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Permit CITY OF TIGA�I�D COMMUNITY DEVELOPMENT MECHANICAL PERMIT PERMIT #: MEC2008 -00171 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/4/2008 PARCEL: 2S103CB - 00200 SITE ADDRESS: 13065 SW 121ST AVE ZONING: R -4.5 SUBDIVISION: WILLAMETTE LOT: 002 JURISDICTION: TIG PROJECT: LEAR Project Description: Replace gas furnace. 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: DOMES. INCIN: NAT 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: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES JOE & JOANN LEAR Description Date Amount 13065 SW 121ST TIGARD, OR 97223 [MECH] Permit Fee 4/4/2008 $72.50 [TAX] 12% State Surch 4/4/2008 $8.70 Total $81.20 Phone: 503 -590 -1714 Contractor: OREGON HEATING & AC PO BOX 241 DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS Contact #: PRI 503 -538 -2953 FAX 503 -537 -2172 Reg #: LIC 172126 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 B C �� Permiftee Signature: l,9 // /3 OP W---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. 01111 11104 08 12:11p p.1 Mechanical Permit ADDlicatiooE , ^ � li'l� i t lu 1;i t I. 1. l •1- 4 ∎N r City of Ti and r) ivea II -- - 13125 SW Had Blvd. Tigard_OR 91223 PPR 4 ZO 3 Da Plan n Review 9 ' D8 Jj( PePermit io �Cfg�o ge6j2/ a ' Phone: 503.639.4171 Fax: 503.593.1960 Omar Permit: Inspection Line: 503.639.41.75 OT: ;nrasy 7; l� I Cr ®p O � IGAI' ' rwite�YIBr• 1e. See Page 2for Tntetiet: www.tigard`or.gav A l i rE i l 9 q� nlidg ed,Mtti �/t $uppteneetrlt r,neran BUILDING Di v 'x 1.8 V / �C� TYPE OF WORK COMMERCIAL .FtEe see IISE CHECKLIST ❑ New construction Addition/alteration /replacement Mechanical petrttitfteca ac based on the value of the week tte tic cried. lndicae the value (warded to the newest dollar) of all ❑ Demolition Other: mechanical materials, equipment. labitr, overhead. [rid profit CATEGORY OF CONSTRUCTION ' Value: S RESENTIAL ❑ I- and 2- family dwelTing ❑ CammereiaUindustrial ❑ Accessory building ID EQUIPMENT / SYSTEMS FEES* Malty- fattli.I For s'ectel tnfomwuan sue cheat= ❑ Master builder ❑ Other: Deseriptinr i Qty. I EL I Total JOB SITE OTFO13MATION AND LOCATION Heatingicoatiret . Job site address pump j�� L ff cam_ ✓ 1 Air conditioning or head i ) �� �� �1 J � keying site Olen ehowin6Plecemeau) 14.00 J City/State/ZIP: i 1 1 ,-e. Jumecc100,000 BTU (ductsivents) ( , 1400 J 4 .∎j' Suite/bidgJapt no.: Project name! . 177)C . } f� Fvmscel00.000+$TU(ducti/vcrrtr} 1T 90 Gas heat pump 14.00 Cross street/directions to job site: Duct work 10.00 Hydronic hot vaster system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heater; (fuel -type, not electric): in -wall. in -duct suspended. etc. 14.00 Subdivision: l Loot no. Flue/vent for any of above 6.80 Other. 10.00 Tax map/parcel no.: Other Net appliances �' }/� r' � DESCRCF'IIO ^ N } OF WORK Water heater 10.00 Oat ' 1V 1.r U o. ..1 l a^ Flue fireplace _ _ 18.00 G p - ;fA , Flue 'ref* for water beater or gals f replace 10.00 / I C� Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood tlreplace/aunt 10.00 9FROPERTY OWNER 1 © TENANT CrimneyAinertfluervent 10.00 Other 10.00 _ Name: jeltC ,T6 Ann ! Q $y J � Environmental exhaust and ventilation Address: 1 -30k 5 S i , + 0 I ! r 1 �V -2 5-� Range hoed/ Pser kitchen - Y equipment 10.00 City/State/ZIP; "'r'( _ 0 th Cloe; shyer exhaust 1 10.00 , Phone: (G i i ! Fax: Single-duct ceheat (hathrvoms, r a ( ) toilet compartments, utility rooms} 6.80 ❑ APPLICANT ❑ CONTACT FER.SON Attic/crawly= fans 1Eoo r Business name; 10.00 Fuel plpiag Contact name 55.e0 for first four; $1.00 for each additional Address: Furnace, et City/State/ZIP: Gas heat pump Wall /suspended/unit heater Phone: ( ) 1 Fax: : ( ) Water heater Fircptaec E -mail: - Range /� ,,,///��� CONTRACTOR Serb :cue , • 13usir1eso Tame: / j r, y ‘:,..1--P1—(--- Clothes dhy= (Ts) Address; l 1( , 1 � : \) a iL a f MECHANICAL 1PERINT[ rgEs• City!StatcntP: -- • , n e_ CI c 11 17-1-5 Subtotal - 1 q 0 Phone :50)) c;,, `.) � Fax: .27) ) 5 7 - Minimum permit fee (572.50) - ia e-5 T1 CO lit:.: I r� i Plan review (25% of permitfee) C State surcharge (I2% of penaut foe) c - 7 0 TOTAL PE)U4j[[ )FEE AUthorizadSignowre: rj — This per ens applleattloa aspires If net sbraihe4 it 1 rat stays alter item boor accepted as complete. Print name; } �l ( (-1 n � 1 .0 - t p al 5 l Date: %__)L. -c71 bbl' by - FOe methodology tat Tri - Caen tr Building in Rf�dui ny t_ Service Board 1 :1e. BiidirgtpennrrytrrF,Gro ;impAft C1119/)7 4dO 4$I7751 IfalCOM/WED) CITY OF TIGARD - .- ; 1 BUILDING DIVISION PERMIT #: MEC2008-00 a 71 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/412006 Phone: (503) 639 -4171 ..-t'yi�uli� Inspection Requests (24 Hrs.): (503) 639 -4175 '!'i INSPECTION WORKSHEET FOR DATE: 4116/2008 TIME: 7:00AM PAGE: 2`. SITE ADDRESS: 13065 SW 121ST AVE: CLASS OF WORK: SUBDIVISION: WILLAMETTE LOT #: 002 TYPE OF USE: PROJECT NAME: LEAR DESCRIPTION: Replace gas furnace. OWNER: LEAR, JOE & JOANN PHONE #: 503-590-1714 CONTRACTOR: OREGON HEATING & AC PHONE #: 503 -538 -2953 • Inspection Request Scheduled For: Date: 4//612008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 068460 -01 603.538 -2353 Y' Corrections /Comments /Instructions: 0 6 - 7- LT Y5 5 8 - 5 ' PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL Li ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 4- /�o- --o -` Phone #: (503) 718- 7Z-_,-