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Permit C ITY OF TIGARD • MECHANICAL PERMIT 4 DEVELOPMENT SERVICES PERMIT #: MEC2006 -00389 I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/9/2006 PARCEL: 2S111 CC -05400 SITE ADDRESS: 10080 SW CENTURY OAK DR ZONING: R -7 SUBDIVISION: SUMMERFIELD LOT: 077 JURISDICTION: TIG Project Description: Install furnace, a /c, ductwork and gas piping for furnace, water heater, bar- b -que. 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: 1 STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN: NAT 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: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: 3 Owner: FEES PAT - WOODCOCK Description Date Amount 10080 SW CENTURY OAK TIGARD, OR 97224 [MECH] Permit Fee 8/9/2006 $72.50 [TAX] 8% State Surcha 8/9/2006 $5.80 Total $78.30 Phone: 503- 956 -4604 Contractor: SYSTEM AIRE INC 14444 SW FERN ST TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS Contact #: PRI 503 -524 -5927 Reg #: LIC 38062 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. Issu B y : l' � � 1,121�' Permittee Signature: ' 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 use:ONI i Received City of Tigard Date/B far Permit No.: ' CO ? lig 13125 SW Hall Blvd., Tigard, OR 97223 Y C Plan Review Other Permit ' Phone: 503.639.4171 Fax: 503.598.1960 Datel6y TI G A R D Inspection Line: 503.639 Date ReadyBy: ®See Page 2 for Internet: www.tigard - or.gov Notified/Method: Supplemental Information • TYPE OF WORK COMMERCIAL FEE* SCHEDULE' — USE CHECKLIST Mechanical permit fees* are based on the value of the work ❑ New construction — O - Addition /alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition El Other: mechanical materials, equipment, labor, overhead, and profit. ' CATEGORY OF CONSTRUCTION Value: $ / 'z / a e__.) RESIDENTIAL EQUIPMENT /SYSTEMS FEES* • — 9 - fir - and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist. ❑ Multi family ❑ Master builder ❑ Other: Description Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating /cooling Job site address: /0 s ��`� vv - , y.4 Air conditioning ho or heat p pump placement) ( ! i+�r� (requires site plan showing lacement ( 14.00 City /State /ZIP: ' 7 --) J 7 Z Z Y Furnace 100,000 BTU (ducts/vents) / 14.00 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: /c C i7% i...9 .._ 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 no.: Flue /vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 . Gas fireplace 10.00 ��ju� /-- /... 4 6 - " CI t,y. 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 • ❑N PROPERTY OWNER ❑ TENANT Chimney /liner /flue/vent 10.00 I Other: 10.00 Name: PA+ 4" — ,t Environmental exhaust and ventilation / Range hood/other kitchen Address: C t�U _57G2� C , ...e.-0.7- d equipment 10.00 City /State /ZIP: Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: (P 3 ) ''-. t > T Fax: ( ) toilet compartments, utility rooms) 6.80 - - .a ❑ CONTACT PERSON Attic/crawlspace fans 10.00 • Business name: s� 5 4 e t�.,, ( . 7 G Other: _ 10.00 Fuel piping Contact name: .8, -a. jY`,Li H71- $5.40 for first four; $1.00 for each additional Address: / 47/6/ y y 9 /Cc' 0, St Furnace, etc. / Gas heat pump City /State /ZIP: 775 my 7 Z Z 3 Wall /suspended/unit heater Phone: ( 7 ! Z © 5 7 3) / Q 7 3 Fax: ( ) Water heater Fireplace • E -mail: Range CONTRACTOR Barbecue / . Business name: Clothes dryer (gas) Other: Address: MECHANICAL PERMIT FEES* - City /State /ZIP: Subtotal Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) ° Plan review (25% of permit fee) CCB lic.: State surcharge (8% of permit fee) 5: ° TOTAL PERMIT FEE 7 50 - This permit application expires if a permit is not obtained within 180 Authorized signature: L / da after it has been accepted as complete. - Print name: .Ai Lc av t . (4 . Date:' , _ ;s. C * Fee methodology set by Tri- County Building Industry Service Board 1:\ Building 'Permits\MEC- PermitApp doc 04 /06/06 440 -46I7T (I I /02/COM/WEB) 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 $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\Building\Permits\MEC- PermitApp.doc 12/30/05 2 Hfede6& /OCk StJ elid-7210eY CA (2- CITY �~�N� ��U�������� ~ ^ ��mn m Of wow�o��no�* BUILDING DIVISION PERMIT #: MEC2006-00389 13125- SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/3/2006 Phone: (503)S89-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 8M8/2006 TIME: 7:03AM PAGE: 31 SITE ADDRESS: 10080 SW CENTURY OAK DR CLASS OF WORK: SUBDIVISION: SWk8A4ERF|ELQ LOT #: 077 TYPE OF USE: PROJECT NAME: WOODCOCK DESCRIPTION: Install furnace, a/c, ductwork and gas piping for furnace, water heater, bar-b-que. OWNER: WOODCOCK, PAT PHONE #: 503-956-4604 CONTRACTOR: SYSTEM AIRE INC PHONE #: 603'5246927 Inspection Request Scheduled For: Date: 8K18/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 03623701 503-720-9938 W orr ctions/Comments/Instructions: c�Yee-7-*e'e/}4' ^ v,/d d/ s'y���^\\¢ • �° \ | | PASS ,~ P;ARTALAPPROVAL El CANCEL NO ACCESS n FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: /��� • Date: 9 Phone #: (503) 718- ` CITY ��N��7U�������� � ` � ^ ��m w n v��»' m ow�o�mnm�� BUILDING ��UN��� DIVISION pERK�|T#: ��EC2D0�00309 | 13125 SW Hall Blvd., Tigard, OR 97223 ' DATE ISSUED: 8/9/3006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 ~ ����*� � � INSPECTION WORKSHEET FOR DATE: 8/16/200$ TIME: 7:03AM PAGE: 30 SITE ADDRESS: 10080 SW CENTURY OAK DR CLASS OF WORK: SUBDIVISION: S0A8K8BRF|ELQ LOT #: 077 TYPE OF USE: PROJECT NAME: WOODCOCK DESCRIPTION: Install fummnm, a/c, ductwork and gas piping for furnace, water heater, bar-b-que. OWNER: WOODCOCK, PAT PHONE #: 503-956'4604 CONTRACTOR: SYSTEM AIRE INC PHONE #: 503 Inspection Request Scheduled For: Date: 8/1E/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas tine 035237-02 503'72U'9938 N Corrections/Comments/Instructions: n PARTIAL APPROVAL El CANCEL fl NO ACCESS I I FAIL n CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: 0 Date: if Phone #: (503) 718