Permit +` `a CITY OF TIGARD
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MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00361
'T[GARD DATE ISSUED: 6/19/2007
; ; 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S103DA -04100
SITE ADDRESS: 13365 SW 107TH AVE ZONING: R -3.5
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: LASATER
Project Description: Install a/c unit.
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: 1 DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
KARL LASATER Description Date Amount
136 NW 107TH AVE
PORTLAND, OR 97229 [MECH] Permit Fee 6/19/2007 $72.50
[TAX] 8% State Surcha 6/19/2007 $5.80
Total $78.30
Phone: 503- 314 -0652
Contractor:
TRI COUNTY TEMP CONTROL
13150 S. CLACKAMAS RIVER DR
OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -557 -2220
FAX 503 -557 -0919
Reg #: LIC 72623
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 or 1.800.332.2344.
Issued By: // /l1 i /Iu// Permittee Signature: c1, nr' 40 7 - 1
Call 503.639.4175 by 7:00 a.m. for inspections that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
FROM ;5035570919 FAX NO. :5035570919 Jun. 19 2007 08:48AM P1
Mechanical Permit Applica 1 FCEIV > rhfi OFFICE USE. ONLY ived
City of Tigard JUN 1 9 DateBy: Pertnit -
131.25 SW Wall Blvd„ Tigard, OR. 97223 PlE:;BY � , Phone:03.f3941.71 ax: 503.598.1960 iIT O F- T k;,�:;.s, ; � , , DOther ,er Permit: j C J 7 , Jure: 0 S ee Pugs 2 for
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ww,ci.tigard.or.ux -. - Notified/Method: C� Supplemethlal Information
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Mechanical permit fees' are based on the value of the work
11 New construction ddition/altcration /replacement
performed. Indicate the value (nlunded to the nearest dollar) of all
❑ Demolition Other: mechanical materials, equipment, labor, overhead, and profit. a. e . ,r....,,...,, s;!: : h :iL'?;. ;:1..,: ,� dT • y "" r Vi ; ',. a materials,
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1- and 2- family dwelling ❑ Commercial/industrial Li] Accessory building
For .,pprinl information use checklist. ❑ Master builder ❑ Other: Description Qty. 1 Ea. 1 Total •
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` Air conditioning or heal putrlp A1� "
.lob site address. G A i I.. V(.' - -- (requires site/lien showing placement) 14.00 am
City /State/ZIP: • • / Furnace 100,000 BTU (duefs/vents) 14.00
_ •' 4 -- -
Furnace 100,000 -I- DTU ducts vents) 17.90
Suite/bhlg./apt. no.: Project name: • c:as he pump 14.00
Cross a treeddirections to job site: Duct work _ 14.00
Hydronic hot wooer System _ 14.
•
- Residential boiler (radiatnr nr
hydronic) _._ 14.00
—_. Unit heaters (fuel -type, not electric), in-wall, in -duct, suspended, etc. - 10.00 _
- — _ Flue/vent for any of above 10.00
Subdivision; Lot tto.; Other: _ .... 10.00
Tax snap /parcel no.: Other fuel applinnees
. f.• . ' ,,:IV'1 i Api�. h, _ ' nL'. ,. ,. - .II:,I:.'i� . , , •,.. i . •r "7'v 10.00
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h. ?i':..d;,.,4 . -: ii. 7. * , Gas fireplace 11).01)
, h . � - Flue vent for water hearer or gas
• fireplace 10,00 _
._. .,. . - Log lighter (gas) — , 10.00
Wood/pellet stove .. .. . 10 : 00
Wood fireplacc/inscrt 10.00
g . If. r p Ina DI P ,, t;.:�:. ''•' ) r " 'Pi4y l' �; :,fin;, .1.:,•:.,.:,,•; y mer flue/
��� � S .I j I ' 'i' , Chinme /1' / vcrhl _ 1000
U.d t�r�xt .�:a�ff�3 ;W''s''I�:ir�� 's a;[ ���If�',j, ; ". 'N'r Other' 10.t)0
PI Environmental exhaust and ventilntIon
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Range hoocUother kitchen
Address: a uiprnent , 10.00
City/Statc/ZTP: Clothes dryer cxhauat _ 10.00
— ..... -- Single-duct exhaust (bathrooms,
Phone: ' IS) W " V On= Pax: ( ) toilet compartments, utility rooms) . _ 6.80
_ s,. r A ,� R. � 1 , '{ . - '.r l:`.;. %rawlalac fans
e f 10.00
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F Other:
Fluaineaa name: I r C.�.i jj L I V M i ci Y1 {) (017-11-0 Fuel piping _
Contact name: 1 $5.40 for first four; $1.00 for each additional — —
Furnace, etc.
Address: �' =l I ` 6" `.-) 'G( .[ ki 1 la t . j f - C' - Oas heat pump
, : / J / l pcnded /unil heater
City /State /Z1P: ,_ � , • %, i ` I t .., ( . � � ` `' r � �
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Fax : (r )C )�� l CCr �1l Water heater
Phone: C� . (
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E-mail: , Range
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j Cl ot h es dryer (gas)
Business name: I Cr( (1 r� ��� � ��i rC l _ _ _ —.
Other
Address: r ( L 5 \ ' f i r ' f ' 1 [ k �:.';;f ;: i ; 1MxNa!}}'YAT I` " r l } �� `'' . •
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_. t fee ($72.50) _
, , minimum
p
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Fax /� �j l I nr
J ( - .15 I - i..1 -C ' 1 ( . ) ` 1 -J , ):. ! . !. _ .e' Plan r eview (25 /o o f perm fee)
Phone:
CC) lie.: l2te 2. , State surchat'At (H% of permit fec) 0. 01 Li
_ . _ —._._- - -- __ .... ...— TOTAL PERMIT FI :E F} .
•
j•1 hr ,', L.F. A 7 i/f, -17 C2:L-- Tbla permit Appllcatinn expires If n permit is not obtained within 180
Authorized Signature: ( toys after It has been Accepted as complete.
Print name: ry / Q f) t_ r4't ,� fjOd) l.)atc: . Fee methodology set by Tri- Cnwity Building Industry Sci vice Board
FROM 5035570919 FAX NO. :5035570919 Jun. 19 2007 08:49AM P2
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MFC2007
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/19000/
Phone: (503) 639 -4171 "
Inspection Requests (24 Hrs.): (503) 639 -4175 -'��i
INSPECTION WORKSHEET FOR DATE: 1/17120(18 TIME: 7 :ggAM PAGE: d;,1
SITE ADDRESS: 13365 SW 107TH AVE. CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: LASATER
DESCRIPTION: Install a/c: unit.
OWNER: 1.ASATER, KARL PHONE #: 503 - 0652
CONTRACTOR: TRI COUN°re TEMP CONTROL PHONE #: 503
Dt
(b1
Inspection Request Scheduled For: Date: 1/17/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 063393-01 503 -657 -2220 Y
Corrections /Comments/ Instructions:
c oDukDeeLvtikette\k_i_ fr,cusaiL,
ASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: _ \ 'U at Phone #: (503) 718 ` v
CITY OF GARD
BUILDING ISIOIV PERMIT #: Pd1EC2O
' 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: rif19t2007
Phone: (503) 639 -4171 �°�; �� �����:+�
Inspection Requests (24 Hrs.): (503) 639 -4175 s' 1 ..
INSPECTION WORKSHEET FOR DATE: 10/18/2007 TIME: 7:01AiM1 PAGE: 44
SITE ADDRESS: 13365 SW 10TTH AVE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: LASATER
DESCRIPTION: Install afc unit.
OWNER: LASATER, KARL PHONE #: 603 - 314 - 0652
CONTRACTOR: TRI COUNTY TEMP CONTROL PHONE #: s03 M7 - 2220
Inspection Request Scheduled For: Date: 10/18/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mcachanical final 067848-01 503-5g-2220 Y
' Corrections /Comments /Instructions:
AO • -,, _ .z, i. ( _ . — . r
I PASS n PARTIAL APPROVAL ❑ CANCEL I NO ACCESS
FAIL 1 . 1 CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
Inspector: i i Date: /6 —,r ,c -o - 7 Phone #: (503) 718- Z.4--4--s'