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Permit
' I CITY OF TIGARD MECHANICAL PERMIT D EVELOPMENT SERVICES PERMIT #: MEC2006 -00483 I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/10/2006 PARCEL: 2S103BA -00116 SITE ADDRESS: 11705 SW ANN ST ZONING: R -4.5 SUBDIVISION: LERON HEIGHTS LOT: 016 JURISDICTION: TIG Project Description: install gas pak 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: DOMES. INCIN: NAT 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: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: GAS OUTLETS: > 10000 cfm: Owner: FEES ROBERT ERWERT Description Date Amount 11705 SW ANN ST TIGARD, OR 97223 [MECH] Permit Fee 10/10/20C $72.50 [TAX] 8% State Surcha 10/10/20C $5.80 Total $78.30 Phone: 503 -590 -5966 Contractor: COLUMBIA HEATING & COOLING INC P.O. BOX 230397 TIGARD, OR 97281 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 624 -2704 FAX 503 -598 -0270 Reg #: LIC 76359 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. v Issued By: � Permittee Signature: S p -2 1 ",:>( , .? 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. Mechanical Permit Application ' FOR OFFICE I SE (")\•Ll' City of Tigard j 11 L� 0 L� 22 ® a e 10 "q o Co (.(--) Pen,it No.: ,m c C a °°11? — ooi, 83 13125 SW Hall Blvd., Tigard, OR 97223 P1aaReview Phone. 503.639.4171 Fax. 503.598.1960 H�, ,.� Ocher Pennit: UL Inspection Line: 503.639.4175 0 ZQQF ■ '� i 1 Date Re Date Re • --- ' - Internet: ady/By: Judi: Fa See Page 2 for Internet: www.oi_tigard.or.us ! Notited/Method: Supple in enta I Info rmation CITY OF TIGARD Dim nIPl/, r ,%,.",..,, Fi:0 1r;` . .. .. .. .... ... ; CO1VI111iE a"i :1g • SCHEIiLT0 C0ST. New construction ❑ Addition /alteration/replacement Mechanical permit fees* are based on the value of the work ❑ Demolition performed. Indicate the value (rounded to the nearest dollar) of al mechanical materials, equipment, labor, overhead, and profit y . ; : ; f -Ric 4 7�y •t > ' Value: $ - i. : - :c�TiEGbI�':'�bi� •' ST�Ii1L7CI�ilSiy"(iYR,.� _ -;`� �;:: . © 1 -and 2 family dwelling ❑ Commercial/industrial 0 Accessory building '- YF` IDE L Q't P F ' '.4..01:8#MS.FivE,S* >;; :;; Fo ❑ Multi family ❑ Master builder ❑ Other: special information l c klist r use the Description Qty. Ea Total ? < _ :IOU 1TE ILVFO41 0, *� ,L 4 IOi :. ;. Heating,/cooling _ Job site address: / / / 45 Air conditioning or heat pump � �`itj �/ (requires site plan showing placement) 14.00 City/State/ZIP: Furnace 100,000 BTU (duets/vents) 14.00 Furnace 100,000+ BTU (ductsivcnts) , 1 7.90 Suite/bldg./apt. no.: Project name: Gas heatpump f ■ 14.00 Cross street/directions to job site: Duct work 14.00 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. 10.00 Subdivision: Lot _ Flue/vent for any of above 10,00 Other: 10.00 Tax map /parcel no.: Other fuel appliances . . , :,.. " ^S P 'r : i .r_p 's „,�y;y,�::yy,,�� 1;f o�`-' _O ' . +' ,t.. ; " (f : 1 )i ! : '. Water heater 1.0. � � - . ' , .. ', . : ...�c'. z rf � ..... t�>Irjtav r ".�„ .�+�� � .:.�,,.1 Sir',;',' - 1 Wt 00 9 Gas fireplace 10.00 / `: :/ / rA 9 "' Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace/insert ' 10.00 ' -. . 1tdt `' .t r`:� �r :; , : Chimney /liner /fluelvent 10.00 . cr. 10.00 Name: f i - r'.7-- � Y' < ., :/ p './_ - 1 — Environmental exhaust and ventilation Address: Range hood /other kitchen equipment 10.00 City /State/ZIP: Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: {�J/ ) ....5y8 �9 .- F ax: ( ) toilet compartments, utility rooms) 6.80 !J `i�PPI:2 : � ,f..0...n, .. _ '• ... 'Q. t CA1VT::;i`. . ,ri': �+,,; x w,'.1‘11. 4`( 71' V l' A+ G'I'`;PERS01‘1k AtticJcrawlspacefarrs 10.00 Business name: Other: 10.00 Fuel piping f �`7 Contact name: 27, i $0R C/ /jV $5.40 for first four; $1.00 for each additional Address: Furnace, etc. Gas heat pump City/State/ZIP: Wall/suspended/unit heater Phone ) G t ,i ,97/7.0 ,97/7.0 I Fax: : ( 3) . 5 9 Dc,17i) Water heater Fireplace E -mail: - Range i �. :,4:: , ,,,': i :. ; - x , Barbecue Business name: ez lovi bi & Aa'74arq ' - Ce b.,, Cloches dryer (gas) Address: / Other: City /State/ZIP: T Q ga g, 1 Subtotal Phone: ( / r,7 , 701. 7 , Minimum permit fee ($72.50) 3 ) 4 � � I `� 3 ) 541 7Q Plan review (25% of permit fee) CCB lie.: ?'/ 3 State surcharge (8% of permit fee) r � TOTAL PERMIT FEE Authorized signature: O This permit application expires if a permit is not obtained within 180 f days after it has been a cceptedd as complete. Q4 Print name: /a 4 n , e a te: /f � r / 4 1,61 • Fee methodology set by Tri- County Building Industry Service Beard is \BoildingiPeonits\MEGPerreitApp .doe 17/03 �j � r ,L /Jy 404517`f(`11/021COM/WEB) Z'd 0L20969£09 But ;eeH elquanloo el.•7 :l.6 90 60 PO • ar HEATING & COOLING, INC. P.O. BOX 230397 • TIGARD, OR 97281 (503)624 -2704 SITE PLAN • ADDRESS: //7 5 St E'd 0LZ0869809 6ui }eaH elgwnlo0 e617 1.1. 90 60 PO . . - CITY ��^�� �� �� -. `_ ��mm m OF m-��������� • BUILDING ��U���� ��U��U�U��� ~�~~"~~~~""°~= ~°"°,~~"~~"~ PERMIT #: t�EC20D�UD483 13125SVV Hall 8�d.. Tigard, OR07223 DATE ISSUED: 10/10i2006 Phono:(503)639'4171 ' Inspection Roque�a(24Hej:(503)S30'4175 ~ J itl �� INSPECTION WORKSHEET FOR DATE: 10/23/2006 TIME: 7:04A1v1 PAGE: 31 • SITE ADDRESS: 11706 SW ANN ST CLASS OF WORK: SUBDIVISION: L ��QMHE]�HT� LOT D TYPE � #: � 1 PROJECT NAME: ERWERT DESCRIPTION: install gas pak OWNER: ERWERT, ROBERT PHONE #: 5B-59G-5966 CONTRACTOR: COLUMBIA HEATING & .CQOUhJG>INC PHONE #: 503-624'3704 Inspection Request Scheduled For: Date: 10/29/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 038640'01 603-6242704 N bre c c� �� . ' e-J/Le-5 Corrections/Comments/Instructions: • . PASS PARTIAL APPROVAL 0 CANCEL NO ACCESS El FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: 2k Date: /Or — 2.-3---c-G Phone #: (503) 718- CITY OF _�RD iii BUILDING DIVISION • PERMIT #: MEC2006-J0483 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/1012006 Phone: (503) 639 -4171 / v„ 0 0i Inspection Requests (24 Hrs.): (503) 639 -4175 '114i `__.. INSPECTION WORKSHEET FOR DATE: 10/19/2006 TIME: 7 :02AM PAGE: 24 SITE ADDRESS: 11705 SW ANN ST CLASS OF WORK: SUBDIVISION: LERON HEIGHTS LOT #: 016 TYPE OF USE: PROJECT NAME: ERWERT DESCRIPTION: install gas pak OWNER: ERWERT, ROBERT PHONE #: 503 -590 -5966 CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503 -624 -2704 Inspection Request Scheduled For: Date: 10/19/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 038505 -01 503-312-5865 Y Corrections /Comments /Instructions: n PASS I I PARTIAL APPROVAL CANCEL I NO ACCESS AIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ,./.4 Date: /�-t ct ---e Cn Phone #: (503) 718- Z-4 `C ---- • INSPECTOR'S SIGNATURES ARE NOT Inspections Required for: MEC2006 -00483 REQUIRED ON GREEN INSPECTION CARD. ✓ Code Inspection Description PASS Date By ✓ Code I Inspection Description PASS Date By BUP - Building Permit • ELC - Electrical Permit 405 Excavation 105 Underground /slab cover 410 Fill 110 Temporary electrical service 415 Grading 115 Electrical service 205 Footing 120 Electrical rough -in 805 MFG- Structure grading /footing 125 Wall cover 210 Foundation walls 130 Ceiling cover 215 Footing drain 135 Low voltage 220 Slab 140 Sign installation 310 Crawl drain 145 A/C or heating unit circuit 225 Post/beam structural 150 Hot tub /spa/pool 230 Underfloor insulation 195 Misc. inspection: 235 Shear walls /anchors 199 Electrical final 240 Exterior sheathing 245 Firewall 250 Roof nailing ELR - Restricted Energy Permit 255 Wtr proofing basement walls 135 Low voltage 260 Tilt -up panel 195 Misc. inspection: 265 Masonry 199 Electrical final 270 Reinforcing steel (rebar) 275 Framing 810 MFG Structure set-up MEC - Mechanical Permit 280 Insulation 605 Post/beam mechanical 285 Drywall nailing 610 Gas line • 287 Suspended ceiling X 615 Mechanical rough -in 295 Misc. inspection: 620 Hydronic piping 899 MFG - Structure final 625 Duct work 498 Grading final 630 Fire damper 299 Final inspection • 635 Smoke detector shutdown 640 Exhaust hood 695 Misc. inspection: X 699 Mechanical final _ AR, BUP - Fire Protection System Permit 905 Sprinkler underfloor /slab PLM - Plumbing Permit 910 Sprinkler rough in 305 Plumbing underslab 915 Fire alarm rough -in 310 Crawl drain 920 Suppression trip test 315 Post/beam plumbing 995 Misc. inspection: 320 Plumbing rough -in 998 Alarm final 322 Shower pan 999 Sprinkler final 330 Water service 335 Rain drain 340 Storm drain SIT - Site Work Permit 505 Sanitary sewer 405 Excavation 345 Culvert/catch basin 410 Fill 350 Septic tank 415 Grading 395 Misc. inspection: 205 Footing 399 Plumbing final • 210 Foundation walls 215 Footing drain 420 Sprinkler supply lines SWR - Sewer Permit 495 Misc. inspection: - 505 Sanitary sewer 498 Grading final 595 Jvlisc. inspection: 499 Final inspection 599 Final inspection I: \Building \Inspection Cards \Forms \AOP- InspCard- Blank.doc 12/09/2005 CITY TIGARD MECHANICAL PERMIT ; ,.P � 11/' DEVELOPMENT SERVICES PERMIT #: MEC2006 -00483 � DATE ISSUED: 10/10/2006 '- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S103BA -00116 SITE ADDRESS: 11705 SW ANN ST ZONING: R -4.5 SUBDIVISION: LERON HEIGHTS LOT: 016 JURISDICTION: TIG Project Description: install gas pak 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: DOMES. INCIN: NAT 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: 1 AIR HANDLING UNITS OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Owner: FEES _ ROBERT ERWERT Description Date Amount 11705 SW ANN ST TIGARD, OR 97223 [MECH] Permit Fee 10/10/20C $72.50 [TAX] 8% State Surcha 10/10/20C $5.80 Total $78.30 Phone: 503 -590 -5966 3 Contractor: COLUMBIA HEATING & COOLING INC P.O. BOX 230397 TIGARD, OR 97281 REQUIRED ITEMS AND REPORTS I Contact #: PRI 503- 624 -2704 Q FAX 503 - 598 -0270 �j Reg #: LIC 76359 • jt W 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: �-� ' f--.() r r,, ,-,; /- Permittee Signature: .; p ; c; J 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.