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Permit III CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00357 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/10/2008 PARCEL: 2S 109AD - 00200 SITE ADDRESS: 14620 SW 126TH AVE ZONING: R -7 SUBDIVISION: BLUE RIDGE LOT: 002 JURISDICTION: TIG PROJECT: BARNHART 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: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: 0 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES LANPHERE ENTERPRISES Description Date Amount 12520 SW CANYON RD. BEAVERTON, OR 97005 [MECH] Permit Fee 7/10/200E $72.50 [TAX] 12% State Surch 7/10/200E $8.70 Phone: Total $81.20 Contractor: TRI COUNTY TEMP CONTROL 13150 S. CLACKAMAS RIVER DR • OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS Contact #: PRI 503 -557 -2220 FAX 503 - 557 -0919 Reg #: LIC 72623 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 / _'� = i Permittee Signature: �2 / n om Call 503.639.4175 by 7:00 a.m. for inspections that busines 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. JUL -2008 08:16,0 FROM: T0:5 ©35981960 P.1 4 ' 'lV ?echanical Permit A pplication I•IlI cii !� ,f ' } 4 4." ` .':::•, City of Tigard Received .. 7 � 2 �F l t tit (1 \1 1i1'1 �l , t � tl ���� � ` \ �` D •ermit No ' v 13125 SW Hall Blvd., Tiga`d .1 t..! ! 2 IIII Re _ At Zito. /.41 . : _. 7 : 3639.4171 F r a ' sE Plan Review ■ . Phone: 50 Other Permit: Inspection Line: 503.639.4175 Date/Re T t V n k`g� p Date Ready/By June 0 Sec Page 2 for Internet: www.tigard- or.gov JUL 1 0 2008 Notified/Method: / Co Supplemental Information TYr wt9 i i(A lU COMMERCIAL FEE* SCHEDULE — USE CHECKLIST ❑ New construction X AdDlib aittni/ IMCQP'S Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit CATEGORY OF CONSTRUCTION Value' S 6 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES* Multi ❑Master builder For special information use checklist, ❑ Other: Description Qty. Ea. _ Total JOB SITE INFORMATION ANN Heating/cooling Job site address: ` r [ ik� YLY ,WV OC Air conditioning or heat pump ti f, site plan showing placement) 1 14,00 t /, CO City /State /ZIP: Furnace 100,000 BTU (ducts /vents) 1400 �� Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: Project name: r /`, q 0._ Gas heat pump 14,00 Cross street/directions to job site: t!') Duct work 10.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 14.00 Subdivision: Lot no.: - Flue /vent for any of above 6.80 Other: 10 00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 Gas fireplace 10,00 Flue vent for water heater or gas 1 eij r a Milt Una ' fireplace 10.00 Mina F• I Log lighter (gas) 1000 Wood /pellet stove 10.00 . Wood fireplace /insert 10.00 • Chimney /liner /flue /vent 10.00 APROPERTY OWNER ❑ TENANT Other; 10.00 Name: t Environmental exhaust and ventilation Range hood /other kitchen Address: equipment 10.00 City /State /ZIP, Clothes dryer exhaust 10.00 _ Single -duct exhaust (bathrooms, Phone: 5r6 (192.4 qo CC Fax: ( ) toilet compartments, utility rooms) 6.80 A APPLICANT ❑ CONTACT PERSON Attic /crawlspacefans 10,00 Business name: Other: 10,00 Fuel piping~ Contact name: l IW {`, MQ0011 S5.40 for first four; $1.00 for each additional Furnace, etc. Address: . Gas heat pump City/State /ZIP: Wall /suspended/unit heater Phone: ( ) I F x:: ( ) Water heater , Fireplace E -mail: Range CONTRACTOR Barbecue Business name:) ain't! Clothes dryer (gas) W n �� Other: MO Address: 3 L�O e. m M ECHANICAL PERMIT FEES* City /State /ZIP: y ®��/'(�^ � 0� 1'� y� Subtotal � .s Phone: ( < c , 7 Fax: ( 0rt� V✓ oc f � Minimum permi f ee ($ 72,50) l/ 1 Plan review (25% of permit fee) ir , 7 � CCB lie.: 12_420 State surcharge (12% of permit fee) II I � TOTAL PERMIT FEE This permit ap ion expires if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete. Print name: Date; 11 • Fee methodology set by Tri- County Building Industry Service Board I. \Bullet /Dermas \MEC- PermuApp.doe 01/19/07 440.4617T (11 /02 /COMIWEI) JUL..10 - 2008 08:17A FROM: T0: 5035981960 P.2 • e V4 /L[ /LVV9 V7.VV FAX OO2 /0O2 INSTALLATION ADDREM grel4_ 4414/ g JT U ( Q - o, 0 c l7 � Artio PROPERTY LINE Fri G I Q i- Pj Fr: TAWNY • FT: PROPERTY LINE 6c..Qui s-T R E 6;2-0 5b3 iz&24 CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2008-00357 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/10/2008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 _AL INSPECTION WORKSHEET FOR DATE: 7/17/2008 TIME: 7:00AM PAGE: 41 SITE ADDRESS: 14620 SW 126TH AVE CLASS OF WORK: SUBDIVISION: BLUE RIDGE LOT #: 002 TYPE OF USE: PROJECT NAME: E3ARNHART DESCRIPTION: Installing A/C. OWNER: LANPHERE ENTERPRISES. PHONE #: CONTRACTOR: TRI COUNTY TEMP CONTROL PHONE #: 503-557-2220 Inspection Request Scheduled For: Date: 7/17/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message ett's9 Mechanical final 072802-01 503-59-2220 Corrections/Comments/Instructions: IS PASS PARTIAL APPROVAL CANCEL El NO ACCESS I I FAIL r7 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: IA Date:7 7 Phone #: (503) 718-