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Permit CITY TIGARD MECHANICAL PERMIT ° COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/5/2007 PARCEL: 1S125DB-06400 SITE ADDRESS: 07010 SW SHADY LN ZONING: R -4.5 SUBDIVISION: SHADY DELL NO.2 LOT: 037 JURISDICTION: TIG Project Description: Furnace install. 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: 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: Owner: FEES SEAN BROWN Description Date Amount 7010 SW SHADY LN. TIGARD, OR 97223 [MECH] Permit Fee 1/5/2007 $72.50 [TAX] 8% State Surcha 1/5/2007 $5.80 Reversal - [MECH] Perm 1/5/2007 - $72.50 Phone: 503- 964 -4023 Reversal - [TAX] 8% St 1/5/2007 -$5.80 [MECH] Permit Fee 1/5/2007 $72.50 Contractor: [TAX] 8% State Surcha 1/5/2007 $5.80 TRI COUNTY TEMP CONTROL Total $78.30 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: L Permittee Signature: 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. JAN- -2007 09:31A FROM: TO: 5035981960 P.1 M Per 0 o (Liil, ' F; r H ) FOR OFFICE USE ONLY City Tigard NI . Received t3' g Date./By: i 5 07 b 0 PermitNo.: i et ..0000 . 13125 SW Hall Blvd., Tigard, OR 97223 Other Permit Phone: 503.639.4171 Fax: 503.598.19/1Q!{ 1f 2Q0 Plan Revie . ;�.,,.. - Inspection line: 503.639.4175 JI-■I "_ l � ' I Date Ready/By: tuna: El Sea Page 2 for Internet: www.ci.tigard.or.us . Notified/Method: Supplemental Information ' Y or , t o . r : f :7;:i: ". ue i , 2 s .::' 4.. 1 :, ..'• . • - .Jr "; �2 af:' r t 4O $C$E`D $ HEGKCIST ❑ New construction - , 74 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 ■ Other: , mechanical materials, equipment, labor, overhead, and profit. W"� • • �, i .. � .1 - -�. � i�• - xr. -.,a.R • i � y , • �,�,.,, r 4 J _ , r Va '1iS _ � 1,r �' �� 5.•J r.r.- �'. L- �1, Ij++ r.`` r�ic .'a�,+•iw•iGa'A'•cri:lx-p�:P ty af"�` ' . r..•�a,� °cr' n 1 �" `'� . „• S EEES` jai - A � jMEN i S A and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ' "' " "' -' For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: 1 _ Description I Qty. � Ea. I Total =,.. . ...N- a •, �,,, .• k .�:,'�' 4r;c; "A;•e, 'ri+ •r, :., Beating/cooling Job site address: A /� � � � ( lci ��� Air conditioning or heat pump pa X 1.1 �1 I� J (requites site plan showing placement) 14.00 City/ State/ZIP: 1 1 C� Cri 1 Furnace 100.000 BTU (ducutvents) 1 , 14.00 e Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: 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, etc. 10.00 Subdivision: I Lot no.: Flue/vent for any of above 10.00 Other: I 1 10.00 , Tax map /parcel fro.: Other fuel appliances • �:' � „/ 1p 'a L r t ; 't '�r+l, ;y . �. Water heater 10.00 .i3:.i: t:•.. rJ...r.vr':. , E K E-+ OO � Y; Ql}wAU �ii4i�'�`I.:ts .0.: ., - ' 4 aWi.3; ,;'( ; : nit, , Gas fireplace 10.00 Flue vent for water heater or gas Qpt,,. ._ p y t try1 /1 /1 Log fireplace igh 10.00 1�L1� J /- - l,U f lU.l " Log lighter (gas) 10.00 Woad/pellet stove 10.00 Wood fireplace/insert - 10.00 c...l a :° ' ° � � y�i�1..,1 R r Fr ,'P r r i i. x , � Chimney/liner/flue/vent 10.00 ,� 'Ne(;1V. i' " Enter: Io.Oo - Name: ^ L[ eirOlkh Environmental exhaust and ventilation Address: ,en l.J Range hood /other kitchen `gyp'"` • equipment 10.00 City/State/ZIP: Clothes dryer exhaust 10.00 Phone: (6 S. SI VI, 400 Fax; toilet comp rtm (util r ( ) toilet compartments, utility rooms) 6.80 5r , ' ' �" pry "p°°c ' t Attic/crawl ace fans 10.00 xi K,.,wi5:. ti �"r „7 .. ' i1?l.' A �. ^ � l ,t #+'ice! 0.l? '?' , p , �q F sP Business name: Tn Cw T Control Other: 10.00 ` r Fuel piping Contact name: S5.40 for first four, 51.00 for each additional Address: 0 ! �.�1.! e. e Q 106 Ri vev- v) Furnace, etc. a ID 4 Gas heat pump City/State/ZIP: () gJ f CJ ©lQ q 7045 WalVsuspended/unit heater Phone: (a) 557-9990 l Fax:: ( ss L q Water heater Fireplace E- mail: Range ` +; n 4 s t =''r1 ^'t , p ,,� .� �V. ° M,ri' &�a , il.. t' Barbecue b of nr a_ Y ` k. : �.: ..: F:i. . i - k- �,` i �' it.,t zi, �..- " - r =61'i gl ..a r . Y' ' Business name: Tr1 Co -tom , - Control � ° (�� -� ��o Clothes dryer (gas) 1 t a c ,LJI 1 '1 V Other. 1 lSO Address: .. a �, , � e !� «. •:,1.:. . o re on o� ca Subtotal � City/5tate/Z1P: Subtotal (6,3) SS -2220 Fax: (6a) 65"/ u- b Iq Minimum permit fee ($72.50) Plan review (25% of permit fee CCB lic.: 7211 State surcharge (8% of permit fee J no S )/ �� n TOTAL PERMIT FE , L /�� J Authorized signature: a - Thls permit application expires It a permit is not obt fined within 180 - 4).a , l-G days after It has been accepted as comple . Print name: _bane ,1j j3 1 - Date: { 19k)i I • Fee methodology set by Tri -County Building Industry Service Board is \auildinsWernin1MH m C- PniuAnndne 12103 410- 161 (I 11071C0M/WBBI CrTY OF TIGARD BUILDING DIVISION PERMIT #: MEG2007 -00008 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/5/2007 Phone: (503) 639 -4171 sIiI Inspection Requests (24 Hrs.): (503) 639 -4175 - INSPECTION WORKSHEET FOR DATE: 1/9/2007 TIME: 7 :03AM PAGE: g SITE ADDRESS: 07010 SW SHADY LN CLASS OF WORK: SUBDIVISION: SHADY DELL NO.2 LOT #: 037 TYPE OF USE: PROJECT NAME: BROWN DESCRIPTION: Furnace install. OWNER: BROWN, SEAN PHONE #: 503 -964 -*1023 CONTRACTOR: TRI COUNTY TEMP CONTROL PHONE #: 503 - 557 -2220 Inspection Request Scheduled For: Date: 119/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 4VA 699 Mechanical final 041934 -01 503 -557 -2220 Y Corrections /Comments/ Instructions: - TAY fE 4p s .4g _ , , A _ AI kW no 1.7 _..................._ . • _........„ ■ CCT PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL I CALL FOR INSPECTION ❑ ADDITI NA FEES ASSESSED Inspector: ark _ Date: Phone #: (503) 718 --tt-Z