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Permit CI ` T ' Y OF TIGARD MECHANICAL PERMIT i DEVELOPMENT SERVICES PERMIT #: MEC2006 -00262 Ail . DATE ISSUED: 6/8/2006 13125 SW Hall Blvd., Tigard, OR 97223 50 - 639 -4171 PARCEL: 2S111 CD -06200 SITE ADDRESS: 09837 SW KIMBERLY DR ZONING: R -4.5 SUBDIVISION: KERWOOD ESTATES LOT: 025 JURISDICTION: TIG Project Description: Install gas furnace. New permit to replace expired permit MEC2001 00301. No a/c on this permit. ' 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: DOMES. INCIN: NAT 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: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES DAVE ALEXANDER Description Date Amount 9837 SW KIMBERLY DR [MECH] Permit Fee 6/8/2006 $72.50 TIGARD, OR 97224 [TAX] 8% State Surchar€ 6/8/2006 $5.80 Phone: 503 620 - 5337 Total $78.30 Contractor: A -TEMP HEATING & COOLING 16000 SE EVELYN ST REQUIRED ITEMS AND REPORTS CLACKAMAS, OR 97015 Contact #: PRI 503- 650 -9602 FAX 503 -557 -2990 Reg #: LIC 71878 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through-OAR-952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1`- 332 -234, - -2.77-1-- )-- - ‘ , 1 ; ,_ I u ed By: - Permit Signat "rt f Call 503 - 639 -4175 by 7:00 a.m. for inspections that business Jay. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application. FOtz °Frl('l',1ISI ONI,v -- - �; : City of Tigard ' _ a . ' t . .. ` R atu vcd © � PeRmt NV "' �¢C i lab- Oo 2 13125 w Trull 131vd. ,'Tigard, OR 97223 � ( Plie Other Permit: ' Pho 503. 639.4171 Fax ,503.598,1960 17 y n r.—...$:...,:l q; p i 1 'a+ 1 ',; Pule/0y, un Rev r ti Inspection Line: 503,639 -4175 : 1 Date Ready /By; f = :„ la see Matte 2 for Internet; www.ci tigtatd,or•us L JUU Not,hed/Metaod /(6.: � Suptden,esttal Iuformntlon 1 1 ... ,.. ,... U rr, .,, ,.,.xx; ..,, i .rm. ,". o.,•�.. at.. , !,.,,., ;. nGe,"'rA. ''''' "r')''11ts1::vd'"'" d,lti;S' ...., f....,r n �. , ,r v r,�., r . +, r! rc y x -, _ _,, . a ,,,, R;,� Jt. r., r; 1,v ,,.r,t wx: , . :, ,, ,. r, �a ), 1.. SdVut tiS�f A�{„, t}( W1 d. d , 8 "'"'"." r ae. rsn, r i ..t R1 ,. wn.. x.1 1 1 r 1 • 3.71 , i.r %,rtK ! i ..G,. r . nY . 4a;;Iw`,. .1 ;t,r, y •l e.,...t !nr S • n ,1 % wi. r ?rlt . tv - d r r ,�r v kg? k ', Kk r, .1 1 ... M1 {,n \•. 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Yaak, t„ �� ,, t 'u�?me +nxt.9�av„vlrv ,a�, t u.�,� .r!t.M.a,.r _ _�., 9 Air conditioning ur bent pump Job site address: 3 ,5-a.) ��L � o� ^ G. te.uires site tan shown._ lacement 14.00 / City /State/ZIP: • • ---77 / �- •, L 9/ :7 Furnace 1 - 00,000 BTU (ducts /wigs) ..., -� 14.00 - / t/ � . S " Furnace 100,000+ 13 rU (duets /vents) 17.90 „ Suite/bldg. /apt. nu.: I Project name: • Gas heat um J "_ 14,00 Cross Strcotldireeliuns to job site: Duct work — _ 14.00 " " "" 1-Iydibnic hot water system 14 -00 �" Residential boiler (radiator or •_ .� hydrimie) , .__..... 14.00 .... — _.,. .- Unit heaters (fuel -type, riot electric), in - wall, in -duct, suspended, etc. 10.00 Subdivision: -- Lnt no,: Flue/vent , for anx of above .10'.00 .. ....._ 1- ---..., _ Other_._.._.... i 10.00 J Tax map /paroel no.: Other fuel appliances :'':, .i , .'f, rlkt S t H , r21 ytz %70 fti �''K ; e ' Syfr::.. r') yV1'T3 P,'% 4l:',4'j" ,rc.Kirm:;t, {f` }ti',,'"lt;1J $. Y',.4;, le ui�"(iR.'i'� '.:: +r ?r Water heater 10,00 l i l �f(� , } ,S:; :i i1 K id f< /ihk.R 0.k; 0VOi ;V :TC k.; 1 e t i, A,U ,, r*.r. M.4,k"JNi.,% ,1, ; �, .) � ,z 1' Y,!:M � , 1�'r' t : Ft ,t tE���� .,_. --- --- /,,, q .l ti JS1 } rv,n.,n .a,e ), „x Ka i v rF r , rt 1,,ntil v t o�.,,.fa ,nt a C fireplace, w 10.00. _ Flue vent for water heater or gas - '4r' 2'ii2 e- .,.,. - , / •,' , firep ace 1 n & l i , htc r ( 10.00 7 -) C Wood/pellet stove M — 10,00 e, 6' ,.� �• .64 / `& , Wood fireplace /insert 10.00 l7r r1,t�M1(gf ff Sr$$ . i , '!q,1 .nivPamir �R u l e y ; { � i 1 k. 11, '+ . `0. 1 p}p:t:V , ' t ' i yy Nltit1^ij; t �(E'll � 'A : (rji "', 0f° 1f�i11ti∎ ii !i ,i i" p f(}>'i'AVy. :,"iy„� ,t', t l ,ij , i'. � n d „ Chinwoy /tiller /flue/vent 1{),()t) i( ti4itiil aj }d}ri!t a sl A h 4 i, pSl;1 4i,11,2,6t§; t o:.i. } :041;16 !;' �4rftil rid�h�,� „ / dA Y t r . i t td30.+A...Rl d ':'i: .P.V.Ra :: :`r Other: .w l U -UO Name: , �LG' _ G. ,4 - Environmental exhaust awl ventilation r -- _ Range baud /other kitchen Address: 7 -3 S � _. __.. / � 6/0 -- -- equipment. 10.00 City /Slate/ZTP: /”' _A ? q , � �� � r Clothes der exhaust 10.00 -- - - �' Single -duct exhaust (bathrooms, .� • -- Phone: ( ) - 2, 1 5 .. ,:>:-..‘.., Fax: ( ) toilet compartments, utility rooms) - 6.80 1 , Ip v K 1 `ril' 11 1 ,1`.} ",l}f�1+1tla w>x �,rr Nnr.. � , t,i l �r ;::;i;4trlr "�f� " rt11il": Vneytv il, Attic /crawlsratafans 10.00 } r' 1t.YdIrR , 3,1 1 A %:.7brhW� S ! Yy;. 0 . , F.` .,. .0. 4 4 11'..0 { + ii r ( 4 Yr n 1 4 1 YM (N 6 0 Yt t ' .4.0 1 .....,... — w!,.,,.6,1: Wd rs,DhrJUW, x 1, h, tro.d Other: 1 0.00 Business name: , -„ _, .,-, ,. - Fuel piping Contact name: A -IrE- An) } Ieati � ( S5,4U for first four] ! 1.00 for each additional —. —LL 1 K 1 0, 1711 �� hs 171x. I urnaiie e1 .•.•.` Address, N Q la ! � _.� . CICftItlz><♦ Gas heat pump _ e t)11� - r 9 City /Stato/Z1'; (503 5 -- _Wall /suspended /un it heater _ ._ Phone: ( ) Fax: : ( ) Water heater / Fireplace 1t nail: C • / / G ) . 7� /Yt / -Ga t i' r• (4 j _ .. _.._ .... I at e Nd " )cif` 9 11° / ? ,t .).01:6 1 R y "ry + t j `1 V} { r Kp2 } y, } U�pp t tit ) il ° �1 `i l i {n . y't �'l r' A i1 "°i p ln'u� Nn a! . a Y z re�av ' }' }"1 l'l 1 ,0.3{S,i l �til :liSiG'i�1,iGd.'41` +L t !� it:3: �S 110 9'.t g:,Ali .t:N.n (I�uue44,l5,,(t.Y, kieltsV411l0,..1J 0:2 ∎: V itl� ;;:i Y{ \I ilY eE i .:1; 11, i' ?if'; '1.� .1. Barbecue -____ Business name: Clothes dyer (gas) Address: 1�10� f I i r , ■iCs lv/ lv/tli�)tl(vr4t,�i r ./d `I )$0'11 1t A1'trtrl ^i . t i p } xY l - JCdW 3 p1g d} } aj Mill DU S 'velyn �t n� r ,d�INvu'iftl} {11,etGin�}�'r,t 4'M {J iJ6tg,;?,,N �drr ti+}Il% : r�,)5`f5. ... „, !ldfnmA», 1 City /S tate/ZIP: •Cl(JckafUas, OR !/7015 .. _.._ Subtotal . . Phone ( _.... ., , ...: (S03) 6 - 5 0 1 1x: ( ) P ($72.50) .. Mnnm permit fee _ -- --------_ ___ ......................... __ Plan review (25% of permit foe) CC 13 lie.: f 4T State surcharge (B% of permit fee) y � �� • "ii s application expires If a permit is not obtained within ISO Auth rued sign tire: / . A ' -� 1( 6)..../b _ _ dayit ;tiler ft has been accepted as complete. Vrin name- Date: • FCC methodology set by Trl- County 1iulittlnk Industry Service Board i;11-suilding1Parmiis \MBC,PermitApp.doc 12/03 440.4617T(1l /02 /COM/WEB) 17d WdTE:ET 900E 80 • unf 066EZSS20S: '0N Xdd dWal -1J: WONA CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2006•00262 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/8/2006 Phone: (503) 639-4171 :NinVittil Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 612012006 TIME: 1 : 01 AM PAGE: 74 SITE ADDRESS: 09637 SW KIMBERLY DR CLASS OF WORK: SUBDIVISION: KERVVOOD ESTATES LOT #: 025 TYPE OF USE: PROJECT NAME: ALEXANDER DESCRIPTION: Install gas furnace. New permit to replace expired permit MEC2001-00301. No a/c on this permit. OWNER: ALEXANDER, DAVE PHONE #: 503-620-5337 CONTRACTOR: A HEATING & COOLING PHONE #: 503-650 Inspection Request Scheduled For: Date: 6120/2006 Pour Time: 1 Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 031910 503 N Corrections/Comments/Instructions: . - ,-.--. ...--„.... III II . . 1' MI , -4.9. . , ,j, -- 4y r v , • 1 7 PASS 0 PARTIAL APPROVAL __111 CANCEL 0 NO ACCESS 7 FAIL I CALL FOR INSPECTION 111 ADDITI NAL F ES ASSESSED - 1 14 4,1 Inspector: , . Date: 20 2hone #: (503) 718- IIIIII WGARD I V BUILDING DIVISION PERMIT #: MEC:MG-00262 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: &6/200( Phone: (503) 639-4171 J ,„01,90 1 i fi t\ Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 6/16/2006 TIME: 7:00AM PAGE: 79 SITE ADDRESS: 09837 SW KIMBERLY DR CLASS OF WORK: SUBDIVISION: KERWOOD ESTATES LOT #: 025 TYPE OF USE: PROJECT NAME: ALEXANDER DESCRIPTION: Install gas furnace. New permit to replace expired permit MEC2001-00301, No a/c on this permit. OWNER: ALEXANDER, DAVE PHONE #: 503 CONTRACTOR: A HEATING & COOLING PHONE #: 503 09602 Inspection Request Scheduled For: Date: 6/16/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 031806-01 503-849-6551 N Corrections/Comments/Instructions: ...7. C2:62i,44 6t4 '1 e... ( 7 0,e at ',Al OVC 1 ,:QQC (0., ,ellet-e-/ '. II „., -c- , , . . 4 „. 0 -7 I PASS I I PARTIAL APPROVAL D CANCEL 0 NO ACCESS IL 1 I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: Date: 6---/..--. Phone #: (503) 718- . ,