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Permit • MI CITY • TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00135 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/9/2007 PARCEL: 1 S135DB -11000 SITE ADDRESS: 11280 SW 91ST CT ZONING: R -4.5 SUBDIVISION: DAKOTA GROVES LOT: 003 JURISDICTION: TIG PROJECT: PALLAS 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: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: GAS OUTLETS: > 10000 cfm: Owner: FEES DIANE PALLAS Description Date Amount 11280 SW 91ST CT TIGARD, OR 97223 [MECH] Permit Fee 3/9/2007 $72.50 [TAX] 8% State Surcha 3/9/2007 $5.80 Total $78.30 Phone: 503- 730 -3869 Contractor: BELL HEATING 15550 SE PIAZZA AVE CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 656 -1184 FAX 503- 656 -4650 Reg #: LIC 447 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: - t ---74 5 / Permittee Signature: ^ 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. Mechanical Permit Ap rltaon a .} 4 „ }'', z r E ' :„ , ,,,,,. .„.,.. USE v ` . } " k Ci of Ti a nd _,._. ( � 1 - Recei "ved_ "' /: r .:t ? r:r,z:: • ? ,•.. ; ,r, :v tY g r�° fi D ateB } r.r. c �} % � -JR� `�,. • ��..'PciiniiN 1���.LJ`l/ /. 13125 SW Hall Blvd., Tigard,_OR• 9.7.223 - /% c§ Review • Phone: 503.639.4171 Fax 503.598 -1960 Usxn t t ti , Pl an D ateB Other Pernut, Inspection Line: 503.639.4175 cj , CI J, . ,. Date Juns ,H• S ee, Page 2 for . Internet: www.ci.tigard.or.us © "t 200 " i '' �" ` ( p �� '•Notified/Method: ;Stipplementartntormauon a- .r• r G. t'� e51^ .IGSw[?n - ,.%�a�;•. •5 r,•a. °a� �'w;• „�,. w..-•,..>� • - ..h•?.w .,+. ?p,- • >. „v" - �.t:G;. r7� e.,r�..'r< ,�. ,...� �n' _ . � . •;��s+ " '- ik- ;a"'�6-a•t:; - '' s .a;.r.tr:.;. -� _ _ - S t: 1, . ✓ ; Yta. 1 .4k ,;k ° sit. " :- g,aa .�t *u � "� : �i :Q:I,� =. 1 = =�` • :� ,'a��v : 1C0 ` 1i�y��:�s�'RCT'��"���i &tea -.5 �. •. �„ ." � . �' . - .>.. rz�'#i '�, 'J� f. r..r r3= wY}Y>:. �..:.�., ±•F 'ir»... ..,.^?,� U' I3iv =r= •�.4'�:C-��]t.�I , ,. • � rs „ >aa�.i .,••..z: Jq,..,�a..,iM��at - x �`. r��-,. �r:{t ��� T,...r ...roe.;. ........ u.x...... - - :�0 New construction • • • '�` A ato n n or L alte ati l o r _ Mechanical permit fees "are based on the value of the work '• v.•.,:. - • :'il t l' q. lix . `'..•' 'performed:'.Indicate the value'(rounded.to.the.n dollar).of all - . ❑ Demolition .;! 111 Other: • ; mechanic materials; :equipment, labor, overhead, and profit: a m arm r, e F t;a. -r. E ..rf r:;nr�.�y y.c tee: r - ' ,g f} �` (uI G T•IOIY k.k.. . a r`k , ti; ,,, ' � y� ' ' 2i.v I3 . c ..Y±F . ��S' �- n^ �i`. Mm' t °Tni:'rJ „�YF.- ...t�v " .'3 ^Jl..ai. �, a.,... u......��. r':1 •?I: :'.., y .ik.: , �:�.:.w::ti .::,'K*� _ • ,_ <!ygESIDINF i T: QL iVIE , NI SI 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ❑ Multi - family Master builder . For special.inforination use checklist. y ❑ 0 Description • ' • ' Qty. Ea. Total k. . ee-tt� C TY° i f 'YA' a ' f ' P.T .h,:• �. ".': . r:. . W R "fie :.ii ; :7t �` O Ili O CAl• r ,�, +'3*irs. 'i^'•;.aa"•:'• 'i ,.g! .a tf •. 5 °a � ®� a b � '�: � • „^�?.k� �� ;�� c.' Heatin /cooliti '.' - 'C5 ; .. sxv 72s - .. - uh!,a ax .w i: i✓: „> , P��i'� �;.wk?.•. E�.vz�:. H Pi Job site address: . // `Z 1 -Air,conditioning or.heat pump ' " r ' R / v' (requires site plan showing placement) / 14.00 P t(� City/State/ZIP: 2 ‘4it e nit. �'7 2- Furnace 100,000 BTU (ducts/vents) 14.00 Suite/bldg. /apt. no.: �' Y � - Project Furnace "100,000 - . ucts /vents) 17 Gas heat pump - , 14.00 Cross streetdirections to job site: Duct k 14 • . • / Duct work ,, *3, -. -- _:_ dronic hot water system 14.00 r >a'. _ - - -•.. -_.. oil o - ly ResidentiaLti` er_(radiator r -=-' -<•' -' ,.._. • . hydronic)'" ..,,i's. ; ;' . ... 6 < , ` 14.00' f:' Unit heaters (fuel -type; not electric), . • in -wall, in= ducysuspended; etc. 10.00 - •• s lue %v Fent for any of above - ` - 10.00 . • ;: Subdivisi Lot no.: Other: 10.00 : =Tax map /parcel no.:. Other fuel appliances .. ' ' . ' ' -' aS Wr. I,�' 4" tI . 4 ,;a , , W 1 1 Water h _ 10 t yt i t c.. 'al. . p ±•� n . rr Yatt F , �t•.. . , `.,e -- Gas fireplace 10.00 / v` Jj 4 /2 �'f 1 , • - Flue vent for water heater or gas r Y • fireplace - _ -_- 10.00 • . - • - - ' Log lighter (gas) • ' 10.00 - _ Wood /pellet stove 10.00 ' . Wood fireplace /insert 10.00 • e•: t� r °�� �t z • r c� t,4 ;<�. t; Chimney /liner /flue /vent 10.00 •`s et 'f j ^ ©,t Eli' an't lE i ' ". �" �� "' rot---, f IVE �1N•Z" u ,,`S i '. 'r n -: a . . .ms. _ -.v, .: _ ; j„,,,. S -. , -4 n:. .. 1a.- ,.. 0, -;,, a,,,,,,,,, ,gi, : « Other: 10.00 Name: J ;t )/ los Environmental exhaust and ventilation st Address: Range hood /other kitchen ,,,,,t,� equipment 10.00 , City/State/LIP: Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, • Phone: (575) 0_.... Fax: ( ) toilet compartments, utility rooms) 6.80 y - %� ?<a` }ry."`.iHM c t •.' 2-['..�• r AY)^f..'x .e�, p., : .'.` v ® - r -' '`' f ` ' °:a;' Attic /crawls ace fans 10.00 , fix a- .. � t v. GO � rC'T 1%RSOH z:� ili;, . _P Business name: • Other: I 10.00 ` Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Address: Furnace, etc. ' • Gas heat pump City/State/ZIP: Wall /suspended /unit heater • Phone: ( ) Fax: : ( ) Water heater Fireplace . E -mail: Range :ir;, ;e r t:4a- s z. +rF6 , .rcv*•e' t r ..... .. c „_ � r i •,. t.h �w:,' . '4,; " , , 4 - `"� � ' ir•.'z ;:':' ',CO C:' : k, : " .0 7 > } r -sr 10; ;; ;.3.. ; ,,q • , . - :u, Barbecue . . , "x s +i �- r�'.w�.. �- ,,.�• . �',� r -. -. :t :t -: +�x r;��,;' .?. •..nw:,wi � F' " ....: ,, a - --- - Business name: 1 Clothes dr•r (gas) • _ - • " Address ‘ 111 ) / ../ Ot ter: ' Z - ti R6r�,r. ? . .�-�..r,4aITf�4;y"� �.., .,,� -.. , Paz. w * :. ' /.��� PQ C.�YJ ' /!� , r,�'{;��� "� iY� �>Ml��'�Flii'J,�. .. �'� ;City/State/ZIP: "ZE 4 /t ' -- Subtotal ) go D 1L� _I_ i : Minimum permit'fee ($72.50) " -0,-s(i Phone: ) - Y 0 ,.m 1/45 Plan review (25% of permit fee) ;, • CCB lic.: / / z /� +• State surdharge (8 % permit fee) ' 'S , '�(� y �� / i' TOTAL PERMIT FEE . 70,�j(� ' --:- • . zed signature � l This permit application expires if• a, permit is not - obt4ined .within 18 . t days after;!t',his been accepted ism copiete;__.. ,.'';'' "t Print y 04 a JQ� Date: / '. Fee methodology set by''Tti = building industry Service Board ' i:\ Building \P {l - ' emits\tv PenutApp doc.12 /03 • ' • 440 461 7T; lit C ) /"i' R)' - - - . , !.' . . . - ... 1 SITE PLAN *INDICATE NORTH FOR INSPECTOR* • , . ,?•—• - ' . . .t..- . .. . • .. . , i . . . . . s . . . 0 . . . . i.. CON II-ACTOR NC-HEAT PUMP ---- UN 8 IT SITE PLAN • _-; - . . _ . -7. BELL HEAll NG, fN . _ I 2 C. . ,. . • - " , . ■••••■■■•■•■■■•woma . r * 15550 SE PIAZZA AVE. . . c..) CLACKAMAS, OREGON 97015 - . . • 4 -A s -r-,p,„11.534 . : . :._ t . . • • . ..., ;- a co - -- v --- s‘l . . . . , •-•( . • . • . ' . .. . . Le . . . - . . . - . [ _ • . . . . 1 P'\ . . • • 3 . . . )...; . . - . ,...— _., • . , • • - . . . g ;=4 . 4,0 . .. - . ;• . , gz . c.) - - . . . • . . . . .. 1. • • . . . . . • , ‘) • •. - ,-..i • . . .,....-- . . . . • . , . • • TO STR EET E ET . . - -:- • ■ = . - z z ;:---- - . _. . • . . 2 r, : ,,4 .. • • CITY OF TIGARD ° I BUILDING DIVISION - �' 4 iUv °412-� . PERMIT #: l+IEC2007- 0013; 13125 SW Hall Blvd., Tigard, OR 97223 L 9 i DATE ISSUED: 3/912007 Phone: (503) 639-4171 40 440 "�II , Inspection Requests (24 Hrs.): (503) 639 -4175 '' L. INSPECTION WORKSHEET FOR DATE: 3/16/2007 TIME: 7:01AMvM PAGE: 79 SITE ADDRESS: 11280 SW 91ST CT CLASS OF WORK: SUBDIVISION: DAKOTA GROVES LOT #: 003 TYPE OF USE: PROJECT NAME: PALLAS DESCRIPTION: Installation of A/C unit, OWNER: PALLAS, DIANE PHONE #: 503-730 -3069 CONTRACTOR: BELL HEATING • PHONE #: 503 - 656 -11134 Inspection Request Scheduled For: Date: 3/1612007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mec:hanic:al final 044906 -01 503 - 209 -8935 V q— ( ( Corrections /Comments /Instructions: • i :C./2 (PASS n PARTIAL APPROVAL I I CANCEL NO ACCESS FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: / Phone #: (503) 71> /6 -)