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Permit ,s• CITY TIGARD MECHANICAL PERMIT PERMIT #: MEC2003 -00498 DEVELOPMENT SERVICES DATE ISSUED: 8/14/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S104DC -08600 SITE ADDRESS: 13267 SW WOODSHIRE LN S UBDIVISION: MORNINGSTAR ZONING: R -4.5 BLOCK: LOT: 023 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS: 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: GAS PRESSURE: • 50 + HP: WOODSTOVES: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1 > 10000 cfm: GAS OUTLETS: Remarks: GAS FIREPLACE • Owner: FEES VORWALLER, DOUGLAS F + Description Date Amount 3267 A SW WOODSHIRE LN 1 [MECH] Permit Fee 8/14/03 $72.50 13267 TIGARD, OR 97223 _ [TAX] 8% StateTax 8/14/03 $5.80 Phone: 503 - 524 - 3154 Total $78.30 Contractor: SPECIALTY HEATING & COOLING 1601 SE RIVER RD HILLSBORO, OR 97123 REQUIRED INSPECTIONS Phone: 503 640 - 3607 Final Inspection 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 -001-00 Issued By: / Permittee Signature: �DY) Call ( 03) 639 -4175 by 7:00 P.M. for inspections needed the next bu i ess day o Mecl lanlcal Permit Application FOR OFFICE USE ONLY !i Received Mechanical � / p � Date/By: �-- Permit No, i`,t 4 l / E�� Planning Approval Building City of Tigard �,° Y� DatclHy Permit No.: 131:15 SW r Hall Blvd. Plan Itcricw Other Tigard, O - egon 97223 �� JG 13 200 DateBv: Permit No.: Phone: 31)3 -639 -4171 Fax: 5b 598 -196 Peet Review Land use � % d T t � Internet: rww.ci.tigard.or.us �b�� L ''(I'( Date/8 . Case No.. � Contact ions.: ® See Page 2 for 24 - hour ll,spection Request: i4 9 V 1 ' m 1 c __-• Name/Method: Su. , lemental information. TYPE OF WORK. ' COMMERGtAt EEt.SCHEDULE'- USE CHECICLIS'1C' ' I 4 4ew ;onstruction Demolition Mechanical permit fees* arc based on the total value of the work Add ilion/alteration/replacement DI Other: performed. Indicate the value (rounded to the nearest dollar) nfall • EAR'EOORg:Q)<i•.CONSTRUC.TIOr∎N i,1-._- `• . mechanical materials, equipment, labor, overhead and profit. ❑ ; & 2- Family dwelling ❑ Commercial/Industrial Value: $ See Page 2 for Fee Schedule JJ Accu:.sorIBuildin [ Mu Iti- Family • • RESIDI~,NTLstl°th'Q'C) !NmNT /sYS't'EttitSSM ICAV ItII:E* --.: ❑ Mast(x Builder ❑ Other: Description Qty Fec(ea,) Total _ Heating/Cooling - J bIrSIITE III!'012MATIONAidCO i, ON; °• ' Furnace - add air conditioning** 14.00 Job site a ddress: (3 2. ( - 4. St,.) (,. c2 Cf .S ft ; v - e. (...4 , Gas heat pump 14.00 Suit #: I Bldg. /Apt. #: Duct work • 14.00 Project \ ame: Hydronic hot water system 14.00 Residential boiler Crot:s stri :et/Directions to job site: (for radiator or hydronic system) 14.00 Unit heaters (fuel, not electric) (hi wall, in -duct, suspended, etc.) _ 14.00 Fluc/vent (for any of above) 10.00 Subdivision: Lot #: Repair units 12.15 Other Fuel Appliances Tax IMP parcel #: Water heater 10.00 '.• - . •'DESCRIPTION OF'WORK •,r;> 1:-P!'.'. . ': Gas fireplace 10.00 Flue vent (water heater /gas fireplace) 10.00 Log_lighter (gas) 10.00 Wood/Pellet stove 10.00 . Wood fireplace/insert 10.00 Chimney/liner/flue/vent 10 (Ii) 0'PJ10E1 R,Tr,Y.OWNEcR'. _ , '.''❑;TEI ANT, :F: " 'i..r:i;-.¢r Other: 10.00 Name: i 2) j J i` 0 ,-/„..) 4„f •1.e,r • Environmental Exhaust & Ventilation LA Address: Range hood/other kitchen equipment 10.00 Cif}+ /$tai a /ZiE: Clothes dryer exhaust 10.00 Phone: ,1 3 i S t/ Fax: Single duct exhaust (bathrooms, toilet compartments. W-RITTI MIT' , iii ` '':I:d iTACTI�P• 'RSO '.if ',' utility rooms) 6.80 Name: Attic /crawl space fans 10.00 Address: Other 1 0.00 Fuel pipin City /Stat a /Zip: ••($5.40 for first 4. $1.00 each additional) F urnace, etc. ** Phone: Fax: - E-mail: Gas heat pump 11 4' Wall/suspended/unit heater ** . • - -: CONTRACTOR:.. : ?'r :ny, ` • Water heater * * Business Name: S 102. c � ..1, • - Ke c.. i r� Fireplace I ** Address: I lx, 0 I SC P.i val.- - 4:.1 , Range •� ' Ci /Stat r/Zi DQ ** Ty p b (S �� A'b 1 C l C 1 �l Z J Clothes dryer (gas) ■• Phone: - 'ti•O F. - f; o 3- I Fax: /A I- o T 1 • 3 , Other: • ` CCPLic. #: (o(,c,c3 Total., - Autht rized /I Mechanical Permit Fees Sigrla:ure: [.' L. Date:,, Minimum Permit � 2.5 .Fee $72.50 S 12 . { 0 "&_ ) I pet Plan Review Fee (25% of Permit Fcc) S (Please print name) State Surcharge (8% of Pcrmit Fee) _,$ ,k..6' _ TOTAL PERMIT FEE _$ 'T , 3 C) Notice: This permit application expires if a permit is not obtained within 'Fee methodology set by Tri -County Building industry Service Board. 180 days alt, r it has been accepted as complete. * *Site plan required for exterior A/C units. i:■pyts,Pcrmi For ms\MccPcrmitApp doc 01/01 2 'd BILO BSS EOS 2uT2eaH RzTetoadS db,E:IO E0 ET Znd CITY OF TIGARD 24 -HN BUILDING Inspection Line: (5 • 7 1. ' 4175 INSPECTION DIVISION' Business Line: ('f' 3 � � - MST BUP Received Date Requested ?-.7 AM 4 3 PM BUP Location / ;47 L') 4 1,, wi Suite MEC 3 -60 4-egg' Contact Person tr`" " y Ph ( ) S c/- g! S'f PLM Contractor Q Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Al 0 �^ w Framing � Insulation __ Drywall Nailing Firewall ; / / VNie_AJC � � f Fire Sprinkler Fire Alarm 14 e Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Irmo Smoke Dampers ' in. ► — PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA /27/ 3 v6 (� Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING, Inspection Line: (503) 9 -4175 . +0 3 pQ 4+0 INSPECTION DIVISION Business Line: (50 171 BUP Received Received Date Requested o 2 7 AM PM 3561 BUP Location 2 w 0 d Suite _ 3 — O d ` Contact Person Ph ( ) PLM Contractor Ph ( ) SWR (@ UILD1N Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing 40. Firewall Fire Sprinkler Fire Alarm f, Susp'd Ceiling Roof Oth : • r. 4 SS PART FAIL • - BING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PA FAIL CHANIC Post & Beam r fr Rough -In Gas Line Ste'' :Dampers i PART FAIL 4411 RICAL Service Rough -In • UG/Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 0 Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA R ( Z ` / -7 (° Approach/Sidewalk Da t e Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour , BUILDING Inspection Line: ! < 9 -4175 l tip 3- Do c fct INSPECTION DIVISION Business Line: s.. 639 -4171 BUP Received Date Requested /� 025 AM � M BUP Location / 3 2-(e 7 ��tl -e-ee - o fy. Suite EC — 0 `� Contact Person Ph ( ) P L .3 — &c 7 Y-- Contractor Ph ( ) SWR BUILDING Tenan ! - S X t{ ! ?i5cf ELC Footing D ELC Foundation Access: ,, Q Ftg Crawl Drain l e-A d t b �— ELR C Cr Slab Inspection Notes: SIT Post & Beam Shear Anchors G� Int Sheath/Shear -th/S hear / !� '" �� Int Sh .th/S A l'-5 Zi �--- J ing Drywall Nailing Firewall / Fire Sprinkler Fire Alarm J ��L - / C Susp'd Ceiling , Roof F 9 �/ e ' Cj . da� anal PASS PART FAIL �6\ S t / O l —. PLUMBI �/ Post r Slab Z _ Q - -y 2R�l Under Slab � �� * , '-� Rough -In Water Service Sanitary Sewer c._•\ Rain Drains Catch Basin / Manhole © ./5 _ d e,C F I Storm Drain � Shower Pan / 1 A-de. i Fnal CHANIC , L Post & Beam CaAs \ ` v f Ci-� Rough -In / Q . � ` m�oke Daampers�i 11 L.,—......-/Le...j. Fi... \ /3 PART F ; _ - RICAL Service Rough -In fik:,,•viUG /Slab Low Voltage %J .i Fire Alarm C`i kraal ,. Y . Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. 1 � 0tt` El Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date 6 7 Inspector ^ - Est Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL