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Permit ;.' .. CITY TIGARD MECHANICAL PERMIT � ,� DEVELOPMENT SERVICES PERMIT #: MEC2006 - 00242 � 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/30/2006 PARCEL: 2S 115AA -05800 SITE ADDRESS: 10932 SW CHATEAU LN ZONING: R -4.5 SUBDIVISION: REBECCA PARK LOT: 015 JURISDICTION: TIG Project Description: Replace a/c & furnace 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: 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: Owner: FEES JIM JOHNSON Description Date Amount 10932 SW CHATEAU LANE [MECH] Permit Fee 5/30/200E - $72.50 TIGARD, OR 97224 [TAX] 8% State Surchart 5/30/200E $5.80 Phone: 503 624 - 2948 Total $78.30 Contractor: CLEAN AIR ACT, INC. 16582 S. CARUS RD. REQUIRED ITEMS AND REPORTS BEAVERCREEK, OR 97004 Contact #: PRI 503- 632 -1563 FAX 503- 632 -7158 Reg #: LIC 144650 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1 -8 .0332 -2344. Iss ed B �« -ALL _I Permittee Signature:��.�/ ��` i�� - - - Call 503 - 639 -4175 by 7:00 a.m. for inspections that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. May 30 06 11:00a Rodger Brown 503 632 -7158 p.3 .fp L. r R [1,‘; Fr) . . . M: chanscal Permit A n l y y e MfG�D6 Doi Ci a of Tigard Other Pecm;t: 131 • - SW Kell Blvd__ 9723 ` '� 20 , ..0•!,....0 • r;. ,,;, ®see paCc i Eor Im Pho e: 5�3. 69.4 503 gar: SO].598.74 t � t - i pateiteadYfaY• supplemental eln rarmne3na • tnsp _rive Linc: 503.639. NoiifiedJMdLwd: ante er: wvvw.ei.tigard.or.us c y i lu�a$ co NtM£1Ri f+L i6E'`- SCHEDULE - _US C F3FCl 1.1ST . 1111 . • „ 1 A n Tt��' ®F`W� N Mechanical permit fees' are based ou the value of the work 1E lion 1:K Addition/alterttion/replacement performed. Indicate the u31ue (rvundc.d to the-nearest dotter) of all 1 • D ew Brio VC mechanical materials. e•ui• maenc, labor. overhead. and .rout. Demolition ❑ Other. _ • 1- and 2-family dwelling ❑ a CAtEOOR V •OF• CONSTRUCTION JiltSID EQUIPM£lY r f S1fSTEMSFtrES'. Gornmereial indu Serial ❑ Accessory building For speciel rnJi'rnWripn use checklist. CA �] Hasler builder �� Drscripfion Qry, E9. E . Mule- [prnily , , III le JOB SITE IlNFOTdtINATIbN :AND LOCXYION Air conditioning orb pump y at, Jim Johnson f.t• i_eesite • , _bowie• •le_ncntl 1, 00 . site address t• I moo 00 BTU ducnlv�tts) 14.00 � 14-14... 10932 SW Chateau Ln Furnace Furnace 100.000+ lducct+vecAS> 1 14. E 00 tyl5tatc/ZiP: - © iO 14.00 gross OR 97224 r 00 Clbldg /apt Ito.: — .. Duct work NM site _ 14.00 II Residential bailer (radiator or 14.00 i h dunk Unit he (fuel -type. not etetthc). t O.DO in -waq, in•due4 sug•endcd. err - 10.00 Lot no.: Odtec 10.00 - � s ubdivision: Other fuel a • • moneys 111111 2s map/parcel no.: 1Nater lteatrr 10,00 NM I Eased PT1pN OF WORK IOAQ I I - L Flue vent for water heater or gas 10 w 00 a fire• r ace .0a Wood : net stove MI 10.00 ' Wood fire . lace/insert ' 10.00 _ 1 Chime_ /liner /flue/vent 10.00 13 PItOPEATY OWNER ❑NtA7VT Other 10.00 Environmental exhaust and ventilation • Nye; Ran Jim Johnson e hoodlocher kitchen I 70.00 e •UI• mcnt Address: 7 0932 SW Chateau Ln clothes a a exhaust 1 °•°° Oily /ScarelZIP: Tigard, OR 97224 single-duct exhaust (laathrvoms_ 6 toilet co • ailments, urili rooms) Mont: ( I 10.00 - ❑ ARIL; rEP.SOLV Other. 10.00 mos Business name: Fuel • i • in: S5..410 car first font. SI.00 for each additional �O °t:1Cf name: Job T 503 624 -2946H Furnace. de. � Address: Phone: �= Water heater Phone: ( ) F0 �" ( ) Fit .taco �. Ran • c £ -mail: Barbecue TH 16582 S Carus rd OR 97004 Other. - � Elusive Cl e an Beave MECHANICAL PERMIT FEES` Addm 503 632 -1563 503 632- 7158Fax ,� ,�1 CCB #144650 Metro #7397 Subtotal } p Rodger Brown Minimum permit fee (52.50) _ Plan review (25% of permit fee) Phone: State surcharge (WA of permit fee) - 4• CCU lit_: TOTAL PER2lbITT FEE thu pant[ ,PPficatiot mitts Wit permit is nut abtalnett wean. .ov days aRcr it hat been accepted at campkrc Bawd Authorized ___flat___: F ee . ncthodolo)ty 7ct by Td Building industry Sesv r Date: - 1�1 - �6 'awd May 30 06 11:OOa Rodger Brown 503 632 -7158 p.4 f� IV V \� L r \ Vrf^ J04- S'-, f C 3 z —S CtI t 'c'4 ln. L -, 4 o z2 y Th ? U NY CITY (OF TIGARD f`""" BUILDING DIVISION . PERMIT #: MEC2006.00242 , 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/30/2006 Phone: (503) 639-4171 00 ��u �/�l Inspection Requests (24 Hrs.): (503) 639 -4175 ° °1.L INSPECTION WORKSHEET FOR DATE: 6/3012006 TIME: 7:01AM PAGE: 74 SITE ADDRESS: 10932 SW CHATEAU LN CLASS OF WORK: SUBDIVISION: REBECCA PARK LOT #: 015 TYPE OF USE: PROJECT NAME: JOHNSON DESCRIPTION: Replace a/c & furnace OWNER: JOHNSON, JIM PHONE #: 503 - 6242518 CONTRACTOR: CLEAN AIR ACT, INC. PHONE #: 503-6'32-1563 Inspection Request Scheduled For: Date: 6/30/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 032463 -01 503 - 6242948 N , Corrections /Comments /Instructions: / e) /01-a it k 7 79/ . 1 "(.--47)----e / / r ..,,, PASS PARTIAL APPROVAL n CANCEL n NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIf AL EES ASSESSED 0 / / 7/03.,--J Inspector: i < Date: 9 7 1 _ Phone #: (503) 718 -