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Permit CITY TIGARD MECHANICAL PERMIT i l l y DEVELOPMENT SERVICES PERMIT #: MEC2005 -00301 I DATE ISSUED: 6/6/2005 1 3125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S111 CB -01711 SITE ADDRESS: 10125 SW HOODVIEW DR ZONING: R -3.5 SUBDIVISION: HOOD VIEW LOT: 010 JURISDICTION: TIG Project Description: AC install. 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 BERYL LASSEN Description Date Amount - 10125 SW HOODVIEW [MECH] Permit Fee 6/6/2005 $72.50 TIGARD, OR 97223 [TAX] 8% State Surchar€ 6/6/2005 $5.80 Phone: 503 969 - 9447 Total $78.30 Contractor: EASTSIDE HEATING + AIR CONDITIONING 7200 SW JOHNSON CREEK BLVD REQUIRED ITEMS AND REPORTS PORTLAND, OR 97206 Phone: 503 774 - 3281 Reg #: LIC 3258 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: 1 Permittee Signature: d)- c' S 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. Jun 03 05 09:23a Eastside Heating 503 - -774 -3057 p.1 , ■` 4 M.ec ha nical Permit A 1 I 111:Lian . FoR(A4RTAsvp\o City of Tigard , •..._ "•' ) Received mical AZG:6 6/ f'sres, 11125 SW Hall Blvd„ Tigard, PR, 97223 o 4 ir No: 4 Han Review . illie-cat996-°C)3° Phone; 503.639.4171 Fax S01598_1960 1 JUN 0 3 , 7:',t- ii DAM13y: Other Pernik Inspection Line: 503.639.4175 .4. I i Date Ready/E1y. - : WI See Parte 2 far illiCInGt: WWW.Ci.tigald.Of. us CITY OF TIGARD _ NotificieVM6thod: Soppletwental Inlermailon limi • ,, 7 i 7 . - v:. • .: •.. • • .. .. .10 .1 ... '.. r ''. '''.:." • ' 1 : . 4 ! : . • ;;;;::. ;'; . t, 4 r A. . '. '• r' '..,:zici;s:i. ':COMMIOlkikai'.:iCHED64 0 New construction t• Addition/alterationhcplaccment Mechanical permit fees' arc based on the value of the work performed_ Indicate the value (rounded to the nearest dollar) of all 0 Demolition 0 Other: mechanical materials, equipment, labor, overhead. endprofit • .'.:.• .-.:'.,:...'„;,...; - •,,;TWYtialiO4,4 RY OF comstaucrioN.V.:.,•40-.Y:*0061.# Value: S ,WI and 24Ornily dwelling 0 Commerciallindustrial 0 Accessory building '..••••:, RESIDENT FEF--.S.11 special ist 0 Multi 0 Master builder 0 Other: Description For formation use checklist_ 1 Qty. I Ea. J Total ..::.'0.',VoleS1:11ifitORiiiATION7ArallY.6.11 licatioz/coolIN Air conditioning or heat pump Job site address: /0 1 s- E i r , r ,,A Lf e , L.L.3 -).->..), retu'ex5ite w"h°""ln ''emr'iJ---o----so--t9---i±VU.-° .°° City/State/ZIP: / Furnace 100,000 BTU Nuctskents) 14.00 . a • A w - -• Furnace 100,000-4- BTU (duasivento . 17.90 Suite/bldg./apt_ no.: Project name: ._ . _ Gas heat pump 14.00 Cross street/directions to job site: iL\ ei work 14.00 li dronic hot water system 14,00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (thel-type, not electric), in-wall, irt-cluct, skeen e t c , 10.00 Flue/vent for any of above 10.00 Subdivision I Lot no.: Other 10.00 Tax map/parcel no,: Other fuel appli . wit.' he 10.00 Oas fireplace 10.00 __L- 4 ad 44 -e- ("c) r-Lk -i--c) r7 Flue vent for water heater or gas fireplace 10.00 1___,siL) liahter (gas) 10.00 Wood/pellet stove 10,00 Wood fireplace/insert 10.00 Chimney/liner/flue/vent 10,00 • ...., 0. PliOPERTY . CriiiNER I , ) ,..' . ;:;..W 1 . ..;--4 - '-:': . *:TA" , : . ..' 0. TENANT , ic1;;.:; , ' . .....: Other; 10.00 _ 21 m.. _ i61...sspt _ :I__ , unvirnamental exhintat and ventilation Range hood/other kitchen Address: equiemcnt 10.00 City/State/ZIP: Clothes dryer exhaust 10.00 Single-duct exhaust (bathrooms, Phone: (56 V qt ,...tme(.7 Fax: ( ) toilet compartments, utility rooms) _ 610 • ! • • .:.:::::,..• , •'.. : .piricANT . , .4i . ActpatioN .;.. -:a Anic/crawlspaco is 10,00 Business name: t -- , „i ,..... AL ....i_ r - z _ q 4 L /O( other: /0.00 4 r Fuel piping Contact name: 1,. r -4 i. ‹ 14 _, }. .s ,, 55.40 for first roar; 51.00 for each additional uroee, etc. Address: r e - Gas hatt pump _ City/StateIZIP: _Wall/suspended/unit heater Phone: (sr , 7 7 c.. . 1 R_ / 1 FaX! ( ) Water heater - Fireplace E-mail: Range . . ... •-:•::: -.:: -'.. ::4.ft .4,0.•:.77,ttai • .4: .: .; :..4c7......14::.:.;.*:! Barbecue Business name: ---- ek ‘ s-t-- „L 14,0,42 , 9,.. • Address: 7.20() ‹ L- --- r,-) ,--,_ 1--1 Sr y- Circ. e ,e- rd vi-{ • ., MECITANICALIPERMIIT FICES ;! ci z1.:..gelr_ji"9_Li.2c2Le , Minimum permit fee (S72.50) 7,2 7 7 4t.. I cs. I Fax: ( T) 1- ) 77/ 7 . Plan review (25% orperrnit fee) . CC} Eic.L- State surcharge (8% of permit fee) . r t..) 0 TOTAL PERMIT FEE This permit application espirea if a permit is not obtained within 130 Authorized signature: . •.,../ //... cj ,.•••7- &splatter it has b® accepted us complete. Print name: , 1 • AIIM Dte: • • Foe methodology set by Tri-Coanty Bedding Industry Service Boanl . II ea V. ... a • NRIN= : Utuildins \ Permits \l'AIGC-ParmitApp.doa 12/03 440.6517T ( p) ea_Se_ .- c )6 -Y- 1 .• (O 6- ?-C r fl INSTALLATION ADDRESS: zS `'`) 1' oc� Vc - -� N - l 41A. ©2.r c:1 ZZ3 Q PROPERTY LINE N S In - m ��7 4 N pp FT: N I I 0 • U) - FT: i 1 FRONT - o F) N w --z,( FT: • m 1- N ° PROPERTY LINE 0 no (X = OUTSIDE UNIT) 0 c • t► CITY OF TIGARD • BUILDING DIVISION' PERMIT #: MEC2005 -00301 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/6/2005 Phone: (503) 639 -4171 440 ��i °j Inspection Requests (24 Hrs.): (503) 639 -4175 ''f INSPECTION WORKSHEET FOR DATE: 6/9/2005 TIME: 7 :09AM PAGE: 84 SITE ADDRESS: 10125 SW HOODVIEW DR CLASS OF WORK: SUBDIVISION: HOOD VIEW LOT #: 010 TYPE OF USE: PROJECT NAME: LASSEN DESCRIPTION: AC install. OWNER: LASSEN, BERYL PHONE #: 503. 969.9447 CONTRACTOR: EASTSIDE HEATING + AIR CONDITIONING PHONE #: 503- 774 -3281 Inspection Request Scheduled For: Date: 6/9/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 008818 -01 503- 774 -3281 Y/41� Corrections /Comments/ Instructions: • • A PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL ALL FOR INSPECTION ❑ ADDITI•NAL FEES ASSESSED Inspector: Date: / ' Phone #: (503) 718-