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Permit
1I i CITY TIGARD MECHANICAL PERMIT r DEVELOPMENT SERVICES PERMIT #: MEC2005 -00287 " � ,I 1 3125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/1/2005 PARCEL: 2S104AA -11300 SITE ADDRESS: 12375 SW 128TH AVE ZONING: R -4.5 SUBDIVISION: BELLWOOD NO. 3 LOT: 132 JURISDICTION: TIG Project Description: Install a/c unit. 6/1/05, furnace added to scope of work. 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: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES SUSAN GOODHART Description Date Amount 12375 SW 128TH AVE [MECH] Permit Fee 6/1/2005 $72.50 TIGARD, OR 97223 [TAX] 8% State Surchar€ 6/1/2005 $5.80 Phone: 503 - 590 - 0978 Total $78.30 Contractor: HEAT RELIEF CO 1311 NE 116TH AVE. REQUIRED ITEMS AND REPORTS PORTLAND, OR 97211 Phone: 503 260 - 0077 Reg #: LIC 122424 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 e ° - • -6 e -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1 - ;.0- 332 -2344. Iss ed By: ' Of Permittee Si aillWIP ! . -I %�(�1� _ _ , i Call 503 - 639 -4175 by 7:00 a.m. for i s at . iness •'. . is permit card shall be kept in a conspicuous place on the jo • e until completion of the project. Approved plans are required on the job site at the time of each inspection. ' ?r • echan1cgjI' �� D' . 3 t ;t>IIli I': \ \i I.(r N 'It) oi'Tiga t ,ray �.� Bern, • kit 0�. / N. 1125 SW Halt Blvd. lgard,OR. 97213 - D16U8 : , _ , A » hones 503.639.4171f l Pax: 503.598.1960 p c� 1 2 } ! Plan R�v[ew. AY a7 , " '!` i DatalB . ether Permit:. iapeation Una 503., ; 9.4175 : . 1, e' -I i l armor. www.ci.tig I�. or:us .GlTY OF TI . - A � ' — - N • ibod: a1es' asefor 1 i' - ! iVISi ';' � � Suppl Ielhrrir a�t�J 1 1 � • ] New cortlitiucti, 111 • Milton laltOratioli/replaceariclit' eahgt1tc8lp t:C4Ea •-arq �d.on' ' :val�e;oft ewc k Demolition I (] Olsen . - mod• I the value (r the nearest dollar Of 0 • ,' l mo i i •. m,& ui)irncfti.l o r'owrhend f and taro(It mechan toe eb c�' 5: ,Ili:.• '��'�'� + ;�' �E;•'r .. _ s., ,t;• s � Q •�^Gi '._.,��alillfi!. „ljiK),J x }.5,�?'' i.. . r.`: '.u.l i ff6..',�.�;.j� ai.. 1atu E: $ d 2 -famfl elli o '� ' - an r . . Y' �1C . 0. � rrutt>nrcis �induetria� � ' Acc ^ "�� .. = .;'es Multi- tnrtily [] M Ottte= vey building: FoF igpecldl tr+f f r , f .. A,.. „ heekltrr. , :• ;: h..a, � } Bator builder a matlon tua: i�s�9�allii e , _ - . • • I 8a. T Dcscriptiatl � �- I Total y Hsatl•alg/eoalIng . ;1) site addrooa; j ii! a r Ai r.FOntlitivfing.cir heat 01.179 . • Ity /9tstcJ(l.IP; I �I' O'etuirad Atte.Plan eiipNyin= p4aenuit) 1, ' 14.00 . .L d4. t .. -7 , : .. Fu 100,00D.13tU'(da4 ats) ..14.00 ai te/bldg. /apt, no.: .1 Prgj . t .. eat riatna: ?itrna4a 70p,000+.. (ttuatuvents) 17.90 • dui boat puitw 14.00 rose street/direct/0 , job .alte: , puci work • . . , ' 14.00• • . • • • •Hydriteri hot vaster system 14.00 • Residential beller.(radiator or l . .. .. liydroniis)• 1.4.0.0 • ( Unit heaters (0tal -type. net oloctria), . • ! .:.ln- 1iva11`�In -det, •suspended, eta. 10;00_ . ibdivision: 1[F . P�1ueXgent'tbranycif above . • I,OR rio:: 10.00 . ix map /pitrCet no': 10 • _ OtAet; .00 • r , # Ot1{er•.fUe14PP114gsea ` .,:',1 Ntc + "f ..2f } .. : +,: ::I. 4V ter'liea 1000 • s s au t ve lrelale�G4 1 . 16.00 • I iSl . . ....-1, .. Flu nt for Ovate heater or gas 1 llrerillea'. , 10.00 Log liktuer.(ges) .. 10.00 • W od let stov 40.00 • woodlirtp nsert. 10.00 ' _ ', : : •. ChimnrYflir�er/fltoorv,e It 10 • './ I ZEMOI 10 DO true: • Ate `� °: l +TSm EnvlfonmeataCaxlµust and veat11411on• . • idressi: • - Kai•{g;e finod?oth'er kitohetrt ' III •evuiQt 10.130 • /State/Zlp; C1othes:d ty ty41 alclia<Udt Io,OD - one: a ''. • ' 4 f , Single -duct exhaust (bathrooms • F ran _ t o il et 010,5,4.::-..:1• Il . Z � � � otr spr+i•ptte nn,.utility:ta�tt>a) 6.80 krawl•apaea fling,. 10.00 • _ iciness . name: • ' �I I h Atlto - 06 0e1i: • • • ' 10,00 meet name: ' I Sr . - '�; .4i0.[br [Irt�t t'our;:S1.00 far ouch additional Idrees; i li I - . Fwnaca. e ;y/State/ZIP: '�, . . . . .dap haat.pui 1, ' . . • iI�' a `• �7��0 Wal]leuipattdedl�mitlteater' one: (5 a ). • II /1 Fex•: (923 Y..5;3-r...( ` � '/ Water heater.: . nail: }( I �� ' Fire • lace . . {E�i 1 i r Afi�rre i '.''ui I . , 1 L .. it " ' • ti F�1tb cue • sines. narlte: ' ,, 4, • k� -. ^ . Clothes di (Igas). • • dress: ��. 1 i Nil-. 1 ('' 4.0 - .. Other: . • • y /State/ZIP: I.Ii: *I(/Y ; . , 4 • ' 4.7�.2-'O . it" , I $ubtots (872 SD) t rne: (e ) . L {�� • Fax; (••, ) Minimum permit fee , %if / `' plan revlety r25% of permit Fee) B.Iic,; I _ I 3tttt e surehss a 8% o f l Y (. perinlit Fee) 5-W :horized signature: I II / I�OT AI. FERiy)CIT F EE 1 1" _ 1 %, T -... ble psrratt plka on with' tt namC wpb es. tt a pRrmit b •cot ebtal . — ap IBC ' days attar I hail been accepted as aomptata, if Y = ar NNtt :ila a .. a • Date: . y . i d • Per methodology, Est by TrI Building industry Service Board Ni.nloa.w4ourpr�_o...o:, ii ' Awn i'0,' ., d i' .0'B6- I92-EOS }atlas zeaH WdEE:TT SOOZ TE R W . .... .. ... • . .. . " . , • ",• :•• •:,'':‘....:.....;'.....',.,, -..•,,...',:-•'.'•••••1.•••..: .. . .;•.•'"'•::•••••-•::•'';'.... •',••' ••••.'.,'•:J"•• • ;••: ., . :::'':',..•••••••::•:.,'.!•...,•..•:.:.••':‘,•••:•.•„:'..':',.•,.....,.•:-.‘•:: ',',..•••••',.. .••,.•;•.::,.* - ..,...,....••• •• .. ''' • ' " . ' . .. . '..•••;.:. l' v...1 ... ' , 1f...1 . :)'ili* .. 1i i41:0,i 4 gil ^Nlt. s ..7,A. r .f.,r, .rP 4',1111 " ,11 i iv .. °'.- '.',1$ t • Y• r " . M... l' • 41 .,e• l ' ' . 7"..., 7''''.f. ' ‘')'": • . , " • . : • .. . . . . • • . . . . • . • • . . ' ... .. .. . . . 07/08/2004. 0 :58 FAX .. .. . . '. 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BUILDING DIVISION PERMIT #: MEC200&00287 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1/2005 Phone: (503) 639 -4171 :N/ Inspection Requests (24 Hrs.): (503) 639 -4175 —Yr INSPECTION WORKSHEET FOR DATE: 6/29/2005 TIME: 7 :08AM PAGE: 73 SITE ADDRESS: 12376 SW 128TH AVE CLASS OF WORK: SUBDIVISION: BELLWOOD NO. 3 LOT #: 132 TYPE OF USE: PROJECT NAME: GOODHART DESCRIPTION: Install a/c unit. 611/05, furnace added to scope of work. OWNER: GOODHART, SUSAN PHONE #: 503.590 -0978 CONTRACTOR: HEAT RELIEF CO PHONE #: 503 - 260.0077 Inspection Request Scheduled For: Date: 6/29/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 010403-01 503- 260 -0077 Y Cor ctions /Comments /Instructions: • -PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: a ,1 Date: '0 � ° Phone #: (503) 718 -