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Permit C ITY OF TIGARE) MECHANICAL PERMIT I DEVELOPMENT SERVICES PERMIT #: MEC2005 -00245 �._� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/17/2005 PARCEL: 2S103CA -00601 SITE ADDRESS: 13465 SW HOWARD DR ZONING: R -4.5 . SUBDIVISION: LOT: JURISDICTION: TIG Project Description: Installation of heat pump, furnace & duct work. 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: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES STOCKAMP, MIKE Description Date Amount 13465 SW HOWARD TIGARD, OR 97223 [MECH] Permit Fee 5/17/200: $72.50 [TAX] 8% State Surcha 5/17/200f $5.80 Total $78.30 Phone: 503- 709 -7033 Contractor: OREGON HEATING + A/C INC PO BOX 397 DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS Phone: 503 -538 -2953 Reg #: LIC 125815 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: 2 r Permittee Signature: j - Z, f\K 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. • May.18 05 11:48a 503 - 537 -2172 p.2 + 1 F v Mechanical Permit A:111' ` `M £1 ' / ' !w FOR OFFICE USE ONLY P.eceved r City of Tigard ) /�{ Date /By: / �L'' ✓ �l // Permit No.M ,, . /' 2/j+� (� /tJ� 7C�� 13125 SW Hall Blvd., Tigard, OR 97223 /AY 1 C 2005 ' \�J� �t� eZ / [/�t/� Phone: 503.639.4171 Fax; 503.598.196P l V �oO Plan Review Permit• ���� ( Date By: Inspection Line: 503.639.4175 J . e A Date Ready /By: JIM / H Sec Page 2 for Internet www.ci.tigard.or.us CITY OF TIGARD NotifiedtMethod: ) / r Supplemental Information BUILDING nnnsIOA. V . . - .:.TY OF WORN, EE* SCHEDULE : . O COM1tifERCIAL F REDUCE = :.T1SE CHECKLIST Mechanical permit fees are based on the value of the work ❑ New construction Addition /alteration/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 I SYST FEES* 1 and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building 111 Multi - family ❑ Master builder ❑ Other: For special information use checklist. Description Qty. Ea. 1 Total JOB SITE INFORMATI AND LOCATION. Heating/cooling Job site address: �tn�I '�` y % Air conditioning or heat pump / ` I V v 6 t o Limit (requires site plan showing placement) t. 14.00 City/State/ZIP: - 4 0' /• �� 3 1 'Z 7 ' ? Furnace 100,000 BTU (ducts/vents) 1 14.00 t 1 t� Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00 Cross street/directions to job site: Duct work 1 14.00 Hydmnic hot water system L 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 ' r t..! :.. :..: ...::: ;.:.... : :::.. •DE CRIP TIOPf :Ol ..*6*:.;,.,; : : -s` .. Water heater 10.00 S t I (' pu.Avt / I Gas fireplace 10.00 L'� ). ) ( t F -fi t o ' ^� fCV l �i% ( � Fle vent for water heater or gas a o-- 1, ) (; n/ fireplace 10.00 j Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace/insert 10.00 Chimney/liner/flue/vent 10.00 . ... - ROPERTY OWNER :: c` ::'. :: . .. . ❑ _TENAN'G';'.::'- ..�;. : ; ; "'. ` Other, 10.00 Name: ( it /_mi l , 1 j� 0 Environmental exhaust and ventilation Address: ,) 1� ,n Cc- �t Range hood/otherkitchen f�/ y �: lam• equipment 10.00 City/State, /ZIP: \ x•71 j,.- O Gov 5)- Clothes dryer exhaust 10.00 ! 1 y J! Single -duct exhaust (bathrooms, Phone: �- A) ) ,,i j - ' r - 1.-\ --7 -� . Fax: ( toilet compartments, utility rooms) _ 6.80 ,; "i; ' APPLICANT_: ;°i•. J ONT• ..._ ACT PER S ON *'.. '..''.; Atticicrawlspacefans 10.00 ' , ❑C /j� Other. 10.00 Business name�vlre/yl 1 i , J piping ` - Cwv �. J poem �6 C� n Contact name: 1 }�,O 1.� $5.40 for first four; $1.00 for each additional 1 „ Address: S'i V) Furnace, etc. J 1 Gas heat pump _ City /State /ZIP: Alibi- 0 V- G1 i t t S WalL'suspended /unit heater Phone`( 2) 5 6S1, Fax :613) S 3- 1 �--2 Water beater E -mail: Fireplace Range • ` : C • CTOR Barbecue _ Business name: • I n 0 i ' / 0 Clothes dryer (gas) Address: ♦t Other: t 7� 4 / A .m.kc ANICL PER.yIIT FEES*.:. - City /State /ZIP: Subtotal n Minimum permit fee ($72.50) Phone: 63' Fa £ 7 Z 17 Z �J . Plan review (25% ofpetmit fee) CCB lie.: 1 i) �� State surcharge (8% of permit fee) �. -') 1 j TOTAL PERMIT FEE ) 6 - d ' Authorized s a ture: ( x This permit application expires if a permit is not obtained within 180 1 :raw) � j ,/y ' ) LJ d ' ..c Q J Print name: . /)n ry,� /^ Date: •, 1I=L_ * Fee methodology set by T -County Building Industry Service Board ii Build 'mg \Pernits'MEC- PermitApp.doc 12/03 ���'(LL� 1. V t t 11 ► 440 -4617T (1 l /02/COM.WEB) Ma,16 05 11:48a 503-537-2172 P - 3 1 3 L46 5 Ira / bC) --- -r 1 ark.Are- I S 1 CI HP eV Fti 1 I ///// ti7Y04A1-- CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2005 -00246 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/17/2005 Phone: (503) 639 -4171 to grail lll�� Inspection Requests (24 Hrs.): (503) 639 -4175 .... -W '_- INSPECTION WORKSHEET FOR DATE: 7/1/2005 TIME: 7:14AM PAGE: 79 1 Z/ SITE ADDRESS: 13465 SW HOWARD DR CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: STOCKAMP DESCRIPTION: Installation of heat pump, furnace & duct work. OWNER: STOCKAMP, MIKE, PHONE #: 503 709-7033 CONTRACTOR: OREGON HEATING + A/C INC PHONE #: 503- 538.2953 Inspection Request Scheduled For: Date: 7/1/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 010580.01 503 - 538.2953 V I :o ° -- // : m0 Corrections /Comments /Instructions: --- l e.',/ 6. q oc (Ks) :i_ssoc-56) • • 74,Ass M PARTIAL APPROVAL LI CANCEL ❑ NO ACCESS ❑ FAIL % M ALL FOR INSPECTION [I] ADDITIONAL FEES ASSESSED Inspector Date: Phone #: (503) 718-