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Permit CITY TIGARD MECHANICAL PERMIT i � DEVELOPMENT SERVICES PERMIT #: MEC2005 - 00516 DATE ISSUED: 8/23/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 112C B =00501 SITE ADDRESS: 15233 SW 81ST AVE ZONING: R -7 SUBDIVISION: GOOD ACRES LOT: 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 RICHARD HOGGAN Description Date Amount 15233 SW 81ST AVE TIGARD, OR .97224 [MECH] Permit Fee 8/23/200` $72.50 [TAX] 8% State Surcha 8/23/200`• $5.80 Total $78.30 Phone: 503- 557 -2220 Contractor: TRI COUNTY TEMP CONTROL 13150 S. CLACKAMAS RIVER DR OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS Phone: 503 -557 -2220 Reg #: LIC 72623 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: 12,Z ^ ti Permittee Signature: � �� Call 503 - 639 -4175 by 7:00 a.m. for inspections that business d 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. • Aug, 05 05:42p Tri County Temp 5035570919 p.1 a Mechanic Pen nit AapiicatiMAED : : Yo T • City of 'Tigard �Il �� . Recerrc _ ! � .- - 13 i 25 SW Hall Blvd., Tigard, OR 972 e`i D: ' 7 D� Permit *10.` �U _ 5 _/� Phone: 503.62,9.41 71 Fax: 503.598.1960 c_) 200 I Plan Review Insoecdon Line: 503.6 9.4175 fa Re Other Permit: Internet. www.ci.tigard.or.us ° "�� �"� • All Date RezdvBy: • Notified/Method: r °15 /_ See Page 2 for T►G D i /lf Supplemental Information ,t •1 Oi t RIQgo1 : I . *,, . (d&ti\ ?'CAEriij ,E --: List oucKLIST ❑ 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 Other: ,. ....::..... , :m,,,:, . `.. n" t F ' 1 ` I O ti,,,- m ^C,IO*r mechanical materials , eo Va ue: lab overhead, and profit. - Is .. ..__ i , . labor, dad • K1- and 2- family dwelling ❑ Commerciajindustrial lz> srrrzlAl •EQUIPNIENL L'SYSTFIVIS. FEES* ❑ Accessory building 0 Mu1ti- family ED Master builder , ❑ Other: For special information use checklist. . Description _ - " 1OB S1 T O : : ea Qty. Ea. Total •... ,. TNFy RiATIOIY A LOCATION. P � � Heating cooling Job site address: Air conditioning or heat pump I r}t (requires site plan showir,_ placement) I I 14.00 I i Ci . tat e./.(.... . 118 412.2. F!i_aac 100,003 12:7 (ducts/vents) 14.00 SuiteJbldg. /apt. no.: `~ �3 I Project name: Furnace 100,000+ BTU (ducts /vents) 17.90 • Gas heat pump _ 14.00 Cross street/directions to job site: Duct work 14.00 Hydro:tic hot water system 14.;10 Residential boiler (radiator or hydronic) - 14.00 Unit heaters (fuel -type, not electric), _ __ __..___ i in -wall, in -duct, suspended, etc. 10.00 Subdivision: Lot no.: �� Flue/vent for any o above • 10.00 I Other: 10.00 Tax map /parcel no.: Other fuel appliances r, <,s ' DESCRIPTION OF WOYtK r= .,x - Water heater 10.00 k,. i �/lC 4/4 �}- l Gas fireplace 10.00 � 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 4 k ItUPERT` :, - = ' � %'w•` Chimney/liner/flue/vent '...."-'''''''''''''• Wl�xEII T t 10 00 l _ outer: I Name: Environmental exhaust and ventilation Address: Range hood/other kitchen equipment 10.00 City/State /ZIP: Clothes dryer exhaust • 10.00 • Phone: Fax: Single -duct exhaust (bathrooms, I I 7 J ) X1.9 a� � � ,- - ( ) toilet compartments, utility rooms) l ry 6.80 ,',: .Ai I`M , - ; ;: `i'i s Q, CONTACT; PERSON .,. ' . < '1 : , .: Ani c/cra wl space fans • 10.00 . Business name: . E r1 {ew 'ri y , �� Other: 10.00 i Y t t t{/ ` CC/ oy ` I ] 4 Fuel piping Contact name: 1 55.40 for first four; $1.00 for each additional Address: �,61 y) E3. etaikC(i�1C(.5 RI 4 � : Drl u I Furnace, etc. F Gas heat pump City/State/ZIP: � r '� 0 � f © �� C 70(-5 W1 v WalUsuspended/uni[heater Phone: ()3) 55 7•-, 7 7 ) . Fax:: (! — J "1 ) 55 1 q Water heater E-mail: ✓✓ 7 Fireplace Range 'N4 }L ' y'2 i e tr CON Rc�eTO12.1,+. tit a, w S . _ r �7s r i s t Barbecue Business name: Tri C l l co T? p C -ft Clothes dryer (gas) '`� ` / / �� �n�� Other: Address: t1/4 l' t , C 1 + m 6 IC F:J ( :: ; - �, .... ; :i44ECHa1NIC :�L�PERNfIT• City/State/ZIP: 0 0 ck, q7 Subtotal 1 Phone: ( �) 55 1% rt �' I Fax: (C-5C3 "� v� (- Minimum permit fee (572.50) . ,�.' 71 • -R.'- � Plan review (25% of permit fee) CCB lie.: 72 23 State surcharge (8% of permit fee' �,�/ '7 /' / L ��� J TOTAL PERMIT FE Authorized signature: ` ( This permit application expires if a permit is not obtained tv • days after it has been accepted as complete. Print name: bidr l t ?a,3 ()4l') . Date: • Fee methodology set by Tri - County Building Industry Service Board t :' Building \Pcnnits'.*.LEC- PernitApp.doe 12/03 _ I '.,02/C0 bt/WM , 6' t ' zo • ~» - c � „o-t1 ' -4'-' — -'---� " .. � ~~ .1 • G(x/7/C/W/ A�'>|6\ /'UUy--�LUU[S o I) m �/Y^ - � . <w � o ' -- -__^ Ui,c�f" " ^ m -4 .~~' R) �~~~- 'n '' � —_--__—.----__'__� H , � 1-.. � � � t / n / | � o c . z . � . (..0 / ~+�� -�-~ /<_J��- --~~^~- _, g m s `i. ~, ^^ / / t _ � • . un . o TO 8/11[ET `, CO � m m / l� / �� ....3 ^---'------------ - - � i uo ~^ . CUsTUo8< VNFU|(6lAT/0U p m . //Au� � . AL/1)11E33 , 41 PLEASE: |(8 APPLICATION YvU UQuyi.\K -_----' --__ __-_ � ^ R3 ' 1 CITY OFTIGARD BUILDING DIVISION - v PERMIT #: MEC2005 -00515 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/23/2005 Phone: (503) 639 -4171 14 ndN1, I Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/14/2005 TIME: 7:02AM PAGE: 108 SITE ADDRESS: 15233 SW 81ST AVE CLASS OF WORK: SUBDIVISION: GOOD ACRES LOT #: TYPE OF USE: PROJECT NAME: HOGGAN DESCRIPTION: Installation of NC unit. OWNER: HOGGAN, RICHARD PHONE #: 503 -557 -2220 CONTRACTOR: TRI COUNTY TEMP CONTROL PHONE #: 503- 557 -2220 Inspection Request Scheduled For: Date: 10/14/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 018324 -01 503. 557 -2220 Y Pt1 Corrections /Comments /Instructions: M ii 1.A- L-- 7_,,' g zc / 4-4._ C__J___ PA--"ic-_-- -s 4 . 7 ,-(. , 11-/ 1) At i fit I N( r 3c �' > 1.14 -X S.T A-'4 C imum t • 1 1 ra' PASS % PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ■ ►' L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector. _ -� Date: /0' / r �' hone #: (503) 718- . r