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Permit CITY TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00554 r! P 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/7/2008 PARCEL: 2 S 112C D - 06300 SITE ADDRESS: 07913 SW CHURCHILL WAY ZONING: R -12 SUBDIVISION: BOND PARK NO. 2 LOT: 043 JURISDICTION: TIG PROJECT: PENNO Project Description: Replacing gas furnace and installing A/C. 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: 1 DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES CAROL PELOSI Description Date Amount COLIN PENNO 7913 SW CHURCHILL WAY [MECH] Permit Fee 11/7/200€ $72.50 TIGARD, OR 97224 [TAX] 12% State Surch 11/7/200€ $8.70 Total $81.20 Phone: 503- 639 -9020 Contractor: A -TEMP HEATING & COOLING 16000 SE EVELYN ST CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 650 -5014 FAX 503 -557 -2990 Reg #: LIC 71878 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: / �= o �r�' - ee Signature: t 4 - 75 ; n , Call � .. 39.4175 by 7:00 a.m. for inspections that busi esn sda. 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. 11/07/2008 12:39 5035572990 A -TEMP HEATING PAGE 02/03 Nleskalical.re. m i t A 4 FOR OFFIC I USE ONLY Cie of Tigard Received \n DliciAv, n1 or 57,- Ph S Emil Blvd 'f Fax: 0 3 ,5 00 flan Rcvicw r Phone: 503.639,4171 Fax: 503 t� other Permit TIGARU Dntc lily: Inspection Line: 503.639,4175 Q P� '` Dntc Rcndyf13v: hills. [d See Page 2 fir Internet: www.tignrcl•or,gov *� �� 1 510 Nntificdll4cthcd; y $npprcmrntnt tnrnnnntlnn 7 '` - ' him OF'wO COMMERCIAL FEE" SCHEDULE - USE CHECKLIST . A Mechanical permit fats"' are based on the value oPlhc work 0 Nov construction edition /0lternti l; .. i • crformed, indicate the value (rounded to the nearest dollar of all ❑ Demolition ❑ Other: mechanical Materials, equipment_ labor, overhead. and profit, ' cAT -r Rv, or GON5T R , . Value: lue: $ and 2-family W. :. RESIDENTIAL EQUIPMENT / SYSTL+iWIS�)'r,Es" - , ly dwelling ❑ Conunercinl /industrial ❑ Accessory building For speernl in(onnotlon use checklist, 1] Multi Q Master builder ❑ Other: _ Description ,Qty. OM Total .,1013, 51TY+ �1 NFORMA; 'k )( 1 N AND.•ILOCn'rtn1�' Henlin Air conditioning or heat pump r Job site Address: GI 1 I _ ( J 1/CJ (inquires site plan showing pinecmcn) 1 14.00 I L i City/State/? -IP: I / � L. ,I/ [ -D-2-Li ' • m Furnace 100.000 13TU (ductsNents) ' 14.00 �1 / Fuatc 100,000± BTU (ducts /vent) 17,90 Suite/bldg./apt. no.: Project llama, pX(/„„ dins heat pomp 14.00 Cross street /directions to job site: Hutt work 14.00 ___ Hytironic hot tenter systent t4.00 Residential hotter (radiator or hvdronic) 14.00 _r.- ...., Unit hatters (Riot -type, not electric), in -wall. in- duct s ; tended, etc, 1 0.00 - . - " " - Flue/vent for Ant' of above 10.00 Subdivision; Lot no.: --- Other: 10.00 _ Tax map /parcel no.: Other fuel nppUnnces WORT(' heater 10,00 , '' ; nl"5C''�tT I ''1'ION'•UI' ti�0>7It -•. 10.00 �� i e G - Flue v epl f o r lo.ao Flue vent for waist heater rn gas fireplace 10.00 ---, Lost liclncr (gas :) 10.00 wood/pcnct stove _ 10.00 - - Wood tireplace /inarn 10.00 'ROi'E K e y f Ell ~ C'himnevlliner / t1uch cm i 10.00 ' TENANT Other 10.00 Numc: r ` 5, P.,e4A y tQ Environmcntnl exhaust and ventilation Range hood /other kitchen Addrevs: cat ui meat 10.00 City /State /7_,TP Clothes dryer exhaust 10 Singlc -duct exhaust (bathrooms. Phonc.'t63� ' C Q Pax ( ) toile cotnpa nmcnts. utility rooms) 6.80 �'►1 'N © Ci O _ __ FjS. RaoN Attic/crnwlspace fulls 10,00 _• «,.. Other: _ 1 10.00 Business panto: _ Fuel piping - Contact name: ATE HEATING .ANT) COOLING, 1`;' $5.40 for first four; 47.00 for each ndditlonal�_ 16Q(hISETre1yn► i. `"- - _ Furnace. etc. _ 1 Address: ClaCiaM34.0 K - 1 Gas heat pump City/State/ZIP: 503- 65 Wall /st encIcd /unit heater ........ ( /•1 J , Writer heater Phone: ( ) Fax; : , '-�- 1 `` Fireplace - __ E-mail: Rar c ,; Co ,1 RACTOR ar ec _ B 1 uc Clothes dryer (t)t: Business name: ATE MF s_QOLYN(i.INC _"- -_ Other; Address: ' 16000 SE Evelyn St. . MECHANICAL PERMI P1. ' + _.,m__ _ S - Citv/5mtc /Z IP: S.()3_b50.5p1.4 °_ 1 finimum permit fee (472,50) Pieties ( ) Fax: ( ) _ Plan review (25" %n of permit fcc) l 1 — CCB lic.: 1 I 1 _ State surcharge (12% of permit fee) Z _, TO PERMIT FEE l r bilk This permit applicatlnn expires Irn permit knot obtained withal Ida Authorized signtue: day. nnrr It has been accepted ns complete. Print name: Va,t/ - IL. - r Date: U 0 1 ' Fee methodology set by Tri - Crnmty Building lnchtstry Snry ee Hoard I \ Dafldinp ∎PenritAlvIEC- PnnmtAnp.doe O,tu16,06 .140.0, iT (111t7/COM/wen) CITY ®F "IGARD BUILDING DIVISION PERMIT #: Iyts:C" s)C3t3 305 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: -017/200i3 Phone: (503) 639 -4171 i,r In Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 112.7/2009 TIME: 7:00AM PAGE: 17 SITE ADDRESS: t)p.:Z13 sw ct•i(1RcHI ,y_ my CLASS OF WORK: SUBDIVISION: CtoNE) PARK NO. 2 LOT #: 043 TYPE OF USE: PROJECT NAME: F NNO DESCRIPTION: Replacing gas furnace and installing ANC. OWNER: PEWS!, CAROL PHONE #: 6.03-639.9020 CONTRACTOR: A,.. HEATING & COOLING PHONE #: _603.660.5014 Inspection Request Scheduled For: Date: 1/270009 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 06003:3-01 503-718-2436 Y Corrections /Comments/ Instructions: (--C1-7E:c---4--- hp--41. , , att ----- .., .. , ASS I 1 PARTIAL APPROVAL I I CANCEL NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIaNAL F ES ASSESSED ...____a Inspector: ,, Date: 1 Phone #: (503) 718 - 4 ik CITY 01TIGARD BUILDING IIVISION PERMIT #: mEe20 oa. 00551 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/70000 Phone: (503) 639-4171 '16416141V Inspection Requests (24 Hrs.): (503) 639-4175 ,44- A l.i INSPECTIONiWORKSHEET FOR DATE: 1/15/2009 TIME: 7 PAGE: 12 SITE ADDRESS: 07913 sw CHURCHILL WAY CLASS OF WORK: SUBDIVISION: BOND PARK NO. 2 LOT #: 043 TYPE OF USE: PROJECT NAME: pFlojo DESCRIPTION: Replacins gas furnace and installing A/C. OWNER: PIXOSI. CAROL. PHONE #: Em9_9020 CONTRACTOR: A-ThiviP HEATING & COOLING PHONE #: 603-6%5014 Inspection Request Scheduled For: Date: 1/15/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 079733-01 603-473-1683 44 , Tu t_ 2.1.0 rel. Corrections/Comments/Instructions: ) J 6p z5igcticli. — 3 . -7 ) I - "Acc_A)). o 17s fl PARTIAL APPROVAL El CANCEL 1 I NO ACCESS 7 FAIL ' CALL FOR INSPECTION El ADDI IONAL FEES ASSESSED ■ Inspector: 411War I Date: 1.- Phone #: (503) 718- 11/07/2008 12:39 5035572990 A —TEMP HEATING PAGE 03/03 .1 /I\ AL,eC Z. C:-.)r A -Te l-leatmg & Cooling, Inc. SITE PLAN Prepared by 4 — 53.y1 .e74 ` Date: .j ,�, ° Customer Name: C eol _ LpS1 _ Address: '7 9.1 Customer Phone: 5 6;3 35� yip' Z� u �� 77 4/ Property Boundary Line • �j c/ House Street