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Permit 17 CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00426 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/16/2007 PARCEL: 1 S133DD -01000 SITE ADDRESS: 11747 SW 129TH PL ZONING: R -4.5 SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 2 LOT: 049 JURISDICTION: TIG PROJECT: BUNCH Project Description: Installation of a third 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: 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 PETER BUNCH Description Date Amount 11747 SW 129TH PL. TIGARD, OR 97223 [MECH] Permit Fee 7/16/2007 $72.50 [TAX] 8% State Surcha 7/16/2007 $5.80 Total $78.30 Phone: 503- 228 -8878 Contractor: D'S REPAIR PO BOX 820154 VANCOUVER, WA 98682 REQUIRED ITEMS AND REPORTS Contact #: PRI 360 - 907 -7750 Reg #: LIC 94500 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 : • %/ �� , / Permittee Signature)_ w i (( (17 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. Wieclianical Permit Application FOR OFFICE U ON LY City of Tigard Received - ! SZI3 Pennit No.: , . -40 2(0 ° 13125 SW Hall Blvd., Tigard, OR 97223 0 . ' Phone: 503.639.4171 Fax: 503 598.1960 Date /By: Plan Review Other Permit: Date/By: Inspection Line: 503.639 Date Ready/By: 65 See Page 2 for Internet: www.tigard- or.gov Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST El New construction Addition /alteration /replacement 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: $ dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES* 1 - and 2-family g ❑ Commercial /industrial ❑ A ccessory building For special information use checklist. Multi- family El Master builder El Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: / Ll ? Air conditioning or heat pump / ( � 7 ,„_<, c. ,.. ) / / O� tJ (requires site plan showing placement) t 14.00 124 City /State /ZIP: (/ �r i �� O C- , 9 7, 3 Furnace 100,000 BTU (duets /vents) 14.00 1 Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00 Cross street/directions to job site: 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 ij i e&-c) 431-.0 4 (c_ fireplace 10.00 Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 10.00 Other 10.00 Name: /'79 /3 O, lc- Environmental exhaust and ventilation L` Range hood/other kitchen Address: if 7 7 7 .S ,, I ` /4 V V. equipment 10.00 City /State /ZIP: c q �� ,A e , 9 .7 r 3 Clothes dryer exhaust 10.00 �f Single -duct exhaust (bathrooms, Phone:' 3) 5'? p - se 4/3 Fax: ( ) toilet compartments, utility rooms) 6.80 .APPLICANT ❑ CONTACT PERSON, - Attic /crawlspace fans 10 00 \ Other: 10.00 Business name: . S ge" //2.-- Fuel piping Contact name: ›7A1J f< L /z... $5.40 for first four; $1.00 for each additional Furnace, etc. Address: Pr 69 . ii , '7( � © /.J`---e/ Gas heat pump City /State /ZIP: l/l vtJCcg -flrl ...„(r_._ /•1- - 9 yG e Wall /suspended/unit heater Phone: (3 ( 5D7 - `?7S' - 'D Fax: : ( ) Water heater Fireplace E -mail: Range CONTRACTOR Barbecue S g y Clothes dryer (gas) Business name: � //. Other Address: p, L O „ 6, c 0 f S MECHANICAL PERM T FEES* City /State /ZIP: V gq'nU I,/..) 1 4 , e10 2' Subtotal 1/i. SO Phone: ( (4) 51D .7 - 7 75 Zj Fax: ( ) Minimum (25% fee permit f ) �2, Plan review (25% of permit feee) CCB lie.: 9 it - State surcharge (8% of permit fee) rj . SD TOTAL PERMIT FEE within x/ Authorized signature: I This permit application expires if a permit is not obtained wthin 180 ��IY� C � -W (_� days after it has been accepted as complete. Print name: ' f} (AK) g t, /9-,,) (i C.42-- Date: 7 //44, '7 * Fee methodology set by Tri- County Building Industry Service Board L \ Permits \ \Building MEC- PermitApp doc 01/19/07 440 -4617T (t 1 /02 /CO Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total'Valuation: Permit Fee: $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. l:\ Building \Peniits \MEC- PerniitApp.doc 01/19/07 2 CITY OF TIGARD M 4 dAvf- / BUILDING DIVISION ' , 5 PERMI MEC2007 -00426 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/16/2007 Phone: (503) 639 -4171 �aiv jpu i 'i Inspection Requests (24 Hrs.): (503) 639 -4175 ...W I L. INSPECTION WORKSHEET FOR DATE: 7/27/2007 TIME: 7 :03AM PAGE: 66 SITE ADDRESS: 11747 SW 129TH PL CLASS OF WORK: SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 2 LOT #: 049 TYPE OF USE: PROJECT NAME: BUNCH DESCRIPTION: Installation of a third a/c unit. OWNER: BUNCH, PETER PHONE #: 503 - 228.8878 CONTRACTOR: D'S REPAIR PHONE #: 360 -907 -7750 Inspection Request Scheduled For: Date: 7/27/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 052876-01 360-907-7750 Y 2r/44 — '' ' Corrections /Comments /Instructions: /! • 7 0 / IA PASS n PARTIAL APPROVAL I CANCEL n NO ACCESS 1 I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 'Pi Date: 7 fi /O7 Phone #: (503) 718-