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Permit Iri CITY OF F TIGARD I G A R D MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00228 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/5/2008 PARCEL: 2S110DD - 01500 SITE ADDRESS: 10405 SW CENTURY OAK DR ZONING: R - SUBDIVISION: SUMMERFIELD LOT: 022 JURISDICTION: TIG PROJECT: FISH Project Description: Installing heat pump. 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: 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: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES JOSEPH & ANNIE FISH Description Date Amount 10405 SW CENTURY OAK DR TIGARD, OR 97224 [MECH] Permit Fee 5/5/2008 $72.50 [TAX] 12% State Surch 5/5/2008 $8.70 Total $81.20 Phone: 503- 684 -4878 Contractor: WESTERN HEATING + A/C 14314 SW ALLEN BLVD STE 220 REQUIRED ITEMS AND REPORTS BEAVERTON, OR 97005 Contact #: PRI 503- 647 -5808 FAX 503 -543 -3693 Reg #: LIC 76978 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: < <�� Permittee Signature: �� -- , ,..-- . ,,e , / c ,,r - 7%i - v Call 503. : by 7:00 a.m. for inspections that business d:y. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. May 05 08 09:22a 0 , Western Heating 503 - 543 -3693 p.1 Mechanical Permit Application FOR ,OFFICE USE ONLY • `. 7 eccived 1114 'f City of Tigard � j D �Gr 7- Permit No.: M j t7 � C/ p Ls/ t� • 13125 SW Ball Blvd., Tigard, OR 97223 ��00�9I C u' Pl R eview Phone: 503.639.4 ] ?1 Fax: 503.598.1960 " D Other Permit: ' TICARD Inspection Line: 503.639.4175 IN ' 1 \ DateReady /By: Juris: ® See Page'_ for Internet www,tigard or.gov ©'r$ V ifediMetlwd: Supplemental Information 0 �T1PE OF WORK ��r o • y�, Q4..s COMMERCIAL FEE SCHEDULE - USE CHECKLIST ❑ New construction Addition /altcration/replacement „ o\� Mechanical permit fees* are based on the value of the work ❑ Demolition ❑ Other: VV .4 2 performed. Indicate the value (rounded to the nearest dollar) of all . mechanical materials, equipment, labor, overhead, and profit ' use checklist �� CATEGORY OF CONSTRUCTION Value: $ . l- and 2 -famil dwellin RESIDENTIAL EQUIPMENT / SYSTEMS FEES* y g ❑ Master rci strial ❑ Accessory building Multi - family ❑Master builde in f ormation t. ❑ Other: Description p For special information Qty. 1 Ea. 1 Total JOB SITE INFORMATION AND LOCATION Heating /cooling nn 05 � \ Air conditioning or heart pump l J SLI) P Vi l �G J (requires site plan s showing placement) ( I 14.00 j Job site address: \ o J City/State /ZIP: --T-1 Of r) Qe. 2 al J Furnace 100,000 BTU (ducts/vents) 14.00 J � f Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldgJapt. no.: Project name: p Gas heal pump 14.00 _ Cross street/directions to job site: Duct work 10.00 Ilydronic hot water system 14.00 Residential boiler (radiator or hydronic) I4.00 Unit heaters (fuel - type_ not electric), in -wall, in -duct, suspended, etc. 14.00 Subdivision: Flue/vent for any of above 6.80 Lot no.: Other 10.00 Tax map/parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 /� M Gas fireplace 10.00 Ai 1 _49o1- ( ,'YYIp 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 PROPERTY OWNER ❑ TENANT Chimneylliner /fluervent 10.00 Other: 1 10.00 Name: rlY11 4 1 v, Environmental exhaust and ventilation au Range hood /other kitchen Address: l()40 E3 S(_.1 -) CPV1 -U 'I (. x K .,,, equipment � City /State/ZIP: �p 1 1 _ _ Clothes dryer exhaust 1 0.00 (f '.4 Y (� C�L� C f� fA � Single -duct exhaust (bathrooms, Single-duct (x3) bg' - j 7R Fax: ( ) toilet compartments, utility rooms) . 6.80 4 APPLICANT ❑ CONTACT PERSON • Attic/crawlspace fans 10.00 Business name: J r `es.1 n \ 01 � /� Other 10.00 ni { r 1 { N l(l S>� � j7�, Fuel piping Contact name: . a r . r 1 s6,nl J S5.40 for first four; $1.00 for each additional Address: t� ! t Furnace, etc. ! 3 )l SW tF /� 1 1 Le ii R1 v/ ,.<- c) Gas heat pump City/State/ZIP: l�Q U- „( n ( 1 ' 760 5 WalUsuspendedlunitheater Phone: ( )0t- I7- 5 / Fax::( ) Jr.-1 3 -3693 Water heater E-mail: ( �1, 5 o'tl N 1 Ranee .� n � � 1 1�2.S�r n �t =t f1C'1 �(�'1"`� Ranee CONTRACTOR J Barbecue Business name: !� > _6K N-"G } l� 44. C 1,: � Clothes dryer (gas) I 1 t Other: I Address: j 1) l I( ) A I n I �� s1 p M ECHANICAL P ERMIT FEES* City/State/ZIP: E id (. (`% c, (3 ei-76 S Subtotal - it-/ -� , / Phone: ) 0_17_ Fax: ( )5)-3- G/ Minimum permit fee ($72.50) 7 50 G • ( 3 Plan review (25% of permit fee) CCB lie.: C A Si 5 t/ a State.surcharge (12°/ of permit fee) r7C7 ! /^/ TOTAL PERMIT FEE u) ,,:acn Authorized signature: # Y G ,�� This permit application expires ifa permit is not obtained within 130 !!! days after it has been accepted as complete. Print name: , c .f , , , y ri Date: - --V • Fee methodology set by Tri- County Building Industry Service Beard i . Mudding \PermileAteC- PcrmitApp don 07/19,.07 440-4617T (11/02/COMJWEB) May 05 08 09:22a ,Western Heating 503 - 543 -3693 p.2 0 -ir z f77" CITY OF TIGARD BUILDING DIVISION i__ ''' , :� PERMIT #: MEC2008-00228 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6 2008 Phone: (503) 639 -4171 kpao +i� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/2/2008 TIME: 7:01AM PAGE: 12 . SITE ADDRESS: 10406 SW CENTURY OAK DR CLASS OF WORK: SUBDIVISION: SUMMERFIELD LOT #: 022 TYPE OF USE: PROJECT NAME: FISH DESCRIPTION: Installing heat pump, OWNER: FISH, JOSEPH & ANNIE PHONE #: 503.5844878 CONTRACTOR: WESTERN HEATING + A/C PHONE #: 503 Inspection Request Scheduled For: Date: 5/12/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 069735-01 503 -6'17 -5808 C F2 Corrections /Comments /Instructions: /�. AT; 'AS MI PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS FAIL I/ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: /1.,. Date ii Phone #: (503) 718 -