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Permit •••11 4 CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00611 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/19/2007 PARCEL: 1 S136AB -03900 SITE ADDRESS: 10034 SW 71ST PL ZONING: R-4.5 SUBDIVISION: LOCUST TERRACE LOT: 006 JURISDICTION: TIG PROJECT: DAHME Project Description: Replace existing gas furnace and air conditioner. 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: 1 DOMES. INCIN: NAT 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: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES BRENDA DAHME Description Date Amount 10034 SW 71ST PL TIGARD, OR 97223 [MECH] Permit Fee 10/19/20( $72.50 [TAX] 8% State Surcha 10119120C $5.80 Total $78.30 Phone: 503- 641 -6121 Contractor: JACOBS HEATING + NC 4474 SE MILWAUKIE AVE PORTLAND, OR 97202 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 234 -7331 FAX 503- 808 -9108 Reg #: LIC 1441 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 411101/////, //, Permittee Signature: Call 503.639.4175 by 7:00 a.m. for inspections that business day. / i p fcL7%flfl 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. - Mechanical Permit Appl' FUR oFFicE l;;l': ()()Nix Ni City of Tigard Received 13125 SW Hull Blvd., Tigard, OR 9} � Due/6r /° 1 1 Pmt No.: M� �/ ll ' o . Phone: 503,639.4171 Fax: 501598;47w 1 9 2007 PImlReview Other Permit: Inspection Line: 503.639.4175 �/ ^ Datn/By. T 1 G A R D CITY i ©F TIGARD data Ready /By: 0 See Page 2 for Internet www.tigard ur.gov BUILDING DIVISION NpLi,ieLt/MeOLud ' : 1 Supplemental Information t "� ,I''1 '1 I 1 'M SPo1iP YeP ' f 1 ; r �J i L i � r, ., ,_ ,0,a � ,.�"1� ..., ,,n i I •.. 11 1 ,Chit 1,`t, t 1 t ,Iii l KO• { u • 1 ! 'r t d; i • 1 I ., . !„ .. A l lei Al I1 1 ill l; t - wt: M i Il �l {! i 1, ^ a; ' . .PIN I 14e lM f � C] New construction ® Addition/alteration/replacement Mechanical permit fees are based on the value of the work ❑ Demolition ❑Other: performed. Indicate the value (rounded to the nearest dollar) of all mechanical materials, cquiprmnt, labor, overhead, and profit u; , �, Fy n � ., 1 .. - i.� 1 - 1 ' 11��/, :, I ,i': a.. ,;! ;,,.: � ,t �. l � i• , , 1 ' � o . } . ! @ . a , y'. �. , 1 ire: nor , ,n; ll 1, e�� _ ..�:, !1.1 � tf. T9MS.. Iti 1 �^''�. Il�l�lf(,I li� � ,. � ! {l!�. ..i.�ll.:..l � ,i. "IJ.'{t� I ...,. ' � :../ . .. ,. ,ilf..r )�•,'•' >`'SEfdCA�. ?I _ ® 1 and 2-family dwelling ❑ Commercial/industrial 0 Accessory building ;TiV i�" t:rtli :y,;,. u' t ..... ;:J., . , 4 Jb Far special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description 1 Qty. 1 Ea 1 Total � � h)r , F C n .,.r..,„ u r IW . v• , rt) r.11K, ! rsM l';; ?t � Nl! fl''.I'iN k7f'tF'.'1FnlA M^� 6/l s f f # N: "j.. �tll�tiA fi i ll li;! 1C HeaUn coolln Job site address: 10034 SW 71" PI Air conditioning or heat pump (requires site plan showinn placement) 1 14.00 14.00 City/State/ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducis/vents) 1 14.00 14.00 Suite/bldg./apt. no.: Project name: Furnace 100,000+ BTU (duet9/va n) 17,90 as heat pump 14.00 Cross street/directions to job site: Duct work 14,00 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. 10.00 Subdivision: I Lul no.: Flue/vent for any of above I 10,00 10.00 Other: _ 10.00 Tax map /parcel no.: Other fuel appliances ,�. a, nl, nugvmal�lw,•gl,p, /:,•..,,nm•n aaunau ►.: r i 1 ((�'� �+_if� t �a- <trls.' .;r a .zc t a .. �I:1' Water heater 10,00 i, ,II P d Iblitg arA' i �t i t 1 :�� i i � �'I��!lll �i,.,� 1= �dh� l;l.a,::l;;��;;hr,:.;;; Gas fireplace 10.00 gartalltas furnace and air conditioner Flue vent for water healer or gas ��`t,ILJV P.f�lS1 V� fireplace 10.00 Loillhter (Ras) 10.00 Wood/pellet stove 10.00 Wood fireplacc/inscn W . 10.00 / { C;. 1� 11."!. 1� 1.11'J!LJF�S �i+,f .1 ��� "� Chimne Aine:r /flu 1 � , 1� F li ;i ) I td�l F �' � y c/vcnt 10,00 + 1 , :,..,1F s -t 1 c..1..a ,.•,t..K:..:- Other. i 10,00 Name: Brenda Dahme Environmental exhaust and ventilation Address: Range hood/other kitchen _equipment 10.00 City/State/GIP: Clothes dryer exhaust 10.00 Single-duct exhaust (bathrooms, - Pho ::: ( -6121 Fax: ( ) toilet compartments, utility rooms) 6.80 O fLL t8r� n„�ee�, +.:�..p.,m ql:.�..r ), 1 .,-,..�.��., ..�....,�r Pn..� t L' 1 1 n l,, 1 :!"'I+ r 11 li a Attic/crawls ace fans ��� �,�II:;,�i;,:4iu���i(;�V�.��� ��sl�l�l�`. y �:;1���;�:��7t�:�� p lo.00 Business name: Other, 10.00 Fuel piping Contact tame: 55.40 for first four; 51.00 for each additiona Address: ' Furnace, etc. ' Gas heat pump City /State/ZIP: _ W all/suspended/unit heater Phone: ( ) 1 Fax: : ( ) Water heater E-mail: Fireplace Ranee : ,' II 1 r 6/i" 9 f. 'M ti. �i;li 1 4 ") «� 4 � �y,:.ri �1�( �{+ � l: 1' I r ; llti l` ld J! ;, ;'i�M MA11� ,� yi p �p f ., ' fr's' l 1 h19 .hl' I t ,. 1 { n E, 1Y�SlL'7.. ,,, , a`J'R.If � , i TT:I'rl+i i!4, 11;u •:1�: ... Barbecue Business name: Jacobs Heating and Air Conditioning Clothes dryer (gas) - Other: r �� „u "PLSttI., v4'� ";ry , n } �,a.e Address: 4474 SE Milwaukee pa .�' 11i;t , 1 , i,1z.° >ii;illre....,,...li:;ty '., r...'....tl!; t, : , ; re City /State/L1P: Portland, OR 97202 Subtotal 38.00 Phone: (503) 234 -7331 Fax! (503) 808 -9108 - Minimum permit fcc ($72,50) 72.50 Plan review (25% of permit fee) CCB Iic. :1441 State surcharge (8% of permit fee) 5.80 TOTAL PERMIT FEE 78.30 Authorized signature: -- This permit apptkadon t i ,iruL it a permit is not obtained within 180 days after it has been accepter ax complete. Print name: Michelle LeClair Date: I0/19/07 • Fee metlwdulugy set by Tri -County B&Litdieg Industry Service Board L:lauitdiniadin atEC- YamltApe.duc 04/06/06 440•4617t(11 /02/COM/WEB) q/ !l 2 ' ]/ f 5 /tr0 39dd DNI.1203H S300dV LSZ6Et8E05 EE :Zt L00Z /6t /0t CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC7007 -00611 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/19/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ' .. I INSPECTION WORKSHEET FOR DATE: 11/2/2007 TIME: 7 :01AM PAGE: 47 SITE ADDRESS: 10034 SW 71ST PL CLASS OF WORK: SUBDIVISION: LOCUST TERRACE LOT #: 006 TYPE OF USE: PROJECT NAME: DAHME DESCRIPTION: Replace existing gas furnace and air conditioner. OWNER: DAHME, BRENDA PHONE #: 503611 -6'121 CONTRACTOR: JACOBS HEATING + A/C PHONE #: 503-234-7331 Inspection Request Scheduled For: Date: 11/212007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 058903.01 503.234 -7331 Y Corrections /Comments/ Instructions: M PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL OR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: I Z b Phone #: (503) 718- 10/19/2007 12:33 5038139257 JACOBS HEATING PAGE 05/05 7934) -fh& -COS W} / EG --h£7 - £OS 7(2'24.6 9J877Qf! '3'5 lib; 4-91-1 92 oi• 1 M -r- ,7aoua zz 4Z i v ) Az o il -�..�► 31,14b god' ,71 1Nayd 9snr - £1 oT