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Permit
4q CITY'OF TIGARD MECHANICAL PERMIT . COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00340 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/27/2008 PARCEL: 1 S134AA -01500 SITE ADDRESS: 11343 SW IRONWOOD LP ZONING: R -4.5 SUBDIVISION: ENGLEWOOD LOT: 068 JURISDICTION: TIG PROJECT: HAINES Project Description: Heat Pump /Furnace CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: 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 PAT HAINES Description Date Amount 11343 IRONWOOD LOOP TIGARD, OR 97223 [MECH] Permit Fee 6/27/200E $72.50 [TAX] 12% State Surch 6/27/200E $8.70 Total $81.20 Phone: 503 -524 -4284 Contractor: PREMIER HEATING & AIR CONDITIONING PO BOX 86295 REQUIRED ITEMS AND REPORTS PORTLAND, , O R 97286 OR Contact #: PRI 503- 233 -6566 FAX 503- 239 -4998 Reg #: LIC 96473 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: 97)/1 Permittee Signature: . %j� / ,40 _mo 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 -25 -2008 23:25 FROM:P 5032394998 TO:5035981960 P.3 i 1iechanicai Permit Application - . ..1(►iz � ' ii 11( t. l , . 1'()\1,1 fp li' ,:i� ,i, ; 1 111 City of Tigard ECEIVED ma y: 1 /' PenahN° r4 EC.at o b b3 ® " 13125 SW Hall Blvd., Tigard, OR 9 Plan , Review Phone: 503.639.4171 Fax: 503.598.1960 Datd9y: Oder Permit: 1 1 C; \R D Inspection Line: 503.639.4175 JUN 2 6 2008 lists a See Page 2 for Internet www.tigard- or.gov Supplemental information TYPE OF W l / OF � i i �� COMMERCIAL FEES SCHEDULE - USE CHECKLIST B !Nu II 1:3 New construction Addition/alteration/teplacement Mechanical permit fees* are based on the value of the work ❑ Demolition Other: performed. Indicate the value (rounded to the nearest dollar) of all mechanical materials, equipment, labor, overhead, and profit CATEGORY OF CONSTRUCTION Value: $ 01- and 2-family dwelling 0 Commercial/industrial ❑ Accessory building RESIDENTIAL EQUIPMENT /SYSTEMS FEES* For special int/ovmatiovr use checklist. [] Multi- family 0 Master builder ❑ Other. Description J Qty. i Ea. 1 Total JOB SITE INFORMATION AND LOCATION Heating/cooling_ Job site address: 11.3 £ 3.,1 j ..e..(5,tivtajoi., W t/1 Air conditioning or heat pump (requires site plan showing; placement) 14.00 i _ r r City /StateJLIP: /767K° fag e)72 22 Furnace ,100,000 BTU (ducts/vents) 14.00 i( c Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldgJapt. no.: Project name: 1 1 NCB / /Y J Gas heat pump 14.00 Cross street/directions to job site: Duct work 10.00 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. 14.00 Subdivision: ! _ Flue/vent for any of above 6.80 J Lot no.: Other. 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Wager hosier 10.00 PA- 5 5r � E Gasfi 10.00 2q � � � I / Flue vent for water heater or gas 2_ 7GV . 9-ii (�" . �rS6 ,4.�// V Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace/insert 10.00 PROPERTY OWNER /L �1 I ❑TENANT eytiner /flue/vent 10.00 ame:1'47 S N el L /7/ TI � 10.00 N � Env ironmental e><haust and ventilation Address: / / . 6 / 1 SW I / e 1'A /i/117/ 1 LIZ/e). Range hood/other kitchen N 1rV//vl/ equipment 10.00 City/State/ZIP: 77 a '722 3 Clothes dryer exhaust 10.00 / Single -duet exhaust (bathrooms, Phone: 603 5,2t f - 141- -8- Fax: ( ) toilet compartments, utility rooms) 6.80 0 APPLICANT ❑ CONTA PERSON Attic/crawlspacc fans 10.00 Business name: Other: 10.00 Fuel�iping Contact name: SS 40 for first four, $1,00 for each additional Address: .,-''- Furnace, etc. Gas heat pump City/State(LIP: Wall/suspended/unit heater Phone: ( 1 Falc : ( ) Water heater E-m'. Fireplace Rnngc CONTRACTOR Barbecue Business name: a a/ / - I , v 5 4 Cl dryer (gas) . Address: /e) 6or „' (p2R • Other ©/ MECHANICAL PERMIT FEES` City/State2lP:�der� , oC 7 /� --2.v CJ� Subtotal Z8.- Phone: (I! 2..93 1 e I Fax: (1g) 2 , 5 , - LJ 19 f ¢ Minimum permit fee ($72.50) -7,2. Gj 0 96„,./. .7� S � Plan review (25% of permit fee) CCB lie.: tare surcharge (12% of 7 0 permit fee ) 8. TOTAL PERMIT FE Authorized signature: , I This permit application expires if a permit is not o w ithin 180 7 • days after it has been accepted as complete. - II '/ � Fee methodology set by T ' -Coimty Building Industry name: , M Date: swam • m r Service Board l lnuildln8 ° GPtrtnitApp doe O1/19N7 t • 17T (1 l t OMMEE1) JUN -25 -2008 23:26 FROM:P 5032394998 TO: 5035981960 P.4 es L./.� a P.O. Box 86295 Portland, Oregon 97286 con 96473 IMEATINO AND A/R CONDITIONING, INC.' Ph.: (503) 233 -6566 Fax: (503) 239 -4998 JOG APfi1Es (f 3 S . if dp LP -774-T'14 1 -" - .q 4 i< .C° -- �KOki T CITY OF TIGARD 1 BUILDING DIVISION - A , PERMIT #: MEC2008-00340 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/27/2008 AW. lk Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 ...A AL INSPECTION WORKSHEET FOR DATE: 7/1/200 TIME: 7:00AM PAGE: 25 SITE ADDRESS: 11343 SW IRONWOOD LP CLASS OF WORK: SUBDIVISION: ENGLEWOOD LOT #: 068 TYPE OF USE: PROJECT NAME: HAINES DESCRIPTION: Heat Pump/Furnace __ OWNER: PAT HAINES, PHONE #: 503-524-4284 CONTRACTOR: PREMIER HEATING & AIR CONDITIONING PHONE #: 503-233-6566 Inspection Request Scheduled For: Date: 7/112008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 072066-01 . 603-233-6566 N Corrections/Comments/Instructions: . • • C ; - AS PARTIAL APPROVAL 0 CANCEL Ej NO ACCESS El FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED i ...- Inspector: Date: 7/to 6 Phone #: (503) 718- .