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Permit ;,- CITY TIGARD' MECHANICAL PERMIT i l DEVELOPMENT SERVICES PERMIT #: MEC2005 -00789 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 11/29/2005 PARCEL: 1 S125DB -03200 SITE ADDRESS: 09340 SW 74TH AVE ZONING: R -4.5 SUBDIVISION: BOULEVARD HEIGHTS LOT: 015 JURISDICTION: TIG Project Description: Heat pump. CLASS OF WORK: ACS 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: ELE 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES TOM DENNY Description Date Amount 9340 SW 74TH AVE [MECH] Permit Fee 11/29/20C $72.50 TIGARD, OR 97223 [TAX] 8% State Surchar€ 11/29/20C $5.80 Phone: 503 - 246 - 1063 Total $78.30 Contractor: SPECIALTY HEATING & COOLING 7500 SW TECH CENTER DR #120 REQUIRED ITEMS AND REPORTS TIGARD, OR 97223 Phone: 503 640 - 3607 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 OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. Issued By: i Permittee Signature: �{. - 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. 11/29/2005 09:38 FAX /� l 002 /003 .- , I �ll� p .— h Meei &niufil Permit Application U Uw 10, cb FOR OFFICE USE ONLY - City g of Tigard Asrt-, „ 9'j� 4 Received ,� / y; 4 05 Permit No.: M�agy : �• 00 17 13125 SW Hall Blvd., Tigard, OR 97223 Da Plan n R �� Phone: 503.639,4171 Fax: 503.598.1960 �, ' , evic Inspection Line: 503.639,4175 col, OF .�"'�' t Date/By, Odt °rP °retie; Internet: www.ci- tigard.or. 8(/ /L DJN G � ; Date Ready/By: fI% El See Page 2 rot � (�/ ^ ,4 i NociliciMethod: t Sapplomentai Inforrnadon i f i h1, :,7i,',G,) +�. �'NTf'p OF ,N � ' "�. ', 1 ' hl ' 1 ' a y 1 }. ' bi i'kt FEE* °S'ClIEDTILE - TFSE :C1 ECKLIST ❑ New construction ❑ Addition /alteration/replacement Mechanical permit fees' are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all 12 Demolition ❑ Other: 1, mechanical materials, equipment, labor. overhead, and orotit. .'''' ii:L f'eJw;,;, . • ,ii:l'i ! : 1,, ,' CATE00 COi!FSTRU,CTIO]Y ..,',;',. ii'i' ; ;' ti ; value; 5 p 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ;'RESXD t!1TI EMI—Pi/KENT / SYSTEMS FEES* 0 Multi - family ❑ Master builder ❑ Other: For special injorrnniion use Check!!a't, t��„ i y , „4'!.a)SXIE''I!?('�© Description Qty Ea. Total ' i� , . R'NON,;ANP, LOCAI'1ON ,, Hendnacpollnl{ Job site address; 5 0 C....) - K 1- A-1-- Air conditioning or heat pump (requires siw plan sno wing placement) i 14.00 City /State/ZEP: ,- ?- 2- ? Furnace 100,000 8TU (duns /vents] 14.00 Suite/bid ./a t. no.: FUrr c 100,000+ BTU SduCts /vents) 1790 L g P Projec name: Gas heat u P mp 14.00 Cross street/directions to job site: Duct work 14.00 Hydronic hat water system 14.00 Residential boiler (radiator or hydrontc) 14.00 Unit heaters (fuel -type. not electric). in -wall, in -duct, suspended, etc. _ 10.00 Subdivision: I Lot no.: Flue /vent for any of above 10,00 1 Other: 10,00 Tax map /parcel no.: Other fuel appliances ,'u -p : Yr ,,,; ,T;i�i . J DESERIPTxON "OF,WORK• r1, ',;ill , . Wa[erheater 1000 Gas fireplace 10,00 Flue vent for water heater or gas FreRlaee 10,00 �' - r(' Log lighter (gas) 10.00 Wood /oel1Ct stove 10.00 Wood 1 :replace /insert 10,00 « }';'FIROP 1 1 ,.ONVI ii I ),' , r'",®li C11t[tu tvllinerlk3ue /vCnt 10.00 , , .I „r:; TEl`�1t \T', �' • Other' 1 0.00 Name: 1 1t) p Environmental exhaust and ventilation Address: '� Range hood /other lotchen I t equipment 10 00 City /State /ZIP: Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: ( ) ),t•{, le - l 003 Fax: ( ) LOilet compartments, utility rooms) 6.80 i > rus''':',0 , i�PDLICANT,. :+'" ' ; 'i, CON T., Attic /cr awlsp acc fang 10.00 1 '.. '{. s, .,��'J: 1 t , '�i �,. ,.'� t 7 +: i; i •4:,Q• ,, ..,. TA C� . PE s0ly - —t Other 10.00 I Business Dame: C �. v (" C ti I /4 I —* ( '" - J / Fur! .l . Contact name: 1 itd , _ e L,_ L.1 c c $5.40 for first four; 51.00 for each additional C Address: S �, S / Furnace, etc, f. `. I c t 1, r (k. f - l'—‘ ( Z Gas heat pump City/State/ZIP: 7 (' la, et._ 0 `i; e/ '- L L 3 Wall /suspended /unit heater Phone: ( Sts ) ( L( tiU - .. ( } Fax:: () v s ) ( ( (-- C J 1 ? Water heater E-mail; Fireplace Roue , a'I` 'I I'` .l 'i'i��l. •''�' 't: n i•y • 4y • r , :- it::; ,.:,,.;; 4, ∎ ; ;• , <,06,11 O_ f ' ; � 1 i';; ' ; ;,1 . , 7q", ,, 1 Barbecue I Business name: STS C'.' `LILL J /. _ '-t v L C lot es dryer (gas) Address: '-0� _ 7 i lVfgCAANI641'P >J RMTE PEES`' City/State/ZIP: Subtotal Minimum permit ice (572,50) ( ) Phone: ( ) Fax: Pian review (25% of permit fee) CCB lie.: L; ( S ? 6 State surcharge (8% of permit fee) TOTAL PERMIT FEE RrTD Authorized signature: C - - �C ` ( This permit applttotl °n e xpires p e r m i t within 190 ( � "ti days after it nee been accepted as complete. Print name: 1 r \G b f e_ r S t 2-i, Dat 1 Vaq f t g " Fee meettodoluyy Sot by Tn- Counry Duildi,ig Indu;,try Service 8ugre .._ ._.__....__.__.._.__. CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC200S -00789 13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 11/29/2005 Phone: (503) 639 -4171 � aq� 1Rit Inspection Requests (24 Hrs.): (503) 639 -4175 W n:_.. . INSPECTION WORKSHEET FOR DATE: 12/21/2005 TIME: 7 :01AM PAGE: 76 7 4-y14 S r SITE ADDRESS: 09340 SW 74TH AVE CLASS OF WORK: SUBDIVISION: BOULEVARD HEIGHTS LOT #: 015 TYPE OF USE: PROJECT NAME: DENNY DESCRIPTION: Heat pump. OWNER: DENNY, TOM PHONE #: 503 - 246.1063 CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503. 6443607 Inspection Request Scheduled For: Date: 12/21/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final .02377401 x,03- 6245643 Y rtik Corrections /Comments/ Instructions: CASC1 in PASS r PARTIAL APPROVAL CANCEL ❑ NO ACCESS FAIL A i r , LL FOR INSPECTION ❑ADDITIONAL FEES ASSESSED r _......... f � ( . Inspector: 4 ` Date: Ph one #: (503) 718- 11/29/2005 09:38 FAX Z003/003 SITE PL.A! Zv • PT Pr 11 g I q 1 ^+ r 73 Yo Ste► STREET Specialty Heating & Cooling, Inc. o� S TES G 6HTel 2 - 2 130 Tigard, OR 97223 Phone 503.620.5643 Fax 503.598.0718 Hillsboro Phone 503.640-3607 Fax 503.68 1.0793