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11853 SW MORNING HILL DR
CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2005-00464
13125 SW Ha] Blvd.,Tigard,OR 97223 503-639-4171 DATE ISSUED: 8/2/2005
PARCEL: 1 S133CD-08100
SITE 1DDRESS: 11853;.W MORNING HILL DR ZONING: R-25
SUBDIVISION: COTSWALD MEADOWS NO.2 LOT: 079 JURISDICTION: TIG
Pr leet Description: AC, furnace and Hepa filter install.
CLASS OF WORK: FLOOR FURN: EVAP COOLERS:
TvPE OF USE: UNIT HEATERS: VENT'MIS:
OCCU,,'ANCY GRP: VENTS WIO APPL: VENT SYS)EMS:
STORIES: BOILERS/COMPRESGORS 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: CLO DRYERS:
FURN < 100K BTU: _ AIR HANDLING UNITS OTHER UNITS:
TURN >=100K BTU: <= 40000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
TIM CHASSE Descriptlon Date Amount
11853 SW MORNING HILI_ DR [MI:CHI Permit Pee 8/2/2005 $7.2.50
TIGARD, OR 972.24 [TAX] 8%State Surchart 8/2/2005 $5.80
Phone: 503-524-1811 Total $78.30-
Contractor:
SUPREME COMFORT HEATING
9425 SW COMMERCE CIRCLE#16 REQUIRED ITEMS AND REPORTS
WILSONVILLE, OR 97070 — �—
Phone: 503-682-1985
Reg#: LIC 21 C92
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J This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specieity Codes and
ED all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if worts is not
0 started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Iregon ; ,w require-
J 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.
� Permittee SI �
Issued By:� nature:gQ ����LZ�
Call 503-639.4175 by 7:00 a.m.for Inspections that business day.
This pet mit 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.
Mec anical Permit
City of Tigard Received
A' nrerBy �s Permit No.' v I 1 til d UVJ
13125 SW I loll .4171 'TFax. 03 97219 gob flan Review
Phone, 503.639.4171 Fax: 503.398.1960 1>udBy Otho Pe"it'
Inspection Line: 503.639.4173 i
e 2 for
interna: www.ci ti rd.m.us COSY OF �e e&MeiReady/ty: t �pks�slal 1 imt�alta.
Ba NotifiaNMerhrd: �
RUII Dt�� 11.11, �
TYPI~ OF WORKMEN"
-�.v. '
❑New construction P!Fldditi:m/alteration/rcpleahnent Mechanical permit Poae are based an the value of the work
performed.Indicate the value(rounded to the nearest dollar)of all
❑f)cmolition ❑Other: mechanical nutaials,equipmen It, abM overhead and oflt.
CATI6b'ORY OF CONNI'RUCTION value:S
and 2-family dwelling ❑Comrtcreial/industrial ❑Acoxsscxy building Rf 'I"I '111sywrLM3FL
t.
Elmulti-family ❑Master builder ❑Other: -, For special(q/brmrrrbr,erre c/reckl
_ hescriplian �Qty. I Ea.a. Total
-- JOB 8rM M ORMATION AND IMAT10N�� HaN■deoon■� —
Job site address: `,' �/� 4k GDIIdILIQgIng or heat pump
/1 �_, 451k) /►_aoy_ in�� O✓- aires�irc an showingelaoemem 14.00
City/State/7.IP: — 7 , Furnace 100,000 BTU(duas/vents) ( 14.00
— / � yj`?— Furnace 100,0004 BTU ducn/venb 17.90
Suiiphnldg./apt no.- Project name: _ —
Gas hat pump 14.00 I
Cross street/directions to job site: Uucl work _ 14.00 _
QT H onic hot wuta system -- 14.00
Residottial boiler(radiator or
hydronicL —
14.00
Unit homers(Poel-type,not electric),
in-wall in duct,suspenokd�etc. 10.00
-
Subdivision: Flue/veal for an of above 10.00
Lot no.:
610 JKW '— �— I ---
Tax map/parcel no.: Other Otrel applia■eea _
DUt.'RIP'I'ION OF VMK Water hater 10.00
4 — Gas fireplace _ 1000
Flue vent for w■la htairr,M gas
fir_pe lace 10.00
-Log I ighter(gases_ 10.00
Woo&pellet stove ____10.00
wood fireplace/insert — 10.00_
OtLRTY_OWNIChimn /linedfiue/vent 10.00
�( --- � lather: 10.00
Name: I y����/! ZG E■_viro■me■tal exha■st mod ve■dl.do■ —
Address: Range hood/other kitchen
equipment -- 10.00
City/StatdZlp: Clothes drM exhaust 10.00 _
Single-duct exhaust(bathrooms,
Phone: 3) So� •- / $ /� Fax:( ) toilet compartments,utility rooms) 6.80
APPLICANT ❑ CONTACT :MRAOfI Attic/aawls a bans 10.00
Husirims name: Other: — 10.00
_ Fuel p!pialt _
Contact name A'iJie VVL $5.46 for Bret fc■r;$1.00 for each■ddidemal
C Address: �5W
Kr C6f �s Fumaa,eta
Gas hat pump
City/State/ZIP: UJI kXA&V cJ tr Cie "I7Cr7d Wall/scspended/unit hater
` Far.: :( Water hater
Fireplace — _—
E-mail
Range ----
- CONTRAC M Barbecue
Husincss name: Cloth _Jr)
d EP5
_ !r Other:
Address-
City/State/ZIP: Subtotal
— _ _Minimum permit fee($72.30)
Phone:( 1 — --- — Fes:( ) Plan review(25%of permit fee)
CCD lic.: Z( State s_urcharse(9%ofper mit fee)
TOTAL PERMIT FEE
q 249
Authorized signature 71h/melf appgeagaa Kdrn If■perk h met ebtaime4w4hila IAO
do"after it ba baa accepted as em ploe.
Print name: v 1 Bete: g 1 ' Fa methodology ethoogy sN by Tri-Cambay Building Irdrntry Service B,,md
i\Ruildiea\PeminvlEC-Pamhnppdm rwl 410-/eITT(IIMCOWw®)
Mechanical Permit Annlication - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
Total Valuation: PenWt For.
S 1.00 to$2,000.00 Minimum fee$72.50_
$2,001.00 to$5.000.00 $72.50 for the first$2,000.00 and$2.30
for each additional 5100.00 or fraction
th—r f aiu incit0ing$5,000.00.
$5,001.00 to$10,000.00 $141.50 for the first$5,000.00 and
$1.80 for each additional 5100.00 or
fraction thereof,to and including
_ $10,000.00. _
$10,001.00 to$50,000.00 $231.50 for the first$19,000 00 and
$1.35 for each additional $100.00 or
fraction thereof,to and including
$50,000.00.
$50,001.00 to$100,000.00 $771.50 for the first$50,000.00 and
$1.25 for each additional $100.00 or
fraction thereof,to and including
__ $1009000.00.
$100,000.01 and up $1,396.50 for the first$100,000.00 and
$1.10 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 set;of plans.
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CITY OF-TIGARD
BUILDING DIVISION PERMIT#: KEC2005.00464
13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED: 0/212M
Phone: (503) 639-4171
Inspection Requests (24 Hrs): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 8/2912006 TIME: 7:13AM PAGE: 99
SITE ADDRESS: 11853 SW MORNING HILL DR CLASS OF WORK:
SUBDIVISION: COTSWALD MEADOWS NO.2 LOT+M: 079 TYPE OF USE:
PROJECT NAME: CHASSE
DESCRIPTION: AC,furnace and Hepa filter install.
OWNER: CHASSE, TIM PHONE #: 503524-1811
CONTRACTOR: SUPREME COMFORT HEATING PHONE #: 503.682-1985
Inspection Reque.r! Scheduled For: Date: A/291200r, Polar Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 014327-01 50;x-8160656 Y
C�orrecctio�ns/Comments/Instructions:
L71�s� 1�L�•�c a lL .n b,�t -75
J O $d .9-.r.� '��2G'�.r' ��G+
K
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PASS ❑ PARTIAL AP-)ROVAL ❑ CANCEL ❑ NO ACCESS
L- FAIL I] CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: _ �� Date: Phone #: (503) 718-