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Permit CITY OF TIGARD MECHANICAL PERMIT 1111 COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00359 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/19/2007 /oaf 8 PARCEL: 1 S135AA -80000 SITE ADDRESS: 0 SW 90TH AVE ZONING: R -4.5 SUBDIVISION: ASHBROOK CONDOMINIUMS LOT: 001 JURISDICTION: TIG PROJECT: ASHBROOK CONDOMINIUMS Project Description: Install 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 KELLY WALKOSKI Description Date Amount 10480 SW 90TH AVE TIGARD, OR 97223 [MECH] Permit Fee 6/19/200i $72.50 [TAX] 8% State Surcha 6/19/200 i $5.80 Total $78.30 Phone: Contractor: BELL HEATING 15550 SE PIAZZA AVE CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 656 -1184 FAX 503- 656 -4650 Reg #: LIC 447 • 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: / �'�J/ 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 comple� of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application :FOR OFFI US ONLY ? Received City of Tigard Date/By: (5---1-- Permit No.: (� �G , bar . 3 J ;a - q 13125 SW Hall Blvd., Tigard, OR 9722E y Plan Review 1 ` W I N A Phone: 503.639.4171 Fax: 503.598.19 0 Date/By: Other Permit: T I G A R D Inspection Line: 503.639.4175 JUN 1 9 l U U/ Date Ready /By: RA:: ® See Page 2 for Internet: www.tigard - or.gov q Notified/Method• J Supplemental Information CITY OF TIGARD TYPE OF wdi ILDING DIVISION COMMERCIAL `FEE* SCHEDULE — USE CHECKLIST El 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: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ RESIDENTIAL EQUIPMENT,/ SYSTEMS,FEES* ❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total ibten JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: , (:)-\-\(\ .1; J Air conditioning heat pump i �- - (requires site plan showing placement) 14.00 1 60 City /State /ZIP: Furnace 100,000 BTU (ducts /vents) 14.00 Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: Project name: \ G� r -� y k CtflcsOS Gas heat pump 14.00 Cross street/directions to job site: JJ Duct work 10.00 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. 14.00 Subdivision: Lot no.: Flue /vent for any of above 6.80 Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 _ ` Gas fireplace 10.00 Lr\' ). \ \ p' (- U � --\- 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 PROPERTY OWNER ❑ TENANT Chimney /liner /flue /vent 10.00 Other: 10.00 Name: lA e_' 1 l u0 Q S�` Environmental exhaust and ventilation �� /� Range hood /other kitchen Address: l ows 5� oil ) +� Ve... equipment 10.00 City /State /ZIP: —1 i �� A )i C �� 2 Clothes dryer exhaust 10.00 M ) 6� Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80 ❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00 Other: 10.00 Business name: Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Address: Furnace, etc. Gas heat pump City /State /ZIP: Wall /suspended/unit heater Phone: ( ) Fax: : ( ) Water heater Fireplace E -mail: Range ' CONTRACTOR Barbecue Clothes dryer (gas) Business name: e_,‘,u yy r, °I Other: Address: F6-5 5E P i o , 6. A v • MECHANICAL PERMIT FEES* City /State /ZIP: C I S i 6K 9 "3©I S Subtotal � . ob Phone: � ac l / L.L S'6 , / Minimum permit fee ($72.50) 9-2_, S (C (p S �P� It $ 1 Fax: (J W ) 4(0 5 Q Plan review (25% of permit fee) CCB lic.: 44) 9- State surcharge (8% of permit fee) C5. Wn TOTAL PERMIT FEE 9-( 3 a Authorized signature This permit application expires if a permit is not obtained within 180 L� days after it has been accepted as complete. Print name: 411110 Date: 6iwcy * Fee methodology set by Tri- County Building Industry Service Board I:\Buitding\Penn its \ MEC- Permit App.doc 01/19/07 440 -4617 11 /02 /COM /WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: 'Total Valuation: - Permit Fee: $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\ Building \Permits\MEC - PermitApp.doc 01/19/07 2 RECEIVED JUN 1 /f301 CITY OF BUILDING DIVISION) / , ',f/ 0A) ,--e/c-- ZB 0-66-J CITY OF TIGARD Yi2Q -� BUILD - PERMIT BUILDING DIVISION #400 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 en, lm �� q Inspection Requests (24 Hrs.): (503) 639-4175 :_.. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / 0 I/ ge 414 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: ' PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 6 6 -- 0 7 Pour Time: Code # Inspection Description Confirm # Contact # Message Corrections /Comments /Instructions: • lirr ` • w ip ‘WP r■A1 PASS IAL APPROVAL n CANCEL n NO ACCESS n FAIL C ' L FOR INSPECTION n ADDITION ' . FEES ASSESSED Inspector: ' '1111111/11■ Date: d Phone #: (503) 718- _—'° CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2007- 00359 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/19/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/25/2007 TIME: 7:01AM PAGE: 18 10 SITE ADDRESS: 1tmeo SW 90TH AVE CLASS OF WORK: SUBDIVISION: ASHBROOK CONDOMINIUMS LOT #: 001 TYPE OF USE: PROJECT NAME: ASHBROOK CONDOMINIUMS DESCRIPTION: Install aic unit. OWNER: WALKOSKI, KELLY PHONE #: CONTRACTOR: BELL HEATING PHONE #: 503. 656`11134 Inspection Request Scheduled For: Date: 6/25/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 050868 -02 5Q3- 209-7386 Y Corrections /Comments /Instructions: C n PASS PARTIAL APPROVAL n CANCEL O ACCESS FAIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector` Date: Phone #: (503) 718 -