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Permit CITY TIGARD MECHANICAL PERMIT VII '' j DEVELOPMENT SERVICES PERMIT #: MEC2005 -00143 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 4/1/2005 PARCEL: 2S 110DA -07201 SITE ADDRESS: 15088 SW 107TH TERR ZONING: R -3.5 SUBDIVISION: ERICKSON HEIGHTS LOT: 033 JURISDICTION: TIG Project Description: Installation of A/C. 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 BARTOLETTA, FRANK Description Date Amount 15088 SW 107TH TER TIGARD, OR 97224 [MECH] Permit Fee 4/1/2005 $72.50 [TAX] 8% State Surcha 4/1/2005 $5.80 Total $78.30 Phone: 503- 712 -3227 Contractor: SPECIALTY HEATING & COOLING 1601 SE RIVER RD HILLSBORO, OR 97123 REQUIRED ITEMS AND REPORTS Phone: 503- 640 -3607 Reg #: LIC 66578 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 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. 12/19/2000 12:58 FAX 21001/003 . - -- P U ED Mechanical Perini A>�p n FOR OFFICE USE ONLY City of Tigard Received '� -/ v ' PermitNe. ' 'I e V 13125 SW Hall Blvd., Tigard, OR 9722/1 R 31 2005 Plan Review Phone: 503439.4171 Fax: 503.596.196 '.- 1,';;.., I : Date/By: Other Pamir: Inspection Line: 503.639.4175 • Internet: www.ci.rigard.or.us CITY OF TIGA • r i � - NotiBeed Ready/By: KM S See Page 2 rot Supple[neaeai [t :Ilion :4:::,..:::......i i A4ie* ,. M " V, „,+ .^`: _ �r- -4';tyCp .,; r „';T, . ,;' .'0 'il'- : i "","ly gCa7JCVii""E' L CKLIST' . ❑ New constriction ❑ 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: 1 � 7 .7y dl III mechanical materials. equipment, labor, overhead. and profit, ...: '•• r 7 ,Y d±C7 .1.:- C(1L'•t'C' 4�' f , 'i;0� � + . ' O`\? .r'S_'O. ?` �'� , ?i� �'�l Value:S Qr l - and 2-family dwelling 12 Commercial/indusrrial ❑ Accessory building �' : 1 me,,,.... QTJ k1Vl N'C SYSTEMS,1F1ElES' ❑ For special information IdSe CheckUrr, 0 Multi - family 0 Master builder Other: ,�,�� � _ Description i Qty. Ea- I Total . 'tiJw �i,Tn`il{iGM1`�i� . • :l $1 4. ,., • .. ,7 5* )✓OGa1bsY p i n1,Ir:' : k'!1 0"J"',. Haatln coolie t lob site address: 1 J Air conditioning or heat pump -� • ,c / 0 � - (requires site plan showing pieeetnent) t I , 14,00 City/ State/ZIP: rt,:lje,,,___ek CI 7 - 'I Furnace 100,000 BTU (ducts/venni) 14.00 Suite/bldgJapt. no.: I Project name: Furnace 100,000+ BTU1duce/vau s) 17.90 Gas hear pump 14.00 Cross Streer/directions to job site: Duct work 14.00 ' t-lydronic 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: I Lot rw,: Flue/vent for any of above 10,00 Other: 10.00 Tax map /parcel no.: Other fuel appliances .;” , , , t , t " ,� Lac; a •r ,- x,,�,�+}L i r, - -. ti q,,,, 4 1,'I,N" 3,5 k,Q i , 1.-r� p fi' r : 't' -..a. r?•bt m U1Vi , ■a �i.X,© a' :i j� ' i 7 ' o ° Water heater 10,00 ; i n�,+cr•r��ir ..i1•J r� 4 ��d �L ,w:r!''•�� �`.'Ir�n^'�i r�l� , I, Gas fireplace 10,00 Flue vent for water heater or as y � fireplace 10.00 r"rC� Lod lIRhte as) 10.00 Wood/pellet stove 10,00 ? ,, �� r 4 Milk. Wood fireplace/insert 10.00 ' ;:i N 2 t 1 )611i l"„ y ,gak 1 ®. " y " � 1 q,;,:'ili;'I? Chi mney/ liner /flue/vent 10,00 10.00 Name: w 9. •� .`14i?i. ,:Sl`1 eth q p L , ` h/ eZ t A J Environmental exhaust and ventllatIon Address: Range hood/other Idtchen equipment _ 10,00 City/State/ZIP: Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: ( ) L 2.— ? Z 2 .3- Fax: ( ) toilet compartments, utility rooms) 6.30 ,4.;: r,,: «� ' " , iP ; u Sl I� , - r'' ' 4 , �1 t,4 Attic /crnwlspace fans 10,00 _ :^r P ~,. '+' ,ftS..� "'+ r... . .Id�r e e . �a' /�;er. , , r1 f`. � ,,'. ® �� •• ? ' iii 5� ;'�3, -,••∎ 1., / Other: 10,00 Business name: s40 -i' C L C Z i 14 t' C z.. � E'T 1 ' Fuel piping Contact name: I Y 1 6 ,J I 5 J .i 1 ; ' , r .r 12.4 1 55.40 for first four; 51.00 for each additional Address: A' �- `" > t S e. -l. \ Furnace. etc. 1 Gas heat pump City / State/ZIP: Hi' I I S .b rv., -0, L"'�2 1 7-.i Z•3 Wall /suspended /unit heater - Phone: (SD ) (, L ( (1 - 7 1 ,„ 6 3... I • Fax: : ( St'?) t I- J ^ a - `l 3' Water heater Fireplace E-mail: Range - �1 .4 + moo,�,�^ �, i �, l�lA r,r; r� a ' � r1 1 1 7. 4 1P:.1.'., 1, :. " *, -"-+-'`+1. ". r te '� '6r4yk,'"+. x_ Barbecue Business name: Clothes dryer (gas) Other: Address: :h: k"F�'� d T ) a . G City/State/ZIP: Subtotal Phone: ( ) Fax: ( ) Minimum permit fee (S72.50) Z -fD Plan review (25% of permit fee) CCB lie.: l ,S } State surcharge (3% of permit foe) TOTAL PERMIT FEE, 3 Authorized signature: CA •• 0 t ;}- •0f4-•—" This permit apptlestton etplrm If a parmle to two obtained w thIn 150 day, After It ha, been item:and all eemplet0. Print name: 11 CL.hC -es_ • - (,'_L Date: 1 q , • Fce methodology set by Tn•County Building Industry Service Board i:I suildin ,tlPeteNnAKEC- PerreitArasidoc 17/03 440 -46ITt It /011COM/WEB) 12/19/2000 12:38 FAX a 003 /003 Level 1 PROPERTY LINES 37.0" EXISTING CONDENSATE DRAIN rpm c � NC WAS PR. IRED HERE ® NEEDS TO 11 - -0' - • A�1 Ms ETONORTi - SIDE. r igf F R00011 GARAGE ELECTRICAL ' - PANEL 1 Job #: RON PENN Scale: 1 : 131 Performed by RON PENN for Page 2 1601 SE RIVER RD, RightSults Residential FRANK RTOLBTTA HILLSBORO, OR 97123 e RSR40814 15088 SW 107th TERR Phone: 503-640 -3607 Fax: 503 -681 -0793 2005 08:02:37 , OR 97224 C:\My Documenta\WriphtsOft HVA.,. Phone: hone: 503-712-3227