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Permit (40) p r CITY OF TIGARD MECHANICAL PERMIT 1 • COMMUNITY DEVELOPMENT Permit#: MEC2016-00235 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/04/2016 Parcel: 2S102CA01600 Jurisdiction: Tigard Site address: 9727 SW ASHWOOD ST Project: Ashwood Estates,Lot 3 Subdivision: ASHWOOD Lot: 3 Project Description: Installation of a/c unit. Placement of a/c must comply with manufacturer's clearance requirements. Contractor: INTEGRITY AIR LLC Owner: LF 4 LLC 7301 SW KABLE LN, STE 500 9700 SW FREWING ST PORTLAND, OR 97224 TIGARD, OR 97223 PHONE: 503-572-3594 PHONE: FAX: 503-598-8498 FEES Specifics: Description Date Amount Air Conditioning 04/04/2016 $46.75 Type of Use: SF 12%State Surcharge-Mechanical 04/04/2016 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 04/04/2016 $43.25 Occupancy Grp: Investigation Fee 04/04/2016 $90.00 Stories: Investigation 12%State Surcharge 04/04/2016 $10.80 Fuel Fuel Types: Gas Pressure: Total $201.60 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct q z .. • OUNC b callin. 503.232.1987 or 1.800.332.2344. Issue, By: / Permittee Signa re: /i / �I ‘r,grAt7 • Call 503.639.4175 by 7:00 a.m.for the next available inspection date. 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. 03/31/2016 09:41 VergePointe f1005036840102 P.004/004 Av.a, U4;14aaaa s,2:s sus♦ralaran.at tvss City of a d nEl r Uel, pumttNct te,/ ...ow 13129 8W 1.1all DIvt,TIS004 syr. ; . R>!e R4�r v. Phone: 303,718,2439 Feat' 393.5911.19,+ Ram ; Others: i•l k.i •t_t lnspcctlon Line. 503.639,4175 MAR 3 1 2 016 tkle gu4 IBY '"�'" )Pigs 2 for inti ,otr wWW,osit*OC,110v N4dfre4MktracI Supplerttaeatat Ioforreetlon . • ' - COMMCIAJf WOMB oak QECC $�RAf —_ - - Marha -- a _ _ 44 on the-alit-of the wok I]Now construetian WA ddition/alteratloNreplaceimentt performed,Indicate the value(rounded to the nearest dollar)dell ©Demolition 0 Other: mechanical tnae riabLequlpt tent.litlm ovedxad,and profit, .�. _. ._.... __ __ . _.... .. Volae:8 CATEQQRX or CONSTRLI�ON BEa rini IAL 6QNPMai r t s EMIS, gs" i�lrand 2-family dwelling O Conuueroial/industrlal ❑Accessary building Ea-:pedal btfamatto r nal clieda SG El!-lint!-lumpy ❑Master builder El Other: PesoriiPtien L 4It. r Ea. I Voter _ .1013 SO INFQRMATTXQN AND LOCitTION ,. . . - - -- 46,75 Job site address: q-� an S W AS14403O O S Ala- �.�: . ,, ,,, : ,�„ 46.76 City/State/ZIP: 11 GA pL.o e 0 R co 0„2 3 Furnace 100.000+8W(dttctarvenot) 6491 t no,: Frei"'name: H0m POW 61.06 Suite/bld �� I 3 A SAU404 Co ISTAI Duet work _ 23.32 Cos street/directions to job site: Hydronic hot vyatet system 23.32 •F Real i 1I G S Residential boiler(radiator or nit hcotars(keel-type,Pat aleotdo), to wall,in-duatt amend ' eta •45 Flue/vent 1,r any of above 23.32 Subdivision; I OthJ.ot no.: 3 ` . 23.32 et ,e u, Tax map/pareel no.: Water heater . 23.32 bFBCRIFTION ( WORK . - cin fireplece1msert 3339 AIR CO N p i 'i Q1311)G► (" „Pezi;) fireplace vent fbr water heater or gas placa 2332 Los lighter Ws) 2332 -- Wood/pellet stove 33.39 Wood fireplace/insert 2332 (;hinmey/linerdflue/vent 23.32 . PROFRti,'I'a' UWNTR (:] —TENANT -- other 23.32 Environmental exhaust rind ventilation: . Name: IF 4 ILC Rage hood/odrer kitchen uAddress: 53t 5 M 4 R Clothes drn.t 33.39 �Ai�� � SIV ��� Cloches dryer exhaust _ _ 33.39 City/State/ZIP: LA i f GS1WWO e OR S IS Single-duct exhaust(bathrooms, 1 4 toilet eompartmentkuttlity rooms) _ 23,32 Phone:(Soy 451 -540 I Fax:( ) Attie%rawlapece ultra 23.32 00APPI,ICANT © CONTACT PElSON-_ Business name: 3`T S C s Fuel Plpl $$14.15 for first four,$4.03 ter each additional Contact name: z a itr) OTE Y Pomace.eta I Address: 51'Z5 tACIIOCitaS R11 STE 1'71 Glee heat mune _ A q Wall/euspended/enil heater City/State/ZIP: Liam OSwt s OR a !035 Water heater Phone:(50S (,5 "`'W o a I Fax::( ) • Fireplace Range _ f-inaii: QTS V 6) ?T$K 1Tl1t0. CAM Barbecue CONTRACTOR Clothes dryer(gas) - Bueinea$name: T p 4pt j T y AIR U l C °� [--- _ . y� MECHANICAL PERMIT IRS" Address: 1 '3 ` SW SCAMS 'r ANC 50 Q Subtotal City/State/ZIP' '0 RT%.A D ► • 4112— '4 Mintmutn Ferran tba(;90.00) 9'0 t Al tiew; f . ) 90 Phone:(5 4* 544 .4 y cis Fax:( ) State surcharge(12%of permit foe) al.led CCB!lc,:a 0 3 tip q j i - TOTAL PERMIT PP „?p/.(od This permit application expires if a permit Is not obtained within 180 days atter it hen been accepted as complete. Authorized signature: • Fee morbodoloas act by 1Yi•Coanly Eddins Iadesay Service Board ft Print name: z—(731.11...1 W AA .{ Date: 3 SI 11. Itolldbogenoltr t'aattApp_aott .doe 440-jtlT'(I1102ICUM/WEB)