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Permit b` CITY OF TIGARD MECHANICAL PERMIT , DEVELOPMENT SERVICES PERMIT #: MEC2004 -00301 n- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/21/2004 PARCEL: 1S136CA-90011 SITE ADDRESS: 10900 SW 76TH PL 0 I. SUBDIVISION: TIGARD WOODS A CONDO COMM ZONING: R -25 BLOCK: LOT: 001 JURISDICTION: TIG 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: 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: Remarks: AC install. Owner: FEES MATTSON, ROBBIE Description Date Amount 10900 SW 76TH PL. #1 [MECH] Permit Fee 5/21/200 $72.50 TIGARD, OR 97223 [TAX] 8% State Surcharl 5/21/200 $5.80 Phone: 503 620 - 3005 Total $78.30 Contractor: THERMAL FLO 14865 SW 74TH AVE. #190 TIGARD, OR 97224 REQUIRED INSPECTIONS Phone: 503 Cooling Unt Insp Final Inspection Reg #: LIC 151847 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 -66 . Issued y: ' Permittee Signature: , (, .____Lakii,t____ Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day Mechanical Permit Application FOR OFFICE USE ONLY City Of Tigard REE'ie / / PermitNo.•J�/ i y�`' + Ab !/ 131W Hal G1vd, Tigard, OR 97223 Phone: 503.639.4171 Fax: 503.598.1960 i, /4 writ N � t Date /B Other Permit: Inspection Line: 503.639.4175 �� i ii I Date Ready/By: See Page 2 for Internet: www.ci.tigard.or.us • {1 Notified/Method: Supplemental information 0 x M i 1Y C FEE *SCH US EiST; e_... wL4� „_ &SR.'E.. 5.....<. vi �. � ' R x -. "_ i _1k � ie. ia, ., � ,. % .i, .,.. ] O n i,�gN; ., .. ., .. ice .u, ,, irtt x .. . ..aaara. -', , �..�ui mss ,, cr- ..a \�A`Ff E 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 ❑ Demolition RU YAE T!GARD mechanical materials, equipment labor, overhead, and profit. (?)G� FC O UCTIQN y Value $ a.,' r�.. „ _ . . i .. �i. ; . RESIID EQUIPMEN S YSTEMS FEES* - and 2- family dwel ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total JOB ' STril INFORMATION k l ND L 3 '� ` 4 0 m* ,. sx�. Ha _ . , , ,,r, N. -mod � ,� > Heating /cooling Job site address: Air conditioning or heat pump i u ..� ' ' (requires site plan showing placement) 14.00 t City/State /ZIP: /0 0 0 Si. 7(o v-h P1 1 Furnace 100,000 BTU (ducts /vents) 14.00 I 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: Duct work 14.00 Hydronic hot water system 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.: Flue/vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances a• DESCR01:0N 4F WORK „„ ' Water heater 10.00 Gas fireplace 10.00 I nski9./ / fif r (.4fwf [ PY1 r n 1 Svs �- Flue vent for water heater or gas I / fireplace 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace /insert 10.00 t Chimney /liner /flue/vent 10.00 R OPFRTY OWNER �, a1; T E N ANT .; ' fl:m.. - ��,.. ���,,,�,- �,,, - ..� �. ., . Other: 10.00 Name: F - o h17; e , nk_a rl Environmental exhaust and ventilation / Range hood/other kitchen Address: /0 9 (JQ 3,,,..) TJ fQ / d 1 / equipment 10.00 City/State /ZIP: 1 f Ar c / D � c 7!1� Clothes dryer exhaust 10.00 / OF Single -duct exhaust (bathrooms, Phone: ( ) () o 0 6 Fax ( ) toilet compartments, utility rooms) _ 6.80 :i;*i A r i . ` CONTAC- PERSON Attic /crawlspace fans 10.00 ; . , ,..*i ., ,,n... , m,. s... , . , , ,, , ,• ,, . t.., Other: 10.00 7 Business name: py/'rnW/ ( ^ .7 / /Kt, • Fuel piping Contact name: / 1..1 13 12; C.�J : 3 $5.40 for first four; $1.00 for each additional Address: NI ( (T �i 5- 5 w 7L � .1 eU / l i O GaFurnace, eat e �; pum p p City/State /ZIP: (I ! -,J , n 97,9 aej Wall/suspended/unit heater Phone: (503) 670 _ 8 3 4. 3 I Fax: : (5 t 8) 670 -9'06 y Water heater Fireplace E -mail: Range m ' ` 'GONTR�iCTORf r f- s N , " Barbecue ,,ter i;,. . � «sir,. rs. ,, :n., Business name: 'r - � / .. /� , let L, Clothes dryer (gas) /�) / r , V"�t / Other: Address: [ ( j , 5- 6..&,) '# s/(O D i •MECHANICAL PERM [T FEES ? tm City /State /ZIP: 9a/`j / ( q '7 2_ e 7 / Subtotal ( 4 r Minimum permit fee ($72.50) 7a, Q Phone: ( 3) 6 70 - O p ` 3 i cis Fax: ( 3) 670 - 7 Plan review (25% of permit fee) MO CCB lic.: / 7 p (} 7 State surcharge (8% of permit fee) / / r TOTAL PERMIT FEE 78 '3' gn v J This permit days after expires it hab if a een accepted is not obtained within 180 Authorized signature: days er has been as complete. Print name: ax N-r ® -'t CI_C f a c- Date: S .._/ (i ....0 * Fee methodology set by Tri-County Building Industry Service Board \ \P 1 :Building ennits \MEC- PemvtApp.doc 12/03 440-4617T (1 l/02 /COM/WEB) CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 9N ION DIVISION ' Business Line: (503) 639 -4171 MST BUP • Received (0 Date Requested 60/ Li AM PM BU • Location � � ( � PI suite ( .3-,s, ki - Contact Person Ai`AA‘Q Ph ( CD 7 - 3 PLM Contractor l V` (ZA-In Ph ( ) SWR BUILDING Tenant/Owner tiro (y . Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain • Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear Int Sheath /Shear � , �' fl ' 6 c „ p d7 , Framing Vim" �tx- Insulation Drywall Nailing • Firewall - -� L ` Fire Sprinkler J , Fire Alarm :3)/C) � / �� R oof Ceiling 7 �1 \ l L 1 y v -�� �5< J� Roof Other: Final -�� PASS PART FAIL ,t \•`s I . 116_ Vo 1, PLUMBING G ' Post & Beam Under Slab Rough -In Water Service O; Sanitary Sewer , Rain Drains Catch Basin / Manhole - �• Storm Drain Shower Pan Other: N, Final PASS PART FAIL LffelikINTOL L - liw Pos & Beam / R ii, i ' ough -In v Gas Line h ' f Smoke Dampers, in 40 PART FAIL RICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 0 Please call for reinspection RE: 0 Unable to inspect – no access Fire Supply Line ADA Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST // BUP / Received � Date Requested AM PM BUP Location �-DO -49- 1 21 Suite MEC Contact Person T)1 ) P_ 'Ph ,503 40F Ceo PLM Contractor "H/ 1A-kt S / fr-l� Ph (, 1 Cp�� SWR /� BUILDING Tenant/Owner \ iI C' 110 r —L ' 1 Footing V J D3 q '3 "3 © ELC vF--L' '7l 55 Foundation Access: Ftg Drain ELR ' Crawl Drain Slab Inspection Notes: pi SIT P. Post & Beam /� / Shear Anchors Ext Sheath/Shear , Int Sheath/Shear Framing Insulation ) (3\ Cj L\ ;� Vv /� Q • 6 \6. Drywall Nailing Firewall ) b 1 $ '0 1 Fire Sprinkler Fire Alarm ()V) \ ' Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING t] C .r i \ \ *1 Post & Beam Under Slab Rough -In Water Service j Sanitary Sewer D ( ti. ' ?L 61` (; \ 1 ( L A V Rain Drains Catch Basin / Manhole Storm Drain \� Q Shower Pan \\ 0/\ --\-\ ,0 Other: 1 Final PASS PART FAIL MECHANICAL \\41\(\))7 Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage iy i j Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 0 Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line l ^^''// ADA Approach/Sidewalk Date / ��c') Z Inspector �� Ent Other: Final DO NOT REMOVE this inspe n record from the Job site. PASS PART FAIL CONTRACTOR A/C -HEAT PUMP O/D UNIT SITE PLAN THERMAL FLO, INC. 14865 SW 74TH AVE #190 TIGARD, OR 97224 503 - 670 -8343 OFFICE T BACK PROPERTY LINE 503 -670 -9064 FAX C 7 h k Adipr?+ � TO SIDE PROPERTY LINE TO STREET 7 414 PL CUSTOMER INFORMATION NAME � b we M ADDRESS laq 60 s w 7 PL # /