Line • • . 503 639 4175 A IT■k16 • t. C' t , ,, t, ., Date Ready/By: Mill WI See Page 2 for Internet: www.tigard-or.gov C_ '-- ' , at 'Notified/Method: Supplemental Information p .,x:f,',1,0, -71:419 5;3. -51.4E3ZegiltiT:WYrji; tc r7, ''- Mechrmical permit fees* are based on the value of the work El New construction 13 Addition/alterationkep 0 Other: i1.)` y:Dem;v:kilition mechanical materials, equipment, labor, overhead, and pro ,;77. . . TEG ....,_ isii ixiN, smt i 710,...,,77n74rici74.z.T,,,,t.,::;741.,7,..0;z, performed. Indicate the value (rounded to the nearest dollar) of all . profit. 4. . Value: $ r'''#(4, i"*..:kaalriFtQWWINgliliSlit..**17,0*.i'llii: II 1 and 2 dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. 0 Multi 0 Master builder 9 Other: Description 1 Qty, I Ea. Total g taia ,:s,4Z, 1V-1.4. ' Heating/cooling Air conditioning or heat pump Job site address: I Cb 6-- \ c ‘ j 2 1verk a 9A L i410 a (requires site plan showing placement) 14.00 City/State/ZIP:- 0 r 7,2-?-4 Furnace 100,000 BTU (ducts/vents) 14.00 Furnace 100,000+ BTU (ducts/vents) / 17.90 17 Suite/bldg./apt, no.: I Project name: k-k-c-i '(((Cy Gas heat pump 14 00 _ Cross street/directions to job site: Duct work 10.00 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. 14.00 Subdivision: Lot no.: Flue/vent for any of above { 6.80 Li -'"":„) Other: 10.00 Tax map/parcel no.: • Other fuel appliances C 1 ., : .,7 7 *.., I '.- .1 - 0#421* - 0.:Z ' Water heater 10.00 _ Gas fireplace 10.00 • '-' 080tae ff.)11Vcti ' Flue vent for water heater or gas . • fireplace 10.00 Log lighter (gas) 10.00 Wood/pellet stove _ 10.00 Wood fireplace/insert 10.00 - _ .: • . , Chimney/liner/flue/vent 10.00 .7.1 • .^',N ' ,,, , .:..";. .,,, :. V . 1 '',!... - 27;4% ,,e ;51.:;";',%.,.. ,, , 44'1 ,, , , f. , - ,r 1LI LlrY4 '.1 o 10.00_ Name: 0 , rA,Leitip i ilSC,0 Environmental exhaust and ventilation Range hood/other kitchen Address: ..5 fr\ •e- equipment 10.00 _ City/State/ZIP: Clothes dryer exhaust 10.00 - Single-duct exhaust (bathrooms, Phone •. ) ( 4 , 619_ Fax: ( ) toilet compartments, utility rooms) 6.80 Attic/crawlspace fans 10.00 , Other: 10.00 Business name: Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Address: Furnace, etc. Gas heat pump City/State/ZIP: Wall/suspended/unit heater Phone: ( ) Fax: : ( ) Water heater - .... . Fireplace 1 E-mail: Range Barbecue • Business name: iCk INA 14.e0L-k-1,, tobtk■A.,..../ Clothes dryer (gas) • Other: Address: zok k v\E t,..A1.4 VaNy4 -1Al-, it*ii - 404,010.:',045.**.:40#8..: . iatib-r4C - City/State/ZIP: rottittAi1/4 07 _ ek,241 Subtotal Minimum permit fee ($72.50) ' 7 Phone: 5 L) 2.144 24 3 Fax: (Wrg) 2.24, (51; 2_ Plan review (25% of pennit fee) ' CCB lic.: 7 . 7 ... .z .. State surcharge (12% of permit fee) gri TOTAL PERMIT FEE RI 20 Authorized signature: k)1, This permit application expires If a permit is not obtainerwilhin 180 days after it ha been accepted as complete. Print name: V ( tirlAr LA _ 1 ,6,....kt tAN. Date: AA _ - 1;5 --1.2C/ • Fee methodology set by Tri-County Building Industry Service Board 1 doc 01/19/07 440 (11/02/COMWEB)