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Permit CITY TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00517 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/20/2008 PARCEL: 2S1 12 BA - 02300 SITE ADDRESS: 14170 SW 80TH CT ZONING: R - SUBDIVISION: WAVERLY MEADOWS LOT: 030 JURISDICTION: TIG PROJECT: BETTIS Project Description: Furnace installation. 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: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Owner: FEES SUSAN BETTIS Description Date Amount 14170 SW 80TH CT TIGARD, OR 97223 [MECH] Permit Fee 10/20/20( $72.50 [TAX] 12% State Surch 10/20/20( $8.70 Total $81.20 Phone: Contractor: HEAT RELIEF CO 13122 NE DAVID CIR # 800 PORTLAND, OR 97230 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 261 -9915 FAX 503 -261 -9814 Reg #: LIC 122424 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• � � --;y Permittee Signature: C. ' .639.4175 by 7:00 a.m. for inspections that busin 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. ---Mechanical Permit Application ' FOR OFFICE USE ONLY City of Tigard Received e / 0 s Permit No.: p- 13125 SW Hall Blvd., Tigard, OR 972 © a C .) 1 2 • Phone: 503.639.4171 Fax: 5 9 Plan Review Other Permit: t� Date /By: TI GARD Inspection Line: 503.639.4175 KL 0 Date Ready /By: kris: 121 See Page 2 for Internet: www.tigard- or.gov i_ o �� p o b ..� Notified/Method: i6 Supplemental Information L " r ri TYPE QF W a 1 `' r : COMMERCIAL�FEE * gelIFJ III.E SSE CHECIQ.IST ❑ New construction ® Addition/altk l n *I racement Mechanical permit fees* are based on the value of the work Y performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition CI Other: mechanical materials, equipment, labor, overhead, and profit. „ ; CATEGQRY VOF ONISTRU I tQN ' - value $ ❑ I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building RESIDENTIAL EQCTIPMENTt SYSTEMS FEES *� ® Multi- family ❑ Master builder For special information use checklist. ❑ Other: Qty. I Ea. Total . JOB SITE INFORMA'CION A�TD L(DC'ATIO Heating/coolin i .. � -� +� -:� te r,,_... � � � � g Job site address: 114 ", 0 SW go" c..4... Air conditioning or heat pump (requires site plan showing placement) 14.00 . t City/State /ZIP: —TA (.� o'CL-- C1)-22A- -,e Furnace 100,000 BTU (ducts /vents) ( 14.00 i'f -DD Suite/bldg. /apt. no.: Project name.Q f� Furnace 100,000+ BTU (ducts/vents) - 17.90 l --� r Gas heat pump 14.00 Cross street/directions ' Duct work 14.UU . T Hydronic hot water system 14.00 , h k\ �J1.V ■ ` 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 • W OR K , y ' F" Water heater 10.00 Gas fireplace 10.00 Flue vent for water heater or gas \ 1 rS , f - \ (� sn fireplace 10.00 TL `� ✓ Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace/insert 10.00 rPROPER OWIRx IN - Chimney /liner /flue/vent 10.00 . ,-.m. tiktAM , . -„ <� � „ 4,....._. ,.,� , -,,s , i,x 711 .2, -C .- Other: 10.00 Name: LSU C Environmental exhaust and ventilation Address: Range hood/other kitchen SdI Nom- Gl/ C��� equipment 10.00 City/State/ZIP: - „ Clothes dryer exhaust 10.00 . Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80 11" " ° APL [C 'a A �"P `RSUAT �" Attic /crawlspace fans 10.00 Business name: HEAT RELIEF Other: 10.00 , Fuel piping Contact name: MARK DEFRANCISCO $5.40 for first four; $1.00 for each additional Address: 13122 NE DAVID CIR DR # 800 Fumace, etc. Gas heat pump City/State /ZIP: PORTLAND, OR 97230 Wall/suspended/unit heater Water heater Phone: (503) 261 -9915 Fax: : (503) 261 -9814 Fireplace E -mail: Range ',I i,P� - r SW`S CO , : CTOR` 770 Barbecue Clothes dryer (gas) Business name: HEAT RELIEF Other: Address: 13122 NE DAVID CIR DR # 800 SM,. , 1l9ECH CAL PER UTflEEe ' k City/State /ZIP: PORTLAND, OR. 97230 Subtotal Kt 00 Minimum permit fee ($72.50) '70, \ Phone: (503) 261 -9915 Fax: (503) 261 -9814 Plan review (25% of permit fee) .Qr CCB lic.: 122424 State surcharge (12% of permit fee) X7(' TOTAL PERMIT FEE 8- 1 20 )�a� This permit application expires if a permit is not obtained within 180 Authorized signature: i�� /y���,� - .c.-- y days after it has been accepted as complete. * Fee methodology set by Tri -County Building Industry Service Board Print name: MARK DEFRANCISCO Date: I:\ Building\Pemuts \MEC- PemutApp.doc 04/06/06 440 -4617T (11 /02 /COM/WEB) 1 CITY OF TIGARD BUILDING DIVISION PERMIT #: 21108 OO5 ] 7 ' 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/)/20/2008 Phone: (503) 639 -4171 i A l^!� l . r Inspection Requests (24 Hrs.): (503) 639 -4175 '''f — INSPECTION WORKSHEET FOR DATE: . 10/31/7008 TIME: 7:00Am PAGE: 45 SITE ADDRESS: 14170 SW 8OT1H CT CLASS OF WORK: SUBDIVISION: WAVERLY MEADOWS LOT #: 030 TYPE OF USE: PROJECT NAME: BETTIS DESCRIPTION: Furnace installation. OWNER: 63EI I'IS, SUSAN PHONE #: CONTRACTOR: HEAT RELIEF CO PHONE #: 503 261 - 991' Inspection Request Scheduled. For: Date: 10/31/2008 Pour Time: Code # Inspection Description Confirm # Contact # Mes:. ge t0 a 699 Mechanical final 077422-01 541-731-9696 Y l 2 Corrections /Comments /Instructions: n ' 'el- V\AA..-...;•---*--t ( ---,W7-arl 1 ....___ C l___- /, .: 1 ri _ / , . - i . i F .f , $ II! PASS (l PARTIAL APPROVAL n CANCEL ❑ NO ACCESS I ' 41 FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 1,6/3 /VPhone #: (503) 718- CITY OF TIGARD ._ , BUILDING DIVISION PERMIT #: Mf"C20 13.00617 13125 SW Hall Blvd., Tigard, OR 97223 . DATE ISSUED: /0/2012000 Phone: (503) 639-4171 7,4 --- N w i i l l Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/29/2008 TIME: 7 ; 00AM PAGE: 37 SITE ADDRESS: 14170 SW 80TH CT CLASS OF WORK: SUBDIVISION: WAVERLY MEADOWS LOT #: 030 TYPE OF USE: PROJECT NAME: BETH S DESCRIPTION: Furnace installation OWNER: BFfl'P SUSAN PHONE #: CONTRACTOR: HEAT RELIEF Co PHONE #: 503 -281 -9915 Inspection Request Scheduled For: Date: 10/29/2008 Pour Time: Code # Inspection Description Confirm # Contact #. Message 699 lvieclianical final 077230-01 541- 731 -9698 N Corrections /Comments /Instructions: e A j ,,5 1 Ry.Ct.et c .{.).E -e) n PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS „--FA-IL L FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: %3..S Date: 29c 10 6 Phone #: (503) 718- .24/23