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Permit y; v CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00643 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/2/2007 PARCEL: 1 S133DA -08700 SITE ADDRESS: 12609 SW SNOW BRUSH CT ZONING: R -7 SUBDIVISION: AMART SUMMERLAKE NO. 2 LOT: 147 JURISDICTION: TIG PROJECT: LINDQUIST Project Description: Install furnace, ductwork, flue vent, gas piping. 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: 1 Owner: FEES JOHN LINDQUIST Description Date Amount 12609 SW SNOW BRUSH CT TIGARD, OR 97223 [MECH] Permit Fee 11/2/20W $72.50 [TAX] 8% State Surcha 11/2/20W $5.80 Total $78.30 Phone: 503 -579 -5980 • Contractor: OREGON HEATING & AC • PO BOX 397 DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS • Contact #: PRI 503 -538 -2953 FAX 503 -537 -2172 Reg #: LIC 172126 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. i Issued By: , / j /7 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. 01 07 04 :O1p Oregon Heating & RlC 503 - 537 -2172 p.1 Mechanical Permit Application O FOR O USE OYLY ; City of Tigard �� Da ielBed PermuNoM -- Obi ! 00 Other Permit: • rf " 13125 SW Hall Blvd., Ti ` y !� Plan Review Phone: 503.639.4171 F : if .. -1.960 DateJBy: TIGARD Inspection Line: 50.3.639.4175 v - \ \ 1 Date Ready /By: El See Page 2 for . .. .. - Internet: www.tigardor.gov • •' � kikt) Noliified'btcthod: Supplemental Information . TY PE A � v. -- - I 4 • .. COMMERCIAL FEE* SCHEDULE —USE CHECKLIST. Mechanical permit fees* are based on the value of the work El New construction ®Addtttg� ent performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other. mechanical materials, equipment, labor, overhead, and profit. : CATEGORY OF CONSTRUCTION _ • . . • Value: S • RESIDENTIAL EQUIPMENT,/ SYSTEMS FEES* (33 1- and 2- family dwelling 0 Commercial /industrial ❑ Accessory building For special information use checklisr. ❑ Multi- family ❑ Master builder ❑ Other. Description Qty. I Ea. I Total ' JOB, SITE 'INFORMATION LOCATION LOCATION ' • , Hcating/cooling Job site address: l a{QC YR c,� `)nl /h () f" C11 Air conditioning fires s to p ng or heat pump T T , (requires uirts site I an showine lacemcnl 1 14.00 City /State /ZIP: t'I n�r ,� c 3 C - ,` 3 Furnace 100.000 BTU (duets•vents) , 14.00 I LI kr) ` '-' L Furnace 100.000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: r Project name: Gas heat pump 14.00 Cross street/directions to job site: Duct work t 14.00 t4.00 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 Flue/vent for any of above 1 10.00 10.00 Subdivision: • Lot no.: Other. _ 10.00 Tax map /parcel no.: Other fuel appliances :: D , WORK Water heater 10.00 .. ., E ,.,.. N OF . Gas fireplace 10.00 HVAC- ( -) 5 al 1 f )rnckCf i Ci )C4 a frK Flue vent for water heater or gas I fireplace 10.00 --c', e Ni er 1 nC i (3OXS (J i P rl OJ Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace/insert 10.00 Rh��1 K(. Chimney/liner/flue/vent ' •' P Y ROPERT:OWNER ❑ . TENANT . . Other. 10.00 Name: .-)hn I' - ` ) 'I' ---- Environmental exhaust and ventilation , ^ cco ■ y A - Range hoodJOther kitchen Address: 10,( � c )� I" �( b� 1 I C equipment 10.00 City /State/ZIP: ) C .red q-- � a Clothes dryer exhaust 10.00 Y t f J CO toilet compartments, exhaust (uatl Phone: — 3 ) � ' ll�i l " Fax: ( ) toilet compartrt mentss , utility ty roo rooms) 6.80 . . . fa tc craw ce fans ®' APPLIC.A�ff ' . ,'_. spa - , . ❑` CONTACT • PER '; -` : tt Business name: Oregon Heating & A/C Other. 10.00 Fuel piping Contact name: R v lJr 1e 1\e $5.40 for first four; S1.00 for each additional Furnace, etc. I 15, Address: PO BOX 297 Gas heat pump City /State /Z1P: Dundee OR 97115 Wall/suspended/unit heater Phone: (503) 538 -2953 Fax: : (503) 537 -2172 Water heater • Fireplace E-mail: Range l CONTR4CTOR • Barbecue • Business name: Oregon Heating & A/C Clothes dryer (gas) Other. Address: PO BOX 397 :MECHANICAL PERMIT FEES* . : City/State /ZIP: Dundee OR . 97115 Subtotal 11.3, iia• Phone: (503) 538 -2953 Fax: (503) 537 -2172 Minimum permit fee ($72.50) 7a 5C) Plan review (25% of permit fee) CCB lic.: 172126 State surcharge (8% of permit fee) I 5,b-c, iii - TOTAL PERMIT FEE �� ( Authorized signature: ` .k ilk) � � ' This permit application expires if a permit is not obtained within 1811 days after it has been accepted as complete. (Print name: , Date: _ AI • Fee methodology act by Tri County Building Industry Service Board 440.4617T (11�•0XOAtN.S0) . ...... o CITY OF TIGARD Di 1 BUILDING DIVISION PERMIT #: MEG2007 -00 &13 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/2 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 F'I11! INSPECTION WORKSHEET FOR DATE: 11/15/2007 TIME: 7:01AM PAGE: 35 SITE ADDRESS: 12609 SW SNOW BRUSH CT CLASS OF WORK: SUBDIVISION: AMART SUMMERLAKE NO. 2 LOT #: 147 TYPE OF USE: PROJECT NAME: LINDQUIST DESCRIPTION: Install furnace, ductwork, flue vent, gas piping. OWNER: LINDQUIST, JOHN PHONE #: 503dt79 -6900 CONTRACTOR: OREGON HEATING & AC PHONE #: 503 - t38 - 2953 Inspection Request Scheduled For: Date: 11/15/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 059713 -01 503'5313 -2953 Y 6/0 c ,P,,-G 1 Ael • Corrections /Comments /Instructions: /. ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Jj /S =ae 7 Phone #: (503) 718- y; v CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00643 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/2/2007 PARCEL: 1 S133DA -08700 SITE ADDRESS: 12609 SW SNOW BRUSH CT ZONING: R -7 SUBDIVISION: AMART SUMMERLAKE NO. 2 LOT: 147 JURISDICTION: TIG PROJECT: LINDQUIST Project Description: Install furnace, ductwork, flue vent, gas piping. 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: 1 Owner: FEES JOHN LINDQUIST Description Date Amount 12609 SW SNOW BRUSH CT TIGARD, OR 97223 [MECH] Permit Fee 11/2/20W $72.50 [TAX] 8% State Surcha 11/2/20W $5.80 Total $78.30 Phone: 503 -579 -5980 • Contractor: OREGON HEATING & AC • PO BOX 397 DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS • Contact #: PRI 503 -538 -2953 FAX 503 -537 -2172 Reg #: LIC 172126 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. i Issued By: , / j /7 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.