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Permit CIT OF TIGARD MECHANICAL PERMIT rat, DEVELOPMENT SERVICES PERMIT #: MEC2005 - 00072 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/23/2005 PARCEL: 1S135DC-07700 SITE ADDRESS: 11695 SW 90TH AVE SUBDIVISION: TIGARDVILLE PARK ZONING: R - 4.5 BLOCK: LOT: 007 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: 0 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: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Replace furnace. Owner: FEES MASON, HELEN A Description Date Amount 11695 SW 90TH AVE [MECH] Permit Fee 2/23/200E. $72.50 TIGARD, OR 97223 [TAX] 8% State Surchaq 2/23/200E $5.80 Phone: 503- 639 -5820 Total $78.30 Contractor: TRI COUNTY TEMP CONTROL 13150 S. CLACKAMAS RIVER DR REQUIRED ITEMS AND REPORTS OREGON CITY, OR 97045 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. Issued By: Permittee Signature: T_.4..< T Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day Feb 21 05 11:05a TriCount Temp Cntrol 5035570919 p.1 Mecha Permit Applicatiqtlii ; ' j FOR OFFICE USE ONLY i City o f Tigard __ C R ecei ved 'di- 9 Permit No. �C,�D65 a6 J 22 13125 SW Hall Blvd., Tigard, OR 97 DatetBy ) \ � n � j u v Plan Review Phone: 503.639.4171 Fax: 503.598.1960 O w 6. '' '. Date.B Other Permit: Inspection Line: 503.639.4175 [ . . I Note Ready/By: e �2 Z� Internet: www.ci.tigard.or.us A �- � - - - � Notified/Method: o d: ? u=e Cr Supplemental See Pent upplemental l for Information Notified/Method: . i 17 ".: "._...........,.:: r ::•r::.. , ,.W_ .,, '.::.•,: : .;.?;��.' :.:,.... ; '; ,:•' ; .. CQ6 F EE*' . = SCHEDTII:.E'= .TJSECFIECKT.,LST Mechanical permit fees are based on the value of the work ❑ New construction Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition Other: mechanical materials, equipment, labor, overhead, and profit. :.: _. , .. -: -: CATEGQRY"OF}: CONSTRUCTION' ION' �. •;:.:::: :' ,. :': :. Value: • :-,_:RE_ SIDENTIAti ;EQUIPMENT/SYSTEMSFEES` f X1 and 2 family dwelling '[] Commercial/industrial ❑ Accessory building Multi - famil Master builder For special information use check list. ❑ y ❑ ❑ Other: Description I Qty. Ea. I Total ; a:: ;=. irj;"° .JOB I:OC_ ATIOLY- ::w i l ' i;: ; ii i " ":- ; :•` ; . :.':. IleatinR/cooling Job site address: 1 1016 6W O i Air conditioning or heat pump (requires site plan showing placement) 14.00 t City/State /ZIP: - V� '722. Furnace 100,000 BTU (duets/vents) J 1 14.00 I i4 v Suite/bldg. /apt. no.: Project name: • Furnace 100,000 - BTU (ducts/vents) ) ! Gas heat pump 14.00 Cross steer/directions to job site: Duct work 14.00 _ Hydronic hot water system 14.00 • Residential boiler (radiator or • hydronic) I 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 • Flue/vent for any of above 10.00 ' Subdivision: Lot no.: Other: 10.00 . Tax map /parcel no.: Other fuel appliances , ..': °` � D . _ , -: , �, Gas fireplace 1 10.00 Water heater ESCRD'TIOYOR. WOYtK•: ?;. �: _ :�.:' , Rp1C1 e f,, , w „ „ l J l - ( ' ` ` �- P l(�> Flue vent for water heater or gas 1 fireplace 10.00 Log lighter (gas) 10.00 I Wood /pellet stove 10.00 . Wood fireplace/insert 10.00 I Chirnneyi }finer /flue /vent 10.00 4 _ 'PROPERTIz" O WP1E, - : r . ::TENANT'" . :;......, . ...... •.,:,.... _ ..:, . Other: 10.00 rn Name: an Environmental exhaust and ventilation Address: � .l Range hood/other kitchen equipment 10.00 City/State /ZIP: Clothes dryer exhaust 10.00 Phone: VA ^t Fax: Single -duct exhaust (bathrooms, 60 ( ) I toilet compartments, utility rooms) 6.80 _ ""` , I :I :' 1 craw sp ce fans _ • . -. .. ., . PPZIG \"T r "� � =�;.g❑ -� CO N ' LA G T:':PERSQN•:: - , :, , ,:t Business name: in Cati t I V Tc Co� J Other. 10.00 1 � Fuel piping Contact name: $5.40 for first tour; 51.00 for each additional Address: 0 l 0 S. CI CL(k ([3 Ri ki ,� W. K.I Furnace, etc. l n Gas heat pump 1 City/State /ZIP: OTT Ci � c l Q (( 7045 Wall/suspended /unit heater Phone: () 557-- - , 17 () Fax :: (52) 557--0 t q Water heater Fireplace I E -mail: Range "" Barbecue Business name: Tr( CcL Terry Corrtt ,'( = Clothes dryer (gas) ��- Tri.lmas (� �j� Other: Address: ?).()0 G. tom)4�-+ J)f `"; MEC City/State/ZIP: 0 re , o4.1 U ` t7�-/ 1--J Subtotal ��ry " Phone: (S) 55t---222n Fax: (a) 6S •- l q • Minimum permit Fee ($72.50) Plan review (25% of permit fee) CCB lie. et'' • 7 State surcharge (8% of permit fe' � � D TOTAL PERMIT FE Authorized signature: ,,:&a.,, ao ` . This permit application expires if a permit is not ebt within 180 days after it has been accepted as complete. Print name: 7 /1J'2.Q /VIQ5t)�'l Date: q . Fee methodology sec by Tri- County Building Industry Service Board i: \ Building /Permit \,MEC- PerrnilApp.doc 12/03 440 - (11 /02/COM/WEB) CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Lime: (503) 639 -4171 MST BUP Received Date Requested .3 /3 AM PM BUP Location /i(p ,: q0 - Ave, Suite _ ...006 DO 07a. Contact Person Ph ( ) 5 a.aao PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain ELR / Crawl Drain 0, Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear • Framing Insulation Drywall Nailing Firewall . Fire Sprinkler Fire Alarm Susp'd Ceiling Roof r 6 -4 Other: / Final PASS PART FAIL PLUMBING ' ` Post & Beam . Under Slab - Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain , Shower Pan Other: Final ASS PART FAIL MECHANICAL eam Rough -In Gas Line Stpoke- Dampers Fi F P ART FAIL /��e /14,444-/ liciii4 s lqS Service Rough -In , .1 . , ... . 1 1A-A _ . / . , /t/ UG /Slab . Low Voltage Fire Alarm Final 0 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: r 0 Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Dat Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL • • • 41W Inspections Required for: MEC2005-00072 ✓ Code Inspection Description PASS Date By ✓ Code Inspection Description PASS Date By BUP - Building Permit ELC - Electrical Permit 405 Excavation 105 Underground /slab cover 410 Fill 110 Temporary electrical service 415 Grading 115 Electrical service /reconnect 205 Footing 120 _ Electrical rough -in 805 MFG - Structure grading /footing 125 Wall cover 210 Foundation walls 130 Ceiling cover 215 Footing drain 135 Low voltage 220 Slab 140 Sign installation 310 Crawl drain 145 A/C or heating unit circuit 225 Post/beam structural 150 Hot tub /spa/pool 230 Underfloor insulation 195 Misc. inspection: 235 Shear walls /anchors 199 Electrical final 240 Exterior sheathing 245 Firewall 250 Roof nailing ELR - Restricted Energy Permit 255 Wtr proofing basement walls 135 Low voltage 260 Tilt -up panel 195 Misc. inspection: 265 Masonry 199 Electrical final 270 Reinforcing steel (rebar) 275 Framing 810 MFG Structure set-up MEC - Mechanical Permit 280 Insulation 605 Post/beam mechanical 285 Drywall nailing 610 Gas line • 287 Suspended ceiling X 615 Mechanical rough -in 295 Misc. inspection: 620 Hydronic piping 899 MFG Structure final 625 Duct work 498 Grading final 630 Fire damper 299 Final inspection 635 Smoke detector shutdown 640 Exhaust hood 695 Misc. inspection: X 699 Mechanical final BUP - Fire Protection System Permit 905 Sprinkler underfloor /slab PLM - Plumbing Permit • 910 Sprinkler rough in 305 Plumbing underslab 915 Fire alarm rough -in 310 Crawl drain 920 Suppression trip test 315 Post/beam plumbing _ 995 Misc. inspection: 320 Plumbing rough -in 998 Alarm final 325 RP/backflow preventer 999 Sprinkler final 330 Water service 335 Rain drain 340 Storm drain SIT - Site Work Permit 505 Sanitary sewer 405 Excavation 345 Culvert/catch basin 410 Fill 350 Septic tank 415 Grading _ 395 Misc. inspection: 205 Footing 399 Plumbing final 210 Foundation walls — 215 Footing drain 420 Sprinkler supply lines SWR - Sewer Permit 495 Misc. inspection: 505 Sanitary sewer 498 Grading final 595 Misc. inspection: 499 Final inspection 599 Final inspection I :\Building \IVR \InspCard- AOP.doc 02/02/2005 c CITY " M AI' MECHANICAL PERMIT ��I DEVELOPMENT SERVICES PERMIT #: MEC2005 -00072 " '�°" 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/23/2005 SITE ADDRESS: 11695 SW 90TH AVE PARCEL: 1 S135DC 07700 SUBDIVISION: TIGARDVILLE PARK ZONING: R -4.5 BLOCK: LOT: 007 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: 0 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: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Replace furnace. Owner: FEES MASON, HELEN A Description Date Amount 11695 SW 90TH AVE - , OR 97223 [MECH] Permit Fee 2/23/200E. $72.50 [TAX] 8% State Surchar€ 2/23/200E $5.30 Phone: 503- 639 -5820 Total $78.30 J Contractor: TRI COUNTY TEMP CONTROL 13150 S. CLACKAMAS RIVER DR -- OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS Phone: 503- 557 -2220 , 0 Reg #: LIC 72623 0 0 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. Issued By: .� ; , Permitee Signature: Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day