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Permit CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2003 - 00206 Ali 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/23/03 PARCEL: 2S 102BC -00901 SITE ADDRESS: 12805 SW GRANT AVE SUBDIVISION: NORTH TIGARDVILLE ADDITION ZONING: R -4.5 BLOCK: LOT: 029 JURISDICTION: TIG 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: DOMES. INCIN: LPG 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: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: 1 Remarks: Installation of gas furnace, gas piping and a /c. Owner: FEES FRIEDRICH, SHERREE R Description Date Amount 12805 SW GRANT AVE TIGARD, OR 97223 [MECH] Permit Fee 4/23/03 $72.50 [TAX] 8% StateTax 4/23/03 $5.80 Phone: Total $78.30 Contractor: SPECIALTY HEATING & COOLING 1601 SE RIVER RD HILLSBORO, OR 97123 REQUIRED INSPECTIONS Phone: 503 Gas Line Insp Heating Unt Insp Reg #: LIC 66578 Cooling Unt Insp Final Inspection 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 -01 0. You may obtain copies of these rules or direct questions to OUNC by calling (503)24 - 6699 _ Issued B K 4 /h t P ermittee Signature: i ia_c_ Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day Apr 22 03 01:OSp Specialty Heating 503 598 0718 p. Mechanical Permit Application A e, a tin f � u i 1'' '_� ' f' o Tigard " Datt:ree 22 0 p.,,., na.: N „,, 3 -co Alio City afTigard Address: 13I25 SW Flail Blvd, Ti d, ^ Pmject/ Expire date; 42232003 Phone: (503) 639 -4171 Hr � I' ”' pate issued: Fax: (503) 598 -1960 C% Payment h' e ivt "'-: CITY OF TIGARO Case e no .: Pa ment � 101 C file Y type: Land use approval: 13uitding permit no.: PLRMi 1 & 2 family dwelling or accessory O Commercial/industrial CI New construction CI Multi - family CI Tenant improve •naent Addition/alteration/replacement ❑ Other �, .10)iI MIT 1NhgRMTIUN Job address: COMMERCIAL VALUATION SCULL) MIMI ify' CL) !'4'1 ?� 4, indicate equipment ui - ment quantities in boxes below, Indicat ; the dollar Bids. no.: Suite no.: �� , value of all mechanical materials, equipment, labor, o verhead, Tax map/tax lot/account no.: • profit. Value Lot: l3IpC Subdivision: � .. * �— • See checklist for im,porturit application information t nd Project name: it-----7.e/6.n0 g /G.hc jurisdiction's fee -� Ci /coon -.___ i schedule for residentia e ji g ` ty ry- permit fee. - - - -t> ZIP: •=49', -- 1 & .2 FAMILY A VI LLING ' 1'ER67<FT rim SC i ■DULL De ctiption and location of ork on premise.: • �• AND COMMERICA /INDUSTRIAL EQUIPMENT b-IEAULE c date oftilelav><s� enspection :� cq Fee(�a.) Total Tenant improvement or ch' Cdti°a Qty. Res.() a1y Rtes. only Is existing space heated or conditioned? la es p No Air handling unit CFM x Is existing space insulated? 0 e d No Air conditioning (site plan required) i I41I CIIA1\tICAL CONTRACTOR A terapon of existing H Aqc system 1301 er/compressots - Business mute: %0 . Ate- State boiler p ermit no - : Address: �. p/ R /dP o k}.0 Fi smoke . • mper HP Tons BTU /H ` Address: ../... �� s/dudt smoky etcetera cii.L�MA ZIP: 9 /aa.' Heat pump (site plan re. uiited) Phone: , 9.5)-S ' Fax: , r/ E -mail: lnsta1 replaceturnaec/burncr, Gj2 BTU /11 '---- CC$ no.: ....5'76 Including ductwork/vent liners Yes U No / City/metro lic, wall, floor relocate .earets - suspended, all, or floor mounted. Name (please print): Oro 7 . , /7/ 7 ij.. S eat for a pliancc other than furnace CONTACT PERSON e. mutton: Absorption units 13TU /II Name: K Q, N -2,///Y/Y -es Chillers H Address: 'tee' W Ro� Com.tessors HP City: •• S i !tom State , v roane : exhaust rind ventilation: ZIP: 97/ Appliance vent Phone: '' .3407 - Fax:¢ CY2g3 E -mail: • • I)ryerexhaust OWNER oods, Type lures. - tchenthaz at Name: hood fire suppression system ! •��� Exhaust fan with single duct (bath fans) Mailing address: ,„ - © ' / -, r' Exhaust system apart fxorn beating or AC ZIP . 3 d p pmg n , . tit oq up to 4 outlets) Phone: - ,' Fax: E Type: LPG NG Oil 1 uel . iping each additiomi over 4 outlets ENGINEER .cess piping (schematic required) Name;' Nutuirix of outlets _ Address: m Ot et [f'P! a pp = Ce or equipment; Decorative fireplace - �' Stare: ZIP: insert- t e , Phone: '. - - r:. . •• E • • oodstov pe lletStov e Applicant's: signature: „ h et" , - • Date;g a 03 • ' er Name (print): omen. all jurisdictions accept credit cords, plenrc callkuisdieticn For molt infotmation� Permit fee $ Cl Visa ❑ MasterCard Notice: This permit application Minimum fee $ Credit cud comber / / expires if a permit is not obtained pl review (a[ %) $ Expires within 180 days after it has been s Name oP eatdholdtr as shown on credit card �te surcharge (8 ) .... $ accepted as complete. Cardholder riga:dare $ TOTAL AL $ Amount • 440 -461 r o oQ/cohn • Apr 22 03 01:OSp Specialty Heating 503 598 0718 p. 3 . ., SITE PLAN PL t 1-' P% - PL PL PI- / 11/ E2°) S VNI A RdtN- rt [ 11 Pea STREET Specialty Heating & Cooling, I nc 9528 SW Tigard Street . Tigard, OR 97223 Phone 503.620.5643 Fax 503.598.0718 Hillsboro Phone 503.640.3607 Fax 503.681.0793