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Permit y C ITY OF ITIGARD MECHANICAL PERMIT ° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00156 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/31/2008 PARCEL: 2S 109AC - 05800 SITE ADDRESS: 13154 SW NICOLE LN ZONING: R -7 SUBDIVISION: WILSON RIDGE NO. 2 LOT: 026 JURISDICTION: TIG PROJECT: DURHAM Project Description: Installing A/C add - on. • 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: 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: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: • > 10000 cfm: GAS OUTLETS: Owner: FEES HEATHER DURHAM Description Date Amount 13154 SW NICOLE LN TIGARD, OR 97224 [MECH] Permit Fee 3/31/200€ $72.50 [TAX] 12% State Surch 3131/200€ $8.70 Total $81.20 Phone: 503- 970 -0098 , Contractor: • CLACKAMAS HEATING & COOLING LLC 15115 SE PENNY LEE CT. CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 658 -4808 FAX 503 -210 -7094 Reg #: LIC 165630 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: �-� �1'..: � G,�l�� Call 503.639. , 5 by 7:00 a.m. for inspections that business 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. Mar 28 08 04:28p Clackamas Heating &Cooling 5032107094 p.1 Mechanical Permit Applicati o•_.' taut Of•rl( (1\LI F 1 Vii_ ° ECEIVE City of Tigard Remind Z Penult � e_ 1312 SW Hall Blvd.. Tigard. OR 97223 MAR 2 8 2003 Mao Review /r Phone: 501639.4171 Fate 503.598.1960 g Other Permit: Due T i G n I D Inspcchoo Line: 503.639.417 Ifaac g�gy 1 a See a for unmet: CITY OF TIGARD BUILDING DIVISIO �� • '�'�' TYPE: OF. WORK,.:. COQ. _rfiE` SCHItfiViE - EUSE.CHECKLIST ❑ New construction ®Addiriem/alt /replacement Mechanical permit foes* am based on the value of the work ❑ Demolition Other; Indicate t h e value (founded t o 8e n i t dol lar) of all mechanical materials, equipment, labor, overhead, and profit CATEGORY O1? Value $ 1- and 2- family dwelling 1:1 Commercial/indusirial CI Accessory building ° HE 1W: F SYSFELII Ft S• El Multi-family ❑ Master builder ❑ Other For special information use checklist Desorption Qty. I Fa. Total JOB SIRE INFORMATION AND LOCATION . Heating ooal'mg Job site address: 13154 SW NICOLE LN. Air conditioning or heat pump (reclaims site plan elbowing placement) 1 14.00 14.00 City /State/ZIP: TIGARD, OR 97224 . Furnace 100,000 BTU (du:10m s) 14.00 Suite/bldgJapt no.: Project name yj 4 R Furnace 100,000+ BTU ( vme) 1? 90 (hottest pumtp 14.00 Cross street/directions to job site Duct work 10.00 Hydranie hot water system 14.00 Residential baila (radiator or hydronic) 14.00 Unit beaters (fuel-type, not ciatric), in -wall,. in-duct, suspended, eta 14.00 Subdivision: I Lot no.: Hue/vent for any of above 6.80 Other. 10.00 Tax map/parcel no.: Omer fed appliances DESCRWFFION OF WORK. • • . Water hcatex £0.00 A/C ADD Gas fireplace 10.00 Flux vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood sreplace/imat 10.00 .raorEKIY OWNER I ©7TENAntr Ctaimney/IiuerlflurJvrnt 10.00 Other. 10.00 Name: DURHAM, HEATHER Enviromaentml exhaust and ventilation Range Address: 13154 SW NICOLE N haad/a kitchen 1 equipment 10.00 City /State/ZIP: TIGARD, OR 97224 Clothes drver exhaust 10.00 Single-duct «ham Phone: (503)970-0098 Fax ( ) t compartments, . , un7ily moots) 6.80 p •ArPI:ICArrs . p oohTAcr Pellsoly . AtticferawLspace fans 10.00 • Business name: CLACKAMAS HEATING & cOOLING LLC other. 10.00 Fuel _piping Contact frame: VLADIMIR MIKHATS $5.40 for first four, $1410 for each a dditional Address: 15115 SE PENNY LEE CT. Furnace. etc. Gas teat pump City /Statc./ZIP: CLACKAMAS, OR 97015 Wall/stnpeadedhmitheater Phone: (503) 658-4808 I Fax: : (888) 500 -2912 Water beater Fireplace E -mail: CHCLLC®COMCAST.NET REEngc CON1 RA47'OS : :: Barbecue Business Hanle: CLACKAMAS HEATING & cOOLING LLC Co0ies dtye) Other Address: 15115 SE PENNY LEE Cr. . . liteCRANICAL P f DES„ City /State/ZIP: CLACKAMAS, OR 97015 Subtotal 14.00 Phone: (503) 658-4808 Fax (888) 500 -2912 M mtm permit fee (572.50) 72.50 Plan review (25% of permit fee) CCB lie.; 165630 State surdrarge (12% of permit fee) 8.70 TOTAL PERMIT FEE 81.20 c This permit app6utioa expires if a permit is ant abtaiaed width) 180 Authorized silyratw jvi"•✓ daps after it has been accepted as complete. 1 Print name: VLAD MIKRATS ) Date: 03282008 1 • Per methodology set tryTn -County Welding mdosty Service Board 1.43 adi oacratAMEC- PceritAppdao 01)19/0) 440-461 Tr (11MI.COMAIT.3) Mar 28 08 04:31p Clackamas Heating &Cooling 5032107094 p.1 03/28/2988 14 ;12 5036126725 SEARS PAGE 07/07 • �• • • . 1 • . a( . ... .., . tsi, . . 1. . .. ■13 . . 6 GI _ •• 1 ,... , ... ....... - M • .. • • • .�' • M . • I - g I C I 1 Z" • • . .• A . . • t .. • • tO . • • `, • (f_. • . ' = • �• r ='� ._ • - - ` - • • '�.' • • • . ' • •.- • • • • ma •r • ra Y. ' 3 _ • Y . 1 ,� • 6 .. . , .•...,_...... fi, ,. .. -4 - -- : Ili • R . . .. ci . .. a .......67 .. Ai. .. . E.4 . . • 0.. . is ; ' • • • • . ' ' • • • ,. • I n Inn Inn." ••• nn n• y.. CITY- OF: TIGARD BUILDING DIVISION = PERMIT #: MEC200B -00156 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/31/2009 Phone: (503) 639 -4171 u., �� Inspection Requests (24 Hrs.): (503) 639 -4175 : �� INSPECTION WORKSHEET FOR DATE: 4/29/2008 TIME: 7:00AM PAGE: 31 SITE ADDRESS: 13154 SW NICOLE LN CLASS OF WORK: SUBDIVISION: WILSON RIDGE NO. 2 LOT #: 026 TYPE OF USE: PROJECT NAME: DURHAM DESCRIPTION: Installing NC add -on. OWNER: DURHAM, HEATHER PHONE #: 503-970.0098 CONTRACTOR: CLACKAMAS HEATING & COOUNG LLC PHONE #: 503 - 668 Inspection Request Scheduled For: Date: 4/29/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message G99 Mechanical final 068871 -01 503-970 -0098 Y Corrections/Comments/Instructions: 0 .2.6"4-14. a9 4,4.-/A1-0/z- ZI01- Z �-- /4d 3 AeisA41 Ci s "Z___, 1 ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 4- -z i ' Phone #: (503) 718 - t" t) CITY OF TIGARD BUILDING- DIVISION • . - PERMIT #: MEC2000 -00156 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/311/2006 Phone: (503) 639 -4171 ta��,yp f i l Inspection Requests (24 Hrs.): (503) 639 -4175 p - INSPECTION WORKSHEET FOR DATE: 4/11/2008 TIME: 7:01AM PAGE: 41 SITE ADDRESS: 13154 SW NICOLE LN CLASS OF WORK: SUBDIVISION: WILSON RIDGE NO. 2 LOT #: 026 TYPE OF USE: PROJECT NAME: DURHAM DESCRIPTION: Installing NC add -on. OWNER: DURHAM, HEATHER PHONE #: 503-970 -0098 CONTRACTOR: CLACKAMAS HEATING & COOLING LLC PHONE #: 503-650 4808 Inspection Request Scheduled For: Date: 4/11/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 068091 -01 503 - 970 -0098 Y Corrections /Comments /Instructions: a ' --...- nis . c ff Ozt -5 arZ 2 ea'x 14, , 0 • ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ,i Date: 4- -i l -6 t Phone #: (503) 718- 4 �