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Permit Aktl, CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2005 -00268 DATE ISSUED: 5/24/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1 S134DA -05500 SITE ADDRESS: 11348 SW 105TH PL ZONING: R -4.5 • SUBDIVISION: NODAK LOT: 003 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: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES PITTELKO, RICHARD Description Date Amount 11348 SW 105TH PL TIGARD, OR 97223 [MECH] Permit Fee 5/24/200E $72.50 [TAX] 8% State Surcha 5/24/200E $5.80 Total $78.30 Phone: 503- 620 -3864 Contractor: PREMIER HEATING + AIR COND PO BOX 86295 PORTLAND, OR 97286 REQUIRED ITEMS AND REPORTS Phone: 503- 233 -6566 Reg #: LIC 96473 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: h,„6 Zr Permittee Signature: ...31( 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. MAY -24 -2885 00:12 FROM:P 5032394998 TO: 5835981960 P.2 Vo UYI {.VVV ii. 14.0 V ila. U VVUOV lOUV 4.111 V1' 11 VL11W .�vvi. vvv Mechanical PennitApnlication mR OFFICE USE oi`1 City of Tigard C V l D GBy �- y - fa permmt No.: 14L6c b (s. 13125 SW Ball Blvd., Tigard, OR 97223 per Review phone: 503.639.4171 Fax: 503.5 8.7 60 I t Oduz Prs�t Inspection Line: 503.639A175 71Pil 2 � �� IL a i� See e Internet www.ci. . or.us ' y D fir• Ili nor �d tlodHsdlMethad: �� Sttppleatentat InroretaGaa CITY OF TIGAFD BUfl -t ►a 1* • 1 COMMERCIAL FEE* SCHEDULE - USE CHECKLIST [0 New construction MA ddition/alteration/rspluecincnt Mechanical pennitfees* arc based ou the value of the wade performed. Indicate the value (mtmded to the nearest dollar) of all ❑ Demolition 0 Other mechanical materials, equipment. labor. overhead, and profit CATEGORY OF CONSTRUCTION _ Value :8 0 1- and 2- family dwelling 0 Conmmercial/mdust ial RESIDENTIAL EQY3n'Ml �' ! SYSTEMS FEES* For special information use checklist ❑ Multi-family 0 Master builder 0 Other: Description Qty. Ba. Total JOE SITE INFORMATION AND LOCATION Heating/cooling Job rate address: I ..l 3 Pau__ (r it conditioning or heat pump s sits plan showing vlaearoeAt) 1, I 14.00 _ 1 1.- . City/State/ZIP: '- f go r (J `mi 72 Fwnact 100,000 BTU (di/advents) 14.00 '� Futuace100.000+ BTU (dacts/vatits) 17,90 Suite/bldg./apt no.: Ymjectmate: than heat pump 14.00 Cross shretldirectioms to job site: Duet wortr 14.00 ' Eytltanie hot water system 14.00 Residential boiler (radiator or hydronic) , 14.00 - Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, eta 10.00 Subdivision: I Lot no„ Flue/vent any of above 10.00 Other: 10.00 Tax mttp/parcel no.: Other feel appliances - ' . DFSCSIFTION OF WORK 'Water healer 10.00 n / Gas fireplace 10.00 ( ! ale Vent for water heater or gas 101t0 Log Iigbfcr(gas) 10.00 Wood/pellet stove 10.00 Wood fueplacetirnsert 10.00 KPROPERTY OWNER I • El TENANT Chimney/IineriftutJvent _ 10.00 y � Outer 10.00 Name: I -k ) Environmental exhanat and ventilation Address: J 3 1 (A J i � � Y { ' y I 0 / S '11-\ T (a e� Range hood/other kitchen equipment 10.00 CatyfStatrJZIP: T j }i Y 'b OR q 7 Z2 � ,, Chorine dryer exhaust 10.00 /" " ' i Q ��tU {{ 4 Single-duet e:banst (bathrooms, Phm�: ( 9Y) ) Vl? 0 " 3l/ Fax: ( ---- toilet compartments, utility rooms) . 6.80 ❑ APPLICANT ❑ CONTACT PERSON AttidcrawlsEaec fans 10.00 • Business name: Other 10.00 Fuel piping Contact name: $5.40 for firot four 3 .00 for each additional Address: Furnace etc. Gas hest-pump City/State/all- Wenieuepentledhtnit heater _ Phone: ( ) I Fax : ( ) Water heaber Fitapl E- Runge , CONTRACTOR Batbecne _ Business name: Qontss dryer (gas) Pt'Pxn key dlXs, �- A r .. , ( . Other. Addresa: Pb ' L)o . Q 7 C //�� MECHANXCA.. PERMIT FEES* /� City/State/72 .p o r (-C(\ ! 0 R V l 7Z Q - Sltbtotai 114 . • q ' 2 q 1 nQ Minimum permit fee (F77.50) 2 Phone: ( 5 v " 2�?� 6(4p I Pax (51)3) :l"f -'-i Q"17 J Plan review (25%ef permit fee) - ccB lie.: ci( 2 Stela sceehatee (8% awe* fee) , Pi 1 U e/L-- TOTAL PERMIT FEE d 'Main t , Authorized signature: signature: This parade application aspires if a permit is dot ebrsiaed IN days afar it has heed accepted as mapiete. Print name: ■ i1 I l r Date: -- - 0 - • gy Fee meth set by'T.i- Co.mry Bum tnduat y Sccvics Board MAY -24 -2005 00:12 FROM:P 5032394998 TO:5035981960 P.3 dO P.O. Box 86295 Portland, Oregon 97286 CCB# 96473 /HEAT /NG AND AM CONDITIONING, INC.' Ph.: (503) 233 -6566 Fax: (503) 239 -4998 • 50 . L R H 34€ $ jj lorS Plaa- CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2006 -00268 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/24/2005 Phone: (503) 639 -4171 �At l � Inspection Requests (24 Hrs.): (503) 639 -4175 _� INSPECTION WORKSHEET FOR DATE: 6/10/2005 TIME: 7:14AM PAGE: 96 Nornf SITE ADDRESS: 11348 SW 105TH PL CLASS OF WORK: SUBDIVISION: NODAK LOT #: 003 TYPE OF USE: PROJECT NAME: PITTELKO DESCRIPTION: installation of NC unit. OWNER: PITTELKO, RICHARD, PHONE #: 503.620 -3864 CONTRACTOR: PREMIER HEATING + AIR COND PHONE #: 503 -233 -6566 Inspection Request Scheduled For: Date: 6/10/2006 Pour Time: Code # Inspection Description . Confirm # ontact # Message 699 Mechanical final 008897 -01 503-233-6566 7 Y Corrections /Comments /Instructions: A 16 rim w -tlbc /4'✓" tif" �� 'ASS ❑ 'ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL C FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 0 ° 0 V Phone #: 503 P � ) 718 - Inspections Required for: MEC2005 -00268 • ✓ Code Inspection Description PASS Date By ✓ Code Inspection Description PASS Date By BUP - Building Permit ELC - Electrical Permit 405 Excavation 105 Underground/slab cover 410 Fill 110 Temporary electrical service 415 Grading 115 Electrical service /reconnect 205 Footing 120 Electrical rough -in 805 MFG - Structure • ading /footing 125 Wall cover 210 Foundation walls 130 Ceiling cover 215 Footing drain 135 Low voltage 220 Slab 140 Sign installation 310 Crawl drain 145 A/C or heating unit circuit 225 Post/beam structural 150 Hot tub /spa/pool 230 Underfloor insulation 195 Misc. inspection: 235 Shear walls /anchors 199 Electrical final 240 Exterior sheathing 245 Firewall 250 Roof nailing ELR - Restricted Energy Permit 255 Wtr proofing basement walls 135 Low voltage 260 Tilt -up panel 195 Misc. inspection: 265 Masonry 199 Electrical final 270 Reinforcing steel (rebar) 275 Framing 810 MFG- Structure set -up MEC - Mechanical Permit 280 Insulation 605 Post/beam mechanical 285 Drywall nailing 610 Gas line 287 Suspended ceiling X 615 Mechanical rough -in 295 Misc. inspection: 620 Hydronic piping 899 MFG-Structure final 625 Duct work 498 Grading final 630 Fire damper 299 Final inspection 635 Smoke detector shutdown 640 Exhaust hood 695 Misc. inspection: X 699 Mechanical final BUP - Fire Protection System Permit 905 Sprinkler underfloor /slab PLM - Plumbing Permit 910 Sprinkler rough -in 305 Plumbing underslab 915 Fire alarm rough -in 310 Crawl drain 920 Suppression trip test 315 Post/beam plumbing 995 Misc. inspection: 320 Plumbing rough -in 998 Alarm final 325 RP/backflow preventer 999 Sprinkler final 330 Water service 335 Rain drain 340 Storm drain SIT - Site Work Permit 505 Sanitary sewer 405 Excavation 345 Culvert/catch basin 410 Fill 350 Septic tank 415 Grading 395 Misc. inspection: 205 Footing 399 Plumbing final 210 Foundation walls 215 Footing drain 420 Sprinkler supply lines SWR - Sewer Permit 495 Misc. inspection: 505 Sanitary sewer 498 Grading final 595 Misc. inspection: 499 Final inspection 599 Final inspection I: \L3uilding \IVR \InspCard- AOP.doc 02/02/2005 Rinew CITY ;y. 1 1 ?• , MECHANICAL PERMIT • 4 y � DEVELOPMENT SERVICES PERMIT #: MEC2005 -00263 afh• DATE ISSUED: 5/24/2005 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 PARCEL: 1 S134DA -05500 SITE ADDRESS: 11348 SW 105TH PL ZONING: R -4.5 SUBDIVISION: NODAK LOT: 003 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: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES PITTELKO, RICHARD Description Date Amount 11348 SW 105TH PL —� TIGARD, OR 97223 [MECH] Permit Fee 5/24/200E $72.50 [TAX] 8% State Surcha 51241200E $5.80 Phone: 503- 620 -3864 Total $78.30 Contractor: PREMIER HEATING + AIR COND PO BOX 86295 PORTLAND, OR 97286 REQUIRED ITEMS AND REPORTS Phone: 503- 233 -6566 Reg #: LIC 96473 I" 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 NO 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: .� G 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.