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Permit i► Ja CITY TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2004 -00597 ' ' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/8/2004 PARCEL: 2S111 AC -00400 SITE ADDRESS: 14600 SW 91ST AVE SUBDIVISION: PINEBROOK TERRACE ZONING: R -4.5 BLOCK: LOT: 045 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: DOMES. INCIN: GAS 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: 1 AIR HANDLING UNITS FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Installation of new gas furnace. Owner: • FEES VINTAGE CUSTOM HOMES Description Date Amount 609 SE ANKENY ST [MECH] Permit Fee 9/8/2004 $72.50 PORTLAND, OR 97214 [TAX] 8% State Surchar€ 9/8/2004 $5.80 Phone: 503 235 - 7231 Total $78.30 Contractor: SUNSHINE HEATING AIR CONDITIONING 48 SW 175TH AVE BEAVERTON, OR 97006 REQUIRED INSPECTIONS Phone: 503 Heating Unt Insp Final Inspection Reg #: LIC 155047 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 . Permittee Signature: Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day Mechanikal 1 � FOR OFFICE USE ONLY J � y / I ' �] City of Tigard �.V Date/B y: Received .� , 7 G.Yv/' Permit UV { �(/ (/ (� ' ' / 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax 503.5Q 60 ry 4 rdl -, ,�� Date/By: Other Permit: Inspection Line: 503.639.4175 a U ! 2004 : ' I II p Date ReadyBy: Iw is. El See Page 2 for Internet: www.ci.tigard.or.us \ l � Y OF 71GARD • Notified/Method: \ v Supplemental Information � ''� ; � ; ; CJ t "- ®.., "� 4 , V a Q „) . ,QATI ^EEE S:CFwp,t LE =" = C'HECICLIST I. ❑New construction Z 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 w= ^ ,.., sl " ;;� a> �,„- �-= ,tt�;yw. - . d >w, "- ;.;•FMaE�3:e s °a tf zr - "T Value: $ .+ > CA TE GORY4 4 F GQNS �' t tr ; :> c; �. � ^.�:.>-s,...,�. � . -�:._ s... �s.._:,:s x�= .- .»�c.�s:.�,°nsszz�.a -z:: °� _� „ °�: �.2�;»��:. -4.... °�.isF P ' � ti. .r . - -. 1- and 2-family dwelling ,l 4 11 ESIT ENT IAT;EQ U 7PMENT /SYSTEMS FEES* y g ❑ Commercial/industrial ❑ A ccessory building ” " " ` For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total ,� g ' t . ' m r `t geld ' I P , 1 1 t;� OR1VItATION AN A Is OCATION; '� ,_. � `'r' x ., a " "m -. , ��.:.„ ,, „, „, ; a Heating/cooling Job site address: /1/46.0 Air conditioning or heat pump �` -' (requires site plan showing placement) 14.00 City/State/ZIP: -7-, r 6 4 n d og 97 z 9 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: Duct work 14.00 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. 10.00 Subdivision: Lot no.: Flue /vent for any of above 10.00 Other: 10.00 , Tax map /parcel no.: Other fuel appliances l e f, \ .k DESCRIP i oiveFxi ”" , ``'` �v ",, Water heater 10.00 We r 6 Gas fireplace 10.00 I!V vent Flue vent for gas water heater or as fireplace 10.00 Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 r . ;,. .,, �,,a , „,,, �; :„ .. r t ,, ”, ;. .. d ,. -, .; „, v,.: >, :�: .. — . . ,,, Chimney /liner /flue /vent 10.00 a� , u tk _- 1 20 P k R „ T : 3 O t y , , ,I i a t- V °ts: _ a`. rx u , „ » y� � c, #� r „ — = �r. +a te , . , ,. �i 'z, .. - -: . P S'.:,'?r. 3 s3�se�s. .� ams �, _..., ..rb- � (Ab 10.00 Name: - Y�, ,,,�, ��..e - (kw ,� e t� J � Environmental exhaust and ventilation Address: ) Range hood /other kitchen ' equipment 10.00 City/State /ZIP: Clothes dryer exhaust 10.00 Single - duct exhaust (bathrooms, Phone: () Fax: ( ) toilet compartments, utility rooms) 6.80 .t'. - %;_ . ,n,"+°A ,;: �, ..vri:.:. � , N - . r�z�..r -°" .' :.r:-: a ,?.::.:,.e..'e;.q .�. st , r, : . 'K �>. g AP PI iake o ' : r �` CONT A CT .PERSO No 4 ” , Attic /crawlspace fans 10.00 a °;5 .uO 41-t I16, .. N.»3, ... t . "�' i � 1,,N . ) I w .i� wr.. n.. m�..- ...:*. .a ..N ,, ,,, +. .".. t. .,<.. -. '[, 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 Q0 15' tea �.. . ".rsa ... a ' 6 x a%o x7 I' MR) w " . ' ,, . " . .; . to .. , , gt Barbecue ;���;?. � d . �,.. ,. ��.. ?� € ;: ..�a:. >.' `� CONT R A LTO- ��'a' �.�,"� t ; .�� . �. �,t, .._..r Business name: fG 5kwe e ` er /� Clothes dryer (gas) r� J/ ` �[.� Other: Address: � O S' i /J - dt N;r . ,. , -.., «<, t .,_,..-. >.-:E- , �:�::., ._ : "' , • Mr" , , ���MEGHA ;P� *_ City/State /ZIP: /344 j� , ©R 9 ?©p6• Subtotal p4 Fax: (� O Minimum permit fee ($72.5 Phone: ( 7 o0 0 7 �� ! Plan review (25% of permit fee) CCB lie.: /■ J� 7/1 State surcharge (8% of permit fee) TOTAL PERMIT FEE , '] % 3 6 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: d ie ” /P Alf _, Date: p i o ' Fee methodology set by Tri- County Building Industry Service Board i:\Building \Permits \MEC- PemutApp.doc 12/03 440 -4617T (I I /02 /COM/WEB) Mechanical Permit Application - City of Tigard ri" -; - y y� - ; ' Page 2 - Supplemental Information Commercial Fee Schedule: Totata altar on ::. :, Pernut $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 12/03 2 CITY OF TIGARD 24 -Hour BUILDING Inspection L' : (503) 639 -4175 INSPECTION DIVISION Business e: (503) 639 -4171 MST / BUP Received / ! Date Requested d 5 AM PM BUP Location r 6 00 Suite tgliv6 2L/2 7 Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner E C_� Footing Foundation Access: rjni( e6 JC" - ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: 2kL i L2 ; SIT Post & Beam Shear Anchors Ext Sheath /Shear Int Sheath/Shear "/ /�Afi. l 7/f 0 /. 4 •�_ Framing -�. ;.- — v Insulation an 0 ; -40. " • Drywall Nailing Firewall Fire Sprinkler Fire Alarm /0 0 ? f _Z„ Susp'd Ceiling Roof • • Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab • Rough -In Water Service Sanitary Sewer Rain Drains. C„i F Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL - Post & Beam Gas Line S y' Da , pers vYI PAS PART FAIL LECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE El Please call for reinspect w RE: Q Unable to inspect — no access Fire Supply Line 0 r , ADA / C� Approach/Sidewalk Date Inspector _ Est Other: Final DO NOT REMOVE this inspection record f the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 - 4175 INSPECTION DIVISION Business Line: (503) 639 - 4171 MST / BUP Received Date Requested l b / � AM BUP Location // 5 Suite EC � — / UU 7 Contact Person l/ Ph ( ) 7? kV /6 ���'i XO y " c7®9UO Contractor Ph ( ) SWR BUILDING Tenant/Owner LC r� U c� 0 S _ 7 U c Footing ELC Foundation Access: t / /; & / /� ° S C Ftg Drain (J G'� (//..5 �C 30 ( 7 4 S ELR Crawl Drain 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 Other: Final PASS PART FAIL P MB G Pos Beam Under Slab Rough -In '. Water Service +� Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan O S PART CfrE Post & eam Rough -In Gas Line ampers SS PART FAIL TR Service Rough -In UG /Slab Low Voltage Ale Fire Alarm n Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL SITE EI Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date r c 2 // ` K Inspector p ' Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL