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Permit % CITY TIGARD MECHANICAL PERMIT 44 DEVELOPMENT SERVICES PERMIT #: MEC2003 -00542 AIL 13125 SW Hall Blvd., Tigard, O 97223 (503) 639 -4171 DATE ISSUED: 9/5/03 PARCEL: 2S 114BA -02600 SITE ADDRESS: 09750 SW SERENA WAY SUBDIVISION: PICKS LANDING NO.2 ZONING: R -4.5 BLOCK: LOT: 113 JURISDICTION: TIG 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: ELE 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: Remarks: Install AC unit. Owner: FEES COLMAN, DAVE Description Date Amount 9750 SW SERENA WAY [MECH] Permit Fee 9/5/03 $72.50 [TAX] 8% StateTax 9/5/03 $5.80 Phone: 503 797 - 8868 Total $78.30 Contractor: SPECIALTY HEATING & COOLING 1601 SE RIVER RD HILLSBORO, OR 97123 REQUIRED INSPECTIONS Phone: 503 Cooling Unt Insp Final Inspection Reg #: LIC 66578 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 Issued By: � Permittee Signature: :771 Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day FOR OFFICE USE ONLY er Mechanical Perm' . , . A M e ' ' 1 T • o n _. ... , L- ..0 ,.....,. • Date/B y _ _03 pernit " 0.3 _006.c/ReCeIVCd 4 MCChanteal .2... - • ... Planning Approval Building 'City 5f Tigard . Date/By: Permit No.: -- 12125 ; :W Hall 131vd. SEP 0 3 2003 Plan Rvvinw Other Tigard, Oregon 97223 Oaten* Permit No.: • P,one: 503-639-4171 Fax: 504 Post Land Use 3 0 1 0MGAR '..,, „,;.. , ,',, Date/By: Case No.: Im ._ ernet www.ci.tigard.or.us _ vl - i' , 61,1T i maol ..40, Contact .. flirts.: Ii See Page 2 for 24 Inspection Request: 50P03 i /.) "." ' Name/Method: 77C Su . demental Information. . , . • ;i`1, .•.: . '..''.• •:•••:':••••• '.... :' ,. • - • • ' • .";COMMERctlit;;FF CIFIECKLISr : El Nev r construction 0 Demolition Mechanical permit fees" arc based On 'the total value of the work E A& i tionialteratinent 0 Other: 0EgORIef,0 performed. indicate the value (rounded to thc nearest dollar) of all mechanical materials, equipment, labor, overhead and profit. ....' • ....:: ' ::?:.:'41.A. M & 2-Family dwelling 0 Commercial/Industrial value: $ See Page 2 for Fee Schedule :..RESIDENEI ARE. 4111 XIMENT/STSIMMSTEESCECEDIftEt:•'.'i• j: Acyssory Buildir Descri .tion Iralia=§1 Total ... Mas ter Builder 0 Other: ReatinWCooling .. ...... -.____-_ . *4 - Furnace - add-on air conditionin - 41 14,00 .. .. Job site address! 9 .-- 4-SI) 4 J Se..+-e.4,-. Gti( C.res 0: • 1 . 14,00 SL1) te #: ___113ktil : Duct work 14.00 Ilydronic hot water system 14.00 ProksL ■Tame; Residential bac' Cross st !cet/Dircc lions to job site: for radiator or hydronic system) 14.00 Unit heaters (fuel, not electric) (in wall, in suspended, etc.) 14.00 _____ Lot *: Flue/vent (for any of above) 10.00 Su ion: Rcpair units Other Fuel A 12.15 bdivi: . . liances Tax. maF /.arcei Water heater 10.00 ': ' •• ;::•• - 1 1 .'• - 3':'''''D - F,St ' ' 0 ,,,, ; eX i 0 ------ cOM"--"-17---------- Gas fireplace 10.00 Flue vent water heater/ as f lace) NM 10.00 Lo; li htcr :as 10.00 - - .______ Wood/Pellet stove 10.00 _ _ - Wood fireplace/insert II 10.00 Chimney/liner/flue/vent 10.00 - ..i.Sia!R011 ACIWOWINEIt: : ••:':•':••• ;..; :.1' ORNMI • •• :. Other: 10.00 Name: C ..9jl_____ • EnVironmental Exhaust & Ventilation Range hood/other kitchen equipment pment 10.00 _Acyiress 2 e Clothes dryer exhaust 10.00 City/Sta e/Zip: -- Single duct exhaust Phone: - -}-'/ ? - f 4, ,5- Fax: (bathrooms, toilet compartments, 7:t. .Nt ..: ':.;;-....:•tn:iV.,r;•7T•S,',!El :C..a..riwA•car,,IMRSOLst.trnp;ii,..7. litihb( rooms) 6.80 _____, Name: rawl •ace fans 10.00 Other: 10.00 Address: -------------------- Attic/c • ' Fuel Piping City/Stat e/Zip: ___, p -.m for first a, S1.00 each additional - ...._ Phone: I Fax: Furnace, etc. ** E - Gas heat pump • WalUsuspcndedhmit heater 11 ** " .. "..--. :. :•(,',. - .- -,e 0N , -,e, - . - - . Water heater ** . Fire .• lace .______. BusIness Nan_ ...i c _f_ l ' - - P\ . 7 Addrcss: ( 0 1 - t - =. 1 '. e.4t 1 ' , Range *I■Ir 13111Q •• CiIY/SIBI- . • C. i_ 2 .... . ? Clothes ti er :as . ** Phons Li - 4 0 ... Fax: 6.11 - a 1- 53 Other: • .11 _ CCB Lic. A4.7._._.u.,. 421.1e_, Total: Fee Snat ____ , Authoi ized Mechanical Ps* igure: LA :: "4..- 0 `-',.--- Date: q-3-0, Subtotal: $ - _ Minimum 'Permit Fee $72.50 IIIIk"SffaIIIIIII. 1 ce.----, Plan Review Fee (25% of Permit Fee) S • (Please print name) State Surchar e (5% of Permit Fcc) $ S ,- Vb TOTAL PERMIT FEE $ • , , 3 0 Notice: This I ermit application expires if a permit is not obtained within *Fee methodology at by Tri-County Building Industry Service Board. 180 day w after it has been accepted as complete. **Site plan required for exterior A/C units. i: \Dsts \Permit lorrns\MecPcrmitApp.doc 01/03 2'd BILO BS EDS ZU'ra.eaH R2. teT°'"IS ecs:oi co co daS S SITE PLAN PL be l lca Fri PL PL PI. STREET Specialty Heating & 'Cooling, Inc 9528 SW Tigard Street Tigard, OR 97223 Phone 501620.5643 Fax 503.598.0718 a Phone 503.640.3607 Fax 503.6810793 E'd BTLO BGS COS 2utzeaH gl.IetoacIS eES :OT ED ED daS CITY OF TIGARD 24 -Hour BUILDING Inspection Line (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST Q= j BUP Received Date Requested Q AM PM ' BUP ��� Location 9 7 5 n f/-P � t Suite Z- — D ©512 Contact Person / ca -e__ ^2_. Ph (D kai0 - 3 62 0 7 PLM Contractor - `4 Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation / - _ -_- ELC Access: V 1 ^s= �: Ftg Drain t r Y (! ° �� 7 \ ELR Crawl Drain \ i Slab Inspection Notes:' C44-4-1,—• SIT Post & Beam /(/ CrL� r -Lk Shear Anchors Ext Sheath/Shear a /' Int Sheath/Shear d Framing _ %"� Insulation`' - Drywall Nailing Firewall ( ..-- . Fire Sprinkler Fire Alarm N Susp'd Ceiling Roof ��, Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: 1� k • r ' I k, ry� ( _ i Final C m P , PART FAIL l" C ,O J f � C I N,,,, MECHANICAL Post& Beam c v Rough -In V'' Gas Line S i• . e Dampers r L _ 1 � [' / \F' f�Aa PART FAIL " ` D C) W L .r �� I� �r) J 1 UJ✓ EL RICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for einspection RE: 111 Unable to inspect — no access Fire Supply Line . Approach /Sidewalk Date d Insp = Other: Final DO NOT REMOVE this inspection record trim the Job ite. PASS PART FAIL