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Permit CITY TIGARD MECHANICAL PERMIT i A DEVELOPMENT SERVICES PERMIT #: MEC2004 -00603 Ail 13125 S Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/9/2004 PARCEL: 2S115AD -00600 SITE ADDRESS: 16740 SW 108TH AVE SUBDIVISION: WILLOWBROOK FARM ZONING: R -4.5 BLOCK: LOT: 030 JURISDICTION: TIG 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: > 10000 cfm: GAS OUTLETS: Remarks: Change out from oil to gas furnace, add A/C & gas line to furnace. Owner: FEES MAY, MARTA Description Date Amount 16740 SW 108TH AVE [MECH] Permit Fee 9/9/2004 $72.50 TIGARD, OR 97224 [TAX] 8% State Surchart 9/9/2004 $5.80 Phone: 503 380 - 1693 Total $78.30 Contractor: SUNSET FUEL CO PO BOX 42289 2944 SE POWELL BLVD REQUIRED INSPECTIONS PORTLAND, OR 97242 Gas Line Insp Phone: 503 234 - 0611 Heating Unt Insp Reg #: LIC 2374 Cooling Unt Insp Final Inspection 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. Issued By: Permittee Signature: (*)) Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day 09/08/2004 10:01 0000000 ABAB:AAAAAA AA PAGE 02/03 Mechanical Permit Application . City of Tigard l (, I.1, 1 1 1 1 1 I ., ,, I 13125 SW Hall Blvd, Tigard OR 972 Date/By: (n "..0 .L i 1'ettnitNo.: 1 G •• '_ 4 Phone: 503.639.4171 Fax $03.398. l EC E I V A Plan Review -� Inspection Line: 503.639.4175 ° , may: O ilie r Pe tt i t: Internet: www.ci.tfgard onus ...„ _- Date Ready/lay: la See Page 2 far SEP 0 2004 N fi`d/"'s Snpplemoatat tafannaden 0 New construction !► i ANKOINGI ONAlahint Mechanical permit fees' arc based on the value of the work Other: performed. Indicate the value (rounded to the nearest dollar) of all ( ❑ O th Demolition mechanical materials, equipment, labor, overhead, and profit. Value: $ 1- and 2- family dwelling 0 Commercial /industrial 0 Accessory building El Multi - family ❑ Master builder Q Other: For special ttgfornw :ion use checklist, 4 t hF r i o I ; ) .'+ Description Qty, I Ea. I 1 i iY , ) De ti Tats ,. ,. ,, .. - ,. Ir. ? , , . . u .. Heatlnq/cQOlfng Job site address: / 1 ,4 0 1 I 0 8IP Air conditioning or heat pump t • © • Iles site .lan ahowin _ • iacement) I 14.00 +4.O O City /State/ZIP: i I ak Dg 011 2-/-4 Furn 14.00 i Furnace 100 000 BTU ducts/vents i \ • 00 Suite/bldg. /apt. no.: Project name: Furnace 100,000+ BTU (ducts/vents) 17.90 Gas heat pump 14,00 Cross street/directions to job site; Duct work 14.00 Hydronic 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: Lot no : Flue/vent for any of above 10.00 Tax map /parcel no.: ether. 10.00 gp�x �- ;, rrn� , Other fuel appliances -.. , 12 , q i��r,lti t , . a . , ' .: : i ti. �' ,� j Water heate r 10.00 , , ,. ! I j 4 1 S Y (� 0,j, A. ' Gas fireplace 10.00 4 Ai .... • f] '4 Flue vent for water heater or gas A , , IA..: iJ.4I L : fireplace 10.00 Log lighter (gap) 10.00 Wood/pellet stove 10.00 Wood fireplace /insert 10.00 T hy r,!7i' i i7 A1 R ' a N , + , Ch imn i :', , . (. , ., ;,;c. , +, ; , i.. ey /liner /flue/ve 10.00 `` �� •' . .. ... , a � , . ,,. _ ,. , Other: 1,( c v( 1L7 � ,, 10.00 Name: Address: Environmental exhaust and ventilatign 1 �p ..1.r. D e t Range hood/other kitchen equipment 10.00 Cit /$tate/ZIP: 1 A Clothes dryer exhaust � 1 • - 4 10,00 Phone: (6: ) Ito q 3 Fax ( ) Single -duct exhaust (bathrooms, r � fix ' f . 2^ • r toilet compartments, utility rooms) 6.80 ''S.2.}L.� 'rT. t r e a t .+ � :�: Ne ^»F » ... M.•, �.: � ,a h , 4 � , .? , � . , i' a i +.;4j Artic/crawlspace fhns 10.00 Business name: Other: 10.00 Contact name: Fuel .1 . in . 35.40 for first four; 31.00 for each additional Address: Furnace etc. I ,,ti City /State /ZIP: Gas heatpump Wall/suspended/unit heater Phone: ( ) Fax: : ( ) Water heater E -mail: y Fireplace ... ;..;� -. 4 :11 ?. iii i'::..`�i. 3R,..iew;t'•,�,.° .. I't I� 3f'M. 'SF;,-= . ' ,44 Range • v .. ,�, i? ;. � ; :;. i; � � �^ �,�C � [iarbecue R�•. � r - . �13�= tt! Va +3+�.dl,ic:3b'��'.a...� Business name: Sunset Heating and Cooling Clothes dryer (gas) Address; PO Box 42289 Other: City /State2lP: Portland, OR 97242 Subtotal �.. ;' :'irri;, "4 .�,.• l :.. "' t q D Phone; (503) 234-0611 Fax: (503) 234 -0439 Minimum permit fee ($72,50) 2 -SC) CCB lie.: 161085 Plan review (25% of permit fee) State surcharge (8% of • rrr»t fee) 5 'a. �Z ��i TOTAL PERMIT FEE •7 3 Authorized signature; This permit 'wilt-lama espirea If a permit is not Obtained within 180 t days after it has been accepted as complete. Print name: Shaun* D'Ambroaia Date: e s Vo ' Fee methodology set by Tri- County Building Industry Service Board i ' \Permits \MPC- PcrmitApp,.ia I2/03 440 -46177 (I IiOJCOt•UWEs) 09/08/2004 10:01 0000000 ABAB:AAAAAA AA PAGE 03/03 • I V, CUrtik kul 4-o %lio -� oR fl ( fi 11 oo 0 f) "7 5, CITY OF �~nm m �.�o nn��nm�� BUILDING K�K��8��U��0� ~~~°""~~�""�~° ~~"°"~°"~,"° PERMIT #: k4EC2004-00603 13126SVVHall Blvd., Tigard, OR 97223 DATE ISSUED: 9/9H2004 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 —NV INSPECTION WORKSHEET FOR DATE: 10K2E/2006 TIME: 7:03AM PAGE: 58 SITE ADDRESS: 16740 SW 108TH AVE CLASS OF WORK: SUBDIVISION: WLLOW BROOK FARM LOT #: 030 TYPE OF USE: PROJECT NAME: MAY DESCRIPTION: Change out from oil to gas furnace, add NC & gas line to furnace. ''1D/18/06: THIS PERMIT |S REINSTATED FOR FINAL INSPECTION FOR THIRTY DAYS." OWNER: h8AY.h4ARTA. PHONE#: 583-380-1693 CONTRACTOR: SUNSET FUEL CO PHONE #: 503 Inspection Request Scheduled For: Date: 10y25/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 088714'01 603.234-0811 W Corrections/Comments/Instructions: | PASS | | PARTIAL APPROVAL [ — 1 CANCEL | \ NO ACCESS Ti FAIL CALL FOR INSPECTION | I ADDITIONAL FEES ASSESSED Inspector: / Date: /4— 0 Phone #: (503) 718- . CITY OF TIGARD 24 -Hour - BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: 503) 639 -4171 MST BUP Received -7 j Date Requested — 0 AM PM BUP Location 6 7 `T Q i e l Suite 8 Contact Person Szkay).__,_ ( ) 4 f `"6G.7 PLM Contractor Ph ( ) }( /3 / SWR BUILDING Tenant/Owner / (49 v aergigEL Footing ELC Foundation Access: b O 4 -'"' 4 ^ I °S"-- p'`'" ' r1-1'''''') r1-1'''''') Ftg Drain ELR Crawl Drain Slab Inspection Notes: U j _ S SIT - 1100 -- 9t Post & Beam Shear Anchors ( c\A.44,44_C-e_ Ext Sheath/Shear Int Sheath/Shear C .b Cr C p M / S (o / J Framing \'' L_�'�� t �i Z oui i��- Insulation L 6 ' C - p - 20 M -;--- - r .1r,„...,)7 17+6— Drywall Nailing Firewall R6Mo t/ A-L- Ol— 7 O . /C__ YA J . ° T�Gge Fire Sprinkler Fire Alarm Fito f-'■ I"/FFO ` --VL -g- Susp'd Ceiling �e �'1o�/eD� aim6 !C Roof Z M I NC, 12 L ,A-� F � Other: 2^ g c� Final L / (/ �:� J0 C O s� / / V PASS PART FAIL o� Q PLUMBING I 1 3y Z--6 / C 7 Post & Beam Slab fO S 'r' Imo- l 1'" Rough -In Water Service Sanitary Sewer Rain Drains � Catch Basin / Manhole U 1 (3 G� le L, A/ P I � 1 0 h/e V Storm Drain Shower Pan "� E r - =L w /- Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In S • Dampers C - PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 0 Please call for reinspection RE: Al ii Unable to inspect - no access ADASupply Line 7 1" " i , dprr - '-- Approach/Sidewalk Date [/ (J Inspector Ext Other: Final DO NOT REMOVE this inspection record fr . th - job site. PASS PART FAIL Case Activity Listing 12/:11AM �' g 10:09:11AM TIDEMARK Case #: MEC2004 -00603 COMPUTER SYSTEMS. INC. Assigned Done Updated Activity Description Date 1 Date 2 Date 3 Hold Disp To By By Notes MECA007 Application received 9/8/2004 None RECD FAX 9/9/2004 DER MECA008 Create Permit 9/9/2004 None DONE DER 9/9/2004 DER MECA705 Gas Line Insp 11/8/2004 None PASS CB 11/8/2004 CB MECA725 Heating Unt Insp 1/5/2005 None FAIL HFY 1/5/2005 vent at chimney top, need,s to be HFY remounted. MECA730 Cooling Unt Insp None 9/9/2004 DER MECA799 Final Inspection None 9/9/2004 DER MECA060 (F) Issue permit 9/9/2004 None DONE DER 9/9/2004 DER MEC1530 Permit expired by 8/16/2005 None DONE RB 8/16/2005 limitation RB Page 1 of 1 CaseActivity..rpt a CITY OF TIGARD 24 -Hour BUILDING Inspection Line:. (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received `_ Date Requested t' Z 7,--2--- AM PM BUP Location / h 71/() � i'r a Suite 1� MEC 0 `1 ^ 0 `i G a3 Contact Person 17'1'7 Ph (___.413) 'f I ,,�1 8 p 7 �7 PLM 1 Contractor 5 4 % / ✓ C. Ph ( ) SWR Ail BUILDING Tenant/Owner - f�� ELC fl�1-1--,7e. Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: r SIT Post & Beam ! l•�J �� J�'�1 ExtS / S h „/4 1 14 yz-e%A4 Ex Sheath/Shear � Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling n +p � �� \40106 1 Roof T C-0 �- t'S P O \ '\J (�� V� N 6Q-, vyi, S Other: � 1) 0 1 Si o & CJ c t i w ror) PASS PLUMBING FAIL 14 i 'l ( 6 )--I.M %“1\I cA,13 cA, . Post & Beam \-� 1 { ` �.$ Under Slab "V C3 �v Rough -In Water Service Sanitary Sewer \� ,.LL 1M -EV Rain Drains , , 1 Catch Basin / Manhole - ; - I-1 ( u /n - j Storm Drain I ` I t' Shower Pan �� S .-- \(2 Other: Final PASS PART FAIL t� MECHANICAL \r\wW0) y Post & Beam I Rough -In �� D 3 ( 1 �l 1 �1 Smoke Dampers G Ai LL (a m \ I 2 i , :,5 \\`� \ O C,A L\, \A \,. . Q L A, Final PASS PART FAIL ftECTICIAL Service ou h-' Slab Low Voltage Fire• - rm PART 1L� 111 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS SITE Please call for reinspection RE: Unable to ins ❑ p ❑ inspect - no access p Fire Supply Line ADA Approach/Sidewalk Date (°Z 0'Z d Inspector AEst O ther: Final DO NOT REMOVE this inspection record from t ite. PASS PART FAIL L —