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Permit • a CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00015 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/31/2007 PARCEL: 25101 DC -03702 SITE ADDRESS: 07185 SW SANDBURG ST 110 ZONING: C -P SUBDIVISION: SANDBURG BUILDING LOT: JURISDICTION: TIG Project Description: Add 2 ton hp split system to existing. Valuation: $6150. CLASS OF WORK: ADD FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: 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 LJ PROPERTIES + Description Date Amount BROWN, LARRY H + ARNSBERG, JOHN S [MECH] Permit Fee 1/31/2007 $163.10 TIGARD, OR 97223 [TAX] 8% State Surcha 1/31/2007 $13.05 Phone: Total $176.15 Contractor: TEMP CONTROL MECHANICAL SERVICE 4800 N CHANNEL AVE PO BOX 11065 REQUIRED ITEMS AND REPORTS PORTLAND, OR 97211 Contact #: PRI 503- 285 -6139 FAX 503- 735 -3690 Reg #: LIC 103165 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. A Issued By: , Permittee Signature: t— r _ 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. ' Mec ' 1 pI emit Application FOR OFFICE USE ONLY i of 1 (] Received/ �( iiiii, `'7 I g a I � , - Date/Byl �o��Q 06 Permit 1� .... 3 `I(y,, r 13125 SW tall BI ;'_., Tigard, OR 97223' . Plan Review/ !� i Phone: 50. .•",,, r 960 i' Date/By. Other Permit: TI G A R D Inspecti ', I � O E *� , `, 2000 Date Ready/By: t H See Page 2 for Internet V • ;1 'd- goV \\ Notified/Method:/ — - O ,::, 7-7.._..1-... Supplemental In co I F ► r �� \AD / / , ' tr> i� it s ' Tt t r. l ■l , I i' MG DI SON I I COMMERCIAL FEE* SCHEDULE -.,..-USE CHECKLIST ❑ New construction , �s'Pteration/replacement Mechanical permit fees* are based on the value of the work ,,rr��iQl\1 performed. Indicate the value (rounded to the nearest dollar) of all El Demolition i 8 1 . 0 i �t . mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION.. Value: $ (D 5c3 • RESIDENTIAL EQUIPMENT. / SYSTEMS FEES* ❑ 1 - and 2 family dwelling • tg Commercial/industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder_ ❑ Other: Description I Qty. I Ea. Total JOB SITE INFORMATION AND LOCATION •. . . • . Heating /cooling Job site address: ri \ V' C j S 10 8 l:a . Air conditioning or heat pump (requires site plan showing placement) 14.00 City /State/ZIP: kik _ 9- -1 223 Furnace 100,000 BTU (ducts/vents) 14.00 4egP Furnace 100,000+ BTU (ducts/vents) 17.90 .ldg /apt. no.: 11p Project name: Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 Hydronic hot water system 14.00 V i 9 Q €, 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 NOD a Ti + k) S` p't•i S l lAi• Flue vent for water heater or gas 1 J Np fireplace 10.00 J Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace/insert 10.00 Chimney/liner/flue/vent 10.00 : YROPERT• - ❑ � Y ;OWNER ..;, L. I`'---".` -`. - TENANT,:'`:::';;,; Other: 10.00 Name: C u a-kr 90_00 N Environmental exhaust and ventilation Range hood/other kitchen Address: 13 c Jw C4UQJS D&. equipment 10.00 City / State/ZIP: &0431.1,7\..01 ete A© - CO 00`) Clothes dryer exhaust 10.00 ,Single -duct exhaust (bathrooms, Phone: (5j'j) Wit 4 1 t —1 D Fax: ( ) toilet compartments, utility rooms) 6.80 ❑ APPLICANT,':' . y.. , . ❑'.CONTACT 'PERSON ' ,_ 'Attic/crawlspace fans 10.00 Other: 10.00 Business name: Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Address: Furnace, etc. Gas heat pump City/State /ZIP: Wall/suspended/unit heater Phone: ( ) Fax: : ( ) Water heater Fireplace E-mail: Range - '` .. CONTRACTOR • . : .. �" Barbecue Business name: �C�Y�c1 J( y O fr5 Clothes dryer (gas) T. Other: , Address: t c m 4 _ Q 1 e... e6,.h A .V ' -p) )( G 72 $ MECHANICAL PERMIT FEES *, ' ' `� City/ State/ZIP: QOtL ,ti �(� ct 1 r �7 ,, -d5 -oil Subtotal J(3. / b Minimum permit fee ($72.50) I Phone: (SO ) 5- 1�V3 I Fax: (:b'3 ) - 13 S -3(.o V Plan review (25% of permit fee) N CCB lic.: 191C:S \ (125 State surcharge (8% of permit fee) /5. o5 n(� TOTAL PERMIT FEE / 7 ,i5 � Authorized signa 5E13— 1 09 --0(0-0 --0(0-0 (J..%.% -i This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: N LvNr) 0`l,* I Date: 1 S" p • Fee methodology set by Tri -County Building Industry Service Board I:\ Building \Pennits\MEC- Pem,itApp.doc 04/06/06 440 -4617T(11 /02/COM/1VEB) CITY OFTIGARD BUILDING DIVISION PERMIT #: MEC2007 -00015 13125 SW, Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1/31/2007 Phone: (503) 639 -4171 ,: I Inspection Requests (24 Hrs.): (503) 639 -4175 '! IL . INSPECTION WORKSHEET FOR DATE: 2/1/2007 TIME: 7 :01AJy1 PAGE: 37 SITE ADDRESS: 07185 SW SANDBURG ST 110 CLASS OF WORK: SUBDIVISION: SANDBURG BUILDING LOT #: TYPE OF USE: PROJECT NAME: SPEC SPACE DESCRIPTION: Add 2 ton hp split system to existing. Valuation: $6150. OWNER: L I PROPERTIES +, PHONE #: CONTRACTOR: TEMP CONTROL MECHANICAL SERVICE PHONE #: 503 - 285-6139 Inspection Request Scheduled For: Date: 2/112007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 042831 -01 503 - 209-0620 Y Corrections /Comments /Instructions: CA(_L eSi • I, _ war [/S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL • CALL FO' INSPECTION ❑ ADDITI NA FEES ASSESSED Inspector: /IF f Date: I 0 � Phone #: (503) 718 -