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Permit CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2006 -00186 ��f I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/8/2006 PARCEL: 2S 109AD -11300 SITE ADDRESS: 14878 SW LOOKOUT DR ZONING: R -7 SUBDIVISION: ARBOR SUMMIT LOT: 011 JURISDICTION: TIG Project Description: AC install. 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: ELE 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: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES KERRY IRISH Description Date Amount 14878 SW LOOKOUT DR. TIGARD, OR 97224 [MECH] Permit Fee 5/8/2006 $72.50 [TAX] 8% State Surcha 5/8/2006 $5.80 Total $78.30 Phone: 503- 624 -9302 Contractor: MIDWAY HEATING CO 12625 SE SHERMAN PORTLAND, OR 97233 REQUIRED ITEMS AND REPORTS Contact #: PRI 252 -4003 Reg #: LIC 00024044 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: Permittee Signature: AU Call 503 - 639 -4175 by 7:00 a.m. for inspections that busin- s 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. Maw 05 08 11:42a 503 252 5881 p.1 Mechanical Permit Application FOR OFFICE USE ONLY L ! of Ti `a Received d , % Permit No.: w pb Ov g Date/By: f) / 13125 SW Hall Blvd., Tigard, OR 97223 9 EC f � ` n 1 Revi Other Permit: Phone: 503.639.4171 Fax: 503.598.1960 1 tl / s::2 , Ia w I DatdRy: Inspection Line: 503.639.4175 -- •1 -1 - - Date ReadyBy: l3 Sec Pa e 2 for Internet: www.ci.tigard.or.us r Notified/Method: SuppiementalInformation MAY 0 5 2006 TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST V t I (a Ii Mechanical permit fees* are based on the value of the work ❑ New construction ® ' Addi / Iter tip replacement UiLDINCi performed. Indicate the value (rounded to the nearest dollar) of all r u [] Demolition ❑ Other: - mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ® I- and 2- family dwelling 0 Commercial /industrial El Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. Ea. ' Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job {) 4.--.1e. Air conditioning or heat pump t { ,up ob site address: ) k-1 g 1s S k.. A.) LIDO o J + J) - (requires site plan showing placement) 4 14.00 1 l City /State/Z1P: 1 l 9 a r 3 0 A ' v t � l „ r Furnace 100,000 BTU ( ducts/vents) 14.00 Suite/bldg./apt no.: Project name: .1.,(-- Furnace 100,000+ BTU (ducts/vents) 17.90 K 'e ' ( .' t S Gas heat pump 14.00 Cross 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: Lot no.: Flue/vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 -�^-- /'+� Gas fireplace 10,00 � l-� �-�.. I, k Cs..-", - W rTh. 0-1: 1 0 r\ 'e, ( 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 El PROPERTY OWNER ❑ TENANT Chimney /liner /flue /vent 10.00 Other: 10.00 Name: C->�ll�� Environmental exhaust and ventilation Address: Range hood other kitchen equipment 10.00 City /State/ZIP: Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms; Phone: 6a4- 9 30 L Fax: ( ) toilet compartments, utility rooms) 6.80 v APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00 Other: 10.00 Business name: Its • vl n Fuel piping P g Contact name: ,,0_ �� i 6 r, d - n r f) $5.40 for first four; $1.00 for each additional _ Furnace, etc. Address: \ 2, S S (. S -V yr rv'\ L`r' S 4-- Gas heat pump City /State/ZIP: Po r -, 1 _ ` G , ,, O , Q _ _ 9 7 3 3 Wall /suspended/unit heater Phone: (5 ) .2 O VO 03 Fax :: (5'V) ) .3 .e .,'Sag) Water heater Fireplace E -mail: �icku4l k L CP C.0 mC -e 4- Range CONTRACTOR Barbecue Business name: t f � `„ ', r- i CO O dryer (gas) 1- ,, e Othther: er: Address: \ D S 5 c__ S' ' VGA Yy\ G-- P -F' MECHANICAL PERMIT FEES* Subtotal ) ti, v - ) City/State/ZIP: Por \-- \ 4 � � © c 7 ca Phone: (t a S 0 ).14003 Fax: (S03) cS , �iai/ • Minimum permit fee ($72.50) 7, J v Plan review (25 % of permit fee) CCB lic.: ti 0 t i /igA. o / j State surcharge (8 %of permit f e e ) 5 . " i ) ,� ^\ TOTAL PERMIT FEE -7 ,8.3 Authorized signature: f� J� ,t This permit application expires if a permit is not obtained within 180 '� FFr --���" --- ����CCC�JJ _ell days after it has been accepted as complete. Print name: ✓ 42_,,k0 J z L ac n Date: S - 0 k . ' Fee methodology set by Tri- County Building Industry Service Board EL) i:\ Building \PermiintMeC- PermitApp.doc 12/03 410 -4617T (1 I /02JCOM/WEB) ` 05 06 11:42a 503 252 5881 p.3 _ . X., e 11 / _ : CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC 00 G.001EG 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/t /2006 Phone: (503) 639- 4171 j, I °� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/18/2006 TIME: 7 :01AM PAGE: 58 SITE ADDRESS: 14878 SW LOOKOUT DR CLASS OF WORK: SUBDIVISION: ARBOR SUMMIT LOT #: 011 TYPE OF USE: PROJECT NAME: IRISH DESCRIPTION: AC install. OWNER: IRISH, KERRY PHONE #: 503.6:241 - 9302 CONTRACTOR: MIDWAY HEATING co PHONE #: 252 - 4003 Inspection Request Scheduled For: Date: 5/18/200€ Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 029904.01 503252 -4003 Y Corrections /Comments /Instructions: 61 -t-• MA- — $4-2 .9�CL�G'i2cy.r� �LEr C/ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: 1 Date: Phone #: (503) 718 - -��