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Permit
CITY OF TIGARD MECHANICAL PERMIT III DEVELOPMENT SERVICES PERMIT #: MEC2006-10051 DATE ISSUED: 3/29/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S134BD -05300 SITE ADDRESS: 11570 SW GLENWOOD CT ZONING: R -4.5 SUBDIVISION: ENGLEWOOD NO.2 LOT: 141 JURISDICTION: TIG Project Description: Heat Pump /Air Handler. 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: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: 1 OTHER UNITS: GAS OUTLETS: > 10000 cfm: Owner: FEES ED BURNS Description Date Amount 11570 SW GLENWOOD CT TIGARD, OR 97223 [MECH] Permit Fee 4/6/2006 $72.50 [TAX] 8% State Surcha 4/6/2006 $5.80 Total $78.30 Phone: Contractor: TRI COUNTY TEMP CONTROL 13150 S. CLACKAMAS RIVER DR OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS Contact #: PRI 503 -557 -2220 FAX 503 -557 -0919 Reg #: LIC 72623 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. Mechanical Permit A lication FOR OFFICE USE ONLY City Of Tigard FC VEDA Received 1.- 13125 SW Hail Blvd., Tigard, OR 972 pato3y3 -1 .0 .2q --- el 11 Permit No ,C Z 0 Phone: 503.639.4171 Fax: 503,598,1960 (� c ,A=",. 1 Plan Review Other Peewit: P / 1a +, 1 pate Date/By: Line: 503.639.4175 MAR 20 6 I head /H a t . .. r r; Jur' ' See Page Z ror Internet: wwp .ci.tigard.ot.us TT Notified/Method: l� I C�1 Supplelneutal Irtrormytion ; ;,:�1 "F' 4� "� -f� :'�� ; l I' '., �. ,6C i F .. {� � ,.r . -,"' . F; .,.,, I . ' �, t:.F,�ft 4�:.,jir ...^.,'.�1 "•`!', Rjtet "il';OW`I.11ti °f� k .� FI� ' ° : to S dfI is U '`.�1 Eby � k� .'1. , i"r S, 4ti5.*�I ; F'` ,,:,, i , WI . , , � M �+ ) ma y �r/y�1l�',�� r t F y (� ('�� � 1 [ 1n 1 n'I��p c. pa y ^ �.�, �/'� (v : a �' 11M1'. {.�Yfl•,. .I;. }t • ,�{!, , ':Will . YmCL ,'ll'�'.JS.�tlilliaY� � � !i.11�l'L41 �. . V1YrJ -I tA.F... �. SI "�Y..�.tl.., e .� ,.1Y.41�-'i� : Hi'+Z� I�WPVIMYi51��'�' + �1i��.L• �1�.4,/1J''[ Mechanical permit are based on the value of the work El New construction A' dition/alteration /replacement El Demolition Other: performed. Indicate the value (rounded to the nearest dollar) of all mechanical materials „e ut ment, labor, ovancead, and root. t i i, x t * y ,,4 i . { (.,� ; .y,,. �yj'i t + 'ra . g• 116sa ;f'; a,. t,h t{ tas ,. 'ult , ,. .,d...4.,!a, .L:Ia a Hi i v. .. • . t y :t14/ 4,4, , ., ` , 11 Value:5 • . iG�1i a ''l n r - -.+.a,7=,, III 1- and 2-family dwelling Q Commercial/industrial ❑ AcCessory A:g.i.;I4WRIS m ' 1 ' � ' SYS'F y� 1 �,:., .... Y building t ,. _ _ ' - ' , for special informrrtlon use checkllsr. Multi - family ❑ Master builder [] El Other: Description Qty, Ea. rota] t: , n t y, d Uj r L:1-P � '. '4'. up� .„>,0 ,I; rl d"�: i!;.' J' t�,y :elii He:ltiu cuulin Job site address: {{ J� 3 '7(� At conditioning or h pump . , ,_ �L1� SI �� � V V ��I �r� � re wires site Ian ahowin_ lacemont 14.00 / . ciry/Smte /7,IP: rurnacc 100,000 BTU (ducts vents) 14,00 ' -- � 1 Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt_ no.: k ject name: - .- . ..__ -, . __... - -- ___ -- Gas heat pump 14,00 Cross street/directions to job sits: Duct work 14. ' H dronic hot waters stem 14.00 ad .._.. Residential boiler (radiator or or hydronic) _ 14.00 - -^ ^° - . - -- Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10,00 ' _ _ • Subdivision: Lut tlU.: Flue /vent for a of above 10.00 - ---- Other: l 0.00 Tax map /parcel no.: - ....,,,--•-_.., ..., - - -_- _,..:.......____ ......,-..-_t _ Other fuel a . fiances : .4 .1., .T'T.' .w -. 'a!"� N: .'� 'TII' �'I�F '4'eJ M 9! n; Water heater ......_,�_ '2 ' . ':' 1 y;;4t'Y- s t ' a1 Fp. SCiJd'.'f'i0 l JI31' ; �N;q "tf: K:',!, l'...: e ;., $* s r•:w .. ,..., lV;`0' ^ L1R I r �! °' : W ht 10.00 .� is ,,rr t kk� • t.� ,'f+.' t "fi .. .., .... :a... _: '; .r. ni "w. .,. .... - Gaq fireplace 10.00 I - / • ■ 4 , Flue vent for water heater or gas � (� 1 `V 6 I fire. lace - " 10.00 - ......... ......__..... ....... -- Log lighter (gas) 10,00 _ ",..._ Wood /pellet stove 10.00 Wood/pellet ....._.._ ..... - - -... ................ - - - - Wood fire- lace /insert 10.00 _ :LZ-, e $�' Yra. iirF �: � ,,:. - I ; u „F. . :d1 :�. ; , , 1 ." nute /liner /flue /vent 10,00 � t . i ai'h 1 � tip:' %td d. ,. a .. . i. "''Gi �.. :ipi %1 ? E ., Js • Z .,,,, l • • - , • ' , , :.." 4 , y �q I'Mv . 4L L ` fi t ' , , l'r f Ll r 1.L ,,1 ' i ; " `4' , ,:.. , , 1 ' ( C hi , ': ,ta9 �.. >,� .�;. ,.d'r,.1 � ICf.,�M Other: • )0.00 f Name: j I, Environmental exhaust and ventilation - ,� - -. -_.,., _- Range hood /other kitchen Address: _,._ equipment 10 00 Ciry/State /ZIP! Clothes dryer exhaust 10,00 - Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 0.30 `','": ? 1 ' i': %K.04 p �;`�;,fi;', ': ,, r:.. ✓ . ;p,r;Lgy'fi::11 r,� {�p',t, ar... ''d• Attic /ct p �•l,�t.., ` .y : 'c 'hti ]ptS�l'��i(`Al��' r.� ; L.�.. 'r'(i .. p�� Y �. ���'��'l,;' pA.4�'QIN �,. I.: Y. 1 ace fans 10.00 .. ..,� '^�f'^Y'; srGrr.". ':f x+ a.. i .A' ". .�:. : 4�°"'1 .�. T? AC,����0.N. ?;1�Ij } ` '. .•. 1.,. � Business name: Tri C f TC other: _ _ _ w � 10,00 7 �I /. � - ._.T..,., r., --- .,......._,...._...,..� Contact name: $5.40 for first four; 51.00 fur each additional Address: C Furnace etc. /' Gas heat pump ■ City /State/ZIP: c 'go 4t � C 0 C 7045 . Wall/suspended /unit heater -- J Phone: (Fj(Y t �6 ) S ` 222.0 Fax:: 5 5 - 7 - - a l l Witter heater ..,,. ,- .. -..., E-mail: Fireplace � M „ Range x. k4f "1'{ 1'ls' _ ri. 'r ' ' i r4^s'.; 4.11404:§. ' u a 11'11 i' `,C; `r O ''t tl 1 i' � ;H' 1 t _arbecuc Business name: i -, . CC)i~ J Clothes dryer (gas) Other. Address; _ l .i!' O G C &11/03 t ..bn) z !., i. ;;�i;:.y;`N14 ']E A1Y io.4''I.ap71 * 111'1 . iiiit.o'' ` . City /State /ZIP: Ora C . C `'L -- :.. -... - = Subtotal 17-", �rj 7 �J ^^ I (1�a C ] (� I(,� - ,. MiniMinimum Minimum permit fee ($72.50) , I Phone: (a\:5) /5 � , ! / S. ' 1 Fax; ( � t l ... . a_ _.__ 4 Plan review (7.5% of permit fee) CCB lie.: .._._ State surcharge (8% of permit fee) _ ..... 72 - 10 �5, [ / /1 'TOTAL PERMIT FEE Authorized signature: -.e % /l , e ✓- Lo - 1' permit appllcatto,F esplrea a a pennut is trot obtained within ISO • _....,,... _. - _. -_. dare anti It huy been accepted rx complete. Print name: biane N nl � y) Date: � ' lJ " Fee methodology set by Tn- County Building Industry Service Bcar t £d Wd9S:l0 900? 8 . -- 1 PW 6T6aLSS2OS: '0N Xdd : 1'd0 • INSTALLATION ADUREM igUrt 670 ct) /Wo_<>Q , 126-4 4 0 , DMZ ct qZ Z `3 - -� PRorrarT LIN _ _ -j • r• r: mom: pRom,IITY LINE • Ed Wd9S:20 900E 8E '- N 6Z6aZSS�aS: ON Xtid WOJd CITY OF TIGARD _. - :._ iio BUILDING DIVISION . - PERMIT # u - o of i'V1,e 13125 SW Hall Blvd., Tigard, OR 97223 Via DATE ISSUED:. Phone: (503) 639 - 4171 1 ,'i� u ��� l Inspection Requests (24 Hrs.): (503) 639 - 4175__.. . . INSPECTION WORKSHEET FOR DATE: PAGE: SITE ADDRESS: P /, j 70 -].f , wood) C? CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: �Z OWNER: PHON��, CONTRACTOR: j,l PHONE f Inyection Request Scheduled For: Date: 4 - `0 ' ' Pour Time: \ l! Code # Inspection Description Confirm # Contact # Message 6 9 ? IIAk-CA ►.9%—t C rrections/ ? . s mments /Instr ctions: - VAA--vv‘f / A-vve ..z__,_ . -61-C-2-0a6 -loofa ,63 sy/ 1/-3--z)6 4 /i s f/Nr-VMA:. \ l i Cam r^ G (Al- . _t V Q `. c 1,--m -� c -c._.. 3 1 ,/ (C_r&T./ r 7 \ r ' t.—\,) 0 .., , ) I I- - tA y .w •x _ f 1 l'otp (\'''' � /// ,. , .1` ';''''''-{' I ..! /,► PASS n PARTIAL APPROVAL ❑ CANCEL [1 NO ACCESS FA ' I J CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: `/ r ?� Phone #: (503) 718- 1 - MII lii • CITY OF TIGARD BUILDING DIVISION '� c�, PERMIT #:(P&2- 006 j n'�57 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 rdy�l�ii - " . Inspection Requests (24 Hrs.): (503) 639 -4175 �_' INSPECTION WORKSHEET FOR DATE: Tl h -4 P' " `, PAGE: SITE ADDRESS: 1 137 Gj P,,,(A) ©od ct CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: `T 3 0 Ce Pour Time: ' Code # Inspection D j scription Confirm # Contact # Message 660 / G-- ff_ Corrections/Comments/Instructions: � ' 1 1/1 .c■ Z1- ,i Eft: .G C - �L ❑ PASS I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: .¢ "3~ -- Phone #: (503) 718 - -2.4i52-6.---7