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Permit CITY OF ` TIGARD MECHANICAL PERMIT "'''' 1'''!' I DEVELOPMENT SERVICES PERMIT #: MEC2004 -00747 L r. DATE ISSUED: 11/16/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S111CC 01800 SITE ADDRESS: 10315 SW CENTURY OAK DR SUBDIVISION: SUMMERFIELD ZONING: R -7 BLOCK: LOT: 015 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: 1 STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: 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: Remarks: Replace gas furnace. Owner: FEES BILL CHATHAM Description Date Amount 10315 SW CENTURY OAK DR [MECH] Permit Fee 11/16/20( $72.50 TIGARD, OR 97224 [TAX] 8% State Surchart 11/16/20( $5.80 Phone: 503 283 - 5183 Total $78.30 Contractor: ROSE HEATING CO 9945 NE 6TH DR PORTLAND, OR 97211 REQUIRED INSPECTIONS Phone: 503 Mechanical Insp Final Inspection Reg #: LIC 2084 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: Q,/ 797 e'./ Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day Nov 12 04 09:56p p.2 ..... - '• • Mechanical Permit Applicatiob ® 1 0R urrlc l: USE ONLY City of Tigard � CE "" doge/8,4 /S 0 v ' ' '020 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503,639.4171 Fax: 503.598.1960 Odic: Permit inspection Line: 503.639.4175 r yr • date R date/By: K 1- ; L "' B : sari.: www.ei.ti atd.nr,vs "' � ., Ready/4: y .77G S 4 rage Internet: n n a i1 a ro 8 Non � 0 Sup atawtaf Ir,nnattOtt ..- ..,.•.r1TlaARD 11 • 1: : .• : . _ :: . •.;. l'..,;.,• ,ie.t::rir,liCi.O' ': '.iC .1IMERCI are SCHI) en - - USE ",E EOK#.db'f' • u Mechanical permit fees' based value of the work 1:1 New conslTUCtiOn AtdditionialPration/replacetnent p �� indicate the value (rounded M ilia =oral douse) of all El Demolition ther mechanical materials. equipment, labor.; vafieed, end profit. '' ••••• ` - • •'- `' ." ' . .CATEGORY. O 141 COlVSTRl C )N - � Vxluc: S : . ESI . 1YD.ElVT1) .E 111P1►7F.1u1T XS'F1rMSZES•: ;Q and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑ ❑ O ff ' Multi - family ❑ Master builder For lnjormalion Id! c6ecMiil. Description 1 1. I P.a. 1 Total .. JOB:S1;1'g.:INFORMATION • AND LOCATION : :' • •..'' .. • Heating/cooling 1. lob site address: • ) Air conditioning or heat pump 1\ 1\ ♦ �i (requites cite plan showing placement) 14.00 City/State/ZIP: ` ; i.1 \0 .r CLl1"1"h1� Furnace 100000 ductarvenn 1 14.00 r l Furnace 100.000+ BTU (duets/rents) 17.90 Suite/bldg• /apt. co.: Project name: C_ ` - _ 1r Ora heat pump 14.00 Cross stledt/directlons to fob site: Duct work 14.00 Hydmnic hal water system 14.00 Residential boiler ( or • bydsonic) 14.00 Unit heaters (fuel -type, not electric), • • in -wall- in -duct. suspended, etc. 10.00 • F7udvcnt for any of above 10.00 1 4:,: Snbdivisitm: j Lot no.: • Other. 10.00 Tax map/parcel no.: Other fuel appliances .: Water 10.00 •. .. .... :'.. ':' D6SC[ZfPTXON UF�Vi�ORK ::; .'• '• ," ' > Gas fate 10.00 �Gl G � t� C4' t C � C� � Flue vent t for [or water heater or gas Ptr_9lecc 10.00 Log lighter (gas) 10.00 • _ Wood/pellet stove 10.00 • Wood fireplace insert 10.00 • Chimney/hoer/flue/vent 1 PROPIITi Y• OWNER: . .. ; . 0 :TENANT .::': ; :: ; ` ' " • Other 10,00 Name: ` ‘ \ 1. , i , .(Y` Environmental exhaust and ven[ilati. �r Range hood /other kitchen • Address; 1 ©�, � ,1 0 E( 1 t ♦� r � �� r equipment 10.00 . City/Stase/ZZP: A FA Awr 'C �_ Clothes dryer exhaust 10.00 , Single-duct exhaust (bathrooms, Phone: (41>=.)--2-'S.- _ \ Fa)c (al& ---2--531--- ��; (' toilet compere ncrn , utility rooms) 6.80 * '[3 APPLICANT I • 1111111LP CONTACT* PERSON •' Autdcrawlcpoce fans 10.00 Other. 10.00 Business name: � � piping Fuel � - iii i'1� Contact name: \ ,Ll ! S5.40 for first four; 51.00 for • h additiona Address: 0\c-v- \ W Dr- Furnace. etc Gas heat pump • • City/State/21r: ip . di. ► - 21\ Wall/suspended/unit heater • Phone: ( ) """2_,1, ,-„ C 4a ]tau:: ( ) . - '3- A:7c) Water heater - Fireplace E -mail: Range • • .. _; • • • CONTRACTOR • . . . . . Barbecue Business name: _ Clothes dryer (gas) Other • Address: 9 ( , -h �_s \ • .. ' • i il�c i ..' ' :..+ . . „ • .. • City /Statc/ZIP: Pct T \ \ . C\ c_42._ Ca r 2 t 1 ' btotat M cmo Minimum permit fee: 72.50) __JIZr. Phone: ( ) .r.)--, ._ G ]! p-sz I Fast ( ) ` - ' -' 'i Plan review (25°/, of ..j it fee) CCB lie.: 'ZC.-- y Sate surdrarge (8r of • - , it fee J �) .- - TOTAL P I PEE ` - 7.... 4•. Authorized signature: - '`� T hin p application expire' Ua permit " et dwkts4 tannin ISO AAA. ! days alter It has hem accepted c leote- L Pratt name: ' ■s a s Date- d • ree ntethodotogy tatty Trl -County Su . 1 • miry Sender Beard CITY .OFIGARD BUILD -QIVI$ION PERMIT #: MEC200 i -00747 13125 SW Hall B., Tigard, OR 97223 DATE ISSUED: 11/16/2004 W'd Phone: (503) 639 -4171 i2 fI / / Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/8/2005 TIME: 7:12AM PAGE: 76 SITE ADDRESS: 10315 SW CENTURY OAK DR CLASS OF WORK: SUBDIVISION: SUMMERFIELD LOT #: 016 TYPE OF USE: PROJECT NAME: CHATHAM DESCRIPTION: Replace gas furnace. OWNER: CHATHAM, BILL PHONE #: 503- 598 -8978 CONTRACTOR: ROSE HEATING CO PHONE #: 503 - 2835183 Inspection Request Scheduled For: Date: 6/8/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 008686.01 503. 598.8978 Y Corrections /Comments /Instructions: -'' L Gr i A -tom /AA- y oti - d4 44 Z Z7 • PASS PARTIAL APPROVAL El CANCEL NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: la Phone #: (503) 718-