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Permit _ 7 11., il Y : bITY•OF TIGARD MECHANICAL PERMIT ° COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00198 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/11/2007 PARCEL: 2S 104BC - 04100 SITE ADDRESS: 14300 SW WALNUT LN ZONING: R - SUBDIVISION: HILLSHIRE WOODS LOT: 052 JURISDICTION: TIG PROJECT: ANDERSEN 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 . BONNIE ANDERSEN Description Date Amount 14300 SW WALNUT LANE TIGARD, OR 97223 [MECH] Permit Fee 4/11/2007 $72.50 [TAX] 8% State Surcha 4/11/2007 $5.80 Total $78.30 Phone: 503 - 524 -4566 Contractor: ANCTIL SHEET METAL CO. 4320 N WILLIAMS AVE PORTLAND, OR 97217 -2952 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 281 -0752 FAX 503- 282 -5722 Reg #: LIC 8897 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: r Permittee Signature: �A 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. • a 1 . Mechanical Permit A p p l i c a t i o n r _ . 1 1 ) K ( 1 1 f 1 ( L I NI' ( ) N 1 \ City 'of iiigajyd - W RECEIVE It. / p Permit pig Pmit No.: flf g. . #, , -00 ' 13125 SW Hail Blvd., Tigard, OR 97223 R . Other Phone: 503.639.4171 Fax: 503.598.1960 DatdBy: Permit • 1 . t 1; ; t , 1 Inspection Line: 503.639.4175 APR 1 0 2007 Date Ready/By: 1111 ® See Page 2 for Internet: www.tigard or.gov Notified/Method: Supplemental Information "TOF , : : :A ' i, , :.. :` . .Y�. :• , LI 't', ' .F .i . (,^'.:.0 6' �'• ti�yl. r.Cr : : � N ;;: ; :ar;i i , . -s, i '•i I• . e.. n r• e.4 S h -c z Y 1 t z..; cr "F R :u L ' ::144: °f1 `"' :, . �.. tw , - . :1 G t` < , s 1 - t. t a is 7 1 , :.1S, y t..r. .rr w ....> u: c'i�m..;� �S�"�`.C3n�..LC ^, <u� " ° '.y� 1 � fJ' .. : r; J ; t, .w x � 1 �'!t 4.- ' � ..ktrm��T�411ar:_!5..� [�.� Lscn. ,. :q!,dt�'�..�a � �. ,. :ti�r���_- f � 1 1. F '.^M�. .j�. ❑ New construction 14 Addition/alteration/replacement Mwheni d. permtt fees' are base de the value o c work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: y mechanical materials, equipment, labor, overhead, and profit. Sit'. - i - P, x!,,iii:V 7 erg,-,:••1;,• i 152 :-7r ; T ' a i.T4 '., -k5AS Jl • '1cx a Value: S �, ' �.0 i l _ST F 1 . i i -� ;. I it u " 1 9 Ri K f t ZI' '. ..f , . -its . - .", m.an „ 3 t ,;7,5 am c_t 1 �ntlm; {� t t� cL' �.�,t�,v- !✓• ?. ; -�_ b � M = `� ..r� - :�s-,� � L l ..�� � � . c: >L'. _ _ . cw � r.:.: r.,+a :r.....'EG.. r_._ ,�r __:. ' S � , �'' , ��i�a � +� ,. a� a ,,., jc�..vr• .1 } '.4, 5 a V 1 d 4124E rt j!•. :sM« � ) e71 y Y ..1° 6.5 :4 1 - and 2- family dwelling ❑ Commercial /industrial 12 Accessory building For special information use checklist ❑ Multi- family ❑ Master builder ❑ Other: Description 1 Qty. I Ea I Total f -7 p 1 J s M a °,,` tT i 5 - _ , ' :91( kl� a ! tI Sc=TE. 'S) , Heating/cooling Job site address: l.) Air conditioning or heat pump U 1 G (requires site plan showing placement) j 14.00 H t City / State/ZIP: i v 1 ./ 3 Furnace 100,000 BTU (duots/vents) 14.00 Furnace 100,000+ BTU (duets/vents) 17.90 Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 Hvdronic 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 Subdivision: Lot no.: Flue/vent for any of above 10.00 Other: 10.00 Tax map/parcel no.: Q � Ot^heer W heater appliances � K c 1, 41 - t14;, 1 I'� .1., �12^ t11 :: 1 5 V, J { t� ,*ji.a1 � .1 t2 i- 3i. gr , heater 1000 iLL t �"3L i$n .} • g _ , t I l 1 - k ' � 1 t,'d n . � ? ;y r , t �'�" s3t9lr , '?,..- nm uarx. ° c:'c L.ik�;.c - ia�l. :,3•v tiz.x In ,. , -tiro rc�s.s,�ll- :_':$iY.i Gas fireplace 10 00 Flue vent for water heater or gas fireplace _ 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace/insert 10.00 r A7M I t;,! t i >u : 5 t I - 1r' '.;3,,- ChimneyAiner /lue/vent 10.00 x_.: ; cv2' ... "414,z... er2.rv:os ir,:l •.' 9:..1,. ;115.. ±. ` r r..' :...a ,:t? l - .. . k ,.!c `` 5rg aA: Other: x"10.00 Name: , Alb Environmental exhaust and ventilation _II Address: Range hood/other kitchen • Gt • U equipment 10.00 City/ State/ZIP: Gi / ( ..d Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: (�31 ___...(4,, Fax: ( ) toilet compartments, utility rooms) 6.80 .4a7. �' -' 7t4HF3.'" , . f -..4 Lz . Y'`,ita Lsl I �+ h .d I� a u' e x� -n 3 t'iis s tt lkt' Attic/crawls ace fans 10.00 L4a tti ll '' . s , I i s S 1-, } ` � 2 Z;,n„' > ° 1 4 s - t `1r3u,..,4� A t,pa .Y., _........ultmllr, . a�, ...�.a „ ,,a. ' n,ny_,.,3 c'7...Ga. ,:-aa._�.. ,., +�.�w..�., . 10.00 Business name: A L Other. NI r• ■ L 00 r Fuel piping Contact name: � , - $5.40 for first four; $1.00 for each additional Address: , etc. d � - % t° I Gas heat pump City/State/ZIP: a / ` ,.a. , 4 I Wall/suspended/unit heater Phone: ' (� Water heater ( a , I oZ I Fireplace / I I iI . � Range t ,Ai n, . rtr� ( k � ^, . I 1 ,,. 7 � -� - ? .��''ti s .: ;.,�.a i Barbecue :'�.�_i'w_ ? - a' , :� .. 'k.'T.r � _I. �_r._�i ;'-� �'">c�s.r v� i } : C .... i?r�u huh rr.,�- 3= `�i>. :? Business name: .• 11 /_ 60011,‘ Clothes dryer (gas) Other: Address: T , � %,. ; )., i ra c , ^r ! . e 3 t 'i,r a s ..i �F �- '_ , � t<a= .?. ,.`-b .x1.1 t : T .. _ . .t ,I,-ee: . ._ rtirr..AR.4.- lr }_I. 'i > , City /State/ZIP: Subtotal --wt. " " I Minimum permit fee ($72.50) Y Phone: ( Fax: ( ) - Plan review (25% of permit fee) 1=111K • State surcharge (8% of permit fee) TOTAL PERMIT FEE Sir 1 Thin permit application expires if a permit Is not obtained within 0 Authorized signature: 1 �� L.. .� `�' days after it has been accepted as complete. Print name: ! - Date: f - , • Fee methodology set by Tn -County Building Industry Service Board IABuilding\Pamtu\MEC- PesothApp doe 04/06/06 440-4617T (11/02/COM/WBB) £00 /T00IJ %Vd LO: 9T LOOZ /OT /170 . . • • . . . . . . • . • , . . .. . . . . . . 0 .. . v, - . „ .. . • . .. .. . . • . . . . . . : .. . . .. • . ' •. . . . . . • . • • _ . . . • . . . . . . . . • . . . . ••• 0 , . ... . . . ' . . ' . v . • .. . v , . . . . . • . . . . . . N. . • . . . . . - • :' _ . . . . . • .... . . . . . . . . . . . . . . , . " . ..„ ' -. • v. .. • . i's, . . • • ' . . - • • .. g ' " ' . ' '. .• • .. ..... • • .. ' . : . • . .' • . e ' . . . ' . • • • • 0 • . • . . . ...1 • . • • -9 .r.JvC7_,L, - • . . • . . • - P L.1 . . ' 1.7 -7°1.11 M7 cis acCh I . • . 0, . . . • . • . , . . . . . . . . . . . • g V A 74 ! 1 E W E . . • . . 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C? • . . • .• . .• • .... . .• . • • . • . • -0:r./CO . . • ••• -- • . . ..1 . . • • . . . . . . . . . . . • . . . . • : . . . . ... . . . . . • • • • - . *-CIVI aNn—oirtcllyN-Qty ... • . • ' ' ..• ' - • . • . . . ,..... .; ... . . . . . . .• As . ..! . itV I . v . . . .• . v. . ' 0 . . .. v • v . : • . 0 ' CA .. v v • v . .... . . . . ,. . v ... . . . .. • — ' ' . .. _ . v • " • ••' • . .• s, • v .• ••• . .. . . . . . - , • ,• - . • ' • CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2007 -00198 13125 SW Hall Blvd.,,4igard, OR 97223 DATE ISSUED: 4/11/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 _ INSPECTION WORKSHEET FOR DATE: 4/24/2007 TIME: 7:01AM PAGE: 59 SITE ADDRESS: 14300 SW WALNUT LN CLASS OF WORK: SUBDIVISION: HILLSHIRE WOODS LOT #: 052 TYPE OF USE: PROJECT NAME: ANDERSEN DESCRIPTION: AC install. OWNER: ANDERSEN, BONNIE PHONE #: 503. 524 -4566 CONTRACTOR: ANCTIL SHEET METAL CO. PHONE #: 503 -281 -0752 Inspection Request Scheduled For: Date: 4/24/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message . 699 Mechanical final 046827 -01 03-524 -4566 Y Corrections /Comments /Instructions: ELF zia41 . 1-1-4,cn...626 1447.e,..4; 5 / ZZ732 iyetv.ledi PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 4 ` Z 4- -D7 Phone #: (503) 718- "�