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Permit i+ CITY F TIGARD MECHANICAL PERMIT ° `` COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00377 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/21/2007 PARCEL: 2S 114AB -11700 SITE ADDRESS: 16024 SW 93RD AVE ZONING: R -4.5 SUBDIVISION: KNEELAND ESTATES NO.2 LOT: 130 JURISDICTION: TIG PROJECT: LOEHMANN Project Description: Install a/c and gas furnace units. 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: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: GAS OUTLETS: > 10000 cfm: Owner: FEES MO & CHRIS LOEHMANN Description Date Amount 16024 SW 93RD AVE TIGARD, OR 97224 [MECH] Permit Fee 6/21/2007 $72.50 [TAX] 8% State Surcha 6/21/2007 $5.80 Total $78.30 Phone: 503- 624 -5664 Contractor: JACOBS HEATING + A/C 4474 SE MILWAUKIE AVE PORTLAND, OR 97202 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 234 -7331 FAX 503- 808 -9108 Reg #: LIC 1441 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. cap Issu- • =y: //i / ' / Permittee Signature: 4 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. 'C i , . Mcclidnical Permit Application FOR OFFICE USE ONLY City of Tigard pE ew & i � Permit No. 13125 SW Hall Blvd. Tigard, OR 9 P ' Phone: 503.639.4171 Fax: 503.598: 9. A1 q 1 2001 Date/By: Other Permit T I GARD Inspection Line: 503.639 ,�IV L Date Ready/By: Al 0 See Page 2 for Internet: www.tigard- or.gov 11602 Notified/Method: .6- Supplemental Information CIT 116024 ISIE* ... y.::. e I;..r < , Dikz ..,, °' ' ,. ...a ,, . ,3 3;t. ,, „ 1 I, ' FEE : ,,S DLiI E, ti :: E`GLE ; . ;, ,,, ,,.'�� , u �'�`, :w:, ^,s,•; :�. , . 3v : ,�. COMNIT �IAb: �., ,E - 'gf•, �' -. .; ) � n ". J, "..:3'a,� - � „ �`�'�.>^ -;`✓ - �'�.u. �l,. �.. - -..� ,�iw �..., . �w� E!, K�p z , .C.c�..:. _ ,u .... ... ....... .F.. -. n. _ .. � z -, r .. .,Q Y� � �.�' ^'h- v , ... .. ,..- •,.�.• z .. -,.K. ,.f, , � ' .�S `i^�'. I ., x .. c..- .., e ,» a mt .-'P'.v,SF ❑ 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. t;, � :., ;,, ,,�:> :!il;�, :yo- :. �-;.: � " "zik ' i I a,°; 'i : i1 eft Value: $ .... _ � ` TEG G!P�IS TRiICxil3N' .�,.,, �,,,; - _ �,y „ _ ►\ - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ENTIAa ' "'` 1YTENJ CI ` SYST 1vTS'FEES `-. , , , q .,, For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. Total : <:: ;�:'. N TION<`. SPCATIPNIK.; . ^a� %, >.;_St :;`,.",.�°:";';. coon " � � : ,30B SITE U� ,A1�p - :: ..,< ��i ";.nn.+<'� ^.�?7 �a.?"" ;:•�.,_ � ,.�n,,..�.. ., ,_:.xi.:�,,;, : > rv� �, s, �mv�,. .v:'e . �daA � _ � ,i' Heatin li � �, u�3„ Jo site address: I pQ�' `� 1 � r'�•-(2-. Air conditioning or heat pump � (requires site plan showing placement) 14.00 ' 7. City /State /ZIP: "T" t U © 0--- e l -f Furnace 100,000 BTU (ducts/vents) 1 14.00 1'4.00 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 I Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), I in -wall, in -duct, suspended, etc. 10.00 I Flue /vent for any of above 10.00 Subdivision: Lot no.: Other: 10.00 Tax map /parcel no.: I Other fuel appliances w3;,,< � _ :; ;` Water heater 10.00 f�s'v ;'�^,� �.,� f a y ,.� ��- �'��F. � <� � :� :: iii`:` > - ,.. =fN_ '�.. „. ^ti u- 5 ..rs. -'_ «,mn _f ...,,_,,, ^ „ „ om„ : t. . .- 9Cn _ I � Gas fireplace f for 10.00 �- (�C { � � Flue vent or water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 :; _ ;. `;: ;;,_; .,.�;. :cam,,:..'... 3 -'sj:: N; .sv: Chimney /liner /flue /vent 10.00 :m:°, :.s . p , E,i,. F ; , -. ' ., !> ,,ilti; . ,v., „ � :., ...c EY� °1P4w. - -,,.,. .. � �� „�'`� ., -'.t. ...... .. w... „m..,,.., �.. _ ..,... ... %...i."_ .r. 10.00 aL_ z�,.- �,; � ,,..,. �, ' >• o Name: r)--`c o1- C/ t i Y \ -l^ T\ in Environmental exhaust and ventilation - Range hood /other kitchen Address: equipment 10.00 City /State /ZIP: Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: (�..-( - 5t..0( 4 Fax: ( ) toilet compartments, utility rooms) 6.80 _; :::... ..... ......:.....Y �:•�.{: ': a > r ; . ttic crawls ace fans At. ";:� >',.. .�::' -:'�� `���; � .. - ,,,. �. ,_,,;, . ` f 'mss,. �'ke��Yao;$; •, p "� �.6:�z� �i;�1'I.ICAI*IT " � �,.,., r,��' � ©I`�QN'�'A� � >:�.,. Other: 10.00 Business name: Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Furnace, etc. Address: Gas heat pump City /State /ZIP: WalUsuspended/unit heater Fax: Water heater F Phone: ( ) ( ) Fireplace E -mail: Range ;� ` �_ "_' �' y ,w^�;��; q , v ... y.�� � Barbecue , e !^ Iv �:,� . t YO. -- 'i^x'< .0 ^,:'F4•.,. e3; -FN. Y �t:.A,.,a ^KSo-_ � -A _ .a, Clothes dryer (gas) Business name: • ' I ik Other: , � ) tea_ . - :.,^'...,. Address: ' . � 2E tv j L` v��- e . - :.,3;; ' .. 1VIEG' AI_::; P; IVII ES .,A:.: ,.,. ; ^w '. L City/State/ZIP: Cit 3 Subtotal _/ I " y I (') � -��� 6 c Minimum permit fee ($72.50) �vJl� Phone: 2 )) - 7`' 7 1-j Fax: OO - 9 0 Plan review (25% of permit fee) CCB lie.: I + 1 State surcharge (8% of permit fee) . - ISO S e TOTAL PERMIT FEE 71 `it _ 30 !yam This permit application expires if a permit is not ne Authorized signature: ( v days after it has been accepted as completeobtaid within 180 . Print name: <.</1 � �� � � ��� •�'� Date: I I C C:5 * Fee methodology set by Tri- County Building Industry Service Board 440- 4617T(11/02/COM/WEB) �� ( 1:\ Building \Perm its \[v1EC- PermitApp.doc 04/06/06 � 'li.. �. •. i v bi =AI M Hou6E ( ��/ .� / f ) l m ow s 'T"1ZEE - T`� ..TDB N4)7. ._■■••■•■••• AA Di2re-, I / a^^ MOOLL. /66 2 s-LJ ? 3 mvKE 2 VA-4 - 3 ?d C o, �fco135 NV, * Ale_ ry 21 EIOLGgrr Fog 7". D . '17zpz 503 - z3'/-7331 6=1x 5C3- 234- 6.052_ CITY OF TIGARD BUILDING DIVISION:. PERMIT #: MEC2007 -00377 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/21/2007 Phone: (503) 639 -4171 .A m p' Inspection Requests (24 Hrs.): (503) 639 -4175 I,,`�'I INSPECTION WORKSHEET FOR DATE: 7/17/2007 TIME: 7:03AM PAGE: 81 SITE ADDRESS: 16024 SW 93RD AVE CLASS OF WORK: SUBDIVISION: KNEELAND ESTATES NO.2 LOT #: 130 TYPE OF USE: PROJECT NAME: LOEHMANN DESCRIPTION: Install a/c midges furnace units. OWNER: LOEHMANN, MO & CHRIS PHONE #: 503 - 624 -5664 CONTRACTOR: JACOBS HEATING + A/C PHONE #: 503-2347331 Inspection Request Scheduled For: Date: 7/17/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 052071 -01 503- 234 -7331 N Corrections /Comments /Instructions: • $PASS I I PARTIAL APPROVAL ❑ CANCEL El NO ACCESS I I FAIL n C. LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED /0 Inspector: � Date. /7 Phone #: (503) 718-