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Permit ! p CITY OF TIGARD MECHANICAL PERMIT fiolf COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00276 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/3/2008 PARCEL: 25111 BC -01900 SITE ADDRESS: 14535 SW 100TH AVE ZONING: R -3.5 SUBDIVISION: TIGARDVILLE HEIGHTS LOT: 020 JURISDICTION: TIG PROJECT: HANSEN Project Description: Replacing existing gurnace and heat pump. 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 DOUGLAS & CHERI HANSEN Description Date Amount 14535 SW 100TH AVE TIGARD, OR 97224 [MECH] Permit Fee 6/3/2008 $72.50 [TAX] 12% State Surch 6/3/2008 $8.70 Total $81.20 Phone: 5503- 620 -4828 Contractor: MILWAUKIE HEATING & COOLING PO BOX 220216 MILWAUKIE, OR 97222 REQUIRED ITEMS AND REPORTS Contact #: PRI 503 = 557=5562 - -- — FAX 503 -557 -0790 Reg #: LIC 104102 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 B / Permittee Signature: ' /6 I CI Call 50 . 75 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. . t �C aIIICs21 Permit A lie 110II o " :, : .:Irvi`oN. 'rr , -, -$1.1;!] t r r � 4a,r, fAtx , n t a E ;1:1 i A t M if Rvi, � , s "FOR OFICE I,SC OIVL�t? 4 e��`�itP(et a �W �, t a s l Y � a ; � IE 1[,t ;� 1 ,t; � City of Tigard ti� Received n DateBy. t0 ©� ti' o m i t No 13125 SW Hall Blvd., Tigard, OR 91223 k \ Q Q ,, ,„,...0 r ,' r ,, Phone: 503.639.4171 Fax: 503.598.1960 �� \` r,�P Inspection Line: 503.639.417 G �`� ' ' Other Permit: TI P () �l� Cj.- t .." 7 Internet: www.tigard- or.gov 1 Date Ready /By: Eli See Page 2 for TYPE OF WORK � \� Notified/Method- ' ;MI SupplementalInformatian COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees* are based on the value of the work El New construction ® Addition /alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all D Demolition Q Other: mechanical materials, equipment, labor, overhead, and profit. $ CATEGORY OF CONSTRUCTION Value: ® 1.- and 2- family dwelling ❑ Commerciallindustrial ❑ Accessory building RESIDENTIAL EQUIPMENT /SYSTEMS FEES* ❑ Multi-family ❑ Master builder 0 Other: For special informarionrasechecklist. Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address; . i V£' 1l 35 S �} , j 6.0 Air conditioning or heat pump (requires site plan showing placement) C 1 - _ City /State/ZIP: { 1 itt GC._ C� — 1 1 •Z- � Furnace 100,000 BTU(duets;vents) / 14,00 Suite161dgJapt. no.: I Project name / Furnace 100,000+ BTU (ducts/vents) ...fr 1 7.90 r — "� Gas heat pump 14.00 Cross street/directions to job site: Duct work 10 ' .00 Hydronic hot water system I4.00 Residential boiler (radiator or hydronic) 14.00 _ Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc, 14.00 Flue/vent for any of above _ 6_8p Subdivision: I Lot no.: Tax map /parcel no.: Other: 10.00 Other fuel appliances DESCRIPTION OF WORK Water healer 10.00 Gas .�. C.-'CS - — IA l Flue vent place 10.00 C tl� R+ 4 L Flue vent for water heater or gas fireplace 10.00 Log lighter (gts) 10.00 Wood/pellet stove 10.00 ,� f/ Wood fireplace/insert 10.00 L4ROPERTY OWNER I ❑ TENANT Chimney/liner/flue/vent 10.00 Other: Name: a t r 10.00 U L ` frx Environmental exhaust and ventilation Address: j f t �" e ? G �1+ • Range hood/other kitchen f `C - equipment 10.00 ' City /State/ZCP: 1 7 ; f. /2 . Clothes dryer exhaust Phone: (5 / _ Q Fax: ( ) — Single -duct exhaust (bathrooms, — — — — 1 0.00– — - — 4� toilet compartments, utility rooms) 6.80 ® APPLICA - ® C ON - FACT PERSON Atticlerawlspace fans 10.00 Business name: Milwaukee Heating & Cooling Inc Other: 10.00 Fuel piping Contact name: Terry Klink $5.40 for first four; S1.00 for each additional Address: P.O. Box 220216 Furnace, etc. City/State/ZIP: Milwaukee OR, 97222 Gas heat pump Wall /suspended/unit heater Phone: (503) 557 -5562 I Fax: : (503) 557 -0790 Water heater E -mail: milwaukieheatingOmsn.com Fireplace Range CONTRACTOR Barbecue Business name: Milwaukie Heating & Cooling Inc. Clothes dryer (gas) Address: F.O. Box 220216 Other: MECHANICAL PERMIT FEES* City /StatefZIP: Mitwuakie OR, 97222 Subtotal Phone: (503) 557 -5562 I Fax: (503) 557 -0790 Minimum permit fee ($72.50) CCe tic. 104102 Plan review (25% of permit fee) State surcharge (12% of permit fee) � ) - 4,444 TOTAL PERMIT FEE 44 Authorized signature This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. i n. .i... renno • Frr mFihwinlnev crt by Tri- {'rant , Rnildinn rnrinctry Cenire Rna:d j -t- fy � Iw ( / G 3 L d e6ti L L 90 90 unf A/C - Heat Pump -- Unit Site Playa N Contractor 1pfo: a_ Name: ;ter 1�,�`-1 ^� Phone: 503 cll. .�__ r. —Back Property Line S Customer Info: c-Q Name; Dove j-- {am >zti 4. Addr: T3 ¢ 30 Phone: I _ n a a C a ro co I I Front Property Line- Street I t [ 5 s S . U, to AVE q7 - z- co 7 CITY OF TIGARD Y p. BUILDING DIVISION PERMIT #: MEC2008 -00276 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/3/2008 Phone: (503) 639 -4171 a N 'efmypi�fll)' l I I I Requests (24 Hrs.): (503) 639 -4175 „' INSPECTION WORKSHEET FOR DATE: 6/17/2008 TIME: 7 :00AM PAGE: 40 SITE ADDRESS: 14r - ;35 SW 100TH AVE CLASS OF WORK: SUBDIVISION: TIGARDVILLE HEIGHTS LOT #: 020 TYPE OF USE: PROJECT NAME: HANSEN DESCRIPTION: Replacing existing gurnace and heat pump. OWNER: HANSEN, DOUGLAS & CHERI PHONE #: 5503- 620.4828 CONTRACTOR: MILWAUKIE HEATING & COOLING PHONE #: 503 - 557-5562 Inspection Request Scheduled For: Date: 6/17/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 071451 -01 503-620-4828 Y Corrections /Comments /Instructions: - '66C472/C4t Gu I ,.J s.2 kbrhse, -- 5 13�i; '-s '; 4 Ciive..,0, 4 o -- J4A / 4i • PASS ❑ PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS FAIL I I CALL FOR INSPECTION I] ADDITIONAL FEES ASSESSED Inspector: Date: 6 / 7-- Phone #: (503) 718 ------"