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Permit ttix..� CITY OF TIGARD MECHANICAL PERMIT IN a . COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00184 TIG 13125 SW Hall Blvd., Tigard, OR 97223 503.639 A171 DATE ISSUED: 4/4/2007 PARCEL: 1S136CB-09200 SITE ADDRESS: 11190 SW 81ST AVE ZONING: R - 4.5 SUBDIVISION: HERB + PEGGY'S PLACE LOT: 022 JURISDICTION: TIG PROJECT: HARTE Project Description: Replace furnace. CLASS OF WORK: ALT • 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: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: IT REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: REPAIR NIT S: GAS PRESSURE: 50 + HP: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES DORIS HARTE Description Date Amount 11190SW81ST TIGARD, OR 97223 [MECH] Permit Fee 4/4/2007 $72.50 [TAX] 8% State SurcharE 4/4/2007 $5.80 Total $78.30 Phone: 503- 620 -7976 Contractor: SPECIALTY HEATING & COOLING 7500 SW TECH CENTER DR #130 TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS Contact #: FAX 503- 681 -0793 PRI 503- 620 -5643 Reg #: LIC 66578 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 OU NC by calling 503.246.6699 or 1.800.332.2344. I ued By: , A // ,( ALLA Permittee Signat _t1�, / I/a" Call 503.639.4175 by 7:00 a.m. for inspections that • •siness day. This permit card shall be kept in a conspicuous place on the job s e until completion of the project. Approved plans are required on the job site at the time of each inspection. 04/0: 007 14'49 FAX 503 598 0718 SPECIALTY_HEATING It 002/002 « �� • .. �'. 'n1. " -„�sn ��. xrY .�#M �� t^P-)��s� �Y '�i '�l�',l'r°S 1 '� r / +:#' M . ica Permit A 1 t i �Ld. , . _ A � {t, v, : 1 olz+c>i I u r } � i ��l c)N1 � y „r7l4 ;..rte ;.' . . �a i k Received City of Tigard r �' _ , Date/By: 2 07 -h y PermitNo.: t ! ie - 2--e , ot al 13125 SW Hall Blvd., Tigard, OR 9722 Plan Review Phone. 503.639.4171 Fax: 503.598.1960 ((,, c %.. I D Other Patna: � Inspection Line: 503.639.4175 O V �+ a ar d{ _ ..� , � I ' •, .. Dole Ready/By: ®s Price z for Internet www. d.tlgard.or.us ? .8. Notified/method : © w Supplementallnformation . 6,P 1 9P . , _,�,. , ^ , LC ^1'W + 4t'r+•s r Gv ' ,{ . ,, o � ;..; :3- ,r: I',:eF ?'1FU 1( 'u, 4 ,,r. ri u',�i ,r .a -_. r'r. .._; rml•: 1 a r ,I .n, ,iJ 1 r , 1 i•!' IVJ i`, ,3'1{f r I �k .; aI, ga• t f i y? .c , + tt.� g ,.t ) is 7 a i r,nl . ;q ,: I hi; i rn 4r, . :a : 41 : 7 1` :). i.. ' �,. - V.! -- 4• ne4'_�i.r,:I,t:I :� � I,131!y1 I M1t. UI:I �� • 5u. 0a It •�„ti:.:Pi[�.'',+I•r:�H... {r.. �..�,����t {_ n\..�. ,i, tf� � �.t�'+At�t�l .:%'..',. ..: ».+,..... 75' t0�i. d�r wJ. llca�• ua�itd41� . ?f.J: �il�_ �✓_ i6 . ?i�c�ua:�4s3 rc :rn•,h':7F .re�.: ?dm.�.,. [.L ^��nL�,I�L'•�C°. ❑ New construction ' Add* ,''� ,` ration /replacement Mechanical permit fees* are based on the value oldie work performed. Indicate the value (rounded to the nearest dollar) of all u Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit "P7tT•.`It %l'i't' � . . ' r Mi•''1 +;!IY r a ij , 'a^r';- u • ;,r [ i,7 , i76:: ^xi :r::r 7 r .,r c;t : r ,,, - '.:1∎ w Vahm: S p�tt .t, ,� � nt4t;'� ;p- , .il1 , (�. , :1 :r_ �J l 4'. 1 ; ! r ' t 1:r ; 7 }'�(,l u t. (�., ll '; (o�t�Ji r; �• i , n i , ;t } .. f - I " ' ro' I a 1� r IL:_.,�. a.11ltl�� tc:So,,,...rLl1L:.1GYf . a Uau.751di,.. ,.,1 fi. , 7r.,........�1 1t.,1...au:,..,�.., L ,r:.k......L�..14u..).,.. e..f.,L.to[.t:[ + , 1 91. .t S a -1 .:.7 C Gt:7 � C yf r�: �C♦rtf r I'jI +" l +l S ?�r12^ ^ ��•�'j �M� _� - and 2- family dwelling ❑Commercial /industrial ❑ Accessory building � u ` :.d 1 re tnE ` t1 '��"� I V`itI �' B ` ° � ti �� ` �� til {F tai.. ` ;1:j: �' '` ' "� ht For special information use checklist. ❑ Multi- family 0 Master builder ❑ Other ... DcseNptlon 1 Qty. I Ea. 1 Total rr'"' , `� t'Z' :;.,�g ; r- a s i t (oi I'; i t`. Irt I` :. m e rry� �l i 'a' y � ;c� , ' Afr3 � I lh 1 i P �nfi r {? �� ' J L d I h 1. l'{mj +I 73.. a�1r , I {iI / ., I t: t Hearingkelolin �:LII.�tr 9 �' .JV. ��, V �I�"'} t: ry, 1: t�t✓'r. uvs ..i,f,k�i��[ub9�J�ri:',!y Clt\`:�.u.:..i�ll.u...}tilY i<N n. � ., 1. q..l,wr.�l1 ir' g Job site address: Air conditioning or heat pump .1 r (requires sire plan showing placeme) I4.00 City /StatciZ1P: Furnace 100.000 BTU (ducts/vents) t 14.00 Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00 Cross street/directions to job site: Ductwork 14,00 Idydronic hot water system — 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in-wall. 1n-duct, suspended, etc. 10.00 Subdivision: Lot no.: Flue /vent for any of above 10.00 Other: J 10.00 - Tax map /parcel no.: Other fuel appliances p - : .. i 1 . :7 rl "'-4'r'I1 ;1 `liY l G•r,m;.:+ rvlalnr:r. ;''Z'S:,ic,. Air' ,,-::1-x,,,,, 1 � r - - '.1 . 4} '',' ° ''' 'Y Ct S S'"I flterhefit i t Ili } l i ;( 1 t i t' 3 a r uJ iig k ?r∎ i L V - 1 d lad 1 1, , u i ;l Yl� -� p 11 i1 tM `� k i Z I L,Fl 'I 1:- ,t:1 ;: iii W n- 10.00 [LY d nx� l uca,�it_, I. I ,.. ; .Ir�i I ,+. .r:ue:.c,:a �,tna�.v:t tt t�.rsi... .�.,.. mt "�1L -t. y,ii,. t., t.._ t�ti;! Gas fireplace , 10.00 Flue vent for water heater or gas Ein_ 6replace 10.00 V ' .. ' ' Lai l ghter (gas) 10 -00 1.1., Wood/pellet stove 10.00 Wood fireplace/insert 10.00 r , ? .. T :,ins � i� [ •. - `zr �Tv"c r "T'9 :rT „1',r c' :c� c : t o t; •yi, yA ;; nt” n r Chimney/liner /flue/vent 10.00 II „ , j, Y ; A r: t,l - :i5' , . •,.. •1. „ 7 7 , r' r' ;6 7,-I r/ 1 r r t i G ... ,. t Hi I41C'a, . ., ;ASI rn v i. I rp'.+ t,���Y.lr ,.M.i .ti.,b.,• .... ?��L�•JAni iv Other: 10.00 Name: flarte, Doris R07101 Environmental exhaust and ventilation ' - Address: 11.190 SW 81 Ave. Range hood/other kitchen Tigard, 97223 equipment 10.00 City/Statc/ZIP: 9 Clothes dryer exhaust 10.00 (503)620 -7976 Mgl �omP compartments. ( a b hr Phone; ( ) rooms) 6,80 :S'• 'lii:i29',.,'r,•f+ ini.. ae d11i. ••41:4,411. °ii, rlc; - :.,o,w a; :nt:^Y�.i:' �=t';7, ;; ;T; Attic /crawls ace fans 10.00 I. xlVf' t ; I[ rI z" l lil 1a { �cle ltlt� j l� 1'o.I,ll 4 t P laid!:i1, !k ,[ , `., m: w,- �liia.� I ,J.� :a.d .,,ti 1 . u 11. .,...,.JEC,:1 a Ih.t i ..r.p ,..,. ri.., . , .I . l t Other: 1 00 i ! y ♦ • r Fuel piping Contact name 55.40 for first four: 51.00 for each addltlonal Furnace, cte. Address: • I. . ;, A 0 Gas heat pump Wall/suspended/unit heater ' - Water heater Phone: ( ) 5 11 Fireplace E-mail: Range � ,, ,a F�_^ 'r l ; y i r ' p 1 '' ': ,r1 ) v iu rl^Y ! t`�II` r �4 ,, ,TFlaft >?4 75::. B arbecue li' 1 i,,5titH'"'hrii� '��, [ ,.�i,I ,7 r . 0 .', _; Cc �Ji ?� :..12, '!_ 5 ., �L: ,lhl:Jl 11-, k !;;: , . ..,. ,..'',. .,,,.:,ll.•,uiil * 1 Clothes dryer (gas) • - L_r, i • i l is I Other. i _ , • .'� -,' .1I'i: '1 "' :;'-1. a IPI;li ri.l �IrU' 1 t ' � l t ¢ w •t ,' 11 .11g44,!, '11' - hGN 4. a d U l I 7 u� f 1 � e..,,: 1aa ., v. � r.S.r.., ,rr. s c'.t, I:,. ., . .fY:u .., n:J,aL5,5 .W,2�'E'� City/State /ZIP: 0 Subtotal Minimum permit fee (572.50) Phone: 6, ) • -. E= Fax: 6 • ' - a 1 , Plan review (25% of permit fee) State surcharge (S% of permit fee) TOTAL PERMIT FEE / ' '\ This permit application ezplres w if a permit is sot vbtaiged within 190 Authorized signature: 1 _ I Jaya agar It has bwo aecoptoa as complete. Print name: D ate: Z o a, ' Fee methodology set by Tri -Couy Building Industry Service Board 6q d �— ' 1 / hitulldIng \Permlu'MEGPermitApp.doc 12r03 4404617T(1INVCOM/VFa) F - - mq)./ _ _ CITY OF TIGARD C BUILDING DIVISION /WI- PERMIT #: MEC2007- 00184 13125 SW Hall Blvd., Tigard, OR 97223 , DATE ISSUED: 414/2007 Phone: (503) 639 -4171 F�I1 Inspection Requests (24 Hrs.): (503) 639 -4175 __': INSPECTION WORKSHEET FOR DATE: 4/6/2007 TIME: 7:04AM PAGE: 54 SITE ADDRESS: 11130 SW 81ST AVE CLASS OF WORK: SUBDIVISION: HERB + PEGGY'S PLACE LOT #: 022 TYPE OF USE: PROJECT NAME: NAME DESCRIPTION: Rctplace furnace. • OWNER: HARTE, DORIS PHONE #: 53.620.7976 CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 603-620-5643 Inspection Request Scheduled For: Date: 4/6/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 046067 -03 503 -620 -5643 Y P wl Corrections /Comments /Instructions: , L. I /J ...../ PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 0 0 Phone #: (503) 718 -