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Permit • 1111i . CITY OF 'TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00272 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/2/2008 PARCEL: 2S 103AC - 05600 SITE ADDRESS: 12665 SW 113TH PL ZONING: R -4.5 SUBDIVISION: HUMBOLT CREEK ESTATES LOT: 007 JURISDICTION: TIG PROJECT: SHIPLEY Project Description: Installing A/C. 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: 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 LAND & LUCY SHIPLEY Description Date Amount 12665 SW 113TH PL TIGARD, OR 97223 [MECH] Permit Fee 6/2/2008 $72.50 [TAX] 12% State Surch 6/2/2008 $8.70 Total $81.20 Phone: Contractor: ABLE HEATING & COOLING INC 12420 SW SUMMERCREST DR TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS - Contact #: PRI 503 -579 -2250 FAX 503 -579 -9104 Reg #: LIC 108535 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: �GJ"(/ Call 5C 75 b 7:00 .f for that �� / y 00 a.m o inspections t at y 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. ,�a> Permit A ➢i 1,,I e , . City of Tigard ) �� Received 1 t)1f % ir,l l( 1. c�1 t >ai � 1i t I I N • • 13125 SW Hall Blvd., Tigard, OR 97223 JUN I 2 � Date/By: r Cr Permit No.: ''` ' Phone: 503.639.4171 Fax: 503.598 .1960 p 0 2 L � Plan Review ' —+� �� 7.. I` I 'a h )' Inspection Line: 503.639.4176 Dete ny: Other Permit: Interne www.tigard or.go, OF „i f`AA" Dale CITY V F 4' s • PO See Page 2 for tifiedRvtethod: 7+7-x. i 7 M IS % iyVi Supplemental Information TYPE OF WO ".. lJty COMMERCIAL FEE* SCHEDULE —, USE CHECKLIST ❑ New construction h 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 ❑ ether: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ VI l - and 2 - family dwelling ❑ Cotnrnercial/induslrial ❑ Accessory building RESIDENTIAL EQUIPMENT l SYSTEMS FEES" Multi- family ❑ Master builder For ❑ O ther: special information use checklist. JOB SITE INFORMATION AND LOCATION Desctiptico Qty. Ea Total LI Job site address: f Z b . Heaton • coati Air conditioning or heat pump re 'Ian shown' • .lacement IN 14.00 IM Furnace 100,000 BTU (ducts/venls) r [4.00 SuitelbldgJapt. no.: Project name: Furnace 100,000+ BTU (ducts/vents) 17.90 Cross street/directions to job site: Gas heat pump 14.00 Duct work 10.00 Flydronic hot water system 14.00 Residential boiler (radiator or _ hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in-duct, suspended, etc. 14.00 Subdivision: Lot no.: Flue/vent for any of above 6.80 Tax map/parcel no.: _ Other: 10.00 Other fuel appliances DESCRiP I [ON OF WORK _Water heater 10.00 j Gas fireplace 10.00 Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 1 Wood fireplace/insert �' ROPERTY OWNER 10.00 © TENANT Chimney/liner /flue /vent 10.00 Other: 10.00 Address: . Environmental exhaust and ventilation Range hood/other kitchen equipment 10.00 Clothes dryer exhaust i 1000 Phone: ( ) Fax ( ) Single -duct exhaust (bathrooms, toilet compartments, utility rooms) 6.80 ❑ APPLICANT ❑ CONTACT PERSON Attic /crawispace fans 10.00 Other: 10.00 Contact name: Fuel uipina Address: " S5.40 for first four; $1.00 fo r each additional Furnace, etc. I City/State/ZIP: ' Gas heat pump Walllsuspended/unit heater Phone:• Fax: : ( ) , Water heater E -mail: I Fireplace Range • 1112:Mrii■ e p C /ONTRACTOR Barbecue , (c( 7' / I / Clothes dryer (gas) Address: / 17.-6 i.( .'[' In r # Other: [' City /State /ZIP: l / 4 ,v 1 RIECHANICALPER14IITI t otal G f � � / z �-� Subtotal Phone: ' 3 c - �M ` I —l/ /� Minimamt permit fee ($72.50) +� CCB tic.: Plan review (25% of permit fee) v state swcharge (12% of permit fee) , y.,--p--- �l TOTAL PERMIT FEE �, I f Authorized signature C'/ This permit application expires if permit is not obtained within ISO Li (i ' :t1. } days after it has been accepted as complete. I Print name: 0 4/4 L Date: { 1 • Fcc methodology set by TmCounty Building Industry Service Beard I:% B. itslpermilApp.doc I179107 410- 46 1 7 r (1I(021COMPW 3) Z d ji0 66L9009 ONI1000 CNV ONILV3H 318V DCi L0 80 Z0 unf Jun 02 08 07 :44a ABLE HEATING AND COOLING 5035799104 p.3 g,,o(t) of 1 e NIP J °Ci t i \ \ r d64 - cy ) 72" i \ V� V Jig t i r)-7i) Ply CITY OF TIGARD BUILDING DIVISION PERMIT #: Ml .0 00Q 00272 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/212008 Phone: (503) 639 -4171 yap 1l' I� Inspection Requests (24 Hrs.): (503) 639 -4175 n'I! INSPECTION WORKSHEET FOR DATE: 7/17/2008 TIME: 7:00AM PAGE: 69 SITE ADDRESS: 12665 SW 113TH PL CLASS OF WORK: SUBDIVISION: HUMI3OL.T CREEK ESTATES LOT #: 007 TYPE OF USE: PROJECT NAME: SHIPLEY DESCRIPTION: Installing NC. OWNER: SHIPLEY, LAND & LUCY PHONE #: CONTRACTOR: ABLE HEATING & COOLING INC PHONE #: 503- 578 -2250 'Inspection Request Scheduled For: Date: 7/17/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 839 Mechanical final 072703.01 503- 579.2250 N C��orrr�rections /Comments /Instructions: / PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS H FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: -7 -/ 2 -rib Phone #: (503) 718- Zj-