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Permit CITY TI GA MECHANICAL PERMIT I I I + DEVELOPMENT SERVICES PERMIT #: MEC2006-00322 DATE ISSUED: 7/17/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 109AB -04000 SITE ADDRESS: 14338 SW 133RD AVE ZONING: R -7 SUBDIVISION: THREE MOUNTAINS ESTATES LOT: 033 JURISDICTION: TIG Project Description: Installation of 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: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: 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 KEL & CATH DEVLIN Description Date Amount 14338 SW 133RD AVE TIGARD, OR 97224 [MECH] Permit Fee 7/17/200E $72.50 [TAX] 8% State Surcha 7/17/200E $5.80 Total $78.30 Phone: Contractor: ANCTIL SHEET METAL CO. 4320 N WILLIAMS AVE PORTLAND, OR 97217 -2952 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 281 -0752 FAX 503- 282 -5722 Reg #: LIC 8897 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: L� wT Permittee Signature: Q \ 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. Meetlianical Yerm PD il AHCAtIOn • „, ':', , ,.1 , ,,:,...::,:..,..:„: . ,. City of Tigard D �� 7 � Permit No.:� it. . G 13125 SW Hall Blvd., Tigard, OR 9 Plan v % Phone: 503.639 -4171 Fax 50 .3.5 / ® , „r + ¢l pyY. Other Permi htspcction Line: 503.639.4175 eee NNN��� i! t .i�. ' . . g' t Page 2 . „ � , Date ReeQYBY. / g tor Internet: www,cl.tigad,or.us NotiftedMkthod; i i(-( SUpplemrntatlafortnatton JUL 1 7 2006 t V !m+ - �''' dJ� rr.'t''h�E7"t7 R I cr i i� s,, t �S 'Pw N a;a r aJ<J � fs' -+T i '� 'W ' r'. r r r� ��-^ ,fie it - n,x.,.r -,}� ,{ ..) •.rrt`(>E r'Y � s{M }I t id , F, 1 .�) / WMI '�1t I �. C +j + R y >! ,r ,Y, '..v g: ,� '"• -Y S��r•+ A Ck '- .E'wI?C , f.. i�"'il-,"+�• 1''tu.nnRh��r'aa,"ril�,Lr•'„v w.'S.:S :�.1sw..r::e�.e._.,vd.. � , ,'L?•59 ' 4, 1 ..,,%,A ,1 .' ' ... Su r:, fiS.R «X ..�•F� �..=5 d b,� o ' i ' . S_):' 0 New construction 'tatikkQlQteatilgettafflacament Mechanical permit fees* arc based on the value of the work performed, indicate the value (rounded to the nearest dollar) °fall ' ❑ , Demolition ❑ Other. • mechanical materials, equipment, labor, overhead, and profit. ,,.,�'�t7�”, "'" p e° gr�^4 rYF ..c�'�,�v V 4W�v `i" "iaet- ti7�+ GsJfiB �,. lt>it iti �. '^� tnf y�gi ValValue: ,:f .1 i:' ?.� iP�1(rr' aim : `� r.J+�.�far�s�:`ur 'M i tu^' ✓ �.i !°,° "r` ii 1ry.. d. ° ai 113 .,5 .., $ /c i -and 2- family dwelling .0 Cotlultercial /in stri © ty g ' R. nt i ...,' t>x n+ i ',tS� WE£,S x' 60 du al Access° bllildin ID Mlulit #a,nt For special iq orma11on use cheekily ly ❑ Master builder ❑ Other: Description I Qty. j Ea. ] Total +N" d' ter,','.+'', i t l �8't".�.'t``�,`''mr i ',�"�'tG� 'r�t� "'c�^S' �i^ a tA� ' ,., �3 r a�.r.rr k let roc sto a t u G, / t � 1 ! t;0rrw 6 p �P, , ar �; o t, �', {+(!{1 r J , r 4 �.. �•���� ^r6 n.�Yr�,61;or�.�Sail .; r� E:y�iJ:ic'�s.'rl'�.;` �v.. Heatinfi/eooling Q S Air conditioning or hear pump �� Job b Site attdre9l Vz 1CC? Q (requires site plea showing placement 1 14.00 City/Statc/ZIP: �O ��� 6( R R34 Furnace 100,000 BTU (dpetVvent') 14.00 Furnace 100,000+ BTU (ducts/vents) 17.90 Suite /bldg. /apt..no.: Project name: ■ \ \(• • �j, Gas heat pump 14.00 Cross street/directions to job site: Duct work _ 14.00 dronic hot water s 14.00 Residential boiler (radiator or hydronic) , 14,00 • Unit heaters (fuel -type, not electric), in - wall, in - duct, suspended, etc. 10,00 Subdivision: Lot no.: _ Fluc/vent for any of above 10.00 . Other: 10.00 Tax map/parcel no.: Other fuel appliances ?- .v am fy, t+� �` r9 - t{c- ':ti::}�� q � y u k ar r: f r� rr v a , ;:r iis41 � l,,g li hb u , da C ,,,, s, �fr ' v G �Y f t�ui I e " s a 9' Water heater i ().OG „o ? T[fl�4�nt3u . +. Gas Yitaplace 10.00 _ `, (A\ O (i \ ,c 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 a +4 � , � , n " r - r f , , _ Chimney /liner /flue/vent 10,00 tn, �� 1 r ' e) q u, 7 la �, ' A p ,',°pry y f ,' ;..� ::CU' %. r`�.,�.m .til w�.(!,!ti r a!F .�.Jk.:0.1 1.1..\1�wL �cL'nk + 7tr m., ' '•�°.. ... . �.2, •" Other. 10.00 ■ Name: i p 1'. Co Q` \: \ \( Environmental exhaust and ventilation S 3 f C?) CAS. Mtge hood/othcr kitchen Address: O equipment 1 10.00 City/State/ZIP: \0,j , u, ��� q Clothes dryer exhaust 10.00 Pbone: ( ) Fax: Single -duct exhaust (bathrooms, ( ) toilet compartments uu1y rooms) 6,80 it ' , o ,a x s � ", `g1� /Sro ?s ' .7`, ' , , � o v` mn i� �q Auic/crawl fans 10.00 ' ' Other, 10.00 Business name: ci,\ \ 1 \e fi,, - > \,'•1 Fuel piping Contact name: L ' r \\ U $5.40 for first tour; $1.00 fur each additional Address: Furnace. ac. Address: Gaa heat pump City /State/ZIP: Wall/suspended /unit hearer Phone; ( ) f Fax:: ( ) Water heater - e l Fireplace E-mail. _ { •`p! t \U M L g Range ,5 w�e, n,- ,-. kk giT i r,01... N ,� f5 r .1"S; 311F � fi .7...4 ,) ‘i' ' ;..,:6. -il • at r r ? � F '9, n. P itt i]'arbeCue Z Y S tal'.ylt '3 a ilatEILL M • r, h.• , s• :•t aax r ', ' n u:zv.0 ,,, • Clothes dryer (gas) Business name: �� \ , CC . �.. %�,t ! ,. .--. ., Other 4 /3 O N r .b Address: l » ;rt �� Yt \. - ?rrHrWIC15At3!�.It?AI; M.IT.Fk.St, ;;v; ` — City /State/ZIP: . �` �` �` � Subtotal ' . .. Phone: (7 11 • 2 ' Fax: ( 1 ` ) ( -- •,,_._.,W. �__._- ._ _M • snimum permit fee ($72.50) Fla 1, �_ Q — •.. � '� � �C -, Thin review (25% of permit fee) _ - i %) 1 CCB lie,. '�i - -..- State surcharge ($ of permit rue) F 'O' D 1 r' • T ° - ° s ` 1 — ' _ ___ _ TOTAL PERMIT r. 1` F 1 . 2 ) C) t ' r .� f � per npplicntion expires if a permit is not obte;aed w;th6t 190 Authorized sip :alum. v 6 , / 1 i it / days after it has been accepted w. complete. Print name: ' \-- 1 � e� 1 /1.�` \ D ' 4 ' - / .( , O (.L • Fee utetl dulogy set by Tri•Ct>uttty I3uiltling lmlusu}' Scales Runid Zaeildw V+emiitsV'V1L'Cd'cmilinpppJ 12N) 4411- 44iI?T tit /OVCOM/Wfinl Td WdSO :90 900E 11T ' I of EELSE8E 20S : '0N 9NOHd 6u t I oo3 'g 6u t 1 H 1I JON1 : WOdd t. ... ...- N 0_ • 6 U5 CONTRACTOR A1C-H EAT PUMP --L. UNIT SITE PLAN 0 --iir I N ' ,., \ \,ki,),,\\ (.0 N S CEAV\ '\-- ' . . - 0 -----4- TOMMROPERT(LINE Di-rec.:v*4)i\ ,-1 (....)3 ; o I-) • - • • . . • N Ite el N . TO SME PROPER1Y LINE rs- . Ii) • .. • N 1:1 . 03 N r • „. . 0 O • • freV? cc.I.:,...k. TV9 re. z . . • ., _. . .,... ......_......_ .. . .,._, _ ..._ __ .._ . ., __ . w .- z . - o a_ 5 • --,. TO STREET 1 ' • . • cn . i r---" 7 .--'' ., 66e■ CWQ, - - c, cusTom INFORMATION oz.5 NAME ' . 01 \ C _ ADDRESS • . . ro = \\) _I - • . l CE E 0 Li_