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Permit
.r',1 "CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00159 `TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/26/2007 PARCEL: 2S 102 DC -00503 SITE ADDRESS: 08995 SW EDGEWOOD ST ZONING: SUBDIVISION: EDGEWOOD LOT: 012 JURISDICTION: TIG PROJECT: ABBOTT Project Description: Install a /c. 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: 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: GAS OUTLETS: > 10000 cfm: Owner: FEES TERRY ABBOTT Description Date Amount 8995 SW EDGEWOOD ST TIGARD, OR 97223 [MECH] Permit Fee 3/26/2007 $72.50 [TAX] 8% State Surchar€ 3/26/2007 $5.80 Total $78.30 Phone: 503 684 - 4129 Contractor: THE HEATING SPECIALIST INC 9300 NE HALSEY PORTLAND, OR 97220 REQUIRED ITEMS AND REPORTS Contact #: PRI 503 257 - 7000 FAX 503- 257 -7702 Reg #: LIC 56628 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 OU NC by calling 503.246.6699 or 1.800 332.2344. Issued Gim M4 4 Permittee Signatur� .,, � L__ • Call 503.639.4175 by 7:00 a.m. for inspections that busine - 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 ONLY �j/ /)/)l "` .,.,,, City of Ti gard REct ��� "/ . fie / B y � / �Q . f Permit No bite e -e0 13125 SW Hall Blvd , Tigard, OR 97223 47:11 Review Phone 503 639 4171 Fax 503 598.1960 MAR Da te /By Other Permit TIGARD "`''` I Line 503 639 4175 �+ /l Date Ready /By FARM Fii See Page 2 for Internet www tigard- or.gov ft, COI,„ Notitied/Method Supplemental Information b ivmi c i � r/ , G4 i 9 0 _: ` „� `_:, _ �;; °TYP OF -WORK `_.' ��{( +� „„COMMERCIAL °r FEE* '•SCHEDULE- - USFCIIE ❑ New construction ^ IA Addition /alteration /replacement �� Mechanical permit fees* are based on the value of the work performed Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other mechanical materials, equipment, labor, overhead, and profit '': a' '',. ',.- • " ".a" w. 't - Value $ .d °. _•= ._. � ... - � „ � 'CATEGORY °OF CONSTRUCTION - ' £" ; ` µ ? _ _ - - - - - ',, _• , RESIDENTIAL EQUIPMENT / SYSTEMS "FEES, -- 61 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building Multi -family Master builder For special information use checklist 111 y ❑ ❑ Other: Description Qty Ea Total _ i,- = - JOB SITE' INFORMATION AND LOCATION ° ' -_ _ ;_ _- Heating /cooling Air conditioning or heat pump Job site address. ct cl 5 S i-c% E.i J e_c.t.% a (requires site plan showing placement) / 14 00 /y.O Il � City /State /ZIP: i s kl 2, c)".722- 3 Furnace 100,000 BTU (ducts /vents) 14 00 Furnace 100,000+ BTU (ducts /vents) 17.90 Suite /bldg. /apt. no.. Project name: 0,_ 'j h0 t-I Gas heat pump 14 00 Cross street/directions to job site: 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 Flue /vent for any of above 10 00 Subdivision. Lot no.: Other 10 00 Tax map /parcel no.: Other fuel appliances t 4 '' -,• . -. "• DESC RIP_TION OF,WORK.. - .`7,'„ i - _ - , = - ." Water heater 1000 n Gas fireplace 10 00 �t� -L —k k...., 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 • AN Chimney /liner /flue /vent 10 00 ''' 5P:-01',1.1 OPERTY ° `O WNER :.);,. E TENT- . _ 1; . Other 10 00 Name: T .i_ r a b Sao 11 Environmental exhaust and ventilation Range hood /other kitchen Address: S? q g S S (-z: �a 5' L4,,„,,, a. equipment 10 00 City /State /ZiP: - 1 - 13 - 2, 9 - 7 z Z3 Clothes dryer exhaust 10 00 Single -duct exhaust (bathrooms, Phone: (5 [,, (e t - t-•f t 2 Fax: ( ) toilet compartments, utility rooms) 6 80 "APPLICANT x ri °�� :,s :ti `CONTACT;P,ERSON `- Attic /crawlspace fans 10 00 Business name• Other 10.00 Fuel piping Contact name • S5.40 for first four: 51.00 for each additional Address Furnace, etc - Gas heat pump City /State /ZIP. Wall /suspended /unit heater Phone: ( ) Fax: • ( ) Water heater Fireplace E -mail: Range -`=. ' ti ,- CONTRACTOR ' _ W _ : -. :s 'irr` Barbecue Clothes dryer (gas) Business name ) 1._1(.3 n t-, -s Q c_c_tZ Le. e_c �.,-,c:_, Other Address: 4( 3c.:: e. {--i_ci(s." ; 4 '',, :. _ MECHANiCA PERMIT FEES* - , ', City /State /ZIP: e © a _ A... - Do_ 9/ z U Subtotal `7 -.5 Phone (54 , S -7_ - ' Fax: (.503 ) ,,,.._5• _ -7 - 7v a� Minimum 2 permit fee r mit 50) Plan review (25 /o of permit fee) CCB lie S ce l , ce State surcharge (8% of permit fee) 5- 4S0 TOTAL PERMIT FEE 7 `d'- 3 Authorized 9 This permit application expires if a permit is not obtained within 180 uthOrlled Signature �� - c.��• -'-' days after it has been accepted as complete. Print name ■,,Itya 4he_ ,e2 is i et_ S Date: e,.3- i 9 -c 7 * Fee methodology set by Tri- County Building Industry Service Board I t13uddmg\Permits\MEC- PermitApp doe 04/06/06 440 -46I7T (I I /02 /COM/WEB) 1 ; I i r 1 ; I i 1 1 , i QI - I 7 p„,;,,,,,..,4.?,,, I I ■ I i ■ { f . • } t I ! i , ■ i I! 1 . ! I l�h(� I i j.4U x:1 k 'S,� ;iii � M,�kj I I I a • i l 1. { v5' ' ■ iii, i I : I I ■ ■ 1 ■ ■ • 1114 , (./Z Q • ■ I 11 CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2007 -00169 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/2612007 Phone: (503) 639 -4171 .a �d7�, j e l l Inspection Requests (24 Hrs.): (503) 639 -4175 .�. INSPECTION WORKSHEET FOR DATE: 4/18/2007 TIME: 7:00AM PAGE: 46 SITE ADDRESS: 08995 SW EDGEWOOD ST CLASS OF WORK: SUBDIVISION: EDGEWOOD LOT #: 012 TYPE OF USE: PROJECT NAME: ABBOTT DESCRIPTION: Install a/c. OWNER: ABBOTT, TERRY PHONE #: 503-6844129 • CONTRACTOR: THE HEATING SPECIALIST INC PHONE #: 503-257 -7000 Inspection Request Scheduled For: Date: 4/18/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 046693 -02 503 -684 -4129 N Corrections/Comments/Instructions: i thle 4 ' q4.:\ /1- ' it4/9 e l444 f � /I Qp1,4.:0 g PASS I PARTIAL APPROVAL _ CANCEL n NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: '7 Date:0 g / 6 7 Phone #: (503) 718 - • • CITY OF TIGARD BUILDING DIVISION • • PERMIT #: MEC2007 -00169 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/2&2007 Phone: (503) 639 -4171 "e "oVl Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 411712007 TIME: 7:01AM PAGE: 40 SITE ADDRESS: 08995 SW EDGEWOOD ST CLASS OF WORK: SUBDIVISION: EDGEWOOD LOT #: 012 TYPE OF USE: PROJECT NAME: ABBOTT DESCRIPTION: Install a/c. OWNER: ABBOTT, TERRY PHONE #: 503.604 -11129 CONTRACTOR: THE HEATING SPECIALIST INC PHONE #: 503 -257 -7000 Inspection Request Scheduled For: Date: 4/17/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 046603 -01 503 -257 -7000 V Corrections /Comments /Instructions: • ❑ PAS I I PARTIAL APPROVAL n CANCEL n NO ACCESS FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718-