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Permit f, ,. ka 4 CITY - 0F TIGARD MECHANICAL PERMIT A I1 t t DEVELOPMENT SERVICES PERMIT #: MEC2006 -00310 e I - DATE ISSUED: 7/10/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S109AA -04000 SITE ADDRESS: 14455 SW 128TH PL ZONING: R -7 SUBDIVISION: ELK HORN RIDGE ESTATES LOT: 006 JURISDICTION: TIG Project Description: Installation of A/C unit. 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: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES RICH HELLER Description Date Amount 14455 SW 128TH PL TIGARD, OR 97224 [MECH] Permit Fee 7/10/200€ $72.50 [TAX] 8% State Surcha 7/10/200€ $5.80 Total $78.30 Phone: Contractor: TRI COUNTY TEMP CONTROL 13150 S. CLACKAMAS RIVER DR OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS Contact #: PRI 503 -557 -2220 FAX 503 -557 -0919 Reg #: LIC 72623 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. Issued By: "2 uJ,,6,, if: Permittee Signature: _yZ, -- (., c4 \o Call 503 - 639 -4175 by 7:00 a.m. for inspections that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. / Approved plans are required on the job site at the time of each inspection. FROM FAX NO. :5035570919 Jul. 07 2006 12:17PM P2 /3 Mcc.ha Permit A -• a V r FOR OFFICE; USE ONLY City of Tigard a r l � il- --'`! Received ,,_ ! 13125 SW Hall Blvd., Tigard, OR 97223 UateIBy: // of R1. PermitNo.. , U 01J$/ �9 Phone: $03,639.4171 Fax: 503.598.1961) I1' r 1 goof Plan Review v CJ Inspection Line: 503.639.4175 `, JU ( i 411 ,,,,,k 0, Date /ny: Other Permit; Internet: www,ci,tigard.0r,us y r �'Ift" '�' II Date Ready/8y: turfs: See Page 2 for �Vr'1� �,.! ,1 ���,/ Notlfied /Mothud: µ-- �f lomeutat infar _ - l b r O 710 ' Snpp tnation ,�,:; • .. - erg rTCITt ,ti : , i �a P „ '. , �:i :' ,,,, ,;:..43.4;:,• , • , 4 , 6;;;•4:R7447.4,.. , •64 r•- : 4�4y,• , " . , t{4 : ✓1... ., • , m 1' ,.11: �., _ _ : ,'::C ,. • .,:Y S , •'' ,': I, - {S ti' 11 ;fir ,67 I• � Cf °•` :iw:r= $ : . .ir ;` i117 : " : r. ∎,4.. '� ..�., .. Via d .. ., .li � k6 .•d' , .,..,.,r b.. :a. f� New construction - pi naditi/, n ' ... .. , ..... ... , .,, ��' ' : ��•'... _H6Tn.O�1 = Uf�yCL3Et;Ia., . ..: ' ,. ..•... .. C 1ST . Iteration /replacement Mechanical permit fees* arc based on the value of the work ' performed, Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other; �; . t , y ., : M n mechanical materials, equipment, labor, overhead, and profit. is t3.id tl,. , ;res , ', � . •r: "r. .,.r . • iit.1 1 ,,a,.,,rK 'it h,11 'rti.lF;Gari 1 ' F,F.1tie' i:' v, k ,,;• Tr;:yiiE V I- and 2- family dwelling [] Commercial/industrial 5 �v� ? S* Accessory building Multi-family [] Niugtcr builder Q O�1 : __. For special information use cheekltst. t�jt .i'C A '� +3rlmn ^� ", +.�, +�� �,1 Description l ` 1::9. I Total •'; �Ga� ' 1' : . 4 •AkJ k''i t i t('- li q`�'1"'a'I ,! Rx '61 - O tia(:;�ii Yn�"tt[r;',:;y': ':.' nI' -' -- :.. �'f!. I _ _ . ., HuatinK/Cnnllltg Job site Addre :� Al 40 c_� Air conditioning or heat pump _Cue site plan shnwinr placement) 1 - 14.00 ,'[� 0 lb Ciry/Statc/ZIP: ft � n '' ,A f ' 11 Q _ Furnace 1 00,000 FL/ (ducts/vents) __ - 14.00 _. __ f( C ✓� r l �r ` - Furnace 100,0001 EtTliktnetwenta) 17.90 Suite /bldg. /apt. no.: project naB }e: • _ , _ ,. Gas heat pump 14.00 Cross stre©t/dit'ectionH to job site: Duet work 14.00 Hydrnnit: hot water system 14,00 Residential boiler (radiator or hydronic) 14.00 " - _.. Unit heaters (fuel -type, not electric), _ y in - wall, in - duct, suspended, etc. _ , - Subdivision; Lot no.: -- Flue /vent for any of above _ 10.00 - _ ,..., Other; 10.00 , Tax map /parcel no,: - -- 'sN': `;' �i,;1' �' '''^" - Other Abe! appliances _,... - , :i:r':rj a :il �11�'!li '�• ,� §• . .fa - :!1!• - n � ,o- .'..:h •. "i:rr :n „ ' 'i' .731'r:iai-i }• , " .. W ;, 1t,.1.� I a . V,' i . • :h,1 . tS � , ,.. • , , IYr4, • •a , ,If•k F 4 , : ' ;r4, " .,•N„n ••,d r , ater heater 10.00 r ; " I /Y I +1 7 i CJ ac fi replace w 10.00 t _ Flu vent for water heater or gas fireplace -_ 10.00 .... Log Iicr (gas) 10,00 _, Wood/pellet stove 10,00 _._. .._ Wood fireplace /inscrt _ 10.00 • 'l ; " ; ' 1 111 :. , � ' .i . , - ; ' �i, t i _!∎, } � , , .: : . .f, p : . i, 'i': other l U .UO „ • �) 'till dill+. , . - � �. ; • •' o � ' •.., � ' I . :5 ' Y } ", � �,:�',lr', "�I. i,': .- __.... ,...�..._ N :`: Othe 10.00 Name: fiN - 1 ! _� ... _ _ Environmental exhaust and ventlh lion _ Address: Range hood /other kitchen • equipment 10,00 City/S tate/ZIP: _Clothe ry s der exhaust 10.00 - Shingle - duct exhaust (bathrooms, Phone: (.r. •" •"°"� ) Fax: ( -- -) oilet compartments, utility rooms) (1.80 ' �v' ;'�j�1 ":�t!������ - iii �r.. i,i:�, �,. ic,; �::�.,. . t art t o ... ., , ip, fr ri; r:w,xii ls.1, ' R:: l r : 1., :,iilta� r':'` ;i., r 1 C' NT y4 6'- WO lr, ', " . :i1 e,: Attic/cruwispace tan" 10.00 other: 10.00 Business name: Tri C:c�,UT c COITI - 01. -- Contact name: 35,40 for first four; $1.00 for each additional Address: n ) • • pumace e • I 0 `, C1a�kitntna.) w ,_, TC) - - - Gas heat pu _ City /Stato/ZIP: OrgCri S CI _ C R - 6 (7C43 Wall/suspended/unit heater � Phone: (•Jl�`r )) '!� 7 5! 0 m. Fax:: (. ) `L (.:... Water heater pp�� -mail: x ,! , Fireplace .... _ _..._....-., SSni �•i y : •'irk: r ., 'Ir l'. �1!.}�aitr•,., 4J,�' 4 � . � B r d 1! !' ,;:•r F n11'ti� 2arbn Range _ '--W..__.. .4 v I l ,a ;g�l�t•.d -f', , _ , ,. '"' ;i:>i 'ill 5' "' ^..':; v _ gel ,.� . ���.. '.. �. -+ , � :. Business name: ' r I rJ CO L�r r ��� ` ' Clothes dryer (etas) Other: Address: /� lt r ;� l L. P. t l „{ : t\� 16 p iM174r�. ' Y�94a,.:,!;i itigi id�'1V: es4.!'h' .�,.�L0 - 0*,i, ''. • city /State/ZIP: 0 r On C° .t- C�.. c�' • „ . :...� Subtotal / Phone: ( ti3 S 5 `.2 9- % lax: (�QE 65'7 , l l... I• i Minimum ( _.. Mi imu n p ermit fee($72,50) id, _. -" 7 ` , 7 Pl an review (25% of permit fee) GCB lie.: ' 721 . C' State surcharge (8% of per�nil f �/ /� - TOTAL PERMIT _ FEE - TO Authorized signature: �'^ ,x Le A t�l 0 � This permit :lpp don on caplt'cs if a penult it not ul i uiied within III0 y days after It has been accepted Ifs 1;011101;011100r. orr. Print name: . }LQJ2•P ,1/1Q066 M Date: -7 /EP " Fee methodology set by 'rri- Courtly Building Industry Service Board FROM,:' FAX NO. :5035570919 Jul. 07 2006 12:18PM P3 /3 f gar Yoh 4 1 1f1# /W wS'S` CITY OF TIGARD g BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 ��m �p� ii B �� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 2.1 O `� TIM cic ert PAGE: SITE ADDRESS: 1 L 14 T ?tA t f CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: 4 OWNER: 1 C�,r G' V' PHONE #:'t (4> l CONTRACTOR: PHONE #: , 1, 6 Inspection Rees Sche uled For: Date: Pour Time: Code # / I sp cti n Description Confirm # Contact # Message Lakt 1C1ci vo- / uv°) age 1 6&.-- Corrections /Comments/ Instructions: (.C/ 2.06 6 0-;ID c/p 1,/ / -, PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS Li FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: __� U) Date: 21 6 - fl Phone #: (503) 718- 2414100 CITY OF4IGARD i BUILDING DIVISION PERMIT #: 00 006 - 10 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 7/10n006 Phone: (503) 639 -4171 . „A. v l �it i Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/24/2006 TIME: 7:01AM PAGE: 30 SITE ADDRESS: 14455 SW 128TH PL CLASS OF WORK: SUBDIVISION: ELK HORN RIDGE ESTATES LOT #: 006 TYPE OF USE: PROJECT NAME: HELLER DESCRIPTION: Installation of A/C unit. OWNER: HELLER, RICH PHONE #: CONTRACTOR: TRI COUNTY TEMP CONTROL PHONE #: 503 - 557 -2220 Inspection Request Scheduled For: Date: 7/24/2006 Pour Time: Code # Inspection Description Confirm # Contact #. Message 699 . Mechanical final 033570 -01 503- 557 -2220 Y Corrections /Comments /Instructions: -- 0 . �G • s ,L PArL kA, i'v/L. k � G. S 7/ , 93 . - ye �_ __1 "__' _ PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I I FAIL I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 7----4-426 Phone #: (503) 718- Z