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Permit
, . • 4,, CITY OF T IGARD MECHANICAL PERMIT �" DEVELOPMENT SERVICES PERMIT #: MEC2006 -00284 a,�l DATE ISSUED: 6/23/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S110BC -04700 SITE ADDRESS: 12385 SW THORNWOOD DR ZONING: R -7 SUBDIVISION: THORNWOOD LOT: 018 JURISDICTION: TIG Project Description: AC install. 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: ELE 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: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES BRYAN KAUFMANN Description Date Amount 12385 SW THORNWOOD TIGARD, OR 97223 [MECH] Permit Fee 6/23/200E $72.50 [TAX] 8% State Surcha 61231200E $5.80 Total $78.30 Phone: 503 -598 -9395 Contractor: OREGON HEATING + NC INC PO BOX 397 DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS Contact #: PRI 503 -538 -2953 FAX 503 -537 -2172 Reg #: LIC 125815 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: P ermittee Signature: j /t , , < AI ..■ 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. Jun :.: el 07:54a MS Rentals, Inc. 503 - 537 -2172 p.2 Mechanical Permi r / r,/� ll� • 1 : • ICE USE ONLY City of Tigard Deceived DaWBy: J 0(v Q Q 'ermit NrIVI ri� �.z CS 23 13125 SW Hall Blvd., Tigard, OR 972 Plan Revie' I Otaer Perm. *_ Phone: 503.639.4171 Fax: 503.598. !r h 2006 Date/By: Inspection Line: 503.639.4175 r! 1 Date Ready /By: El Sec Page 2 for Internet: x- ww.c:.ti ard.or.us g CITY OF TIGARD ° "` I Notifie&'Mc hod I Supplemental Information BUILDING DIVISION _TYPE OF.WOR1C .._ COMMERCL4L 'EE* = U °` Mechanical permit fees* are based on the value of the work ❑ New construction Addidor /alterationireplacernent performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other. mechanical materials, equipment, labor, overhead, and profit - Value: 5 fff ::CATEGO11 - . F CONST R . iL TQTJLP ENT/ • FEE and /-family dwelling ❑ Commercialiindusrrial ❑ Accessory building For special information use checklist ❑ Multi family ❑ Master builder ❑ Other Description I Qty. I Ea. Total :JOB SITE IN FO12M 1O"I:.AN) TOCATIOI\' Flea tin leonline ' ,.. .., 7 ' 1 �`� conditioning o. heat pump q I i " — City/State/Z Job site address: �� �5 ' Jt - ' 1 or Ti LAG (i( • reg con n r o. he ; placement) t 14.00 1 Furnace 100,000 BTU (ducts /v City/State/Z2: � j' l � �Z-� �- � �-'�� t ' Furnace 100,000•: BTU (ducts +venu) 17.90 SuitefbldeJant. no.: ' J I Project name: Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 Hydmaic hot water system 14.00 , Residential boiler (radiator or hydronic) 14.00 1 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 . Flue/vent for any of above 10.00 Subdivision: Lot no.: Other. I 10.00 • Tax map /parcel no.: Other fuel appliances i :•,,: r,<< t : yy a ^ l. ,',. {:;- -- '='.__ .4iie.1J'? Water heater I 10.00 . . r ` . r .,t :; 'T- a TI© t � {5F ,. L, _ . " ' S. { .r � ._'t,i, : •-r .� r a ., _..: c � .;- _ j ' � ' . - .•�� _ �,_ .�: Gas fireplace 10A0 r A/ j � (tit N ( dA_ e-v 1 Flue vent for water heater or gas `V``�� ` ' r ' fireplace 10.00 Log lighter (gas) 10.00 Wood/pellet stove I { 10.00 Wood fireplace/insert I 10.00 ; r._�3 Chitnney/liner /flue/vent I 10.00 __ _ �itti:'- -,,, , tPRQE4 *-....- _ _ .:== �� sv = ='� _. .. ; . -_ _. _.-"` Other . I 10.00 Name: ' / ! 1 �j ��� Environmental exhaust and ventilation �) Range hood/otherldtchen Address: 5 h% \) Ord y-il equipment 10.00 , Ci_y'State /ZiP: k ; ltil /7 q' l Zl� Clothes dryer exhaust 10.00 3 5 f f) ' 3 / ` J toilet Single-duct exhaust ime is (bathrooms, Phone: t; • Fax: ( ) toilet corn artme� utility tili ty moo rooms) 6. 80 .i;l - : Attic / craw lsTace fans 10.00 . , '�.Y?'I,ICAI�T ., v �•- r t' � C.OI� `:i' ' .. Other. I 10.00 Business name���e-P t i I �1 j� A- (2J., Fuel piping, Contact name: T A!) yi . J \.PJ S5.40 for first four; $1.00 for each additional Furnace, etc. Address: , P Y Gas heat pump City/State /ZIP: 4111M. • V- , . n u S Wall/suspended/unit heater i InirOMPSOMBEIFAM Water heater _ Phone. �, - •.. ` Fireplace , I E -mail: ' Range '..: _ ; i_ Barbecue acro><z ;� ;i :; .. l ` Clothes dryer (gas) ��� Lam _/M I Other. I isi r"'MECFIANMCAL PEkvEr't FEES ` : `••` S -_: � 7'` � %.': Address: 1 / • City /State V /ZIP: , 7V) I Subtotal Minimum permit fee ($72.50) i 7 a D Phone: : I . CCB lie.: , Plan review (25% of permit fee) - State surcharge (8% of permit fee) W 1• L . TOTAL. PERMIT FEE 1 . i / This permit application expires if a permit is not obtained within 180 Authorized sC 3tUie: . ' ,) I �r l t days after It has been accepted as complete. ' / � . /A — r t li j ( * Fee methodology set by Tri- County Building Industry Service Board 1 Date: Jr,l LI _ _ •-- . nn_ARt Tr n :lft7fr'nM/W PBl : ,. .,_ , . . - . .., , • „ . , ,, , . . , , .. . , .. . . • . I 1\ . _ rn '. 1 1 : , I / 5i,J ri,af n 1.00 6) ] 2. \_\i') 7 1 . 1 — r- r- in - 1 cn I. - o i Lr) . . • . I • . . I . . ? . . 1 : • • 9 r ..... t 2 • . 0 • e7-------> • fa ro -.:ss • . 0 ..., - c . a, I Cx 4. i • . U) - E I . , If) . . • r.,- - • o \ . ,.. . ' . .... . : . . • . • 1 . . .. __C - t. ,_ •: - , I :; .. . . . .. . . .... . . „.. • — _ • . . . .. . . . . -- i . . I I- r ,,- .1‘,. .... . . . . ,. . , . ., . .. . . . _. CITY OF TIGARD - .... _ - BUILDING DIVISION PERMIT #: MI:C20i)6 00204 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/23t2OQ6 Phone: (503) 639 -4171 1 Inspection Requests (24 Hrs.): (503) 639 -4175 ��'� P'IL. INSPECTION WORKSHEET FOR DATE: 7/18/2006 TIME: 7:03AM PAGE: 72 SITE ADDRESS: 12385 SW THORNWOOD DR CLASS OF WORK: SUBDIVISION: THORNWOOD LOT #: 018 TYPE OF USE: PROJECT NAME: KAUFMANN DESCRIPTION: AC install. OWNER: KAUFMANN, BRYAN PHONE #: 503-598-9395 CONTRACTOR: OREGON HEATING + NC INC PHONE #: 503 -538 -2953 Inspection Request Scheduled For: Date: 7/18/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 033192 -01 503-538-2953 Y Corrections/Comments/Instructions: LEG e,,4 L lNt.L,ao te- &GL ,- 5 9Z70 $ 4-2, .41-ec -L A /c_.. PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL I CAL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 7—/P 46 Phone #: (503) 718 - 2_44S---