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Permit CITY TIGARD MECHANICAL PERMIT i& DEVELOPMENT SERVICES PERMIT #: MEC2004 -00285 ! I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/17/2004 PARCEL: 2S 112CB -08200 SITE ADDRESS: 15029 SW KENTON DR SUBDIVISION: ASHFORD OAKS NO. 2 ZONING: R -7 BLOCK: LOT: 096 JURISDICTION: TIG CLASS OF WORK: ALT 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: LPG 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: Remarks: Furnace and AC installation. Owner: FEES HAWKINS, JEREMY Description Date Amount 15029 SW KENTON DR [MECH] Permit Fee 5/17/200 $72.50 TIGARD, OR 97223 [TAX] 8% State Surchart 5/17/2002 $5.80 Phone: 503 968 - 7089 Total $78.30 Contractor: SUPREME COMFORT HEATING 9425 SW COMMERCE CIRCLE #16 WILSONVILLE, OR 97070 REQUIRED INSPECTIONS Mechanical Insp Phone: 682 Cooling Unt Insp Reg #: LIC 21892 Final Inspection • This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questio, s to OUNC by calling (503)246 -6699. - - i Issued By: Permittee Signature: ' + 1 � Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day Mechanical Permit Application FOR OFFICE U SE ONLY ,City of Tigard Date/By: C D 17 / g� Permit No.M ' �Dt� ms' s Y 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie Phone: 503.639.4171 Fax: 503.598.1960 urd i Date/By: Other Permit: Ins ection Line: 503.639.4175 All p � Date Read /B Jur H See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: i) Supplemental Information , - . �:$ ,. ' .. - r_,,.' ';:;=.: .: °.. r . ? ° .. , ,. ' . . :7( '� `a _.,... FEE* S E- �' ^USE . i ,a_ a , ,w TYPE =°O W ' C 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. a ° w Y ° "r ': ; 4 , n Value: $ ;, at* t ( ak t ai T.EGOIV9F. GONSTI :ION,, .. ? ' 1 , :,,,,, -..� .ad.,.�.,:w e4 . 9<t,..,,x,,.,,., aaa ^a _wr, - -,- :.srv� ' , .r.s,� y .... a. ,. . nf r , x ° - �., • .. ; „,, , RESID ;EN IAL3EQUIP P / F gt1-- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building Master builder For special information use checklist. Multi -famil ❑ Multi-family ❑ ❑ Other: Description Qty. Ea. Total t, , JOB ; SITE >I NFORM 1 5 O AND LOC ': Heating/cooling �. , Pr- Air conditioning or heat pump Job site address: /60 29 Sk) (requires site plan showing placement) ( 14.00 City/State /ZIP: 1 lid a_ 72-74— Fumace 100,000 BTU (ducts /vents) ( 14.00 Suite/bldg. /apt. no.: r Project name: ./ f,J r_� Furnace 100,000+ BTU (ducts /vents) 17.90 Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 ' r 0 " - . Hydronic hot water system 14.00 Fib � 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 t✓Ptie -') ( 10.00 • Other:1414W 10.00 Tax map /parcel no.: Other fuel appliances DESGRIP ,- id WORK ` ` � 0 Water heater 10.00 aZ.,:. �'.�t�.. n ,> - ' 0� � ,.r -„s : . - r� r&- g ar -.rst^ - :r _. ,:n' °i. " .'P l #� � ,.% '� Gas fireplace 10.00 (lye, g4ij --if.0 1/Lej add d Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood /pellet stove 10.00 ' Wood fireplace /insert 10.00 V:: ,y43:; °;3 li i .rt•.::i 'a �.: 0.1 _ :rrw• R, ..-�. ,:, ;' ';�c,;,v. , _ Chimney /liner /flue /vent 10.00 tROPERTY ' WNER. .. - a EtANT� . " , . „., .�.�,:.,..�� �,..a�.�,.. � €,” 10 00 Name: f- V /Vl'i u 6, k ,, c, Environmental exhaust and ventilation Address: 16 d 7-A- 51,0 �p - IA /i l(• Range hood /other kitchen equipment 10 00 City/State /ZIP: r J't"d (_ G 7 . Clothes dryer exhaust 10.00 Phone: (6O , ) 6m- iQ Fax: Single-duct duct r ents (bathrooms, o ( ) toilet compartments, utility rooms) 6.80 ,:. �' A t .. T ' .: r- ONTACT °PERSON Attic /crawlspace fans 10.00 n � Other: 10.00 Business name: (,,t,99� � fVW`` e- Fuel piping Contact name: pA,ut. Vi/ I - $5.40 for first four; $1.00 for each additional Furnace, etc. Address: 94'2 6k) C/ CC r. C Gas heat pump wl City/State /ZIP: , ( 0V1-(t t6( t CIL 'T 76 Wall /suspended /unit heater Phone: 60 ,) 6 Z -(mil l Fax: : ( 5'o-9 6 Z -(U t iC Water heater Fireplace E - mail: Range ) ..K r* CONTRACT " r : .. ° Barbecue _ A — Clothes dryer (gas) Business name: 1f j (�P L(C Other: Address: . .,.., , - - I . .. ... .... . ... * , �.. MECHANICA)1�PERMTT FEES *:° , City/State /ZIP: Subtotal Phone: ( ) Fax:.( ) _ Minimum permit fee ($72.50) 7p _ — Plan review (25% of perrrmit fee) CCB lic.: 2 I fgC Z &/-71/1< State surcharge (8% of permit fee) 5W TOTAL PERMIT FEE 7 K. 30 Authorized signature: This permit application expires if a permit is not obtained within 180 �� r days after it has been accepted as complete. Print name: hAAJ , a t ( '�4- Date: 511 7/0 4 * Fee methodology set by Tri- County Building Industry Service Board i:\Bui lding\Permits \MEC- PermitApp.doc 12/03 440 -46I7T (I l /02 /COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: w Permit Fee , >} $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. i:\Building\Permits\MEC- PermitApp.doc 12/03 2 ..;•-- .. • ' RCekir P ( A - " y e ---- ____-. ,.. / --- 1 610 2-7 / 1 1 1 4 1 1 6-- • t , 44" :.. 7/ .At---50 .. . .. ! 6 - • -,--•-- .A .\ :..,•-- '., ..-• A ,,.. ........; - .7?,?.. - . ; „?.., \ • - ? - '')• A! =•-. .;' : 1 ,.., ,__,.... • ■ ,.. j,-.... , . --. ; 1 t-i-r, • ") i• ..„: ,, t „. .. . 4. el 4 • 4I ... • - 7 '..-.1 • IS • .'• ' . .' • :-:: f — . . . , ; '',..- • ;' ,•1 7,1 ' „ I . . ,..,, OtA . ..... _.._ ._,___. • r- 't .J icki l . 1 ) ? 1,,,,, 1, ,,. . , ' . . I I . . .,. , • - - 1,.... ..--- _,. ) ) ( A 1 CITY OF TIGARD 24 -Hour BUILbING Inspection Line: (503) 63•. 175 • INSPECTION DIVISION • Business Line: (503) • -4171 MST BUP Received _s / ®y Date Requested 2 PM • Location �� Z % P� E` d ��� Suite 410Zoc. 4 l — Z — Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access:: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ai/A- Ext Sheath /Shear Int Sheath /Shear �y � f _ (� ) ,- e Framing Insulation AI 4,,-4„‹,t0 Drywall Nailing Firewall® 1 f r OF1 Fire Sprinkler — Fire Alarm Susp'd Ceiling Roof t . • C L Ate' 7 C Other: Final PASS PART FAIL PLUMBING Post : Bea Rou•0 ervice Sani Try Sewer Rai, Drains C- c Basin / Manhole or Drain how-r Pan PASS : T FAIL Post & Beam Rough -In Gas Line ''Smm•�• . - Dampers - • SS •ART FAIL L _ _.' ' !CAL Service Rough -In UG /Slab Low Voltage • Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall_Blvd. PASS PART FAIL SITE Please call for reinspection RE: I , d nable to inspect - no access Fire Supply Line — — — ADA 2� - Q Approac h/Sidewalk Date Inspector KAHL- Other: Final DO NOT REMOVE this Inspection rec' rd from the job site. PASS PART FAIL • CITY OF TIGARD r'- 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION ' 1 Business Line: (503) 639 -4171 MST i . BUP Received Date Requested -°1-6 AM V PM BUP Location LSD 0 �,e 'l A Suite MEC a 06) O `' Contact Person ' Ph ( ) (.0,?- (1 8:5 PLM Contractor Ph ( &-Q) S/ 6 0 - aa SZo SWR BUILDING Tenant/ 1 j (a ,F - 70 el ELC ROC z,-/-06, 74, Footing Foundation Access: ELC Ftg Drain j 4 ELR Crawl Drain �J Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear Int Sheath/Shear Framing Insulation Drywall Nailing \ Q Firewall 11 1,6 1 t5 z v tJ l Y s L OJI,,.Q Q� 5 � ‘,a a60vs- Fire Sprinkler �/� "� ,� Fire Alarm ( 4 J Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final ��, • PASS PART FAIL MECHANICAL . Po & Bea Rough - G G me . oke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab . Low Voltage Fi - alarm Fin., Ell Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. • PART FAIL SI - ❑ Please call for reinspection RE: 0 Unable to inspect — no access Fire Supply Line ADA �f�� vie Approach /Sidewalk Date g Inspector v 1� Inspector V vCiJ ' Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL