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Permit L. ''' 4 Ai CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2005 -00198 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 4/27/2005 PARCEL: 2S 110AB -06200 SITE ADDRESS: 14340 SW 114TH AVE ZONING: R -4.5 SUBDIVISION: HELLER PARTITION /MLP2003 -00007 LOT: 002 JURISDICTION: TIG Project Description: AC install. 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: 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: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES JOHN ROBERTS Description Date Amount 14340 SW 114TH AVE. [MECH] Permit Fee 4/27/200: $72.50 TIGARD, OR 97224 [TAX] 8% State Surchars 4/27/200: $5.80 Phone: 503- 819 -6120 Total $78.30 Contractor: THERMAL FLO 14865 SW 74TH AVE. #190 REQUIRED ITEMS AND REPORTS TIGARD, OR 97224 Phone: 503- 670 -8383 Reg #: LIC 151847 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: 7,-yt fi i C —� z._ -- / , , — V e 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. mectianical Yermjt Application 1� - FOR I , D z ci t .yrf TIgArc,l L. ::::o.: � ll BlvdTigard.OR 9 ® p y Aate/By: 7/ 0 5 ) / " i— �l "1 9 f Plan lievic 339,417 Fax5 % a. ; rmit Inspecti on Line: 503.639-4175 "' y ` `(I Dat R ww.ci.ti Cy [ _ -= Internet: w Date Ready/By, rte: Sc e Page 2 for gard.or.us No APR 2 6 200.1 6lied/Method: T lC \ Supplemental information $ ' R '7,. Y T �, ' r'Y' (,, :r *".x. i ^.. n� "•"7,7 ,th k•m-. a `f ry 51 "h: C'4.r%f,...a,-, y{. a , S 1 ,; r tH Nt .) 1 ? T .d�3.15n1vv '[n". ry,�Dv�, A'.r Y 0�` , r' . rt y - �zsTaw.' t ,.j i . , �, i . d'Q ' F i" ., . ) ik . ' 6 �,�, r:' v , �!' 1411* )•` W qn . 42411 , .'! 1 H „ i1,g '4' r � j, a y li .! g ' . ,,, V4 �/ . d t , ig' A::`o ; . �1' a" ii �v 5...; 14' �kf�) x. �" D r} � ..wrT .C1?1��0thl)'fud��uu�'f�l�ah - �35:� ;nA 5 7wC:7.4i91e`''° � i Y'' v � b . >SM1,�F,,'iar h4 • ;'� ,r� .t: ,4`, i "� � 1'���, .�.�i� rr{ ( r ,S}"S:I) vI L�� I,iA� ''pp �� .we44. ,ut�„>_.$u.....n� �.'i`,., �.. �; 3. ��, ���u; a��srr- .,� �.r�u.ra�'t`� ^n,,lznr.,urv�aava „vvS�r,1 r, � ��M ;c�mCnrmt,2�.ttac5rn•'.,un�»�. ❑ New construction . sig 4 ter : - • E. ! 41Ve relent Mechanical permit fees* are based on the value of the work ❑ Demolition It TTING DIVISION permed Indicate the value (rounded to the nearest dollar) of all mechanical materials, equipment, labor, overhead, and profit. r v T �: i u.€ x ... „, "*v, w e , r y r a ,„, ,,, ', ,, Ex'1' E �r . r i 1 . Value: $ e m o. ' I i r 1 3�G 17 1 Fr 2 rkr, v ' +f, " , ...`„ . �, 1 "! ' 4', i 1' ;i � . t � a1iL'Gt7 �.11r�T.`Ns�,.111 S7�ti' #,: ,, .:•nM`: `z.15r1� r �� �a�Y,,!^,.�6,1 ��� 5 1ri1 11��t�� ��1 w � : ', r 2� r i � �r � 9 Imo, u,�l Nan , u b C r , 72 : ,li } 1.1i 1 u . "r. el 6%;. ;t 4:40 d 2.uh •V n nY 1• ❑ 1- and 2- family dwelling ❑ Cormnercial/industrial ❑ Accessory building it /s7 i t 'l " i 1 r � 'ar a l <, Y t c � ' , ,, IQ Multi family ❑ Master builder 0 Other, For special tnfornrarton use checklist, • Ay Ig! Description Qty. � Ea. Total y'cc„ • `,�i':4"'� 'c. ':'h�„, .mat iaH : ,s� v.r, to ig. ,tr.r ,r.{ q vm ziTtr t� 'f ]1iv '% - - .. : ;P, n r • , As air ,50 ., /,p3 +�• , �a•AeA vroz t n +i r�rv, , 1 c lientlnR /eoolin �, ,1".w . 1 t,. , ti> 51 •Ti hr, , »tweet ,, k ^a . a • i t a it 1 • � �.n. • • .�Ey.,`�vw� • r g Job site address: / fj ye) 3 W Ii' r 4 / Air conditioning or heat pump (requires site plan showing placement) / 14.00 City/State/ZIP: / a • 7 Furnace 100,000 BTU (duct/vents) 14.00 — Suite/bldg./apt. no.: Project name: .� Furnace 100,000+ BTU (ducts /vents) 17.90 ---- v L� te' Gas heat pump 14.00 Cross street/diroctions to job site: Duct work 14,00 Hydronie 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: Lot no.: Flue/vent any of above 10.00 Other. 10.00 Tax map /parcel no,: Other fuel appliances P 7,7422r ✓Jlr i s e er 1' 1 V @ 1.64,7;:',f.1 i 1 , j , ei ∎: / 'Lyvr 1,'," r rf ,w.J 5,e £ 9 .01*,; i3O4,1:'.',,.%47 . v ,,,,.), Water heater 10.00 i11Su4l a, anise .ur,s " � ., „.. ", , *- ..li4.0,A s a':„Agr499.4 „:,,4iP �til.,J,lia i .1 .k.rA (r„ Gas fireplace 10.00 1 .A U Flue vent for water heater or gas fireplace 10.00 - Log lighter (gas) . 10.00 Wood/pellet stove 10.00 Wood fireplace/insert 10.00 r x,r: eir '-'4 ;M'IVu a ;, .,' ";•.:4 , a. l,`;'7'.,l.'1:.(4' ms : " i �{br"', 1, r{ :l 1 :V. iV , ';'�1 -. 1' 1 ` r �r1') $ t� +: PF.:W 1 , ( 7:1. j ,, Cb'ixiwey/lineriflue/vent 10.00 rim _ Other. 10.00 Name: (" / 4 - b rsA,,,t Environmental exhaust and ventilation /� r � 4 Range hood/other kitchen Address: � J l �j /`r atuipment 10,00 City /State/7,1P: e71 y .. t� Clothes dryer exhaust 10.00 , / Single-duct exhaust (bathrooms, — Phone: 3) F r • — i ( Fax: ( ) toilet compartments, utility moms) 6,80 S ?fi'yai�t'.',RF,,�,Y. Y 7 1: 7 d ),,V,il bs�y � r Im '. ki °J3 r 2 S o ''). ��? ,` �3 rl U ', cr l i , ,”, i '�1� Y ' 1F h ; t ac.`( 10 t ry ;' v fl Attic/crawls-pace i ?All k s `� ryr . r T h r� Ispace fans 10.00 .rsr .. ,u z.a„CSr,�Sa.9 ,. . r cali�,r tt / . ., G11 .,w. L..Ji.,,.. Vii e .�tn , �r •. � mz „(�u..n,,dL.ltkr+ � :G� G ter l�h,,,.JV� -.:.. S F v � C • Fuel J 10.00 Business name: Fuel piping , Contact name: a e- , ,, ,, / . $$.40 for first four; $1.00 for each additional• — Address: r'ZL� S Vev j - t4 , O '4” t � Q Pomace, etc. ress: / C ss heat pump City /State/21P: 7T q al 4' (9 < < 7 2- �., Y WaWs-uspended/unit beater Phone: („4.23) - -1Q _ $^.3 ` � .Fax:: 8-© 3) .1,78 p -- t 00 4 Water heater E- mail: Fireplace r �l' )(7 „ /,Mi G : ; r `z $ r v, c �.u� ,Rife"�1� k i,rLITI, x J7,4 Range ecue , v. a t �, 7 .mh ; :i,av rt :t.tirt.> 7hs,`,.cli 'it:In, .,i6:43.., , >:;69� 11 �4wnwil0'; ;;, Aar, -- 3usiness metre: Clothes dryer (gas) • Other �l Address: "� G Ul s w L "L /�`V t✓ 3', r b ' t. .o. :i v ` z,zs h�al .,: r.�Y , C r dry W ,10A+ 4 1\1,: ' ' ` ■ a ` , uL 2 ity /State/ZI f t Q R ' - _ . Subtotal 'hone: (5 03' / ✓ ( ?Q - 3 e2 3 Fax: (. j'O3) 4j 70 -- q D4 L( _ Minimum permit fee (S72.50) ,. ....;CB lie.: � Plan review (25% of permit fee) 15 ( �{ 7 State surcharge (8% of permit fee) ,_5 K it-L 1 scJ i.(/1:1,12i/c, TOTAL permit PERMIT FEE d within 180 � a �uthotized signature: This permit application expires if a per is not obtained days after it has been accepted as complete. 'tint nettle: . 7( C LV V <i 4pi L pate: �, O` * Fee methodology set by Tri- County Building industry Service Board auildiagNPermits C- PamitApixdoc 12103 440.4511T /02/comiwa) • Id WdE0 : b0 S00Z 9E 'add 1790602_920S: '0N Xdd DNI Old 1l3WN3Hl : woad z O w . . l'A ___,_ t • A I + ._ (-1?-)L:lj I s N 9 . nl, i ffift4 7 1 ..?- E I .I, NO. MAPCO E 52348 e — Ct N RE rs I Ao -- . 1 434o SW li p} AVE (DR"nT r 11(I . & ANA RD I THERMAL FLO TiGA R.D , es e__ 97224 Ed Wd2O : PO S00Z 9E 'add 179060L920S : '0N Xdd ON I Old 1HWN9H1: WONd , CITY OFTIGARD BUILDING' DIVISION PERMIT #: M6; 0 0 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 412 12005 Phone: (503) 639- 4171orugp; • Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/9/2005 TIME: 7:10AM PAGE: 88 SITE ADDRESS: 14340 SW 114TH AVE CLASS OF WORK: SUBDIVISION: HELLER PARTITION /MLP2003 -00007 LOT #: 002 TYPE OF USE: PROJECT NAME: ROBERTS DESCRIPTION: AC install. OWNER: ROBERTS, JOHN PHONE #: 503'819 -6120 CONTRACTOR: THERMAL FLO PHONE #: 503.670.8383 Inspection Request Scheduled For: Date: 5/9/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 006327 -01 503 - 670.8343 N Corrections /Comments/ Instructions: G Z` c-r7ii 34 / , , 1c,t �i/�`� L - ' 4- 7. ( 4 k' PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑, ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 5= 9 - 'S Phone #: (503) 718-