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Permit I 41111, CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2006 -00264 ���' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/9/2006 PARCEL: 1 S 134CC -02100 SITE ADDRESS: 12315 SW KATHERINE ST ZONING: R -4.5 SUBDIVISION: YE OLDE WINDMILL LOT: 001 JURISDICTION: TIG Project Description: Installation of A/C unit. 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: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: GAS OUTLETS: > 10000 cfm: Owner: FEES CHARLIE CASTELOW Description Date Amount 12315 SW KATHERINE ST TIGARD, OR 97223 [MECH] Permit Fee 6/9/2006 $72.50 [TAX] 8% State Surcha 6/9/2006 $5.80 Total $78.30 Phone: 503 -590 -1768 Contractor: HEAT RELIEF CO 13122 NE DAVID CIR # 800 PORTLAND, OR 97230 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 261 -9915 FAX 503- 261 -9814 Reg #: LIC 122424 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. Issued By: - 1/4 25 - 7,0 Permittee Signature: ;e � (\\ Call 503 - 639 -4175 by 7:00 a.m. for inspections that business dly) This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. . : ilechanical Permit A '. at l felt 1)1 l It is l'',1 uN1 ti utiVED i of Tigard R O00ived 1 SW Hal! Blvd., Tigard, OR 97223 9 c Dedt/By: _,/) " "i _ it s Permit No.•� _ 1_ /0 t . ..A., _.t V one 503.639.4171 Fax: SO3.596.1960 J UN 9 2006 .< Plan Revie specli Line: 503.639A 175 a I i 88183" Other permit: on specti Line: 503. 399 1s a - 1 Date Ready/13y: Jwia: B See Pete 2 for CITY OF TIGAR Notified/Method: - Suppleapatat information BUILDING DIVISION yp ( y. :1∎' I I x$h'L 1 )1..' . • 1. .] New construction `% ddition /alteration/replacement Mechanical permit fees* are based on the value of the work performed. Indicate the value (rotmded to the nearest dollar) of a ] Demolition 0 Other: • mechanical materials, equipment, labor, overhead, and profit. °t h' r; z ` r a; , 1 whit: S � - .. a a : ..axis . r y t- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building 1 ' : " ] Mu lti - family 0 Master builder ❑Other: For special information use checklisr. t Description i Qty . { E. I Total .V ?L�•ti2�� , + ,, , , . ' _ • , ,.. ' 1, !•i { Heating/cooling ob site address: 1 Z- 3 I S S o Pt-r> Air conditioning or heat pump f (requires site plan showing placement) 4 14.00 :ity/Staie/ZIP: 7 aa .,r 4, 0k g i , z _ L3 Furnace 100,000 BTU (ducts/veMS) 14.00 Furnace 100,000+ BTU (ducts/vents) 17,90 iuite/bidg)apt. no.: Project name: Gas heat pump 14.00 :ross 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: f Lot no.: Flue/vent for any of above 10.00 Other: 10.00 fax map/parcel no.: Other fuel appliances 1 4 R IZ4 •lyl,} l Water heater 10.00 �/ A Gas fireplace 10.00 r ' . / / ! t /lam A e . Flue vent for water heater or gas fireplace 10.00 l.og lighter (Ras) 10.00 Wood/pellet stove 10.00 Wood fireplace/insert 10.00 �l y u , Chirrmey /liner /fluelvenl 10.00 ry'- `'}ilex :.. t i; Other: 10.00 dame: e si- / 19 tc.s> G (triI Environmental exhaust and ventilation J Z- 3/ -- S , k/ a 1 a -ry- C ,+ � �1- Range hood/other kitchen 4 ddrrss: KA71�{ 7y'7! P equiprnenl 10.00 7.ity/Slate/Z1P: "�T Qf / � Q qq 3 Clothes dryer exhaust 10.00 Single-duct exhaust (bathrooms, Phone: (5) 5,�1 31 © - (rf `p 5' Fax: ( ) toilet compartments, utility rooms) 6.80 , , i `l,1 1 I H.,: ' Attic/crawispace fans _ 10.00 R2 t Other: 10.00 4,,,,4_ Business name: c' Fuel piping Contact name: ark D2T-iLa.".cnC t,, SS.40 for first four; $1.00 for each additional Address: 1 31 .z - N r DA D ilia_ . ' +.1 44 glob Furnace, etc. Gas heat pump City /State/ZIP: Par - stm r c. 11 30 _ Wall /suspended/unit heater Phone: (5 ) .).,( J - CC4 1 5- 1 Fax: : (58 ) cs 1.4,r a ,y Water heater . B.-mail: f Fireplace AA AA s /A / ♦.. A Range Y,w 04f .ig;,,.- , . ' n ? .. I . 1... .. . ... I I: I - ,.{ t _: Barbecue Business name: 1.4..e. rIT r? .n e _R- Clothes dryer (gas) Other Address: I Si t 1)4 i 0 GI e_ tie '' Soo City /State/ZIP: 01 Acii C7k 41 73 0 Subtotal Phone: ( ) .14 1. qq.1.5 I Fax: (43;a ) elfc 0 fU Minimum permit fee ($72.50) << Plan review (25% of permit fee) CC$ lie.: 1 aaatia if State surcharge (a% of permit fee) TOTAL-PEP.MIT- -FEE - Authorized signature: . This permit application etipires If a permit It not obtained within III days after It has been accepted as complete, Print name: L , a , _ _A .>• LQ Date: /e- f . ) , /Z.; BO • Foe methodology set by Trl•Cauory Ba4ding industry Service Board : 1 R.:IAi...∎Pn.. ,, :N , yFr-Prm . l.l..., .4... 41411 ... - ..._......'......._ ... 1 ' d 1718G T 9Z COS 00 3 '5 2u t 4EaH J3I1321 IU3H WdLO : Z T 9DDa 60 unr 4 L c �—' O m CONTRACTOR NC-HEAT PUMP — =UNIT SITE PLAN m ° N a O ® O • O - TO HACK PROPERTY LINE N • J 1C.4 . -CI 3 1 �i 1 li4 I • m m O SLOE PROPERTY LINE r • m m I m o, c+ . r. 3 Cril Teei4firot.i. gre ?erk•i LiAe 2. • n 0 a TO STRUT o I /2 -3 /5" S. aii ktetherrne 51; 7 1.1 " --- 1 .- co I CUSTOMER INFOR J. ` m x c ADDRESS [1-4414e-rue- 5 CsJ CU f z.,�r<� .� w Q-4i 4 R_ 4112 WITH ,,, , q PLEASE R FAX APPLICATION IrH SITE PLAN. a ..1 b N N N 0 CITY OF TIGARD BUILDING DIVISION PERMIT #:V\6C. © 00, �U`7 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: L`: --- —a Phone: (503) 639 -4171 up4pii� Inspection Requests (24 Hrs.): (503) 639 -4175 . 40 A 11 1461 lit (� .. INSPECTION WORKSHEET FOR DATE: 6- `! Q r TIME: PAGE: SITE ADDRESS: i 2,3 IS S Vt Ka '\-. eY\ ---t S7 CLASS OF WORK: S SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: C(i 3 re- \0 U.S DESCRIPTION: g/ c uot•s OWNER: � PHONE #: CONTRACTOR: "�.,�c - �,-.Q, \ 2 T PHONE #: 5O3 ;20 - 99 / 6 Inspection Request Scheduled For: Date: 4( 9 Pour Time: Code # Inspection Description f ∎SA Confirm #3/ Contact # Message (A \ ill \ 0._ a , , / \ -vv.4.A Corrections /Comments /Instructions: N e. NI0 E I , _l_ PfLovvi3 . hin L 5 4 r , kd 111ACI>1_ --, 1 .,i_e_siLlte_,ve___. - 2_,6) 41,.--- ) ciii i IIIIIIIIIIP l . PASS _ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS FAIL _ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED I �j f Inspector: Date: / l l � 6 Phone #: (503) 718 - (tz-y