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Permit I II CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2009 -00014 TIGARD DATE ISSUED: 1/8/2009 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S110DD 03700 SITE ADDRESS: 10440 SW CENTURY OAK DR ZONING: R - SUBDIVISION: SUMMERFIELD LOT: 044 JURISDICTION: TIG PROJECT: SHEPHERD Project Description: Replace furnace and vent. CLASS OF WORK: ALT 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: NAT 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVRS: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES NADINE SHEPHERD Description Date Amount 10440 W OR 97224 CENTURY 7224 [ MECH ) OAK DR TIGARD, OR Permit Fee 1/8/2009 $72.50 TIGA [TAX] 12% State Surchai 1/8/2009 $8.70 Total $81.20 Phone: 503- 624 -1637 Contractor: AAA HEATING & COOLING 2915 NE MLK JR BLVD PORTLAND, OR 97212 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 284 -2173 FAX 503- 284 -1552 Reg #: LIC 222 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: ��� ,� Permittee Signat e: 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. Frofn: 01/08/2009 12:31 #737 P. 001 /002 R ECEIVED . -...-... -,„: .... :..., Mechanical Permit Application JAN 0 8.i0i..1 IOR 01 11(1 U' OM .............. .. .. : City of Tigard Recegew' n� Date /io t 111 • 13125 SW Hall BvdTigardOR 97 Y OF TIGARV Pl I DNG DIVSIO Other Permit: T 1 . 6.;.,,,,„ Inspection Line: 503.639.4175 i j G l Date Rea /B Internet: www,tigard or.gov dy Y S See Page 2 for Notified/Method: Supplemental Information }tt - 6i;.- t x r3 � w y r�.�.� ry, r"a�. «.,.,..e...,�. i `rl .:6n� %s� ` 40, r 4:4 1" /- 7111J1r t �;144.. r�,' , � y r 4� 4 1 ; ,i• 5� i W _ .,.,., ,.•.,, Mechanical permit fees' are based on the value of the work 0 New construction 1I Addition /alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit. ..wo_,,..,...eu« �a,ere. ca..cww u .nan MTV e Cr„ATBGOAVb.: CO4$Il'�[JCTI i r a tt ttr; I q 1fi Value: $ i„ t aK Mwnr_..u1 vey a.+sA..:�rr}.w�x� ti P. 1 - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building - a " � / =' . ID Multi-family For special information use checklist. Y ❑ Master builder ❑ Other: ' Description I Qt i.,1&,::0.1:075,7417,41 Ea. Total t l y -" " N s il! �i q ' ' a . 41t w, r F Heating,/cooling Job site address; ®4. "��" r `� V (OAK 10 Air conditioning or heat pump (requires site plan showing placement) 14.00 { City/State/ZIP: . Furnace 100,000 BTU (ducts /vents) 7 14.00 1 it- Suite/bldg. /apt. no.: I Project name: 5 Y a n Furnace 100,000+ BTU (ducts/vents) 17.90 [[[[rer�"''tttt Gas heat pump 14.00 Cross street/directions to job site: Duct work 10.00 Hydronic hot water system 14.00 • Residential boiler (radiator or hydronic) _ 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 14.00 Subdivision: Lot no.: Flue/vent for any of above i 6.80 fJ Qlj Other: 10.00 Tax map /parcel no.: Other fuel appliances - 41:- x § n ° t : �r '� ' 4 ' ,'': ' �'1 I - i �l . :3 ,l . i s r W r r , .: � - ' z • k: Water heater 10.00 a 4 .- C... � +- , / Gas fireplace 10.00 a ` v �"� Flue vent for water heater or gas fireplace 10.00 _ • Log lighter (gas) 10.00 _ r Wood/pellet stove 10.00 _ Wood fireplace/insert 10.00 Z1r t �' V� C 5! "Stt Y �'y v-� I S d•+^ q, _ r-� ' - !'r Chiraney/liner /fluelvent 10.00 � �. "... a .. .., , r ... { r ''' " . �' ..... , y mi 1 47 ; Fi l Oth - Name: N (Z ` _ _ 10.00 1�' 1 �� ��rt� Environmental exhaust and ventilation Address: Range hood /other kitchen City / State/ZIP: ,A, a equipment 10.00 Clothes dryer exhaust 10.00 Phone) 69,, ( /6"'d Fax ( ) Single -duct exhaust (bathrooms, toilet compartments, utility rooms) 6.80 ^'g R :,`" 6�::;;'. :dm! , , - , Attic /crawlspace fans 10.00 Business name: 10.00 Contact name: Fuel piping $5.40 for first four; 51.00 for each additional Address: Furnace, etc. • Gas heat pump City/ State/ZIP; Wall/suspended/unit heater Phone: ( ) I Fax: : ( ) Water heater E -mail: Fireplace Range x -' : n " . j x+r i'f - * S :. ja3�t . `"ST ) ^^--•• . +r ' k•r.ntr) }.'_. :: i5 '.;""? tr,u 5 L ! } ' "'c -.,., /1.aa Ra 1 i'w..Yt.; ut _�C .!' a ' - ;t�•. , , ....,,' .. Baroecue - • B name: h A 4�-. A 4- t k ` Clothes dryer (gas) Address: -Zcik ` \NE QAL „ % ✓ \v other: City/State/ZIP: © ,y 1 ' C* - e 74 7 " ` � l -""� � ` L.. Subtotal Miap Phone: 2) ' L 7 3 • I F ax: ( mil / " r (5 • .� - Minimum permit fee ($72.50) -- 7 2__S [7 1 w it 177 _ Plan review ( 2 5 % pern it fee) CCB lie.: Z z2 • State surcharge (12% of permit fee) &7 9 TOTAL PERMIT FEE 27 _q_ Authorized signature: This permit application expires if a permit is not obtain ItheWv In tea days after It has been accepted as complete. Print name: VI ( 'Arket belch Date: l - V_.--p0( • Fee methodology set by Tri- County Building Industry Service Board I; r Building \Pennrts \MEC- PermilApp.doc 01/19/07 440.4617T (II /07(COM/WEB) .1 CITY ����� ����^�����N��� OF mo�����m�� BUILDING DIVISION PERMIT 44 : k4[C2009'00014 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 102009 Phone: (503) 639-4171 AA, |n�a�onR�ue�(�H�j:��6�41� ��� INSPECTION WORKSHEET FOR DATE: 1/26p0U9 TIME: 7 PAGE: 27 SITE ADDRESS CLASS i(W�0��C�NT URY()�K[}R WORK: SUBDIVISION: 3UmmENF|ELD LOT #: [M4 TYPE OF USE: PROJECT NAME: � SHEPHERD DESCRIPTION: Replace furnace and vent. OWNER: SHEPHERD, NADINE PHONE #: 503.824'1037 CONTRACTOR: AAA HEATING &COOLING PHONE #: 6O3'2H4.2173 Inspection Request Scheduled For: Date: j/2f-JJ0U9 Pour Time: Code # Inspection Description Confirm # Contact # Message 609 Mechanical final 079918-01 503-601-5603 N Corrections/Comments/Instructions: /--~ / // ' - I / Q l .- — �N�»�m~~` ' , / V��/���_-~~° ��P ' J �� F�SS �� PARTIAL APPROVAL �� CANCEL -- NO ACCESS ' � -- -- [ | FAIL 0 CALL FOR INSPECTION 0 ADDI ONAL F ES ASSESSED \ ~7� M |napeob»r Oa�a� \ | ����/ Phone #: (5O3)718' �~~ �-.�~�