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Permit
r CITY OF TIGARD MECHANICAL PERMIT l DEVELOPMENT SERVICES PERMIT #: MEC2004 -00543 ' I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/12/2004 PARCEL: 1 S135AD -02001 SITE ADDRESS: 08808 SW SPRUCE ST SUBDIVISION: GRAHAM ACRES ZONING: R -12 BLOCK: LOT: 001 JURISDICTION: TIG 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: 1 DOMES. INCIN: 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: 1 'Remarks: Replacing oil furnace w /gas & installing new A/C. Installing gas line from meter to furnace location. Owner: FEES MILLER, LEE W JR + DORIS E Description Date Amount 8808 SW SPRUCE [MECH] Permit Fee 8/12/200' $72.50 PORTLAND, OR 97223 [TAX] 8% State Surchari 8/12/200' $5.80 Phone: 503 246 - 4402 Total $78.30 Contractor: COMFORT MECHANICAL INC 17936 SE DIVISION STREET PORTLAND, OR 97236 REQUIRED INSPECTIONS Phone: 503 Gas Line Insp Heating Unt Insp Reg #: LIC 79558 Cooling Unt Insp Final Inspection 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. Issued By: �Lcr� Permittee Signature: Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day Mecharz ,cal Permit Ap • t FOR OFFICE USE ONLY City of Tigard Receive _ � g 4061L Ve\ � 0V05 /I Dat eB y : Permit No.: �J 13125 SW Hall Blvd., Tigard, OR 97223 AUG 11 201 ' plan Review Phone: 503.639.4171 Fax: 503.598.1960 / 1a . 1'. ; � Date/By: Other Permit: Inspection Line: 503.639.4175 1`'" Internet: www.ci.tigard.or.us O/F. TlGi„� ' I Date Ready/By: El See Page 2 for BUILDING DI • Notified/Method: ICov upplemental Information ,. - 0: :, TI'P)`0 : '';i,Z,' ;}' ,, y , : ?. „ Cd11%INLEr *44'.. HEDTJI;- • -USEiCHECICLIST • 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 ❑ Other: mechanical materials, equipment, labor, overhead, and profit. '° ',' i; C.ATEGORY.OI CONOTRUCTIOPr ; , 5 . r_ Value: $ iii ' 1- and 2- family ❑ Commercial/industrial ❑ Accessory , ` y 1 1 ` t ,:i:,''R EQUIPMENT /W STEMS•FEES* s building '' `' ❑ Multi- family ❑ Master builder For special information use checklist. ❑ Other: Description I Qty. I Ea. I Total , .=;,.,-..: -i• 'JOB, INFORM L OCATION ;r, !I .;;;: „'- Z;( Heatinp,/cooling _ S o�(, spruce Air conditioning or hea pum Job site address: a �, (requires site plan showing placement) I 14.00 Of r W City/State/ZIP: M3 ara q- 2.7-3 . Furnace 100,000 BTU (ducts/vents) t 14.00 fit{ ,pD Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: Project name: M i "eA/ Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 Hydronic hot water system 14.00 F Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Subdivision: Lot no.: Flue/vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances , DESC OF WO .a ." "`''�`' -. Water 0.00 i ;`'- '. er heater ' r Gas fireplace 10.00 rf I GttrY 6L 1 -tu�(n jc,. Wt.++, 65 4 iY15 � ? Ce. Y'1 Flue vent for water heater or gas Q� - - a ' ," m(' - 1 h �-� } I 1 , as I I Yu, -4rO N. fireplace 10.00 ,1 Log lighter (gas) 10.00 rlvv �l -j 0 _- (d,(_Q._ ( out Wood /pellet stove 10.00 Wood fireplace/insert 10.00 - ' F :4, >i. Chimney /liner /flue /vent 10.00 ERQEERTY ;UWNER • , oFr' ; G. T ' .: $ ® TEN?�NT ' . �: .. ,a: ffs• %rte � . to > `' r ,. Other: 10.00 Name: M t I e,i Environmental exhaust and ventilation Address: � � lllLLLL--- - ^ � CCCC l Y Range hood/other kitchen T7T KJe u. rt'c S equipment 10.00 City/State/ZIP: -TI l (1t Q 'R C; -1 2:2_s Clothes dryer exhaust 10.00 1 t Single -duct exhaust (bathrooms, (5 Phone: n4 ) 2.46 1 - 4402- Fax: ( ) toilet compartments, utility rooms) 6.80 '' '''❑ ,..APPLICANT; •','�.'., . ':' ' `' .- COf ACT PERS0IFr = '•:r',.' Attic /crawlspace fans 10.00 Business name: Other: 10.00 Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Address: Furnace, etc. • 5 to Gas heat pump City/ State/ZIP: WalUsuspended/unit heater Phone: ( ) l Fax: : ( ) Water heater E -mail. Fireplace Range . ,. ' ; CON CTOR _, F + ': -,; . .. , ' , ' '- Barbecue Business name: ( l 4. r ,r�r, p, re t ( r Clothes dryer (gas) 'v' Other: Address: �1 // q r . I Q 3 t0 J G 1 U t S (ay) MECHA�IIG RMi I• FEES,, . - City/ State/ZIP: e 41 La c Subtotal S3,40 Minimum permit fee ($72.50) - 7a Phone: ( 503 1 Cot _ 1500 Fax: (50 -162._ 5 / L Plan review (25% of permit fee) CCB lic.: 1 C I 555 :�-�> T State surcharge (8% of permit fee) 5 , O ' TOTAL PERMIT FEE -- ,30 Authorized signa This permit application expires If a permit is not obtain within 180 / days after it has been accepted as complete. Print name �/Nn Date: �/ ' Fee methodology set by Tri- County Building Industry Service Board is\ BuildingTermitsthIEC- PerraitApp.doc 12/03 440.4 LOT LINE: FIRST NAME: RANDY LAST NAME: MILLER ADDRESS: 8808 SW SPRUCE CITY: TIGARD STATE: OR ZIP: 97223 INSTALLATION ADDRESS: 8808 SW SPRUCE CITY: TIGARD STATE: OR PROPERTY LINE ; FT: FTT FT: 2 2 FRONT j$ FT: PROPERTY LINE X = OUTSIDE UNIT CITY OF TIGARD _ 24 -Hour BUILDING Inspection Liner(5d 7639 -4175 r MST INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date R quested 8 / 7 AM PM BUP Location Ran d . ,,e-J Suite o' °7oi) (4 - 6 ( 3 Contact Person 7:."--74" L2 Ph ( ) 7/e/ - /5 PLM Contractor Ph ( ) £2 d s o g36" SWR BUILDING � . Tenant/Owner ELC - Footing ELC Foundation Access: Ftg Drain Ell? (��K- 1..41 ,-010.)-3- ELR Crawl Drain 11 • Slab Inspection Notes: , SIT — ; �a ;' -5 /'r , Post & Beam � .a-: •:.: Shear Anchors Ext Sheath/Shear s l[ Int Sheath/Shear Framing \N��A�� A- L-, r i 0 9 ] y c-NAD Insulation 5 T I\ G EC Drywall Nailing t h 1 Firewall A t Q C �"' ' VI // SS k—t/V� ©i \ ` V trr Fire Sprinkler ( --� l� Fire Alarm c) q 0 , .P - \'°`� \� 1 �J G , � �� ' �y� ,/� Roof ` 1- `l� Other: Final PASS PART FAIL L -� 1 � PLUMBING . N(,- . \N RAr) Post & Beam \ �C v b Under Slab Rough -In Water Service Sanitary Sewer Rain Drains r I � Catch Basin / Manhole 11 i (� Q a- •'-- \ \ ; ��\ 1 V - 1 SO Storm Drain ■ Shower Pan Other: Final PASS PART FAIL MECHANICAL a AI Post & Beam � /. J \V a0•14 \)\1/-- Rou -In; " de v Smoke Dampers `l - ` l�l� d )k-- 1-`i �1 PASS •AR , FAIL E - - t Services Rough -In R\ 1 -.1; �� 160 l-- P g -Q . 1^ (7� G I- 6, C UG/Slab , �� fi ?IA& Low Voltage Fire Alarm Final El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART SITE Ei Please call for reinspection RE: ID Unable to inspect — no access Fire Supply Line / OP ADA Approach/Sidewalk Date I nspecto . - �� do .r.4 .:14 Ext Other: Final D O NOT REMOVE this inspection record f om the job - ite. PASS PART FAIL