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Permit
� n il �� , CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2006 -00450 ! DATE ISSUED: 9/21/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1 S133DB -00400 SITE ADDRESS: 11574 SW SHEFFIELD CIR ZONING: R -12 SUBDIVISION: BRITTANY SQUARE NO. 2 LOT: 028 JURISDICTION: TIG Project Description: Replace gas furnace. • 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: DOMES. INCIN: NAT 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: < =10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES BETTY BRUA Description Date Amount 11574 SW SHEFFIELD CIR [MECH] Permit Fee 9/21/200E $72.50 TIGARD, OR 97223 [TAX] 8% State Surchar€ 91211200E $5.80 Phone: 503 - 524 - 5373 Total $78.30 Contractor: A -1 AIR CONDITIONING CO INC 2038 NW ALOCLEK DR # 225 REQUIRED ITEMS AND REPORTS HILLSBORO, OR 97124 Contact #: PRI 503- 645 -5900 FAX 503- 257 -2607 Reg #: LIC 62102 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 throu • •- 0AR -001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1 :00- 332 -2344. Issu • By: ►� � / % Permittee Signature: /,f - `, i Call 503 - 639 -4175 by 7:00 a.m. for ins ons t . •usiness day. This permit card shall be kept in a conspicuous place on the j. • site until completion of the project. Approved plans are required on the job site at the time of each inspection. 1-,70m :A -1 AIR FAX NO. :5032572607 Sep. 20 2006 04:33PM P1 Mechanical Permit A p p l i c a t i o n i „l < 1 ) 1 1 I C i I r>• I. City of Tigard ,D ECEIVED R y. o;tNo: '/ 13125 SW Hall Blvd., Tigard, OR 9 j /EC�D(o— a? 4�Sd Phone: 503.639.4171 Fax: 503.598.1960. Ilan �"''�"' � EP 2 0 2 . . . 11 ` ° • ! 'r' B > ,;� Inspection Line 503.639.4175 > Y Y W ace Page 2 for Internet: wvvw_citigerd•oLUS N 6Gad/Mabot Vie Supplecamd 1nfezmatlaa CITY OF TIGA t S ION rw , Q New construction ® Additiod8lteradonh'eplacement Mechanical permit fxs• are based on the value of the weak El Demolition Q..fig; perforated. Indicate the value (rounded to the nearest dollar) lean mccttanical materials, - tabor o . ... and , • Bt. s Value: S ® I - and 2-fittiily dwelling D Coit iaVtndustrial ❑ Accessory building 1, :, 4 'E Q'.Multi.thimly . • . 0 Master' builde Q Other: For special hifortnation we checklist. Total . Description Qty. E •, n, J! r i 0 . , , , C , l ;1 n3f IT',,,... `, ' r. . ; ' v , 4 • i t r , 4 r . • - • lq h if r , ' , ' i !'' , , I I , : • •....... ... ,� i,: - d 10tI :,J- 0 t! ' -.. :. ,` , 1.. m ,•c,, Qi Heat pump Job site address: t $ 7 5 Sete '€14 C•r (e err`° � 14.00 clty/StatelZiP T; , �� Z Z • Furnace 1001)00 BTU. dtx l'vmis . . l . . 14.00 <: Furnace"'100000+)BIIJ flit 17.90`' . .. _: P act name : •.., Gas heat : 14:00 Mill Cross street/directions to job site: Dt wank ill. 14.00 REM - H drone hot water : - , _ . 14.00" Residential boiler (radiator or 11 a r. 14.00 Unit heaters (fueltypa, not electric) • `• induct - • - ded. etc 10.00 Subdivision: Lot no.: Fludvmt for ` of above 10.00 - Tax map/parcel no.: Oth� 10.00 . ' : ' , , ; Warn heater � 10.00 MEM NM �' a nt ; vent fa b 10:00 Mil / W Water or • — 10.00 1 +, 10.00 ME Wood/.:.! -, stove 10.00 Wood • her/insert 10.00 MIME • ti :{ • • /tata/ttu at 10.00 —. • -... .. w . - . -;•., " Other: 10.00 • erne era ; rK4 ,�,,, . •..,.:, Address / i 57 q G-.) 5 lt.ke 'e (. e; rc ( 1 hood/other kitchen � 10.00 City/State/ZIP: Ti . 24 d 49) Clothes .. exhaust 10.00 Phone: (5 -- 7.‘ , (- 5 Fax: ( ) exh t ( morns s 6.80 - — . I , Attic/ .. , ..: fans 10.00 Business tent Other 10.00 Fuel _ Catotatx ,,,,, . tuWaC 5540 for fIrst four $1.00 for each additional Address: Gas beat . City/State/ZIP: W:. heater- - phone: ( ) Fax : ( ) Welar heater F. ace E MITIIIIIIIIIIIIIIIIIIIMMIll z: ='„ : _: _ i , ,, " . Barbecue l♦ � isnn" Business new= A Air coadititodog Other ENNUI IIIIIII Address: 2038 NW Aloclek Dr. 8225 a liiZarj City/State/ZIP: Hillsboro, Or 97114 Subtotal M•maaam permit foe (S72-50) FMMIIII Phone: (503) 645-5900 Fax: (503) 2572607 Plan review (25% of permit fee) — CCB tic.: 62102 State surcharge (8% of permit fee) 5 13A u)y:1A�2.17trti- : 79 'Q This permit aappseaoion expires If s penults not obtsiosd widen 180 Authorize tsignature: I .....• : . �> p days after le teas bean scoepted *sample*. • I Print tootle: Doug Lam I Date:. ! / Z c / j . , • Fes 0 ' set by Tti-OzseelY Medina 1 °dusaY Sell co Bond :Am. ,a....k.a ter- ...,,aw.,, t7.473 • 440.4617r(1uooxoane CITY OF TIGARD 1 BUILDING DIVISION PERMIT #: MEC2006-00450 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9/21/2006 Phone: (503) 639 -4171 Ano li r Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/5/2006 TIME: 7 :00AM PAGE: 72 SITE ADDRESS: 11574 SW SHEFFIELD CIR CLASS OF WORK: SUBDIVISION: BRITTANY SQUARE NO. 2 LOT #: 028 TYPE OF USE: PROJECT NAME: BRUA DESCRIPTION: Replace gas furnace. . OWNER: BRUA, BETlY PHONE #: 503- 524 -5373 CONTRACTOR: A -1 AIR CONDITIONING CO INC PHONE #: 503 - 645.5900 Inspection Request Scheduled For: Date: 10/ Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 037691 -01 503. 524 -5373 N Corrections /Comments /Instructions: 40 te(cn2i44L t,..c.,.m - /L .G 7 5 ©A 4 ‹.�ei,e 4---T .2.04.ee PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: y Date: M—- Phone #: (503) 718 - 2411-4$-5-- � n il �� , CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2006 -00450 ! DATE ISSUED: 9/21/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1 S133DB -00400 SITE ADDRESS: 11574 SW SHEFFIELD CIR ZONING: R -12 SUBDIVISION: BRITTANY SQUARE NO. 2 LOT: 028 JURISDICTION: TIG Project Description: Replace gas furnace. • 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: DOMES. INCIN: NAT 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: < =10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES BETTY BRUA Description Date Amount 11574 SW SHEFFIELD CIR [MECH] Permit Fee 9/21/200E $72.50 TIGARD, OR 97223 [TAX] 8% State Surchar€ 91211200E $5.80 Phone: 503 - 524 - 5373 Total $78.30 Contractor: A -1 AIR CONDITIONING CO INC 2038 NW ALOCLEK DR # 225 REQUIRED ITEMS AND REPORTS HILLSBORO, OR 97124 Contact #: PRI 503- 645 -5900 FAX 503- 257 -2607 Reg #: LIC 62102 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 throu • •- 0AR -001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1 :00- 332 -2344. Issu • By: ►� � / % Permittee Signature: /,f - `, i Call 503 - 639 -4175 by 7:00 a.m. for ins ons t . •usiness day. This permit card shall be kept in a conspicuous place on the j. • site until completion of the project. Approved plans are required on the job site at the time of each inspection.