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Permit il 10 / CITY TIGARD MECHANICAL PERMIT l DEVELOPMENT SERVICES PERMIT #: MEC2006 -00104 A,. , 'IA SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 2/15/2006 PARCEL: 2S 109DB -03700 SITE ADDRESS: 12996 SW HAZELCREST WAY ZONING: R -7 SUBDIVISION: SUMMIT RIDGE LOT: 075 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: 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 SHANKAR BALA Description Date Amount 12996 SW HAZELCREST WAY [MECH] Permit Fee 2/15/200€ $72.50 TIGARD, OR 97224 [TAX] 8% State Surchart 2/15/200€ $5.80 Phone: 503- 808 -0380 Total $78.30 Contractor: SUNSET HEATING & COOLING 0607 SW IDAHO REQUIRED ITEMS AND REPORTS PORTLAND, OR 97239 Contact #: PRI 503- 234 -0611 FAX 503- 234 -0439 Reg #: LIC 161085 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- • -2 AN . Issued By: ` �� �r�! I Permittee Signaturerga_ 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. jj Feb 14 06 02:05p p. 2 Mechanical Permit AppLcati t -r R ` IOR mi. I mi.: ()NIA i t City of Tigard ? W EIV ,+1' Received. Permit u -I � it N A.. d QQ �s r . pi 1 1 , ' I• Q A 13125 SW }fall Blvd., Tigard, OR 97223 Plan e Review Phone: 503.639.4171 Fax: 503.598.1960 / 3 \ Date/By: Other Permit: inspection tern Line: 503.639.4175 FEB 1 i 4 , - 1, Date Ready/By: 121 See _'a e 2 for Internet: www.ci.tigard.or.us , •,, '� • I• r Notifi d/Methodt Supplemental Information ,r - g �� ` ,�:� � ��,. �� { 0t�s , ;iFt`:. , : �t73; ��[ISE .�;€iECKI.YS'I'.'. patgaggigtaRningit Ip. Iyti73 V .. Mechanical permit fees' are based on the value of the work C] New construction ® t y, t e performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. ,..- ,,,,..<: , .. ,.:; . :C�►�GO11:XwV4F UIVF �'�Y:.. � va �r'x %y • ��} Value: $ , : ?i .r rye .``i .... ":ki y j�i i RE SH)Et!#J2'iL �1fLGY13 - f ' MS *. . I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building "' " °' " i "'` " For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total ,,,. .. ..,_ ate A - ,.,,,..,... -, . OB'' S &£E;.��RhrIAT��3N':�t?iI�ID Td(ItIV;: , v:a%;;: , ;;;;t. "i NcatingjcoolinF 't`.'' �' p a, \',;_j Air conditioning or heat pump Job site address: G' 1 1 c: t-,? �..�,: 't f ` cze 1 : Imo` - t �' (requires site plan showing placement) t 14.00 ICI City /State /ZIP: -T. o'-‘ ' .� C Furnace 100,000 BTU (ducts/vents) 14.00 C � �. 1 '-,� P , Furnace 100.000+ BTU ( ducts/vents) 17.90 Suite/bldg. /apt. no.: Project name: wa"�til�.ti 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 Subdivision: Lot no.: Flue /vent for any of above 10.00 . Other: _ 10.00 Tax map /parcel no.: Other fuel appliances 11 ?,flR? - ESG11tiP.'TJUN QItK': �i';;- "g:; :::::'....,-N:;-;:P:i.x Water heater 10.00 t Gas fireplace 10.00 ■ t _ i v \ : - .yt - •Y„. .L CL (. -. 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 PROPEIt'FY'OWNEB:' , .. ��:,: +s.��- :;,,,,, Chimney/liner/flue/vent 10.00 : .. . ' .. , himne y 10.00 Other: Name: ; �l�_ f' w .,i' , j �-.c�, Environmental exhaust and ventilation q ,, ; _ �- Range hood/other kitchen Address: i t`i tti' ; y i'161' ' •L() L %? �: (.U ,k equipment 10.00 Ci ty / State/ZIP: ) • ") C,''Z n L J Clothes dryer exhaust 10.00 L t 1 "" Single -duct exhaust (bathrooms. Phone: ( =i ) ` fl; :. .36,c--,1 Fax: ( ) toilet compartments, utility rooms) 6.80 a; c;, :t w i /c 1 a e f Att c ra s c fans ', r;:ia: "; 0.00 - Vii:: "� , t. P APPI:TGAI!V?T, `i�C(3 � AGT:; . ';;� '` � ;, 1+13' 1!ERSiE1l1!'I:'' , ' ` '.. �:>> ', _,. ..... . ... ... ..:. . . ..... ...... .. . �: ..........,. ., .., -«_ ..... Other: 10.00 Business name: 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 fiu. yiw u; .,r.' -., -.� >�s�:i- >:,,. Barbecue .. . ... ��yi1< , .<�' ^`•ASS °'''.., , .. vaa4� '.'��:�..`�,- `.Y.' 4". � :Y.�'ar4�4,.Y'5,.:.1.�A*- �s�Y rE+ F',' Yt:~'$ 'ii1:= �Yr;1...+.?Y':a;�if ?11a.. �:FItly�•�� Business name: Sunset Heating and Cooling Clothes dryer (gas) Other: Address: 0607 SW Idaho Street 'li; ^L ,, City /State/ZIP: Portland, OR 97239 Subtotal 4 ..- Minimum permit fee ($72.50) i, 5 i , Phone: (503) 234 -0611 Fax: (503) 234 -0439 Plan review (25% of permit fee) CCB lie.: 161085 State surcharge (8% of permit fee) 4-5. ii4 �. TOTAL PERMIT FEE •- "N ,. , '. c: Authorized signature: � . , d �"" T his permit applicati 7 on expires if a permit is not obtained within 180 -) days after it has been accepted as complete. Print name: Shauna D'Ambrosia`' Date: 5 ti ' K.1jl. • , • Fee methodology set by Tri -County Building Industry Service Board i\ Budd ing\Permits \MEC- PcrmitApp.doc 12103 440 -46t7T ( I 1102/COM/WEB) E 'd eld dIH ^ 0 4al 2j2 rIC - / 05 II i 4 4 4 snoH D .:„ ,..., ,.: .1‘,4 e/ : SSW ppv :aweN -10/Ifte7:c 'IMP41%Valt *t ; , ) d90:a0 90 'I clad • CITY OF TIGARD ff��// BUILDING DIVISION PERMIT #: �-`EG 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: Phone: (503) 639 -4171 ,4161 r l Inspection Requests (24 Hrs.): (503) 639 -4175 , "'' —. INSPECTION WORKSHEET FOR DATE: 7 TIME: PAGE: SITE ADDRESS: I '2 Q q E�� C-- • g l CLASS OF WORK: SUBDIVISION: 11 LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: k A O WNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message W Aite_e-14 Friu Corrections /Comments /Instructions: e Lrr___c___ (:)...,....__ ell 0.....„,—, t 1 L.--- ( lkyik___„/ PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL ALL FOR IN PECTION n ADDITI NAL FEES ASSESSED Inspector: / Date: c7 0( ©, Phone #: (503) 718- Cs -Z?j