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Permit
C ITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2005 -00504 °7 I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/15/2005 PARCEL: 2 S 104 BA -124 00 SITE ADDRESS: 13630 SW MARCIA DR ZONING: R -12 SUBDIVISION: CASTLE HILL NO. 3 LOT: 154 JURISDICTION: TIG Project Description: Install A/C. 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: 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 CHILDERS, DAN Description Date Amount 8963 SW PICASSO PL PORTLAND, OR 97223 [MECH] Permit Fee 8/15/200f. $72.50 [TAX] 8% State Surcha 8/15/200f. $5.80 Total $78.30 Phone: 503- 710 -0580 Contractor: . BELL HEATING 15550 SE PIAZZA AVE CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS Phone: 503- 656 -1184 Reg #: LIC 447 • This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. • Issued By: f�� X7 Permittee Signature: ,-<_, Call 503 - 639 -4175 by 7:00 a.m. for inspections that business da .� This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit A , _ .,. FOR OFFICE USE ONLY City of Tigard Received- c ac 1'�i L Permit No. C ooS - �dS0V , 13125 SW Hall Blvd., Tigard, OR 97223 • Phone: 503.639.4171 Fax: 503.598.1960 y,,; ti ,\ Plan Review Other Permit: � ,p h:•,'• DaWBy: Inspection Line: 503.639.4175 4 9 ■ ;: f Date Ready/By: Jwis: 0 See Page 2 for Internet: www.ci.tigard.or.us ..... Notified/Method: ' ( r Supplemental Information t��} °-'4: \,l:il. ". „ ." '... r-1. '. _ �., � -• - .. �`"�- pr.,,�' 'f nS. tom•' :61 .t 1 ,.. t:" ? � �,.t..t, .: 1. <le,: riS �4 `-I� ..�F T t rTv ^..:.�. v "...� ,'� _ �' q g;i n a I OTa U - T:' : ?'4 : x . 1 a `Y+ < :r, �, :. F-RC :t . r I SrI"CHECKLIST' . .. _ . � •�' -�:. �r " - i„,-,. `. LS "�- , - - w,_ - ." ;'rte � �C$LDilI:E. _ r." Mechanical permit fees* are based on the value of the work ❑ New construction SAdditio lteration/replacement tR performed. Indicate the value (rounded to the nearest dollar) of all El Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. '1;i .tr ^' _ -.'" '� - �fw "'�' :1 1i: xe-,:.: �r .- ''7% it - t aa' . , 9:.. t.. Sri t'Ef:.�R..... O FyCOPIvSZRCION - % =s ' : ' � � _Fr �. t 1 ?, � , Value: $ . ' ,: a t _ iy , RESI , M 'EQIII ,,ME1 T:P.SYT - MS-FEES ® I- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ' ❑ Multi- family ❑ Master builder ❑ Other: For special information use checklist. Description I Qty. I Ea. I Total ).,;'7',i- . 4 :'i _ _ B iT I t O k'iNE per ..,. - . 'D 1 - '•1k _ i• a'.;lt • " t-i , :L: , s -, ,`_ ; $JO_ ._ LO TI 5' � " ` .. � - *�" Heating/cooling Job site address: ,�/� y Air conditioning or heat pump I I Spa) I1 L � 4o.c.. ■P\ '0(3r (requires site plan showing placement) f 14.00 City/State/ZIP: - q � 22 Furnace 100,000 BTU (ducts/vents) 1 14.00 Furnace 100,000+ BTU (ducts/vents) l 7.90 Suite/bldg. /apt. no.: Project name: 2 11,4 - R. Gas heat pump • 14.00 Cross streettdirec to jab site: #� Duct work 14.00 _rMOn^as Gv,ic.. or c955 A t•1 - . " Hydronic hot water system 14.00 ljJ ALA.) VT 'N Q a o iZT1h J F w,k1 - co MARC,\A QA- - " 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 • ti •e� a a ;.,?, s . +�-_ >r : Water heater 10.00 aer he � ,�+ e :,' p ESCR a,: ©h r :'=� in (!S� ` �!. ei'�- "yd�'�' •, a• >.p - -... .r -a., - a�:L <�s.�- Ioa ,,,t.14.-. '- '�'�'.. »�"�'9:r ...{`a'.. r .. t t Gas fireplace 10.00 e cta� RtAt - ' , .GL A-RI`% Qt. 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 s { q •E> J s t f.„ "i r, Chimney/liner/flue/vent 10,00 F -�Akt � � 1 A, ^ i ;: r'sr (� iii T"; ,; _ ?3.' . � w a r • e^'� $` 'f n? _R .'„ t .+ E ., '•..i . 1 4r� 3£ •- 4,«, _r.: ";:.. Er Other" 10.00 Name: oflio C,.lAL ,OFAS Environmental exhaust and ventilation • Address: Range hood/other kitchen X103 S PICAS � equipment 10.00 City/ State/ZIP: C Go TNGkQ R122,3 Clothes dryer exhaust 10.00 • Phone: Single -duct exhaust (bathrooms, ) I t 0 - 0 Fax: ( ) toilet compartments, utility rooms) 6.80 d`�':r./f xr ' 6r. J. : m, i . :: :•� ., a A 'tl.' t �l 3. s ' a�� -a��` �� :?t►EPTr)(CA•N -` �^T�` •�, � �r,�{ - y: �'1�:COIV�AC'G�!P.E _ Oir''z =`^4qi-7! Attic/crawlspace fans 10.00 Business ss name: Other: 10.00 PJ�LL E" �'t • = w1 C- Fuel piping Contact name: L. _ I 3 Lc., @J.ar, H , f r $5.40 for first four; $1.00 for each additional Address: EU. HEATI INC. Furnace, etc. 15850 SE PIAZZA AVE Gas heat pump City/State/ZIP: CLA M5.. O REGON 97015 Wall/suspended /unit heater Phone: (5D3 CO F ax: : ( } Water heater ) �v5(v' tkaq 1 ' (a5�0 - Is\ 1 Fireplace E -mail: _ Range �: ° .., ".�GUIV�RA;CTOt` ' .,.: n;.V =: F::��' }i Barbecue Business name: Clothes dryer (gas) BED HEATING, INC_ Other: Address" 15550 SE PIAZZA AVE : ;,, s �� .�.; ME City/State/ZIP: CLACKAMAS, OREGON 97015 Subtotal l .1 oo hIh • iJ S. Minimum permit fee ($72.50) Phone: (S' ' ) � • < • Fax: ( 03 CD _151\ Plan review (25% of permit fee) CCB lic.: 44- L4.4 . nvAro 111°1 State surcharge (8% of permit fee) G TOTAL PERMIT FEE lb - Authorized signature: 4' This permit application expires if a permit is not obtained within 180 v � a• l�S Date: days after it has been accepted as complete. i"�L Print name: / � vC t '�, • Fee methodology set by Tri- County Building Industry Service Boird 1T i:\ Building \Permits\MHC- PermieApp.doc 12/03 440-4617T (11/02/CON WEB) : . . . Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: 717( . i" $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. • • ,EMETA.Fi .7. AV: ^ _ Iii - "t -10x0 Nl0s'ai..' <6 • • • • • • • is\ Building \Perrnits\MEC- PermitApp.doc 12/03 2 SITE PLAN 'INDICATE NORTH FOR INSPECTOR* y A L. CONTRACTOR . 0 EAT PUMP UNtT SITE PLAN z ° q a s - L • BELL HEATING, INC. .. _ 15550 SE PIAZZA AVE - A CLAtCAMAS. OREGON 97015 } `•/ 4 - I • Z rC L f2 5 CO - -1 S %1 r ►•-1 A W v .. - . .. I - Ff o - • ' - • : r l � M w U • i C1 Rit�1(711: • . r - - • • Q • kJ TO STREET - ' p z - z z 5 b ITm"'"-m••'•im•■••■■■■•■•NowIL.s■ELLI■■•■1■Ln■Imi.•■••■1 a o g , ■ 2 CITY OF TIGARD BUILDING DIVISION _ PERMIT #: MEC2005.00504 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/15/2005 Phone: (503) 639 -4171 7 i t Inspection Requests (24 Hrs.): (503) 639 -4175 _ -_' ` INSPECTION WORKSHEET FOR DATE: 8/17/2005 TIME: 7 :05AM PAGE: 91 SITE ADDRESS: 13630 SW MARCIA DR CLASS OF WORK: SUBDIVISION: CASTLE HILL NO. 3 LOT #: 154 TYPE OF USE: PROJECT NAME: CHILDERS DESCRIPTION: Install NC. OWNER: CHILDERS, DAN, PHONE #: 503 - 71110580 CONTRACTOR: BELL HEATING PHONE #: 503-656-1184 Inspection Request Scheduled For: Date: 8/17/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 013668-01 503- 656 -1184 N Corrections /Comments /Instructions: Aar 1 J '.. k i j: / (1 . , `: • • SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: q2/ ( 1 0 Phone #: (503) 718-