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Permit I) CITY TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2006 -00239 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5(26(2006 PARCEL: 2S1 02 C C -00 304 SITE ADDRESS: 13435 SW CRESMER DR ZONING: R -4.5 SUBDIVISION: CRESMER HILLS LOT: 003 JURISDICTION: TIG 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: > 10000 cfm: GAS OUTLETS: Owner: FEES BEN STONER Description Date Amount 13435 SW CRESMER DR TIGARD, OR 97223 [MECH] Permit Fee 5/26/200€ $72.50 [TAX] 8% State Surcha 5126/200€ $5.80 Total $78.30 Phone: 503- 968 -1842 Contractor: OWNER REQUIRED ITEMS AND REPORTS Contact #: Reg #: 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. (M Issued By. a ��4 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. • Mechanical Permit Application , - i\ ---\ \ , FOR OFFICE USE ONLY City of Tigard Date/By. . > L/ Ai& - PermitNo.: Mie'4 ,23 o . 13125 SW Hall Blvd., Tigard �72 Plan Review Phone: 503.639.4171 Fax: 503' :598.1960 D ate /B Other Permit: T I G A R D Inspection Line: 503.639 (4 6 TO Date ReadyBy: luri See Page 2 for Internet: www.tigard - or.gov M�1 Notifed/Method: . / le, Supplemental Informat 1 ` _ e ;;11 N , TYPE OT 47014 ''' S1O COMMERCIAL FEE* SCHEDULE '- USE CHECKLIST . El New construction grAddiflo e`'S`I`:,® • Mechanical permit fees* are based on the value of the work �alration/replacement 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 / SYSTEMSFEES* ., 1 - 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 . ' Heating /cooling Job site address: }y� /� n Air conditioning or heat pump / /3 / S(� �ii fLS / / /� //\ %i� (requires site plan showing placement) / 14.00 City /State /Z1P: -i fr /' 9 7 2 3 Furnace 100,000 BTU (ducts/vents) 14.00 AA ¢6L Furnace 100,000+ BTU ( ducts/vents) 17.90 Suite/bldg. /apt. no.: Project name: s�� - 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 - - , _ • DESCRIPTION OF WORK ' Water heater 10.00 Gas fireplace 10.00 /�d / 4 (Q /yt�/2 /C 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 Chimney /liner /flue/vent 10.00 PROPERTY OWNER ❑ TENANT. ' Other: 10.00 Name: �& S77`�n -iz.0 Environmental exhaust and ventilation L Address: // Range hood/other kitchen 3 7 5 � � �z D/ equipment - 10.00 City /State /ZIP: 7 69/ 1 7 .2 3 Clothes dryer exhaust 10.00 o -a� Single -duct exhaust (bathrooms, Phone: Pp j ) 96y - /f4 z ui p j) � toilet compartments, utility rooms) 6.80 . ❑ APPLICANT . .. ❑ CONTACT' P Attic/crawlspace fans 10.00 Other: _ Business name: Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Address: Furnace, etc. Gas heat pump City /State /ZIP: Wall /suspended/unit heater Phone: ( ) Fax:: ( ) Water heater Fireplace E -mail: Range • . . CO NTRACTOR _ Barbecue Business name: Clothes dryer (gas) Other: Address: Orq 1.J 1 �. MECHANICAL,PERMIT FEES* ` City /State /ZIP: Subtotal Phone: ( ) Fax: ( ) .. • Minimum permit fee ($72.50) 'at Plan review (25% of permit fee) CCB lic.: State surcharge (8% of permit fee) - CO TOTAL PERMIT FEE 15 3 ) Authorized signature: / } This permit application expires if a permit is not obtained within 180 / / days after it has been accepted as complete. Print name: 1 5 5 7& v 2 / Date: _5' ,- D 6 * Fee methodology set by Tri- County Building Industry Service Board l:\ Building \Permits\MEC- PemiitApp.doc 04 /06/06 440 -4617T (I I /02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: : Permit Fee: $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. l:\ Building \Permits\MEC - PermitApp.doc 12/30/05 2 z laSYY 4015 CITY OF TIGARD ,... • BUILDING DIVISION A PERMIT #: lkitlEC1006-00239 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Fi26: Phone: (503) 639-4171 "AO Inspection Requests (24 Hrs.): (503) 639-4175 A. - SI— INSPECTION WORKSHEET FOR DATE: 12126/2007 TIME: 7:06AM PAGE: 4 SITE ADDRESS: 13436 SW CRESMER DR CLASS OF WORK: SUBDIVISION: ME...MFR. HILLS LOT #: g03 TYPE OF USE: PROJECT NAME: STONER DESCRIPTION: Itisiall a/c OWNER: STONER, BEN PHONE #: 503 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 12/26/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 062128-01 503-968-1842 V Corrections/Comments/Instructions: P rA -di Pn A e---di t 4r e,,,,,,,,,, T:,,,,,,..,.....A, a,,,4 „A-- Y to 12-010 --) 1<c7 Cowv-ci k1.-A. 9' rj PASS I I PARTIAL APPROVAL El CANCEL I I NO ACCESS pi FAIL El CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: a \:\ \‘`0.--,-- Date: 12 it2/ i 0 - 2 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MFC200; .00 ?39 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 0012006 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: •rnf23i2007 TIME: 7:00AM PAGE: 1 i SITE ADDRESS: 13435 SW CRESMER DP CLASS OF WORK: SUBDIVISION: CRESMER HILLS LOT #: TYPE OF USE: PROJECT NAME: STONER DESCRIPTION: Install alc OWNER: STONER, BEN PHONE #: 503 - 96 .1w CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 10/23/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 058154 -01 603-968-1842 N Corrections/Comments/Instructions: f)Z 7 i-J i.,r 41-6 '/n, PAS I I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS I AIL i d CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: ,1D- 23 ---e7 Phone #: (503) 718- __ 4ir TIGARD BUILLANG DIVISION PERMIT iT: MEC2006-00239 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/26/2006 Phone: (503) 639-4171 -40 /118$1111 - Inspection Requests (24 Hrs.): (503) 639-4175 Alli. 41. INSPECTION WORKSHEET FOR DATE: 10118/2006 TIME: 7:06AM PAGE: 7 SITE ADDRESS: 13435 SW CRESMER DR CLASS OF WORK: SUBDIVISION: CRESMER HILLS LOT #: 003 TYPE OF USE: PROJECT NAME: STQNER DESCRIPTION: Install a/c OWNER: STONER, BEN PHONE #: 503-968-1842 CONTRACTOR: OWNER , PHONE #: Inspection Request Scheduled For: Date: 1011812006 Pour Time: , Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough-in 038428-01 503-968-1842 ¥ Corrections/Comments/Instructions: 1 1 4 1-,- ---Te-ay, c2,,.. ,==0 A-- t .,..,.....,-.-, .. . .. fl PASS-- 1 I PARTIAL APPROVAL El CANCEL fl NO ACCESS F‹ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: ,A i Date:r-d—/17-- Phone #: (503) 718- __,,,,, • _ - . - _ - . ., - .