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Permit CI TY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2005 -00328 actg. - . DATE ISSUED: 6/10/2005 1 3125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 25111 DA -02000 SITE ADDRESS: 08641 SW BELLFLOWER ST ZONING: R -7 SUBDIVISION: APPLEWOOD PARK NO. 2 LOT: 015 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: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Owner: FEES MCCORMICK, CAROL E + DAVID P Description Date Amount 8641 SW BELLFLOWER LN TIGARD, OR 97224 [MECH] Permit Fee 6/10/200f $72.50 [TAX] 8% State Surcha 6/10/200f. $5.80 Total $78.30 Phone: 503- 620 -4939 Contractor: SUN GLOW INC 2428 SE 105TH AVE PORTLAND, OR 97216 REQUIRED ITEMS AND REPORTS Phone: 503- 253 -7789 Reg #: LIC 48131 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: %;1 Permittee Signature: Call 503 - 639 -4175 by 7:00 a.m. for inspections that business ay. 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. 06/1012005 11:39 5032537693 SUN GLOW INC PAGE 01 e ":!12!2004 09!43 FAX 5035981960 CITY OF TICAKA x!]001 (t.• ' V D M___ hanical. Pe __ x _p ,{ ti ' I FOR OFFICE USE ONLY • • City of Tigard .F.accivna _ / / �i Date16 � / D� � �� P ermitNa.� /-! W'•v"� �t�"x. -'� 131,25 $ W ga1181vd_, Tigard, OR 97223 4111)6 P1 =n ite,.iew. v �� v Phone: 503,6139.e171 rnx: 503.598,1960 ��Itl o 1 . y, Othr. Prmilt: 6 ;t� � I)ntNB tnspee�oaLino: 503 - 639.4175 ij�' :' DateReady/By; 1 11l: E See Fa Internet www.ci.tigard.or.us CITY OF Tiu NotifiedlM4theut: , vi taformadee ,?':ItIF i �!I : ; ,��..� ;I SI 't.°: i,Y�`x`m t .i ac• �� ; :f, �:•' �. I., `- .IJ,�,, 7 1 11ti1r F3. a , - t .. , Fo> 11 FFI y , , ,t �.�.i / ~ :11 ;rtil •:^iT :' � ;',. �: �, f rAgitAi l I I't Flo A1JA.�.� rao, I, :i ,n0 ;tai B' CKWST ,1iTdlt..,.,,,,1 ,T,,,, �..- ! V,l • H;It, +"ifs,J Jifv r {' ! ru :ssi.cevar *AL - ''' r ., •F...o.,11 .., M -. -,mf: `1Y1v _ .._s9 ..`� ,.., ��. © New construction Addition/alteration/replacement Mechanical permit fees* are based on the value ar the work Fcr •ortmet. bldie.ate the value (rounded to the nearest dollar) of all ❑ Demolition Ofheri Qp��� mechanical rnaterlaltt, equipment, labor, overhead, and profit. r b:; r h1 : : -- ° . �^ _ -•, �''vrf8 . :Ys• . rr '6 :i!<'',t i 'P 7 t.t7 il,i''i,., I :r'. • UC: $ ,— I dEN2 '! i :,JII l T lei :, i lly-T9 rit0Rs ,.',�a . Fi : ''n;��ti+�ill °1 i�` F3d r .l<, I •, n�.,; :Yell ,. - 3 .. ,. - .`i.tv tiol6idb, J e . u �aI - a . . Vi 1- and 2- family dwelling 0 Commercial/indaastrinl Accessory g 'aa ItEe arrra,l, I VW 15: n,� /,e t + n; S,b F3 ❑ A.cccsso building tN„ For special in r N lttltt -f 1 masion tat ahncldisr. ❑ y ❑ Mager 0 Other Descriptioo Qy, Ea, Total ' c': �. Y, �iiif. � y. In uty , ;�,r ; ^uw� : ;i!r . :�_� _ �stro,tv ' F??ar" r , ;��k :� ;l :i :>' " ;ii : "r "� :�� ; ? ,, i<i , 4 � 9, i'l i ttij la Wit , ,.df'�;[I 1 . 1 8 ^�'ro o ltwd n . ,c. , as ,. J' d I3eatingiceolinQ ' ,}eeL i11 f. _ 1,1'� ]7:17Y1,1•W; ■ 'kl 1 �I -4 {i I i', 11 ^ Air conditioning or heat pump 01> site address. 1 I. � �t�l - ( reaulraa ,sfteplanlhawingplacement) ` la 1 — City/Stmt./ZIP: ( ---17 - 01 1 04 - a � 94- r❑ 87'LLd Fuace 100,000uttoyeeta)_ ._ 14.00 Sane/bldg./apt no.: '-. name: Furraee 100,0001 BTU (ducts/vent!) ' 17,93 Qls float pump 14,00 � Cross street/directions to joie site: -' - Duct work I I 14.00 ! L4 --� Hydronic hot water system 14.03 _ Residential boiler (radiator or hydronic) 14.00 - - - Unit heaters (fuel -type, not electric), in - w411. in -1uh• .eitgllr_nehel, el.e._ 10.00 Subdivision Lot tto,: ..--- eat for any of above 1,0.0 .. _ _ - .- - ,. Other: 10.00 _ Tait map /parcel no.: Ottler fu e1 a,pil iancev - ,r,,7:;il=-- ,,••1; Ir . t;>L�= ':. ; _ :� ,a, 1(" :, „, 7,15 :i { . yi l c frc, `I_ It , t1s ., •,' t .0 1L1 c...JFl-1,f�91 a y. �l' r i �: � y +„ i { . I Water heater 10.00 L :,r - 1 y ai - , 1 .. , Gas replace 10.00 I ~ .. •” Ca, 6 w _ 4 Flue vent for water heater or gas / - n7 .1"4C: 10.00 " Y -- -- Log Hater (RAs) 10.00 ��.._ -- ..,tom..-_ W Woodlpellecstove 10,00 Wood fireclaceJinsert _ 10,00 . : •1! �••yy!" 1 , 11,111;77.3 , 21 r,�,C 5 + i 7•il :. ; li %' V ' i?r1 :r rltt-': � .'. l r'•: w t ...,1 ,•.. T , - CltitrincYlllnerlfluelvent 10,00 ,_:,,, vl -t . :{ + •.O�i171 s:9Cf r, ; : l .,1 i.7 :c ;wPd ":.1. t- r t . . ,.. s 7 .%- c. ^ ,!'. : � • • ',' , �.]r� :'Juail�'i4l��r�l�� � ..�., X1 �112�i., �: f.;111L :�il��'i+ : : :'� :f.�W:lF: . J :'�.�1/.vinf :;:i' � - _ �r ��II Y71., �� • L {� Other: 1 o.oD . Name: Ilk ` Z a 1 LA C • rirnAt,h Environmental exhau and ventilation Address: 7164 SW - t C ,u-er .� -- T F..„,.,. hood/and. Idtchcn v egurnen ip[ 10'33 fly /5P: — r -- , Gr?-.R3- Clothes dryer exhaust 10.00 M —^ Single "duet, exhaust (botIneern:, Phone: -"L o ff — ti Fax: ( ) toilet compartments, utility rooms) 6.80 . :,� � y'• ' ;lj °i�" „ ' r !f J 1F - ' ?t < : ^� "!;1'!•; crt�i, �l :i {`••! %? :(. ".. �y' „ 11 V I N i ' > 'aL't•, n :rv' T('i^s vi � 1 •I 65, ; 11r : ; i ∎ 1 1I 41 eu� ^i'1 i I if t � aI ,l aft.. ? •tt Y c • :µr : i,`( " , F fs , l�a i _ , , r ti 1 0. 0 4 s 1f r , : I Y J. Atti / B ..e "11 0 L �':��. ,,,, J , u _ : . 64 .:I ". S1: :1. +e a , 'yaI.a ,.!!� ..Lq..s 1_.,nrt.,,•! , :T. t, E , 4 1.27 ; Other 10.00 13uai l= nsttnn: PA ,. - . C - Fuel eiLpit Contact name: f i1. I. 0 pl ' 1 $5.40 for Grat four $1.00 for each additional Address: S' a 42. - Furnace, etc. _ -� - -- -- _.� Gas heatpunq, I C{ty /State2ZP: � .a i . C _— Wall /suspended/unit heater Photto: ) 2 5 — /•- di )?ax:: ( ) 2 ,_ q` Water heater _ 11._ ._ -__.. Fireplace -- I3 -ma0: : f. f rq�:�.i c :F 5' i 1,F ITNF; �� o;j,�'}' _� ` 7 . i , . 7, 1 `I`d'�i tit .F = t� !lip: �Ill!E . ;, III,1 - u , al , I ! , ..:.z Y .II , 0,�1 _ L �k"_- �:,_'., :1„ , ` l " s iH . I i. Barb„„ i.,i � •;.,,i.,.,... � a,. :I, - _ - . �:�ir J��: to J 1�i.."".! ��cF ; •-- Bua'lniaa name: U 4A- s � i �rl C J Clothes dryer (gas) `. 1 Other: 1 Address: err ” 11 k: "Im-` . LLtil �y�. '. jir Z�I "I '•V. '.1.W x , ��. .ti ":v: cicy /s'tat./ : ' r __ ..— , $ub Phone. s` N ✓) 2- - Fax: j) � Minimum perrrlir fin (S72.Sn� Plan review ( 25% o f permit fee) �_ CCB Tie.: State ourcherge (UK of permit Fee) , v,--- _ T OTAL PERMET FEE ze t signature: title permit application expiry if a permit Is ' oht,,l.,.d a 1 All Authorized days atter R hat been aettuted as complete. ( Print namo: / Qi Date -- LQ.., - a to • Fee tnet1 odolegy set by Td-County 9ulidint, Industry Service Board i :\8uildmg1Pelmitz\C.Pmrn4/ ILtlee I2/09 v.p.lesiT (lt /OLCOM/W5B) CITY OF TIGARD 0.,-5tattGA-raptviltAl -6661-44, BUILDING DIVISION „ Y. '. PERMIT #: MEC2005 -00328 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/10/2005 Phone: (503) 639 -4171 :0,44 4 (Ili Inspection Requests (24 Hrs.): (503) 639 -4175 ...' INSPECTION WORKSHEET FOR DATE: 6/17 /2005 TIME: 7:11AM PAGE: 39 SITE ADDRESS: 08641 SW BELLFLOWER ST CLASS OF WORK: SUBDIVISION: APPLEWOOD PARK NO. 2 LOT #: 016 TYPE OF USE: PROJECT NAME: MCCORMICK • DESCRIPTION: Installation of A/C unit. OWNER: MCCORMICK, CAROL E + DAVID P, PHONE #: 603 - 62114939 CONTRACTOR: SUN GLOW INC PHONE #: 503 - 253 -7789 Inspection Request Scheduled For: Date: 6/17/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 4„ 699 Mechanical final 009673-01 6 603.263-7789 Y Corrections /Comments /Instructions: / < 1 7 i l 'i /q/ . C- • • 4 iV2 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ C LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED. Inspector: Date: Phone #: (503) 718 - f