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Permit i " I f CITY OF TIGARD il MECHANICIT COMMUNITY DEVELOPMENT PERMIT #: AL MEC200 -00145 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/15/2007 PARCEL: 2 S 104AA -90142 SITE ADDRESS: 12658 SW KAREN S 0 ZONING: R -12 SUBDIVISION: BELLWOOD TERRA CONDOMINIUMS LOT: 014 JURISDICTION: TIG PROJECT: BELLWOOD TERRACE CONDOS Project Description: 1 ea. dryer vent and exhaust fan. CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: MF UNIT HEATERS: VENT FANS: 1 OCCUPANCY GRP: R1 VENTS W/O APPL: VENT SYSTEMS: 0 STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: ELE 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: AIR HANDLING UNITS CLO DRYERS: 1 FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES OREGON, STATE OF DEPT OF VETS Description Date Amount do ZAKOCS, EDWARD + MOZINSKI, PO BOX 336 [MECH] Permit Fee 3/15/2007 $72.50 YAMHILL, OR 97148 [TAX] 8% State Surcha 3/15/2007 $5.80 Phone: Total $78.30 Contractor: RELIABLE HOMES IMPROVEMENT PO BOX 230815 PORTLAND, OR 97281 REQUIRED ITEMS AND REPORTS Contact #: FAX no Reg #: LIC 48634 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. / / / 1 Issued By: ,� �� / Permittee Signature: �� / r �� I A ili i ._ , Call 503.639.4175 by 7:00 a.m. for inspections that '•usiness da . 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. Mecha _ \\I nical Permit Applicatiotc, Date/By: 13125 SW Hall ga Blv Tird d., Tigard, OR Date/By: I Sla ? .66 Permit M •.: Phone: 503.639.4111 --Fax:' C)3.5W 1D.60 \&" Aity r:th• Other Permit: 4 es ..l 1G A RD: Inspection Line: 503A9. .! ..., Ox t..\\\p, Date Ready/By Juris la See Page 2 for Internet: www.ttgard-or.gov ., .. .:: cA ■ • \A G, \ I Notified/Method: il ---- Supplemental Information V • • TYRgOt * lik.t .,' COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees* are based on the value of the work 0 New construction D Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all 0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION • Value: $ ' RESIDENTIAL EQUIPMENT / SYSTEMS FEES* 0 1- and 2-family dwelling El Commercial/industrial 0 Accessory building For special information use checklist. El 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling • Job site address: /7 6 ,,, 6 ,, ) K j .. /...4 .. 49 Air conditioning or heat pump (requires site plan showing placement) 14.00 „ ,, City/State/ZIP: d-.,..i,,, Project name: • ,-,„_ /4 3 Furnace 100,000 BTU (ducts/vents) 14.00 2 i ,1 ; p . :I' Furnace 100,000+ BTU (ducts/vents) Gas heat pump 17.90 Suite/bldg./apt. no IV 14.00 Cross street/directions to jdt":ite: Duct work 14.00 . . Hydronic hot water system 14.00 27.--( f X/9 Residential boiler (radiator or hydronic) 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: I Lot no.: Other: 10.00 Tax map/parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 Gas fireplace , 10.00 2 , - :4c1:----.:A= 20 = Pleye 4, Flue vent for water heater or gas fireplace 10.00 / :L.,,. c;,:e...L ,o€:;;,at il Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace/insert 10.00 - El-PROPERTY OWNER 1 0 TENANT Chimney/liner/flue/vent 10.00 10.00 Name: £:::r) 7.4 4 _. Environmental exhaust and ventilation Range hood/other kitchen Address: p - r) : A 6 ›C i ,Cr equipment 10.00 City/State/ZIP: i./4.. ,,_. j: 'f, / / (:..... i if.-- Clothes dryer exhaust I 10.00 i ' 4 ' Single-duct exhaust (bathrooms, Phone: () ( - 36 /6 Fax: ( ) toilet compartments, utility rooms) / 6.80 0 APPLICANT 0 CONTACT PERSON Attic/crawlspace fans 10.00 ' Other: Business name: 4.2 ..e 12.9, ... ...4, - „,/,X . ek , Fuel piping 10.00 Contact name: ( I47 -r e $5.40 for first four; $1.00 for each additional Furnace, etc. Address: e.,), '3 Gas heat pump City/State/ZIP: 90 V , '1 i . c . i i ' L c ? d/ _; 1 Wall/suspendeunit heater Phone: 6(.3 ) ,,, d / .- .,) Fax: : ( ) Water heater Fireplace E-mail: Range CONTRACTOR Barbecue , „? , ii Clothes dryer (gas) Business name: ./ 7 iilf).- ./7 ` -41 :44`;' ) ' '''' ''''`-''' -- ' " Other: _ Address: p,e5, -93o S3 MECHANICAL PERMIT FEES* City/State/ZIP: ft-fia li. - .k 1.- t----- I ; e... ' 7 7 ;4/ Subtotal Minimum permit fee ($72.50) Phone: (, 3 ) vs.;../ _ ..,D y ( ., Fax: ( ) Plan review (25% of permit fee) CCB lie.: i i? 0 /207 12 State surcharge (8% of permit fee) /7 i -? TOTAL PERMIT FEE 7`b , 30 This permit application expires ifs permit is not obtained within 180 ,,t ,,. Authorized sign '.:" /4 - days after it has been accepted as complete. \- --"RKit nanie 1 * ,t,...--- Date: • Fee methodology set by Tri-County Building Industry Service Board l'Uluilding \ PermitAC-Permit App. 6 440-4617T (11/02/COM/WEB) CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2007 -00 145 13125 SW Hall Blvd., Tigard, OR 97223 ! DATE ISSUED: 3/15/2007 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 �.' '' �L A l f fr © � d0 7-0e/ Xs INSPECTION WORKSHEET FOR DATE: 3//912007 TIME: 7:00AM PAGE: 35 SITE ADDRESS: 126513 SW KAREN ST 14 CLASS OF WORK: SUBDIVISION: BELLWOOD TERRACE CONDOMINIUM LOT #: 014 TYPE OF USE: - PROJECT NAME: BELLWOOD TERRACE CONDOS DESCRIPTION: 1 ea. dryer vent and exhaust fan. OWNER: OREGON, STATE OF DEPT OF VETS, PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3/19/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 04501401 503.461 -0240 N Corrections /Comments /Instructions: • ";d PASS % PARTIAL APPROVAL ❑ CANCEL U NO ACCESS I I FAIL • ' A FOR INSPECTION ❑ ADDITION A FEE ASSESSED Inspector: Date: 3 Al 6 Phone #: (503) 718- Z‘