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Permit C ITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2006 -00357 ' if 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/2/2006 PARCEL: 2 S 104BA -05600 SITE ADDRESS: 13760 SW NORTHVIEW DR ZONING: R -12 SUBDIVISION: CASTLE HILL #2 LOT: 089 JURISDICTION: TIG Project Description: Installation of A/C unit. 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 GORDON FERLITSCH Description Date Amount 13760 SW NORTHVIEW DR TIGARD, OR 97223 [MECH] Permit Fee 8/2/2006 $72.50 [TAX] 8% State Surcha 8/2/2006 $5.80 Total $78.30 Phone: 503 - 579 -7937 • Contractor: TRI COUNTY TEMP CONTROL 13150 S. CLACKAMAS RIVER DR OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS Contact #: PRI. 503 -557 -2220 FAX 503 -557 -0919 Reg #: LIC 72623 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: \c,p Call 503 - 639 -4175 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. AUG -1 -2006 11:45A FROM: TO:5035981960 P.1 4 *' s Mechanical Permit Application FOR OFFICE USE ONE)/ City of Tigard Received ECE��E Date/By: , , o� PerntitNa oa r 13125 SW Hall Blvd., Tigard, OR 97223 .. ...A Phone: 501639.4171 Fax: 503.598. l9 Plan Rev I A rpr i rAl ( Date/By: Other Permit: Inspection Line: 503.639.4175 Internet www.ei.tigard.or.ue A UCj 1 200 = r,— I Da �� : ® See Page 2 for IGAPp Supplemental Information . AFT �,�{�' __ .a,. ,•id:1�"*: 202 � - Y t z" r , 3 4 � f �. ol- t, • , -, :�"�Wci , .. „..wp'• ' r , .4 , ,, Q1�4 a ..!.Fu g,12�.• — i YSE C REOK IST ❑ New construction I'' Addition/alteration /replacement Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition cr.a�;m�� ■ Other: mechanical materials, equipment, labor, overhead, and profit. L " i.,. 5%t . -: .: 'r agver,:..., VV.14110, .., , 53 ' .iSG `: } '7"' ` ' V alue : S 1- and 2- family dwelling ❑ Commerciallindustrial ❑ Accessory building '"' I? $�, 1 : ' a � �SxS vis l?!cES Multi- family ❑ Master builder Other: For special information use checklist. g N Descnpaon I Qty. I Ea. I Total a , r •.,.; n' ' +, Y �� . ,• .� •> f � lhG. X- (..UTLS.�oI 9. ` Heating/cooling Job site address: 1f l6V W MO Uf W v 9 VG Airconditioning or heat pump -v (requites site plan showing placement) I 14.00 11 /j) ' City/State/ZIP: , QiGL✓ Furnace 100,000 BTU (duets vents) 14.00 '' ��JJ Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt.. I Project name: 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 10.00 Subdivision: I Lot no.: Flue/vent for any of above 10.00 Other: 10.00 , Tax map /parcel no.: Other fuel appliances r V27 Nrt w{7�f(?0Aia.. J ,a «�ci: ur Water heater 10.00 Il 4i0 ;: ;;:�'i.`,s � Gas fireplace 10.00 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 ' !��55� qL�v " g, , k L ' � ' ;ry Chimney/liner /flue/vent 10.00 A 7 i+��G ,cif a ,tl'�*,�L'"ty h7� '' Et l,' ...., . , r �,1Ffel'I'l r ; d'. ' /y l Ether: 10.00 Name: Environmental exhaust and ventilation Address: y� {) Range hood/other kitchen ti"`"I "� equipment 10.00 City/ State/ZIP: Clothes dryer exhaust 10.00 n Single -duct exhaust (bathrooms, Phone: ) 5 L t " (I Fax: ( ) toilet compartments, utility rooms) 6.80 'fry` k " '° 7, Attic /crawlspace fans 10.00 Business name: Tri Cow Temp CO TttO 1 Other: 10.00 Fuel piping Contact name: � � p� f � ` S5.40 for first four; 51.00 for each additional Address: 1600 0 C`ack(.0 (a R1 t1 t„v ryq� c1JI I �► Gas heat pump City/State/ZIP: CrTon ON OR. £7045 Wall/su speeded/ unit heater Phone: () 557— 2'220 3 I Fax: : () 5 7-( i 9 Water heater Fireplace E -mail: Range ;an'r a'.f .. z. il&:. i:P ,v � 55, a"� .I az..v.ria S�, /, �< ,. . � -i; , Barbecue Tri Co Temp Corrrrml Clothes dr (gas) Business name: - � � 1`r O /� /' L � n c ' t t1 ��•, ' o Other. Address: CCi 111 J �G. , t,l Gf�4.l �1 ( ` y ��I� f , ri 1 C Y+;'` 1041 [t' ''yPi4 'P,`� fif[Fcr i �Wk . <" City/ State/ZIP: ©re 0�'1 Or - C17 CJ Subtotal Phone: (5., ) 55- I Fax: (00 6 57 • Ida minimum permit fee (572.50) Plan review (25% of permit CCB lic.: 7 p 2s State surcharge (8% of permit fe 4 ,... 7 „,,,,,,„,, `� �y TOTAL PERMIT FE I Authorized signature: `'' A740 ---. This permit application expires If a permit is not anal ed within too - (J i g/ l.0 m a,304 l Date: ' 16 (oW da s ty has bo un y g l comp iese Print name: Fee methodolo set b Id-County Building Industry Service Board • D • fi) a r CONTRACTOR r m NC -NEAT PUMP UNIT SITE PLAN • F r C. Qire�4 n D e} TO BACIC PROPERTY LINE xi 3 20 4 i . fi fceT . TO SIDE PROPERTY LINE l (c • to �— --- -_—� _ -,eet Fr-oN, Properi. L iAe 20. TO STREET 0 Z.;1 - w cri up co CUSTOMER INFORMATION NAME ��QO .. m ADDRESS • 5w t5oe r�. Da . . 13760 1 Z$P) PLEASE REFAX APPLICATION WITH SITE PLAN. N i • CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2006-00357 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/20006 Phone: (503) 639 -4171 u � r Inspection Requests (24 Hrs.): (503) 639 -4175 �+�'II�� INSPECTION WORKSHEET FOR DATE: 8/11/2006 TIME: 7:06AM PAGE: . 69 SITE ADDRESS: 13760 SW NORTH VIEW DR CLASS OF WORK: SUBDIVISION: CASTLE HILL #2 LOT #: 089 TYPE OF USE: PROJECT NAME: FERLITSCH DESCRIPTION: In:xallation of NC unit. OWNER: FERLITSCH, GORDON PHONE #: 503- 579..7937 CONTRACTOR: TRI COUNTY TEMP CONTROL PHONE #: 503 -557 -2220 Inspection Request Scheduled For: Date: 8/11/2006 Pour Time: Code # • Inspection Description Confirm # Contact # Message 699 Mechanical final 034801 -01 503- 557 -2220 Y Corrections/Comments/Instructions: 0 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL El CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: C--1-111 IrH 1� Date: 8• II. o&' Phone #: (503) 718- 24 q`7