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Permit r'+• CITY TIGARD MECHANICAL PERMIT *gtelk I DEVELOPMENT SERVICES PERMIT #: MEC2006 - 00224 ; DATE ISSUED: 5/23/2006 44, 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 109D B - 02200 SITE ADDRESS: 15026 SW BLACK WALNUT TERR ZONING: R -7 SUBDIVISION: SUMMIT RIDGE LOT: 060 JURISDICTION: TIG Project Description: Installation of A/C unit. 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: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES MARK CORCORAN Description Date Amount 15026 BLACK WALNUT TERRACE TIGARD, OR 97224 [MECH] Permit Fee 5/23/200€ $72.50 [TAX] 8% State Surcha 5/23/200€ $5.80 Total $78.30 Phone: 503- 639 -9518 Contractor: CENTRAL VALLEY AIR 6699'SKYLINE RD S SALEM, OR 97306 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 932 -8304 Reg #: LIC 127032 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: , 7 _ _ Permittee Signature: zeic, Pt 1 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. 4. FROM :CENTRAL VALLEY AIR FAX NO. :5035899429 May. 22 2006 10:03PM P1 -. -..- ,: ,7 I r r ` r k � ilit) I" ec Perrot A ° ° _ u , ' I_ p it r [ ��� �Ir�°R � l , e ~ir I 1 �, o, l I, V I i .. y�- t » rY„ d "1 OIt 111 I EE ici (∎1 6\1 d ,,w'1Y - 17 s'F r ' 4 r Cdly of Tigard , , 1 < ' ■ �'F � r � �`�; „ u�,r�. 13129 SW Mall Blvd,. Tigard, OR 97223 MAY 2 3 2 p n it n h Y � �. Permit Na �, , v ©_, y Phone: 503.639.4171 Pax: 303.598.1960 plan Review — Inspection Line; 303.639.4173 .r.' t '' ' ' 1 1 D Other Permit: Internet: www.ai•tlgattl.or.ua CITY —� g " a � , 1 . l i ? ; w Sae Ps 2 for DING DJ 41TSTQN! Notitled Mento4: j m BuPPlemeetel reformetlon 111 I, 'i' 'h! 1 11 / ry II ; + ` ^ y l { ?1/ I !Ni p ,,, , 1 O 4 . 1 1 1'114; r r .1111,'N I lW I u k $Ir�, { d I yryrvuw +TUk._ ,I I �rl•11, di,l,lis, 13;fi IIC J � � , , k } ' 21' . rl F e ) I u rfu : ''°'' ramnal o , � •,� �fA P,,,„, , ddition/alteratfonh epacem 'l 1 1 + ; �S���I �I .,,° h... � -! " sS��, • ; � +. f � l l � - . , ❑ New construction ent Mechanical permit fees" are based on the value of the work perfbtmed• indicate the value (rounded to the nearest dollar) of all Dt71n olitiott ❑ Other: mechanical materials equipreen labor, overhead, r ' r`I I o P, i/ P , l,1 I1r.^ , ,Y 1 1` uwlr MA , orhead,andprop. , i i X1 11 f . 1 �flf � `, � I�" 6 I '.)IP f'p lll: f lY�n 1 W. - � r v � L t 1 �:fUri 1 t1 : 1 ±1 1 1' " t}� 'iliIsivi j I 1 l I , I j i X.,' I l 1,ll l" i I fr ' oi. ,;∎ 0,M` edi�j'41� —� I 1 v, a ,.,1„ ut Ih k, P4 f.ul1 I 11, , IN , it 1- and 2- Bnitil dwelling [ } r »q,a l 7 Value: $ n� ,I� em I ! 1 r y $ ❑Commercial /industrial ❑ Accessory building I�I4'., rci,,Jl7iw : ,r : J Multi -fem ly ❑ Other: } :pedal t ormatton use ckeckh'st ❑ Master builder Far spe ��� d ?IM ' Ir, r { ,`. rn r�' nn , {pt ,1f,rluq r, -ol { an 11' 111 u t rx_! 1 r DeaCTi tlon r r P I Qty. I Ea. Total 'II.1 1 1 Ili l , Oili gillitL:4.1n!1 ,. ti iV adirsl1,an !f „, i.� 1 ''i I p I:: f,1 S/e0011nit I 1,1,11 IG � 6) d � J I�ri } � � � � �rlt � .. � - ". � Heat bb site barium j o7e• I P o .c j� cdN �i- . t�'�✓Ya -G(C� Aif oonditlonin or heat pump � ® wires site Ian m . p men / 14,00 / / ' ° `� ) f t y / S t a t e / Z f P : _, [ ) / t • .1 7 (1 Fltrn oe 100,000 F}�duentvente) 14.00 lultdbldg./apt, no.: p tie: Furnace 100,000+ BTU (duetswenM) 17.90 �>rA tkFdCpiliffpl .. 14.00 :rose etreet/direotiona to job site : / 1 Bunt work 14,00 // HYdronio hot water system 14.00 Residential boiler (radiator or h roata 14.00 Unit heaters (tbel -type, not electric), in•wall, In- duct L euspendod e , t 10.00 _ ubdlvieion: Lot no,; Flua/vent for an tibove _ 1A.00 ax Other: w ~ 10.00� map/parcel ro.. - , t irt a,,, ` , Yr o , I 1, q ' _ Other tuei appliances _ i 1 ; �" , , 1r 1 1 l idlif li I ?. ' u u ; I�; ' r `, I . l 11 '� �l � . �i&r%ll l�i bill r lo' �f Il l � ll'r Water heater ` S }1 �1 14.., . 1 an ,u ,,,vu ,A, 11,, �a; I v , di, rtrrJ .0 . • :. r r!, 1 1 1 �.� Ciao ! rep l ace 10.00 a/c Q_6( 'G'k. v „ _ Flue vent for water heater or gas _ !repla ce l0 00 Tighter (gas) 10,00 _ Woo eget atov 0.0 a 10 Wood fireplace/Insert 10.00 t r ,r Y f,t '' t >.� yc �,mu { u ,, I� � r• j ,rl l 1 m I I 1 i inrrl 1,.t 44 .� ChlmnO /liner /flue/ve , , �R, �, t l � Ir 111' I �(I !�I+�Il1t{l,i ,I Elril 4 11. ,.flit, Y tIt 10,00 • ;�I N �I:' „,q „ 1, l,a'i i. rddb }A:nu lir (I�f 'l �i'�>r �1 I I�} 'NI ��,i.d�1A�,LN,�1/S �ll` Other' 10.00 ,le u, / 11 �,l . tee: eAl, ✓e,o t' O - tA Environmental a v.baust and ventllatlon Range hood /other kitchen "”" - ”` -` Wen f . �ryt i .i. _.. 75,4 , d _ ee.. - equipment 10.00 Ity/9tate/ZIP: ' - e - o/ 70.9 , y Clothes dyet exhaust 10.00 . . M -- ir Single -duct exhaust (bathrooms, _ one (Jr'3) e, 3 • s f ,d' Pax ( ) toilet compartments, utility roonts , 6.80 I I i ,t t�, ar7r7 I' tTl ' 1 Ii '1RI ef'V, r �+ p �,'; N ' ' 1 17N , r .. r 5 " �'��'�Il la4d nJ'� !w �k l l 'f R ". '' 'r k.��� l ' , . "I, �f Q';� { Attiolor1 wlepaoe fans 10.00 lines name: oh er: to.00 - Fuel piping ittaot ire try ��i s ti,/' $5.40 far first four; $1.00 for each additional �" 9dress: 4 , r 4' /A', _ ....._ _ Furnace, eta. ' Oas heat pump ryratate 11' L T J 4.- ,..e.... 73 t L ^. _ _ Wall/suspended/unit heater _ lotto: 0 93 ax - $.3 o 4/ Pax:: ( ) Water heater — I 1 ,; 1 RY R P f• fl 71 ,, 4r 16 I h t y , �� m , r. -„ • .° . 1 , Ran° o ' 1141,'�M j {{{ 1 1 ir I I , I r,1 i� �� l l� .�, I� �f 1 1 iat � �l1 � rl Iry" gall ��t I :1�' 1 11)} Barbectlo ,,, " : t.Lic,: • L.,,, . ,. 1� }IIi��. }�li�lllll,drr,� nd+�•,!t 1:1'1 .i, I.. #, ?1;:�.il ,,:,. Y- 7. l��I�l'�.��ilt, �... ....,_ — , winces name: ;. Jam/ Q , / t ' ,] Y Clothes dryer (gas) _ / / Q � - Other: Idreae: C,l� 6 r / � �- .., . Cg- a el'�1 f'rrf��"� j �, >,m 3 1+1 4 u, 2 mi:�l i r ,r i ::r1u '. ,rl+ c 11F�raVkli�lil7" il4kai��lnlu4�ih��diwj�di ,dlG11T` ''' t v / S t a t e / Z 1 P ; jJ A /'tG. ` /{..a Ci 40 — �, ,,,, Subtotal _..�_ ,_ One: ( j am) 9 � S O � • r Pax (5 S ,# -- 9 y 2 "� Minimum permit Asa �7z,30) c t / 7 Plan review (2944, of permit Ate) __ 3 lic.: J 7 7 • l m. State surcharge (8% of permit fee) , p 4' TOTAL PERMIT FEE "f df' 3v nHnrtn..t ainnenn•. A .% /� �, d Thin permit application aspires If a permit is eat Mumma within taO FROra :CENTRAL VALLEY AIR FAX NO. :5035899429 May. 22 2006 10:04PM P3 K ,ec Zcli t o- - 60 7 - 2-(4- /1\:\