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Permit CITY TIGARD MECHANICAL PERMIT 'll DEVELOPMENT SERVICES PERMIT #: MEC2005 -00731 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 11/2/2005 PARCEL: 2S114BC-02300 SITE ADDRESS: 10283 SW RIVERWOOD LN ZONING: R -7 SUBDIVISION: RIVERVIEW ESTATES NO. 2 LOT: 060 JURISDICTION: TIG Project Description: Change out gas furnace, venting and gas piping for furnace, add 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: 1 STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN: NAT 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: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: 1 Owner: FEES • WILLIAM & WALSH Description Date Amount 10283 SW RIVERWOOD LN [MECH] Permit Fee 11/2/200f $72.50 TIGARD, OR 97224 [TAX] 8% State Surchar€ • 11/2/200f $5.80 Phone: 503 - 504 - 2770 Total $78.30 Contractor: AIR PRO HEATING & A/C • 7405 SE POWELL BLVD REQUIRED ITEMS AND REPORTS PORTLAND, OR 97206 Phone: 771 - 7871 Reg #: LIC 72086 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OA' • - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1 -801 32 -23 • . Issue • By: _ / 1:� A , Permittee Signature: �� `4Q1 • Call 503 - 639 -4175 by 7:00 a.m. for inspections that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 11/01/2005 17:29 5377157 E ® AIR PRO HTG PAGE 01 • Mechanical Mechanical PCt't11rt g11 C y OMfl t FOR OFFICE USE ONLY g NOV 0� Received City Of Tigard LO Deted3y; / Permit No.: ti / II n� . 13125 SW Nall Blvd., Tigard, OR 97223 Plan Review ' Phone: 503.639.4171 Fax: 503.59$.19�ip�Y o TlGPRD d�,ayrn�k ivy Date/B : Other Permit: sp inection Uric: 503.639,4175 Cs 1 F � � y • Intomet: .wvw,ci,ligard.or,un BUILDING D IVISI0 " rr N ntc Rendy/ �ri 0 See Paget for otiPed/Mehed: Supplemental Inrortnntion .. ;ilii;s':5 ..:... ,:.:'>' >::::.::.J� >!(� :k?: :..Y..4��� < >, i s �<:;, ;, >s;l!;:..:... .. .. .... , . si: 3i5i�iiii :i:'S? <4#40:`A4 Fg.; N ,�;l�f�;:0`;�� �: 1I :.;,.; .; rye ❑ New construction " :1 Addition/alteration/replacement Mechanical permit fees" e based on the value r of the work .. performed. Indicate the value (rounded to the nearest dollar) of all • 0 Demolition 0 Other: mechanical materials, e ui.ment, labor overhead and .rofit. V auc' 1 .5 '1 LAJ. / >$ SC :o.g >i:: fi :' 1 0. 1.,,,,,i 2- family dwelling 0 Commercial /industrial ❑ Accessory building ::::.1::::::::::::#40.40 � ' l %or special Information use checklist, 0 Multi- family 0 Master builder ❑ Other; Q T : :....;::'•. y'r 4. 4 y Total �serl,+ti m t a >:;I Cll. 1 >� ..�.,� . ' � �C � ��>�k;�M30.� 1P 1G�il�t'JtAN. lientltl. /ccolbt_ / Air conditioning or heat pump Job sift address; / O z t� 3 s'(2 �r v el t.•.� . o cl / L e. - rc•taras eite •IM SNeWin. •loce,nen[ 14,00 _ : c 7 City /State /ZIP: 7, c 4 / .I ,0_/t 9 7 2-Z.474 Furnace 100 000 BTU duets/vents .' 14.00 ✓ f ' FuFurnace 100 000+ BTU ducts /vents MI 17.90 Suite /bldg,. /apt, no,; Prn i t name: T � • ✓ f Gas heat um Cross r - oss strcct/directions to job site; n " \ Ductwork _ 14,00 ME • l \ 11 ' dronic hot water s stem 14.00 k\ tdi7 / S Residential boiler (radiator or h dronic 14.00 • L ‘iil/ (,'- Unit heaters (fuel -type, not electric), (/ in -wall induct sus ended eta, 10,00 • Subdivision; L.t no,; b I Flue/vent for an of above MI 10,00 Other: 10.00 ■ IIIIIII Tax Map /parcel no.: Other fuel a llances Water heater ME 10,00 C . C. - 1 0" 7' 5 L,F tu✓ e s! C - ,�!/ 6 t/Ci 7 ' i .. S Flue Water heater or gas _ 10.00 ME fir..lace 10,00 ��� re,--re- J ■ Lo_ li ter _as) � 10.00 MI f!' G < I _L/ C J. 7 o -., ec Wood/ ellet. stove Mil 10,00 EfillnEl 10.00 MIN . 10 00 ::pry. . :.:.....:.. 1 c ` ::,: Name: B ! It /./ � X_ � / Environmental exhaust and ventilation ' . io 00 Address' Z / Range hood /ether kitchen � -� � < • v er L.) 0 „, r [-<, c ui anent 11.1 10.00 City /State /ZIP: a 40 7 2 i v Clothes d er exhaust 10.00 Single -doer. exhaust (bathrooms, Phone: ( toilet cam. ailments utilit rooms 6,80 :: Fax; :: �5 ©3 moo. . ... ! ' 2 �� :. . ...<:::.:::::,.::..... :: ::;..»::M;: :'; . 0 :l..l. >:: ,;';i:9's'i iri;'r: :::: r >: Attic /crawls ace fn �. � !: �]. ��, t`1'lr>rC'1!<:Y.R12.�t1:T1i " fns 11111111 10.00 Business narn _ Other: � 10,0 ranommominumimem Contact name: C ( ` k._. $5.40 for first four- $1.00 for each additional Address: Furnace etc, � City /State /ZIP: Phone: ( ) sax:: ( - IIIIIIIIIIIMIIIIIM E -mail: Rane Mill ,,,;i ii;:'s J';lw �� . , Business name, • '. Clothes d cr 7 ��� me C� ti .I C y Other: MIMI Address; L, 1 City /S y� tate /GIP 6 : # / ZLk_______._- : Subtotal Phone (S 7 L sax: ( ) Minimum .ermit $72.50 1 1ti7 CCB lie,: tl 6 State surchor : e (8 %6 of permit fee) M"llit1pa TOTAL PERMIT FEE 2 Authorized signature: / �Z Thla porrni tapplication expire ire permit is not obteined 'n 1:0 dnyv niter It hoc been accepted cr complete. PI 1111 inUme; ler/1 . / —10 5 I t Foe methodelolty sot by Tri- Cou u»t nty Building tndry Service )iloerd i.lbeilderroem \Mgt'- I'tnaitApp.doc 11 /0) 440.1617 (1 I 417/COMAVETI) 11/01/2005 17:29 5037715579 AIR PRO HTG PAGE 03 /02_83 .5.1.--e! 4" 9 ' 7 z ( 7 4 P , - � /--/e >c ,:S r (; c3) 7 /- 78 fiyc 4 • 3 4 -t-r ' , ' CITY ������U�������� ��nm w »��m mo���mun�� ^ ,. ,. BUILDING DIVISION PERMIT #: MEC2005-00731 13125 SW Hall Blvd., Tigard, OR 97223 D/TE ISSUED: 11/2/2005 Phone:(503)839'4171 Inspection Requests (24Hmj:(SO3)G30'4175 �8�J� e ��� ' INSPECTION WORKSHEET FOR DATE: 11/4/2006 TIME: 7:08AM PAGE: 33 SITE ADDRESS: 10283 SW R|VERVVO8DLN CLASS OF WORK: SUBDIVISION: R|VERVIEWEE[T/QlES N(). 2 LOT #: 060 TYPE OF USE: PROJECT NAME: WALSH DESCRIPTION: Change out gas furnace, venting and gas pi 'ng for furrtace, add a/c. . OWNER: WALSM.WLUAKA& BETH PHONE #: 503-604-2770 CONTRACTOR: AIR PRO HEATING & A/C PHONE #: 771'7871 Inspection Request Scheduled For: Date: 11/4V2006 Pour Time: Code # Inspection Description Confirm # Contact # Message . 699 Mechanical final 020386.01 5Q3'771-7871 N Corrections/Comments/Instructions: ~~ (1 C ) . \\■._____ Y . PASS 11 PARTIAL APPROVAL 0 CANCEL P1 NO ACCESS I | PAIL n CALL FOR INSPECTION ri ADDITIONAL FEES ASSESSED y1 ' ° �� /� ��, �/�� Inspector: 4C.- � � ' .- Date� ,�� '/ u `~ Phona#: (5O3\718' ` '