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Permit 4. CI TY OF TIGARD MECHANICAL PERMIT �I DEVELOPMENT SERVICES PERMIT #: MEC2005 - 00229 Ail 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/11/2005 PARCEL: 2S1 11 AC -04300 SITE ADDRESS: 14955 SW 92ND AVE ZONING: R -4.5 SUBDIVISION: LAUNALYNDA PARK LOT: 011 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: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES MARSHALL, JAMES H. SR. Description Date Amount 14955 SW 92ND AVE [MECH] Permit Fee 5/11/200f $72.50 TIGARD, OR 97224-5725 [TAX] 8% State Surchar€ 5/11/200f. $5.80 Phone: 503- 624 -6402 Total $78.30 Contractor: RAY SKINNER HEATING & A/C PO BOX 532 REQUIRED ITEMS AND REPORTS EAGLE CREEK, OR 97022 Phone: 503 - 550 - 4529 Reg #: LIC 104644 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: , Permittee Signature. /;( Call 503 - 639 -4175 by 7:00 a.m. for inspections t t 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 r. :-, E D ONO( r ' ,_ FOR'OFFICE -USE City of Tigard Received DateB - -6c- , Permit No. , 7 60 5- �� Y 13125 SW Hall Blvd., Tigard, OR 97223 �A 1 200 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 R /�dlt j 'I I tI DateBy: Other Permit Inspection Line: 503.639.4175 mi l. luris: Internet: www.ci.tigard.or.us CITY OF TOGA �� Notifedethod: Supplemental Information BDING DIVI � � r � t r Paz . za; ,�.. .._ ; , r = , z;r .,: ., . . � .� _�. gr•�,UILr.'" • s:.. - SI y. �,« a -,: . f: =�s -;:, wr.•: �. �, a�, s;n-: �� azh# "=* "'' c :�ag ! ^w:?'�Y, ..;•a�.�'= :�s .v:�: ` ° v ' `-.1,21,21: `.. ` ; �` :, .4- «TiPE xO - W ®R.4 %1 `0 : = 1M :1 : =.: �OMIIIEI2C FEE *^FS ` ":TJSE`- --. ' IS P'; a9. ° :.n" s:.,�e��..."�r �`�i5 s�....� ' �,`.z= .,��m %J�.w.� . .�.wi.'x�_s�`k�- .- gi8;<4 n�'ua�s^,�.'s•�.« .z�sc:*:�azrsa�^ c.. ,�s.•��. .. .. _ - -. _ Mechanical permit fees* are based on the value of the work El New construction 111 Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. h"�x {at:'�"_c. °.fir - � �'p 'a Ysa`s -n%?� re. ± s: r:en�.�::;.2"�;�4.:..:. t tr . . ; "c:'�,:'�'• $ _.1 4 a . , _. rya L CA T EGORY:,QF ,, �C OIYSTRTJGTIONa, s *". f„ ' rt .,• �r 'N: � .. - 4 n; sasc..» �z� :x ..,?s,..»... �ssw." -.. �r € �+R I. r ,•a - ;€ .Nai/7 ,:',,M4.0`,7,,,,,, F _ ' , , RESIAENTNIAL EQU MEKTf /,4STMS tEEES and 2- family dwelling El Commercial /industrial Ill Accessory building "y ` For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total VS: r n-a� .tea � ��"�� . � �'r � ° . ��. �'�:` I i JOB S ITE - i, O ' •AI D y )O "` „„ 1 Heating/cooling 9 q Air conditioning ho or heat pump Job site address: 9 ! �5t� ,'- �'� 4 (f � (requires site plan showing placement) / 14.00 City/State/ZIP: ---- Furnace 100,000 BTU (ducts /vents) 14.00 f r d % 2 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 ',,, `, :e., '`c'r, "„'„ "`m'.n '=_s €:a:a ,:�:•; ;<st : w,..5: ;; :, Y;.%,,,„, ,, ,., ,,,; Rt. , e � > r„ . �A' x JO,' ® WO12 � a z 1 ki.:�. . ,.. 3 * : Water heater 1 _-- Gas fireplace 10.00 l y 5 �� /1 / 4 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 �` ; N n [ PROPERTY §OWN. Ii x . 13 , 3 . k' .�TE ,. CO hmney /liner /flue /vent 10.00 - a..h::...tU. � �.,...�_ sus _ �... u.Ne.ea a :.r �z.., t. w- r -... .. , . a;Im. «,�,.-u. , a '" ..a t er' Name: ..TA tltA c � M re L 4 // 4 . , Environmental exhaust and ventilation R Address: / 4' S � � � � C l �j / 9 ( - `„L <( equipment hood /other kitchen pe ment 10.00 City/State /ZIP: `7� �1 Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: (6-03) Vo Fax: ( 3) 6 .. C(- 4 5/ 4. toilet compartments, utility rooms) 6.80 i gz, .` ' ` s . : " r a .. � A S,rir , I r iV /V0- ,<, ' . �,.,,i: ; t & , v 1 APP IsICA NT t tgte . � ti . �4 i ®C,ON6, T'��'ER�O. . � Attic /crawlspace fans 10.00 Business name: yy�� Other: 10.00 Ott ) /L..'F // 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: ( ) I Fax: : ( ) Water heater Fireplace E - mail: Range . , a te 'e. sr ea it 711:0 .: 7474 t a CONTRAC I O Ra ' • :,... 9 . 0� Barbecue �.ea - .., .. �G. - .. � .....tg z..r�'5�, : :_.... =_aW ��as.slt�' ._ - ..a. r.�',a:. .".sz,,., Business name: R0.y Sk Clothes dryer (gas) P / h n P Other Address: b , Q, p7 ,.c �� `-2 ' MEC m. ER MI T eF ES* ' ' 2 �( City/State/ZIP: - ,", ' Yee O ■ . - Subtotal • Minimum permit fee ($72.50) 7, - 0 Phone: (3 3) ,s J - ,..2_q ,..2_ Fax: (r0 3) z 3 ? - ,..5,--/ Sy review (25% of permit fee) CCB lic.: / © y y u State surcharge (8% of permit fee) 5---,343 (9 ( TOTAL PERMIT FEE '7,90 Authorized Signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Date: * Fee methodology set by Tri- County Building Industry Service Board i:\Building \Permits \MEC- PerntitApp.doc 12/03 440 -4617T (11 /02 (COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: "� ia ":'�'+s �• :11 atIO . k"�' 1ota1 4.1.1 $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 ..i . .- -olcP1. . . • • . C . _...9c--- c■ --X ._._-, ( 0 F ) / C/ - C ; ' g C,/ • SOMRIGV _ - • . , . - • . - - -e §) ii 2 .9J ri) ),( I- .3sdki r ADM , HOUNSMINIARNOLS112 . • • . . #_..-------------- . . i 123)113 a - • . 1 '‘.:... --- 1 • nt) • .. . -, . . ) . , , . - sei 14 , 4 7 . % 1 - >,\ • ' .4 10'7' 7). • _...... , _ • tsl . , \ . \ 1 I • -- 1 \\- . • I t 1 ) 1 . . • ,............4L...........E......;:... • a. , .4Q . • • • • . • 0.121111 NCO • . Itild 310 BM — and 1‘94 )47) - ,/- *• . ----",-) • • . . N .: - • s • . ,,... c , ...47. , , - . - . ..,5:— -o ,./. . .,,,,,, .,,. ,:‘,-. , 1..c. ,,..., , • CITY OF TIGARD BUILDING DIVISION J PERMIT #: MEC2006.0022C 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/i1/200 Phone: (503) 639 -4171 / 1 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 2.1812QQ6 TIME: 7:0 PAGE: 69 SITE ADDRESS: 14965 SW 92ND AVE CLASS OF WORK: SUBDIVISION: LAUNALYNDA PARK LOT #: 011 TYPE OF USE: PROJECT NAME: MARSHALL DESCRIPTION: Installation of NC unit. OWNER: MARSHALL, JAMES H. SR., PHONE #: E03- 624 -E4(Q CONTRACTOR: RAY SKINNER HEATING & NC PHONE #: 60; f',60-4529 Inspection Request Scheduled For: Date: 202006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 026370 -01 603-6246402 Y /I'M Corrections /Comments /Instructions: • rk PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL `/ LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 7 Date: Z g 'e' 6 Phone #: (503) 718 - 111V law.