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Permit C ITY OF TIGARD MECHANICAL PERMIT 4 11 DEVELOPMENT SERVICES PERMIT #: MEC2005 - 00303 '�f I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/6/2005 PARCEL: 2S112BC -13600 SITE ADDRESS: 08089 SW LEISER LN ZONING: R -4.5 SUBDIVISION: LEISER PARK LOT: 005 JURISDICTION: TIG Project Description: A/C installation. 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: OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Owner: FEES LEGEND HOMES Description Date Amount 12755 SW 69TH AVE SUITE 100 PORTLAND, OR 97223 [MECH] Permit Fee 6/6/2005 $72.50 [TAX] 8% State Surcha 6/6/2005 $5.80 Total $78.30 Phone: 503- 620 -8080 Contractor: HEAT RELIEF CO 1311 NE 116TH AVE. PORTLAND, OR 97211 REQUIRED ITEMS AND REPORTS Phone: 503- 260 -0077 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: s Z2 Xzt Permittee Signature: Call 503 - 639 -4175 by 7:00 a.m. for inspections that business clay. 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. • t .; . ' .; . •. ' - .. • . • Zechanical'I ' erm ii :. a l if 1 I .. ; • ;ity of Tigar . ( i., R rt ■ J . • ' "0 r >otrro ' • .. .i � 4x25 SW Hall n Blvd j : bard, 0 •97223 '• Plan Rs . • lone: 303.639.41'111 iAwt: 303.598.91 l `A . ') �.,. _ :. Dateat otherPemnft:' • epee Non Line: •. 303, ji: TS ` J U ; '• . L • ... 2.1,� -• 1 '. Dattee By: hire; r, � Si bee Page f far • ternct: eTrodel.tl• AM A KU • •Notlfled'Nletbo d; • -/V [.13applam�attabrmrlloo 11 . CI O F IG • . • . c N. • ] N ew connivett .. • : [i. . : •- t10Na1'ter itioil)isplat:enieitt : performed. I:ptlicat e ` tie ate of edod t O the neatea of Olt wo s of e pet�fa[nie. r>dloat the tta11)o .(rounded O the neaten doll ar ] Dernolitidh 0 Outer. ineohanicel matetteld, edutement,.lebor, overhead; and ptptlt. • 1 I Jy! L t i• - k i Valela: �. - and 2- r42rdiy e •lli • � r• , tag :O c 1st�i1►a;,1�d ~ ( � • Ao n yb „ue�t t - '. g • :..: pin. apeofa l'b(jorriulNwiaie 3 Multi- fancily ,,•; • ,D Maaterbuilder 0 Od'ter:; ..• eseriptloe Bs. Total tie' { . i ,. � • : 7, ., Vii +,�:` ... • ... HeadnVcoc Ing ,� I • ob cite 11400111: •'';1 Afr d altan etching or hew heatP P _ (�(Maiden dte'et atira nlaoemmtt) • � 14.00 Yty/StatelZtP: .. ► F1etDLcQ 1ODA0 BTU tdaatiwaluS 14.00 4 . t=tana4e 100,000+BTU (dean/venta} • 17.90 • .utte/bldsdept. ca.: i • 'PrOjeot n une: I [ eke'/testpump . • 14,00 • • toes etteet/airaetto; • .to.jeto arts; • • 1 Duet 14.00 1'.1 • • . • H dranlo hot wster eyatent • ' • 14.00 . P . ► • laeit,a1•botir r (radiator or • - i..;) ' • • b 14.00 • - Unit loots: s (fuel -type. ant electric), . . • f:i .. ' %swill, tn-dtict. Attapbnded, eto. • 10.00 t i ' • I. . :. . .. . ' tbran 1a:nd • l y of. tibirie iubdivlsitm y Lot. ao.: • r ex. map/parcel no. l • . . - . . der libel'epollascs . • . . a, Wafer ter a • Gas fi • eplacs 10.00 . �. I Flue veal fir water heater or gas • ' '; IIrepliao ' . . _ 10.00 • Log 'jib* f rte) .. . 10.00 �` • • Woodevenitatav4 10.00 • Woad ftieplecetineeat ,10.00 _ . - <<.,,;::•.,,: <:. 10. Name: E � • )l�r�IF • &lfvlroggmeetal exhaust anBverltllalloe Address: or . . Roust ho od/o Idtohen C . 10,00 • Clty/6tstc/ZlP: Clothes athaast . 10.00 Phone: , SirgQeduct . (bathrooms,. i;' toltet•FOiiiparementgi'UtMty tvome) • 680 • • '' w ' {;. i A l ' � ' .. • �tlltar 10.00 • • Buatrtees Moms: t Feel MOMS mo • Contact ms: . s A.iJC Ze, it.,0 lG4.0 . . $5.40 tpr flrisl four, $1,00 for each Itdditli nal • Fun'aae,•Ate. • • Addreoe: • ; e ? 11 . ' e , J f b_ . .... ' ray aoat outtp t./2e; 1 Pty- si- .. • d� qt? O . Walve r,apartdee/tinit heater. . y • - . Phone: (.51$ . ): I - . -0371 . .1 Pax• :. ( .$� $ ) *Vs( ..R.i1V Water bettor E -mail: I ;': 1rlrepiles . Rangy ' • • I k ri, e i l•i,. !., + '� 4 1 ..y :� . . .13atbeCUe [Sexiness name: i : [4 R •. Clottrm di5^er ( Address: ; 1 i 1C I I ie� Cuter' .: . :..,.;., City /State/Z11r: $' Mtoinaun permit fbe (572:50) Phartr (Str ' Ir. _ Q G p 7' • Fax: C ) cgl-Est ■JYY/ Plan review (25% of permit fee) CCB lice i Iq • fie/ • - .7 . . State aurch a (8% of permit fee) �:! . TOTAL PERMIT FEE !/9. 0 Authorised signs < L ' Tht; vomit applicptleneaplra Ire permit is eatoatalaad wttldn 1B( Print name: !'/ Ai . 4 d days after 1* h berm hag be awe d as coaapt.te. ■ _ a: • ,!� Date: - - - , r.. - ` • Pea rrrsaodolaoy get by Trt•Cauaty Bundles Weary 8ervlea Board . .p,.t.,.e.....«.urwr. . . M .:. u..a... WM .. • .. ..._- ... . -_.., • T• *IBS- 192 -60S JaTIaa zeaH Wu84 :TT SOO2 CO unr Jun 03 2005 11:48RM Heat Relief .- ... 503-261 ... ,ii _____7 1 2 .... ... . • • . • . - • . . .• , . • • I .. il , • • . .• . • . • .• • . ••-• . s • : : . • • •••• ' .. •': ..:' •••••:••••:•'.: :•:::::,:-.'.-' ., • , •• •: . .....:•••; .• . : •' • •f •.'.• :'••••::. ••••••••••••••:.: '''• ... •:'• : fii : ' ...• . • : ••(.... .. ,,,:,.,•::_ ::,:,. ,::. ,...... , ,., J..: .....: •:......:-• • ..:::: ":„ .•'.. .:.••• ,:,-% • . , : •• ti • . . •:•.: ..: ' ' ... ..' 1• ..,,:. 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' • : , .• ' CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2005.00303 , 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/6/2005 Phone: (503) 639 -4171 faitu941 h Inspection Requests (24 Hrs.): (503) 639 -4175 ._' `__ ., q / L ; /09--/ 6 INSPECTION WORKSHEET FOR DATE: 6/27 /2005 TIME: 7:09AM PAGE: 84 SITE ADDRESS: 08089 SW LEISER LN CLASS OF WORK: SUBDIVISION: LEISER PARK LOT #: 005 TYPE OF USE: PROJECT NAME: LEISER PARK DESCRIPTION: A/C installation. OWNER: LEGEND HOMES, PHONE #: 503- 620 -8080 CONTRACTOR: HEAT RELIEF CO PHONE #: 503-260 -0077 Inspection Request Scheduled For: Date: 6/27 /2005 Pour Time: Code # Inspection Description Confirm # Contact # Messa• - P 6 0 6 Mechanical final 009959`01 503-260. 0077 Corrections/Comments/Instructions: N IV/ 1 / 4 Utt i2cJa S Zq 6, • .. 1 00... . fri j 91 1 PASS 111 PARTIAL APPROVAL __ _ E] _CANCEL_ _ El NO ACCESS ❑ IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: \ u Date: "o /Z7/a C Phone #: (503) 718 -