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Permit ' 'C ITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00369 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/17/2008 PARCEL: 1 S135DD -04000 SITE ADDRESS: 11770 SW 90TH AVE ZONING: R -12 SUBDIVISION: LOT: JURISDICTION: TIG PROJECT: CAGNONI Project Description: Replace gas furnace and add a /c. 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: 1 DOMES. INCIN: NAT 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: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES ADRIAN CAGNONI Description Date Amount 11770 SW 90TH AVE TIGARD, OR 97223 [MECH] Permit Fee 7/17/200E $72.50 [TAX] 12% State Surch 7/17/200E $8.70 Total $81.20 Phone: 971 - 207 -2028 Contractor: DEPENDABLE HEATING & COOLING INC 12704 SE POWELL BLVD PORTLAND, OR 97236 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 421 -8926 FAX 503- 771 -5823 Reg #: LIC 157120 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. i Issue By: - /, �/���(� Permittee Signature: _ _ / A L j 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. . Mechanical Permit Application FOR OFFICE USE, ONLY .x City of Tigard .E J ED y � Date/By: d / 7 Og �� Permit No.: Wg / 0 06-.66 Q 13125 SW Hall Blvd., Tigard, OR ; 7 ' vv v Jr Plan Review ' :: Phone: 503.639.4171 Fax: 503.598.1960 Permit: on Line: Ins ecti Li 503.639.4175 'I 8 Date/By: Re TIGARD p JUL � 1 I C DateReady/13y: HI See Page r Internet: www.tigard- or.gov Notified/Method: INI Supplemental I nformation CITY OF TIGARD TYPE 0 ; yl:y, \- .. DIVISIO COMMERCIAL FEE* SCHEDULE —. USE CHECKLIST : �� Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ■ mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION . Value: $ ■ RESIDENTIAL EQUIPMENT/ SYSTEMS FEES* [K, 1- and 2-family dwelling ■ Accessory building ■ builder ■ Other: For special information use checklist. 1=j Multi-famil Description I Qty. I Ea. I Total JOB SITE INFORMATION I LOCATION Heating/cooling Job site address: i ri -7 i Air conditioning or heat pump (requires site plan showing placement) 1 14.00 City /State /ZIP: ' g ,, ♦I res 6fr‘ G 7 2. 3 Furnace 100,000 BTU (ducts /vents) 14.00 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: 4, -j/;e.,e Ai 5 a 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 Q �t / </h+C 1/�lx- t-r.v� - , J 11 . A al - 7 Ill 10.00 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 ❑' PROPERTY OWNER I ❑ TENANT Chimney/liner/flue/vent t 11 Other: 1 Name: (.1,,,,,,„... I C3. /1N Environmental exhaust and ventilation Address: ` l `, 'Z Range hood/other kitchen t W CA B -N equipment 10.00 City /State /ZIP: "r i A, ��� en" 'e.)6) © h Clothes d er exhaust 10.00 !! Single -duct exhaust (bathrooms, Phone: ( to chi ' I -g - Fax: ( ) toilet compartments, utili rooms) . 6.80 ❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00 Business Other: ■ 111 usiness name: aLta_ • Contact name: ,, e /r n I t four; I I t additional Address: / a / ` Q � G.., G L P City /State /ZIP: Fie A. n 40 © ry 4 1 7 Z:3 (i9 Wall /sus'ended/unit heater __— Phone: (563 ) _ z ( v A `Z ./ Fax:: (565 . ' 7.?7 Water heater — Fireplace E -mail: Range ' Barbecue Clothes dryer (gas) Business name: , I Other: MECHANICAL PERMIT FEES* Subtotal Minimum permit fee ($72.50) � , Sp Plan review (25% of permit fee) surcharge (12% of permit fee) ; , TOTAL PERMIT FEE -.w7 Authorized signature: /t- This permit application expires if a permit is not obtains. within 180 p,(� a. CX .- � days after it has been accepted as complete. Print -name: (/ Date: * Fee methodology set by Tri- County Building Industry Service Board 1:\ Building \Permits\MEC- PermitApp.doc 01/19/07 440 -4617T (1 I /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 , I ---j 11 1 ,_ ,. 1 . ' ■ r ----i , I I , I 1 1 i 1 I Ti 1 _ -1.-- 1 rj i _ ! i ---1- ---f I 1 1 1 I '1 - 1 - 7 - ___ -;_i _ ___-: ___II NI [ i _t NE --1 _I r___T__ I T-1 r - i _, 1 I H T r 1 _____ r 1 '-- ! - r - _ , I_____, L , - _ _ , i_____ _ F--- , , II -- , 1 _____ --, , , _,, 1 1 , ...., Ti Tr -, , \ t ______ . - ____ _ r. Ti t 1 Ti ..__ _ i ! , _ , ______,..___, 1----i - - 1*. ..1 - - JIITIHIII I - --- 1 , I - 1 - 1 , \--...--- 1----- 1 f t ! - j I I -1 -----• ' i--- iN ' 0 1 . - - - --- - r - ----- 1 l' I r-= 1 Q - ---4,„, .... -,-1 I ! 7 ___ __ 7 r____Llo ---1 1 • ] 1 i--- -1 , 1 _ - -,-; _ i,,. -- 1 L • 7 1 1 II i i , . _ I - _ _,___ -- , H 1 1 -1 --- ; - 1 . 1 I 7_, i -- 1 ____, I ___, ____ ...._L___ 1 I N , i ,-- _ _ 7 1 1 1 ,_ , , ___I 7 1 . i , ----1 , 7 ,____, 7 - 1__ I , 1 I 1: I I 1 — i I . T 1 • I r _ -, 1 _, 1 r_ ____/ T CITY OF,_TIGARD BUILDING DIVISION PERMIT #: MEC2088-00389 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7117/2008 Phone: (503) 639 -4171 Ateh�th�llil Inspection Requests (24 Hrs.): (503) 639 -4175 _.. INSPECTION WORKSHEET FOR DATE: 0/1/2008 TIME: 7:00AM PAGE: a SITE ADDRESS: CLASS OF WORK: SUBDIVISION: 11770 SW 90TH AVE LOT #: TYPE OF USE: PROJECT NAME: CAGNONI ' DESCRIPTION: Replace gas furnace and add a/c. OWNER: CAGNONI, ADRIAN PHONE #: 971- 207 -2078 CONTRACTOR DEPENDABLE HEATING & COOLING INC PHONE #: 503.421 -8926 Inspection Request Scheduled For: Date: 8/1/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message , 699 Mechanical final 073607 -01 503.421 -0094 Y gIWI Corrections/Comments/Instructions: ( ?Z Z5 C M , IkK9- ,.._...< i IA J . CC • PASS ❑ PARTIAL APPROVAL ❑ CANCEL fI NO ACCESS I I FAIL ❑ CALL FOR INSPECTION n ADDITI NAL EES ASSESSED Inspector: Date. 'hone #: (503) 718