Permit " CITY OF TIGARD
MECHANICAL PERMIT
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'''� ° ' ` COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00382
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/26/2007
PARCEL: 25111 CD -03600
SITE ADDRESS: 09585 SW BRENTWOOD PL ZONING: R -7
SUBDIVISION: SUMMERFIELD NO.9 LOT: 525 JURISDICTION: TIG
PROJECT: ULWELLING
Project Description: Replace AC 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:
ELE 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: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
ULWELLING, JOHN J + KATHLEEN M Description Date Amount
9585 SW BRENTWOOD
TIGARD, OR 97224 [MECH] Permit Fee 6/26/200i $72.50
[TAX] 8% State Surcha 6/26/200i $5.80
Total $78.30
Phone: 503- 760 -5286
Contractor:
ARROW MECHANICAL
10330 SW TUALATIN RD
TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 692 -1565
FAX 503- 691 -1879
Reg #: LIC 5193
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.
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Issued By: A A Permittee Signature: i/At,._
VO W Call 503.639.4175 by 7:00 a.m. for inspections th. business .'
This permit card shall be kept in a conspicuous place on the jobs e unti .ample ion of the pro -ct.
Approved plans are required on the job site at the time of each inspection.
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City of Tigard
Mechanical Permit A *; ‘tr. i t .. OI
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Received6
Date/By: „oil i 4 ts Permit No: _ ,......- .., " ... 3 :.).- •
. 13125 SW Hall Blvd., Tigard, OR 471u Plan Review
Phone: 503.639.4171 Fax: 503.54my602 6 2007 Date/By: Other Permit:
TIGARD Inspection Line: 503.639.117V - . Date Ready/By: . 13 See Page 2 for
Internet: www.tigard-ormy I Y O
, . f liCiARD .1.
Notified/Method: Supplemental Information
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co D-,. - DAMON -- - '" --- -
v ,, ,-.-. ,- ---,,.. 41/PE' OF Ar :, • 2 .3' :: . ,..:,, .',, , -.1 . ::',: ,. ',,':' ,' ,,„1 ,, - coMMEiicIALiiiE ; k§diElifilic=-' - , 7 USE 61:1E6iiiISV1:11 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
CI Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $
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CATEGORY OF ,:,.,' ----,, ,:--- '--,.. , , - . , • ,.' f ,
1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building
0 Multi-family 0 Master builder ilder 0 Other: '":-..,•'4 Description RESIDENTIALIEQIJIPIVIENT/SYSTE - 1VIS - VEES,
For special information use checklist.
, I Qty. I Ea. Total
'r.!-',-; "4 ':!....; c;' Heating/cooling i
Air conditioning or heat pimp
Job site address: 95 5 6:47-ff jor4) , (requires site plan showingidacement) 14.00
City/State/ZIP: •27a54,R q--aZ■q- Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000±/13TU (ducts/vents) 17.90
Suite/bldg./apt. no.: Project name:
Gas heat pump 14.00
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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
Flue/vent for any of above 10.00
Subdivision: Lot no.:
Other: 10.00
Tax map/parcel no.: Other fuel appliances
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,.. , - ! .,-;!, ,,k; ..„i =:''' ;J:i.tii..3 ;;,,...;„: 1.-;' Water heater 10.00
k . AP; ';'‘;'.' 1:19 ',.,..!.-:: .,--
Z5?z_ktcs 3 7-6N) 7. c.
7 Gas fireplace 10.00
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
10.00 . Chimney/liner/flue/vent
PROPERTY OWNER "
:17 NEW"' , 'f ., -'''' ,7 '''''' '' '',"*, '''!"'',.'" ';"' '';,' RI 4E1■TANT-,41"-?'-'4' - " , ',:--"i `,- ,.
, ... - ' ' ',--.--=''' '' ''-'''''''''''. - "-4- '-''' Other: 10.00
Name: <47 01-GiE7--4_1 i■-)b- Environmental exhaust and ventilation
Range hood/other kitchen
Address: C 5 51. , l'R'S - pirl i acej") e_____ equipment 10.00
City/State/ZIP.-7FiRD 77. 2 2 Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: (S7) '.' ( 5-zE, Fax: ( ) toilet compartments, utility rooms) 6.80 - ''''hiPa,>•=:-;; FA APPLICANT ; V.- ,"-=':,.'' ,.**='' -,, r1, . AD .: CONTAGTZPERSON ''., -=-• -.-': ,'-',-, - Attic/crawlspace fans 10.00
Business name: 4 ri - o{j e i , j / 04 c. , L.,
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, Other:
Fuel piping 10.00
Contact name: ,,4C_' 7 ./) $5.40 for first four; $1.00 for each additional
Address: /c):5 36 st,) '7 i iit) Furnace, etc.
Gas heat pump
City/State/ZIP: 'Flo L 7 -7 U 7-4:&2__ Wall/suspended/unit heater
Phone: (c11) 5) 6 Z- / 5 5 Fax: : (5)3 6 9/ __/? .7 7 Water heater •
Fireplace .
E-mail:
Range
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';:'....;:•.1', -5 . ; - :::`5, - ••:, - ;, , ,!, , .' - `".; '.1%. ':. ',7' ,.,7 ' '' -- ••"' :. Barbecue
Business name: i .... j
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Clothes dryer (gas)
Other:
Address:
.:- . " i '.cV?;'MECHANICAL k0040
City/State/ZIP: 5 A m .,,___F:
Subtotal
Phone: ( ) : ( )
Minimum permit fee ($72.50) ---,,,/ .56'
,
Plan review (25% of permit fee)
• CCB lie.: 5 793 ., State surcharge (8% of permit fee) 5
. Ka
/ 7"-- TOTAL PERMIT FEE 0
Authorized signature: ..6 This penult application expires if a permit is not obtaine2Lin180
days after it has been accepted as complete.
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INSTALLATION ADDRESS! PL, •
PROPERI'Y LINE /
131 fre,--1)
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FRONT
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PROPERTY LINE
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CITY OF TIGARD
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BUILDING DIVISION PERMIT #: MEC2007-00382
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/26/2007
Phone: (503) 639 -4171 Ad %U�II'�I(
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/28/2007 TIME: 7:01AM PAGE: 71 •
SITE ADDRESS: 09585 SW BRENTWOOD PL CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO.9 LOT #: 525 TYPE OF USE:
PROJECT NAME: ULWELLING
DESCRIPTION: Replace AC unit.
OWNER: ULWELLING, JOHN J + KATHLEEN M, PHONE #: 503- 760•52B6
CONTRACTOR: ARROW MECHANICAL PHONE #: 500 -692 -1565
Inspection Request Scheduled For: Date: 6/28/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 051102 -01 503- 793 -6027 Y
Corrections /Comments/ Instructions:
PASS PARTIAL APPROVAL n CANCEL NO ACCESS
❑ FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: - i ,> Phone #: (503) 718 -