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Permit 5 J x11 , ,e • Nz CITY OF TIGARD MECHANICAL PERMIT . ° COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00644 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/2/2007 PARCEL: 1 S133AD - 12900 SITE ADDRESS: 12663 SW SPRINGWOOD DR ZONING: R -7 SUBDIVISION: SUMMER LAKE LOT: 010 JURISDICTION: TIG PROJECT: VALDEZ Project Description: Replace furnace and water heater. CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS: 1 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: WO GAS PRESSURE: 50 + HP: CL DSTOVES: FURN < 100K BTU: 1 AIR HANDLING UNITS LO DRYERS: OTHER UNITS: 0 FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 2 > 10000 cfm: Owner: FEES ROBERT VALDEZ Description Date Amount 12663 SW SPRINGWOOD DR TIGARD, OR 97223 [MECH] Permit Fee 11/2/200i $72.50 [TAX] 8% State Surcha 11/2/200i $5.80 Total $78.30 Phone: 503 - 579 -9259 Contractor: SPECIALTY HEATING & COOLING 7500 SW TECH CENTER DR #130 TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS Contact #: FAX 503 -598 -0718 PRI 503- 620 -5643 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: LitLG.A L® Permittee Signature: Call 503.639.4175 by 7:00 a.m. for inspections that busine s ay. 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. / 2007 /FRI 03:23 PM _ .w FAX No, P. 002 Mechanical Permit A i , 1'OR OI' 1' 1(. E 11SL UNL) ' City ©� J I of Tigard E� 1� r • Rec eived g Date/By: i I Permit No : °od-7 . -- 1 1 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone; 503.639.4171 Fax: 503.598.1960 NOV V 0 9 d:', } ., ' l Dare/By: Other Permit: _ _ Inspection Line: 503.639.4175 _ e° ,i + I I Date Ready/By: hide ® __„ eady/By, hide Page 2 for Internet www,ci,tigerd.or.u3 CITY OF T "; •- ■ Notified/Method: Supplemental Information w II ► I • �' -'%f^1 P. t:" t iR , 'r rh ,5 G • 1' , t l ? ,nth I : . ,� Y A ? ,:. '.} ..,..„- � . '- -- > � rr: ; i S .. s .Kid . + � / i'' (+„ - �_ y_ +1 ` , , ti . . 4 it' yt '- - •i "o.= ): 1 .. -' F_ '4 - i s 41 i , ' - ' 1 � -, . . � 7 _. .4 - . __ _._.... .... .. _ _. -_ - : C= _..�2" _.a1 .r. ` • - ,a - - � •.al• El New construction El 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 0 Other: mechanical materials, equipment, labor, overhead, andprofit 1? ', acii:� ;:��.' T,i.. ` ' x -" _, -, _ 7t t . Y','::. . .,, valrle' $ F :..., � .:t. C 2. �i:� r1 � �t A f!'r6 - � tl 0 G'r r i dl„u - i. k ((^ � . r .;.`: _ ❑ 1 - and 2 - family dwelling ❑ Commercial/industrial ❑ Accessory building , 1 -Tr Z �]L Z \ tl7 r !itifi - ir'71 - 7 n _ ; P A a - .7 l. t z f{ `' ❑ Multi-family ❑Master builder ❑Other: For special information use checklist Description 1 Qty. I Ea. I Total y , , . . e y : a _ tr,�l �E o N � {Ire �ii ( a 7' .. ., L _] L � , .i _ iu�� ` ±.._.v__. -. �. r?-.2 �. � � -1; . 1;�^� -. � -r .mf' r+. �t� ? } <_ � .. ., , ldeatlOgIcnoliOR, I CC Air conditioning or heat pump Job site address: Lep to S LA) c i o v r\- i .r / ) a b 4 (requires site plan showing placement) 't 14.00 City/State/ZIP: V Furnace 100,000 BTU (ductsivents) 1 14.00 Furnace 100.000+ BTU (ducts/veots) 17.90 Suite/bldg./apt. no.: I 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 r Flue/vent for any of above 10.00 Subdivision: I Lot no.: Other: 10.00 Tax map /parcel no.: ^ Other fuel appliances _ T- ..tom, -- - r z n7--- r ' >ar` ma ��y S s.' :ti 11�cv" tot r��' a t e , , , _. h � ` i ce= ', -ra Water heater I_ _ 10.00 ties fireplace 10.00 e __ to - o.n -e.. ,` t..1) L-t `^" - Flue vent for water heater or gas '. fireplace 10.00 Log lighter (gas) 10.00 _ - Wood/pellet stove 10.00 Wood fireplacc/insert 10.00 w • - - • - •.;,,1. {1 _•,:K•:� , r e a - z. Chimne /liner/tlue/vent 10.00 Y ui i s 'R '`f1. ,ary� vF '1 ��M ul ��. i i su ��, : °JiR'l ,, R + r'.` rph � i' i , x r_,; r.t.._.._ 4, = . '" Other: 10.00 Name: P . V Z Environmental exhaust and ventilation Address: Range hood/other kitchen equipment 10.00 City /State/ZIP: Clothes dryer exhaust • 10.00 . q Single -duct exhaust (bathrooms, ' Phone: ( ) ' - ! a- c" Fax: ( ) toilet compartments, utility rooms) 6.80 _ �!"-il i•?'.k4 ., tr +r v �t''+"F 7 �' --i , ra "� . .1 "•:M -' r it 1 i Attic /crawlspace fans 10.00 b ` ` c ,. 7 V� eT�(� ,. 111, �.`ri'.`�" , ;�p r e ._ R w�r.:-.:?r�0crp . .i . rn•- n 1 .:}..a .. c.. u. _L= _i.l.. -: T, /, {+. I ,..�.� -.+l l ... _ :: . ^..._.c :.�.IS.a....r..a • Other: 10.00 ' _ i ► r / Fuel piping Contact name $5.40 for first four; 51.00 for each additional Address: 7566 5u) " ire L i# 4 00 Furnace, eta J C � n r #�► Gas heat pump City /State/ZIP: (J tad/ if 1e19-3 . Wall/suspendcd/unit heater Phone: ( ) '$ _ �.! Gl I Fax: ( ) 54.4714.- ' Water heater � 7VlJLr Fireplace E -mail: Range ,5! , '�.. b +. . , f-•-- -T ^•, i vc is 4 t Il lv = i c �` ..+ r - ': u• � ` s��` a •f�dZ11�� ry � t Y : +m . :- BaBarbecue :.J aw,rb.w - t 1 (�". . ,, E.., _•,. Ir..yc. . is ..Nr�.. , > - State surcharge (8% of permit fee) Business name : ^� e �, , Jt /„� A 4 q. nA Clothes dryer (gas) Address: 5100 5 - Te1 .1 (P.Y1,44J°.Y '• "^' b + - Other. .;,s : =a•3.. vrrr.- .� n9i5 Yth:,„ Ir , f -,/ i � r , S' 43 Yom'. , 'ni.7:�. .:3; �.�+" � (: - S�:;l i�,1�•t 's[ �- ::�' j : .� .t,�r City/State/ZIP: - i i r , , ,, t o� _9_7.1. Subtotal Phone: 6Q,) toa .5 to 4 Pax: (5G) 5q R • 07 I e Plan l review (22 of e rmit fee) CCB lie.: 4 t 51 o d TOTAL PERMIT FEE riVg Authorizes signature: The per application expires if a permit le not obtained within 180 r � j days after It has been accepted as complete. I Print name: (h . , ' f Date: ( 2 p • Fee methodology set by Tri- County Building Industry Service Board i:\ BuildingtrerniMACEC- PermhApp.dna 1 2/03 440.4617r /n7JCOM/WPO) CITY OF TIGARD 4. BUILDING DIVISION PERMIT #: MEC2007-00644 Alk 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: •1112/2007 Phone: (503) 639 -4171 1�. �iii Inspection Requests (24 Hrs.): (503) 639 -4175 .11,N i ii INSPECTION WORKSHEET FOR DATE: 1/8/2008 TIME: 7:01AM PAGE: 58 SITE ADDRESS: 12663 SW SPRINGWOOD DR CLASS OF WORK: SUBDIVISION: SUMMER LAKE LOT #: U10 TYPE OF USE: PROJECT NAME: VAI_DEZ DESCRIPTION: Replace furnace and water heater. OWNER: VALDEZ, ROBERT PHONE #: 503-579.92:3g CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503- 620-5643 Inspection Request Scheduled For: Date: 1/8/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 600 Mechanical final 062551 -01 503. 573.9259 N Corrections/Comments/Instructions: La— L ,l Id i . • G. 4 4-- = 4.6 - -1[- z. PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date:/ 8-6 8 Phone #: (503) 718- �g-4F //