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Permit CITYOF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00430 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/17/2007 PARCEL: 2S 104DC -03300 SITE ADDRESS: 13189 SW CLEARVIEW WAY ZONING: R -4.5 SUBDIVISION: BENCHVIEW ESTATES LOT: 033 JURISDICTION: TIG PROJECT: MATHUR Project Description: Install new a/c 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: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES MATHUR, HEMENDRA K AND POONAM Description Date Amount 13189 SW CLEARVIEW WAY TIGARD, OR 97223 [MECH] Permit Fee 7/17/200 $72.50 [TAX] 8% State Surcha 7/17/200 $5.80 Total $78.30 Phone: Contractor: A- ACTION HEATING 18245 SW TV HWY ALOHA, OR 97006 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 649 -3524 • FAX 503 - 649 -6095 Reg #: LIC 78369 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: 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. Jul •,16 07 04: 28p�g re t' ne 503- 649 -6095 p. 1 e�chanical Per � li A7 firii1 C alioll _ __ -- - - -- FOR OFFICE USE ONLY -_._ , City of Tigard JIJ 2007 Received By: ear Q L Permit G � , � .- ,3 . y g d 1 � 1 Date /By: J 13125 SW Hall Blvd., Tigard R 7 23 Plan Review Phone: 503.639.417d 'lFad; r0. :5 8 9 0,. Date /By: Other Permit: TIGARD Inspection Line: 503 � �� p Date Ready /By: rri See Page 2 for Internet' ww - ti a ( DIVISION Notified/Method: Supplemental Information / TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST New construction . , Addition/alteration/replacement Mechanical permit fees* are based on the value of the work I performed. Indicate the value (rounded to the nearest dollar) of all ■ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* — and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. • Multi family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Jo site address: Heating/cooling cii �' , l u L, /Q J'J Air conditioning or heat pump / 14.00 !J J $ !�U � 1 L e C( 21 .'( � ' (requires site plan showing placement) / / 7, Cilty /State /ZIP: 1 7 Furnace 100,000 BTU (ducts/vents) 14.00 �t V1�CL ) ' } � Furnace 100,000+ BTU ( ducts/vents) 17.90 St:ite/bldgiapt. no.: Project name: Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 Hydronic hot water system 14.00 X G.) al4't " / CI r Ct'.CLII C>< -l?� 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 I c Gas fireplace 10.00 �� Flue vent for water heater or gas I fireplace 10.00 Log lighter (gas) [ 0.00 Wood/pellet stove 10.00 Wood fireplace /insert 10.00 El PROPERTY OWNER Chimney /liner /fluelvent 10.00 ❑ TENANT Other: 10.00 Nme: Environmental exhaust and ventilation Poo rtarryl dress: J Range hood/other kitchen Ac / 31 �� o. C.L Qlx.&.0P 1,✓ lLJ equipment 10.00 Ci(ity /State /ZIP: (! y a -e �`�3 Clothes dryer exhaust 10.00 J i Single -duct exhaust (bathrooms, Phone: (5C6 5 c, D _ Lj 9 c- i , Fax: ( ) toilet compartments, utility rooms) 6.80 � 7 I El APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00 Business name: Other: 10.00 i HEATING & piping Contact name: A ACTION HEATING & a $5.40 for first four; $1.00 for each additional 18245S..W T.V. HWY Furnace, etc. Address! LOHA, OREGON 97006 Gas heat pump City /StateIZIP: WalVsuspended/unit heater Phone: ( ) Fax: : ( ) Water heater Fireplace E knell: Range I I CONTRACTOR Barbecue Bt siness name: A- ACTION HEATING & A/C Clothes dryer (gas) 1 8Z45 $.W. I.V. HWY _Other: Adress: MECHANICAL PERMIT FEES* ALOHA OREGON 97006 Cyty /State/ZIP: Subtotal Phone: (S©:'3 C;41 q- 3Sz-f.-I Fax: (S:.S) L<i (oe"%`IS Minimum permit fee(572.5 Plan review (25% of permit fee) ) C 4 S lic.: "7 3 , 3 L 9 - State surcharge (8% of permit fee) j %/�� TOTAL PERMIT FEE 1 ?. 31 Authorized signatu�, LC� This permit appli cation expires if a permit is not obtained Within 180 ��_ �_- days after It has been accepted as complete. P name: C r`,.G ( tom, . ,, . „ _ (_ Date: "7 1 i e:, 107 . ` Fee methodology set by Tri- County Building industry Service Board 1:\ P \ M uilding ermits EC- PermiiApp.doc 04/06/06 440 -1617T (I I/OZ /COMI\EB) Jul 16 07 04:29p H Action Heating 503 - 649 -6095 p.3 A— Action Heating & Cooling, Inc. 18245 S.W. T.Y. Hwy. Aloha, Oregon 97006 CCB# 78369 503 - 649 -3524 Fax: 503 -649 -6095 SITE PLAN Li • 10 4J S ' J r-- y SITE ADDRESS CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2007 -00430 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/17/2007 Phone: (503) 639 -4171 1411 d' �iil Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/24/2007 TIME: 7 :00AM PAGE: 65 SITE ADDRESS: 13189 SW CLEARVIEW WAY CLASS OF WORK: SUBDIVISION: BENCHVIEW ESTATES LOT #: 033 TYPE OF USE: PROJECT NAME: MATHUR DESCRIPTION: Install new a/c unit. OWNER: MATHUR, HEMENDRA K AND POONAM, PHONE #: CONTRACTOR: A HEATING PHONE #: 503-649-3524 Inspection Request Scheduled For: Date: 7/24/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 052413 -01 503- 330.7375 Y Corrections /Comments /Instructions: IAA-- t. N.pa _ L L ' 5' — 2 - y ASS n PARTIAL APPROVAL n CANCEL n NO ACCESS FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: 7 -- ? Phone #: (503) 718 - '24/