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Permit OF TIGARD CITY MECHANICAL PERMIT "'� 'I DEVELOPMENT SERVICES PERMIT #: MEC2004 -00320 =- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/28/2004 PARCEL: 1 S 133CC -80023 SITE ADDRESS: 14196 SW BARROWS RD 2 -3 SUBDIVISION: SCHOLLS VILLAGE CONDOMINIUMS ZONING: R -25 BLOCK: LOT: 2-3 JURISDICTION: TIG 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: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: AC install. Owner: FEES HOLLINGSWORTH, KARIN Description Date Amount 14196 SW BARROWS RD. #3 [MECH] Permit Fee 5/28/200 $36.25 TIGARD, OR 97223 [TAX] 8% State Surchar€ 5/28/200 $2.90 Total $39.15 Phone: 503 - 590 - 2619 Contractor: A -TEMP HEATING & COOLING 16000 SE EVELYN ST CLACKAMAS, OR 97015 REQUIRED INSPECTIONS Phone: 503 650 - 9602 Final Inspection Reg #: LIC 71878 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. Issued By: Permittee Signature: 4�n C,Gtt—?Y\ Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day MAY -27 -2004 10 05 A TEMP HEATING 5035572990 P. 02/03 - 'fie meal Permit Application . FOR OFFICE USE ONLY 1 Rec eived i i Mechanical �,'`� 3 , i., - R ece ive ; ' t � • '► Permit No. :m� V-00 °� Planning prav:l Building City of Tigard RECEIVE Date/13y: in g Permit 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 Datda Permit No.: Phone: 503 -639 -4171 Fax: 50348_ m610 200 Post- Review Land Use t u ' t�i■ DatdIy: Case No.; Internet: WwW.Ci.tlgard "or.US � J Contact Juris.i See Page 2 for 24-hour Inspection Request: 5( c u- p,9 , , , 72 — Nance /Method: - Supplemental Information" DING DIVISION TYPE OF WORK COMMERCIAL FEE *SCHEDULE - USE CHECKLIST.. - . ew constr_ uction 1Ucmolition Mechanical permit fees* are based on the total value of the work 1 Addition /altcrationJrulaeement Other: performed" Indicate the value (rounded to the nearest dollar) of all ' "CATEGORY OF CONSTRUCTION materials, equipment, labor, overhead and profit, & 2- Family dwelling fl Commercial /Industrial Value: S - See Page 2 for Fee Schedule 1J AcceSso Buildin. MI Multi -Tamil RESIDE NTIAL EQUIPMENT /SYSTEMS FEE` SCHEDULE Description Qty Fee(ea.) Total Fl Master Builder II Other: Heat Cooling '. • • • , JOR.SITE INFORMATION and LOCATION Furnace - add -o air conceit oningf * 14.00 ifia Job site address: I . , 1r/ •l:O ecip'"*3 Gas hcajump _ 14.00 Suite #: BIdg. /Apt. #: - Duct work . 14.00 14(11 hot water system 14.00 j Proect Name: _,- , ' :.,w a -A-1....) — Residential boiler Cross street/Directions to job sQ c: (for radiator or hydronic system) 14.00 Unit heaters (fuel, not electric) (in wall, in -duct, suspended, etc.) 14.00 Flue /vent for an of above 10.00 MEM Subdivision: Lot #: — Re air units " __� Other Fuel Appliances Tax map /parcel #: Water heater _ 10.00 . DESCRIPTI I N IF WORK Gas fireplace 10.00 ^ 4,/ o o 1 / i : L, Flue vcnt1watcr hcnicr /gas fireplace) 10.00 — Log Iightcrjgas) - 10.00 Wood/Pellet stove 10.00 _ , Wood fireplace /insert 10.00 . T Chimney /liner /flue /vent 10.00 ePROPERTYOWNER • 'TENANT • Other: 10,00 �t C3--( 4 +� v J^ Environmental Exhaust Si, Ventilation Address: ��� ��q � 2 Range hood/other kitchen equipment Address: i' -D '41,1 IK-2 Clothes dryer exhaust City /State /Zip: t • . '' -.0_. -..9 duct exhaust Phone: ' o3 Ti • .. • 1,,' Fax: (bathrooms, toilet compartments, 'Ill APPLICANT' _ CONTACT PERSON utilit rooms ffil ,Name: Attic/crawl s ace fans Other; 10,00 Address: , _ -� Fuel Piping City /State /7 r' *•(55.40 for first, $1.00 each additional) Fumace etc" Phone: 'V. Fax: Gas heat_,ump " — E -mail: " Wall /suspended/unit heater " „-, CONTRACTOR Water heater ** Business Name - - I - •, i o Fireplace •• Range Ran Address: \ (Der-,C) S - T �.91e l�tti 5+' R an •• t / tote /Zi �'Z!t7 t S .• Cl y S �1 :Ck[ �C�,f''� f lr� Q Clothes dryer (gas) _ T Phone: lP" 9 too a3-- Fax: c,)3,. ` rr f 7- °'Ici other: CCB Lic. #: 7 l l v Total: _ Mechanical Permit Fees* _ Si at a r e: s t " t . a Lc Subtotal: $ Si st - 1 a,' OW �t1 Minimum P ermit Fee $72.50 S 0.nre_ • 44_, Plan Review Fee (25% of Permit Fee) $ tJ (Please print name) State Surchar e 8% of Permit Feel, S ..`6 TOTAL PERMIT FEE $ Notice: This permit application expires if a permit Is not obtained within *Fee methodology set by TrI- County Buitding industry Service Board. 180 days after it has been accepted as Complete. "Site plan required for exterior A/C units. is \DstsU'emtit Fornts\MccPermitApp.doc 01/03 MAY -27 -2004 10:06 A TEMP HEATING 5035572990 P.03iO3 A 4'enip Heating and Cooling Site Plan Prepared by�i� [)aio: ,c5-/S--Og Customer Name.A./ ; #0 /5‘-t Cr-'` Address: Customer Plione-s . / o3 -3 Q- ' y1 6 54) rrAwa • 0 I rouse d i //o { TOTAL P.03 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (5 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested PM BU Location _ / OO Contact Person c //2Q Ph ( ) & Sa ,5 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner r2 —OV 3 Footing ELC Foundation Access: , . Ftg Drain • 6 / : (iirx� ELR Crawl Drain �" ° " � Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath /Shear � Framing • Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL / Post & Beam / � Rough -In Gas Line Smoke Dampers y�RT FAIL L C L Service 6:4 Rough -In UG /Slab Low Voltage Fire Alarm �� PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW. Hall Blvd. SITE ❑ Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA © Approach /Sidewalk Dat C)� Inspector 9 Ext Other: Final DO NOT REMOVE this inspection record from site. PASS PART FAIL