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Permit A . CITY OF TIGARD MECHANICAL PERMIT I DEVELOPMENT SERVICES PERMIT #: MEC2005 -00644 ..II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/11/2005 PARCEL: 25111 CD -08000 SITE ADDRESS: 15845 SW SERENA CT ZONING: R -4.5 SUBDIVISION: KERWOOD ESTATES LOT: 007 JURISDICTION: TIG Project Description: Replacing furnace and AC. L .. Q.4 --/-41, q . fie% iac LG?c.�/V 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: LPG 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: f Owner: FEES MORTON, TERRY L Description Date Amount 15845 SW SERENA CT [MECH] Permit Fee 10/11/20( $72.50 TIGARD, OR 97224 [TAX] 8% State Surchaq 10/11/20( $5.80 Phone: 503 624 - 2615 Total $78.30 Contractor: SPECIALTY HEATING & COOLING 7500 SW TECH CENTER DR #120 REQUIRED ITEMS AND REPORTS TIGARD, OR 97223 Phone: 503 640 - 3607 Reg #: LIC 66578 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. Issued By: d Permittee Signature: 41/21(:( jj J Call 503 - 639 -4175 by 7:00 a.m. for inspections that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. • t Mechanical k rmit A li • _ FOR OFFICE USE ONLY '0 City of Tigard R ece ived [3125 SW Hall Blvd., Tigar• o { -, >3 DSWBY `� t �� Trout ; • b Other Permit: Plan Review Phone: 503.639.4171 Fax: i�,a +lr ` Daro/B t Inspection Line: 503.639.x1 O t y Internal: www.ei.dgord.onua 1 0 � - _ t) see Ready/8y: . 6'J e ge i br for Notilled/Medwd; Suppl l 1 ' •,�•,. •rLt •' 4,.4 lei `O �� � I:'��1�Y1/�,� ' , .�1., (7 .. , . ^ .a 4 ....'ra 'iF !i . tl. ; ?l f- rit:'1 01'''"�A∎Iii.'V .:l�i'_I: 'I'116� ,+'.COIV)1V RCIAt' FREI''SCHEDUR.E — USP'CHECYCI-LST ❑ New construction Jam"' , 0 C. Crl/replaCCment • Mechanical permit fees' are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all 0 Demolition C t� . mechanical materials, equipment, l abor, overhead, andproFt .1''!i- l';'6' .'ire r•. �wt' , a :' CA E O F Value:$ - .Rti: v +: ,�' P. .Sr' ,�i",'Q 'C NS'rR �fi =.�q,�" �, �e, � . 2 - family dw g y ❑ • , R)ESTh ITIAL EQL PiT / SYSTEMS FEES' 17 and 2 Commercial/industrial Accessory building For special information use checklisr. Multi- family 0 Master builder 0 Other: Description Qty, Ea, P Total . K.•ii:(;':i1",;,'• ...', ::ii OS SITE.:;INF(*A1! ON`•, !19:. . I �.. , Heating/coaling ' • Job site address: 1 5 gLi 5 SO Serena. C L � Air conditioning or heat pump 1,‘,. (requires site plan showing placement) / 14,00 AO City/State/ZIP: 7I / A, M r Og_ q 7 _� Furnace 100.000 8TU (duets/vents) / 14.00 154, 0 J Furnace 100.000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt no.: Project name: _ Cat heat pump 14.00 Cross street/directions to job site: Duct work , 14.00 /��� Rnti hot weer system 14.00 a� Residential boiler r (radiator or, hydry ( nic) 14,00 • Unit heaters (fuel -type, not eiectnc), in-wall. induct, suspended. etc. 10.00 - Subdivision I Lot Fludvcnt for any of above 10.00 I Other: 10.00 'Tax map /parcel no.: Other fuel appliances "T ., i ; • ' • "' r f r , W. 1000 J y; 7 ;�i; AE5�CRIPTIOPF' OF:�I(OhI� • , '� ry'• , , .ah , .. , .list heater . , Gas fireplace 10.00 t _ P . >Gt �V 8J..ti� - ' Flue vent for water heater ar gas fireplace _ 10.00 ' Log lighter (Ras) 10.00 • _ Wood/pellet stove 10.00 Wood (ireplace/in _ 10,00 L,i, •`.'?` $WNE ';u. 7 : a " _!�'f 4 K 1 ■':' 1!lp1�I 0(her Chimney/liner/flue/vent 10.00 ff ROPERTF O v+'• . ii' ' .ti� +.•' ,R'Ei T ' Other: 10,00 Name: I Af No ogTLt►" ' Environmental exhaust and ventilation Address: I S g 50 SatenA. . Range hood /other kitchen x10.00 uipment City/State/ZIP; `riag 02 � , -- Clothes dryer exhaust 10,00 �,J Sin exhaust (bathrooms, Phone: (Q) &o/ - a (elf- Fax: ( ) toilet comO rtnients, utility rooms) 6.B0 ,:" ,, : ;: -. J;.. O- A,PI'LICANt?!b i • 'h; ,.,:"1 a7 -itiCOt TAf 11 PERSON Attic /crawlspace fans 1 10.00 Business name: i C t ' ' / Other: 10,00 • r G 1 (C.- f /• V� Fuel piping Contact name: 1, -\.4.6 r „ t - L I S i• 1 S5.40 for prat four; SI.00 for each additional Address: G s-,, t . : C y,, .4, - r.,�t ' 2 `_ Furnace, etc. Gas heat pump Ciry/StatelZIP: // `C� t C `z C, 3-- 2- 2- 3 WaWsu :ended/unit heater Phone: (t j ) lv" ( ~I o - 3 L. 6 ?. Fax:: ( I, 3) i, gr 1 _ (✓ . t.z Water hoaxer B -mail: Fireplace r ° Range 1: ( ,,"•y r �r l'i.; sr ' •t;'.1:;,;17,',45.0'- 'i't, l4k :ii �h'.te:'1 fir..';`,",• r • 'r• „' , � •'+'•i ::� + n + . , _ l. ©��w,���1;� ��vr „r,,,i ���. ��1af 'nlli .t Barbecue Business name: � ✓ �� i 1 J� _ •` _Clothes dryer (gas) Address: !—T`°e �� Other: 1 •ri„ : , 't.M. iC1EEANICit∎V,AFFNdXF. GEES' City/State/ZIP: Subtotal Phone Minimum permit fee ($72.50) 7x,..31) ( ) CC Fax: ( ) Plan review (25% of permit fee) CCB lie.: L (,r ) S State surcharge (8% of permit fee) , , 0 ^ — TOTAL PERMIT FEE 7/6 IQ Authorized signature: C • - mss ` c �� This permit application expires If a permit is not obtain d.wirhln 120 `' -'' days after le eat Leon accepted se complete. P['in IIa�e: ' i1G•(� , I ` pate: • Fee methodology set by Tri- County Building Industry Service Board Ll , IdLiatPonnlutht8C•Panniapp,doe taie3 440 1617T( Il/OVCOmAYP_B E00/Z00 11 )('J SZ :9l 4003 /0L /0l 10/12/20011 13:58 FAX Ij002 /002 RECEIVED • - Hte_goo5 OCT 12 2005 c�ISL 1„0AP} -77o) SITE CITY OF TIGARD PLAN - BUILDING DIVISION OF 144- 14- � � T� - "PL ' �` PL PL • l� PL S SW P1Cvt C. e k-, 1_ , g9 j • STREET Specialty Heating & Cooling, Inc. • . .9528 SW Tigard Street Tigard,. OR 97223 Phone 503.620.5643 Fax 503.598.0718 Hillsboro Phone 503.640 -3607 Fax 503.681.0793 CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2005.00644 13125 SW Ha;I Blvd., Tigard, OR 97223 D ATE ISSUED: 10/11/2005 Phone: (503) 639 - 4171 l Inspection Requests (24 Hrs.): (503) 639 -4175 F L INSPECTION WORKSHEET FOR DATE: 11/4/2005 TIME: 7 :08AM PAGE: 54 SITE ADDRESS: 15845 SW SERENA CT CLASS OF WORK: SUBDIVISION: KERWOOD ESTATES LOT #: 7 TYPE OF USE: PROJECT NAME: MORTON DESCRIPTION: Replacing furnace and AC. 10/26/2005 Gas lin and fireplace insert. OWNER: MORTON, TERRY L, PHONE #: 503 -624 -2615 CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503 -640 -3607 Inspection Request Scheduled For: Date: 11/4/2005 Pour Time: /� Code # Inspection Description Confirm # Contact # Mes - . - " 699 Mechanical final 020367 -01 503 - 6403607 Corrections /Comments /Instructions: 44j:12k PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector G� Date: ///4 0 Phone #: (503) 718 -