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Permit • A CITY OF TIGARD MECHANICAL PERMIT In DEVELOPMENT SERVICES PERMIT #: MEC2006 -00402 rl I I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/15/2006 PARCEL: 1S125DD-02400 SITE ADDRESS: 06925 SW VENTURA DR ZONING: R -4.5 SUBDIVISION: WASHINGTON SQUARE ESTATES LOT: 015 JURISDICTION: TIG Project Description: Replace 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: 1 STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: 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: Owner: FEES TARI QUERIN Description Date Amount 6925 SW VENTURA AVE [MECH] Permit Fee 8/15/200E $72.50 TIGARD, OR 97223 [TAX] 8% State Surchaq '8/15/200E $5.80 Phone: 503 245 - 4244 Total $78.30 Contractor: HANSON HEATING 1916 SE 148TH REQUIRED ITEMS AND REPORTS • PORTLAND, OR 97233 Contact #: PRI 503 891 - 9138 FAX 503 760 - 5590 Reg #: LIC 142382 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 -3 2744,— Issue By: �� Vvv A - Permittee Signaure: Call 503 - 639 -4175 by 7:00 a.m. for inspections that busines • 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. AUG 1 -21;06 21:32 FROM: TO: 5035981960 P. 2'2 Mechan "Permit Application 1 oiz ()I I It t. I . IS ()NIA ti City of Tigard l �� ; Date/ 6 I 5 O -A-AY permit No.: H &,9.1,06.- DOS 62._ . ! 13125 SW Hall Blvd., Tigard, 'O 723 plan Review Phone: 503.639.4171 Fax: 503.598.1960 p ly. Other Permit: F lc r\ I' I) Inspection Line: 503.639.4175 Dale Ready/By 1 ® See Page 2 for Internet: www.tigard-or.gov AUG 1 ` c.J �oos Notified/Method la Supplemental information T �ep d T Y +` I d�3tii� a COMMERCIAL FEE* SCHEDULE - USE CHECKLIST ❑ New construction Ig Adtlb/r r tion/replaiceiti&'IV01' 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 CATEGORY OF CONSTRUCTION Value: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* 1 - and 2- family dwelling ❑ Commercial/industrial r ❑ Accessory building For special Information use checklist. Multi - family ❑Master builder ❑ Other: Description I Qty. 1 Ea. 1 Total JOB SITE INFORMATION AND LOCATION Heating/cooling / 4756- ` // Air conditioning or heat pump lob site address l g.514) V �t: r4 J (requires site plan showing placement) 14.00 / 1 � City /State/ZIP: *. © 9 74102 3 Furnace 100.000 BTU (ducts/vents) 14.00 Suite/bldg./apt no.: Project name: Furnace 100,000+ BTU (ducts/vents) X 17.90 Gas hest pump 14.00 Cross street/directions to job site: Duct work 14.00 __ - / Hydronic hot water system 14.00 1 ( D r 7c .vo �L° {j��i Residential boiler (radiator or Fe )tf : y rs pt q9 ' 11�� hydronic) 14.OD Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Flue/vent for any of above JK 10.00 _ Subdivision: I Lot no.: Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 / _ Gas fireplace 10.00 RPM, e1 J( r /e - C i° Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Woad/pellet stove 10.00 Wood fireplace/iinsert 10.00 pa ,PROPERTY OWNER I ❑ TENANT Chimney /liner /flue/vent 10.00 Other: 10.00 Name: ! %rI°% (2(4 e N Environmental exhaust and ventilation �[� p� / Range hood/other kitchen Address: <O / .c2c cS l...4A/ Ye9 sa equipment 10.00 , City/State/ZIP: 7 O4 ,/,/ef• 9 20 3 Clothes dryer exhaust 10.00 Phone: 3 a 'J 4 / / Fax: / Sine co p� nts (uat ty Too (�D ) ( ) toilet com tints, utili rooms) 6.80 ((APPLICANT ❑ CONTACT PERSON Attic%xawlspace fans 10.00 Business name: 21.L Aj 5-f frie,9 uel F : 10.00 Fuel piping Contact name: �mP�S N p tSt�/�J f 55.40 for tint four; $1.00 for each additfooal Address: / 9/( 5 i )J L (J yJ /9U /� e , Furnace, etc. „, iiir 9 l a�� Gas / s pump City/StateJZTP: � WalUsususpended/unit heater Phone: 0-03) S9 /- 9/ Fax; ; 07 ) 7ft� d' /' Water heater , — I R ang E -mat7: / j/ a e CONTRACT Barbecue Clothes Business name: 11 S� �j�5,0 Other � (ggs) , Address: / 9 MECHANICAL PERMIT FEES* City /State/ZIP: , , 4. 7 1- , AR 97e�,-F3 Subtotal Phone: &5 ) S9/ 9/e-g r I Fax: L r 76 ' Minimum pe rmft fea (572.50) Pl an review (25% of permit fee) CCBIic.: J '3�'� State surcharge (8% of permit fee) / �'C TOTAL PERMIT FEE `r atu : / This permit application expires if a permit is not obtained within 180 Authorized si gn ��!/, � fAbsr ! it... %a_, days after It has been accepted as complete. Print narn " • � � r �f , Date: ��/7Q 6 ' Fes methodology set by Tri�eu ody Bwlding industry Service Board I:\ Building1PumiaMIEC- PennitApp.doc 04/06!06 a .. din t /OVCOMIWEB) CITY OF TIGARD _ .. , BUILDING DIVISION PERMIT #: MEC200&00402 - 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/15/2006 Phone: (503) 639 -4171 An l Inspection Requests (24 Hrs.): (503) 639 -4175 a L. INSPECTION WORKSHEET FOR DATE: 8/31/2006 TIME: 7:00AM PAGE: 82 SITE ADDRESS: 06925 SW VENTURA DR CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE ESTATES LOT #: 015 TYPE OF USE: PROJECT NAME: QUERIN DESCRIPTION: Replace furnace. OWNER: QUERIN, TARI PHONE #: 603- 246.4244 CONTRACTOR: HANSON HEATING PHONE #: 503 -891 -913B Inspection Request Scheduled For: , Date: 8/31/2006 Pour Time: Code # Inspection Description Confirm # Contact # M: -sa•e . 699 Mechanical final 035721 -01 503-245-4244 Y LIA,(A(14,(2._ 4.(4).e-e Corrections /Comments /Instructions: .9 2 7 F � • • \. \ .• • liCt.-i 'i • • • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: \t CA" Date: q31 6 0 Phone #: (503) 718 - Z J