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Permit / y CITY O F TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00060 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/30/2007 PARCEL: 25111 CA -09300 SITE ADDRESS: 15380 SW 100TH AVE ZONING: R -7 SUBDIVISION: GULF SIDE ESTATES NO. 2 LOT: 037 JURISDICTION: TIG Project Description: Replace furnace. 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: 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: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES KEVIN VERDIN Description Date Amount 15380 SW 100TH AVE TIGARD, OR 97224 [MECH] Permit Fee 1/30/2007 $72.50 [TAX] 8% State Surcha 1/30/2007 $5.80 Total $78.30 Phone: 503- 684 -8256 Contractor: A -TEMP HEATING & COOLING 16000 SE EVELYN ST CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 650 -5014 FAX 503 -557 -2990 Reg #: LIC 71878 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 Signature: 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. •FROM “.3: A-TEMP FAX NO. : 5035572990 Jan. 30 2007 10: 23AM P1 . • 1 , 7" .. r7-,-, ,,,, „ Mechanical Permit Applicat9nt E 1 ' i F 1 . FOR OFFICE l Sr: ON I — City of Tigard Received . ,, ......' ' ?"it 1\ln \ 0 7 - 0 . , . OR 97223 . 11125 sw I !all 111vd., l'igard, A D ite (2 7 PYLI , g.' Phone: .503.639.4171 Fax: 503.598.1960 J till 1 ' I , ;: ...: 2007 . Dateit . Other retina: M c ' - I I 'i. ., \ p i li Impeetion Line: 503,639,4175 Date R.eady/By: ions. PI See Pune 2 fur Internet: www.tigard-orgov t_;11 i ut, i ju Supplemental Information , _... , .: , .! , .:I.K. , EI7Z;;', - ,;:.;;;;;;!::::::;;c;:i;:.;::: , •:==.::: ;.'i , ;.Z :..L . .,..,-,,,,,: : ......' , '.. • ..'• ,' .' ', ,%:.:'''' ". 91 11 4.N 1 .P1c1A . t: .Frtgr Ell New construction N;g47-1dition/Illterationheplocentent. Mechanical permit fecm' are based on the value of the work performed. Indicate the value (rounded to the tk(arest dc31133.e) of all 0 Demolition 0 Othc,r: .. mechanical materialm, equipment, labor, overhead and profit ..,....____— 1 ;.';;,;. :; 'W9'' ; i 1 7; :::- ' ;: ' : ': : .:lCATIIMO 1 04 :. "0 1 / CONSTRUC ' ''''''' ' .' : :-';' '' ,,', • , Value: Ili ” . ."". • - ' - — - - ' • .." • • • • ' .. " • • ' - . " . " • ' " . ''' " — . '" ' ' " .- ---' ..i 1 - tad 2 dwelling 0 Commercial/industrial El Accessory building »o?_ special informa Hae chi:wall, 0 Multi-family 0 Master builder 0 Other; . . , ...., INRcliPtiOn I Qty. I Ea. I Total •••::;;:.:: •:- :. :,:. - ''',.:!"•:2•M' Wi,..:, t AINFOIWATiONIANtritit .%......?...... .4 ,;: licatingiceo . - -- . -- . ' • . Air conditioning or heat pump Job site address: /5 ,. ..5 L4 ", /4-44..&-- (recitaieflAitc plan showing placement) 14,00 City/Si:ale/ZIP: <77/ ‘1.--4 q 4 4L . . ..... . Furnace 100,000 BTU (thick/venls) PurtrAce 1.00,0001 BTU (duatevaat.,0 ( 14.00 • / ({ 17.90 Suite/bldg./apt. no.: Project natne: • • .. ... _ ties heat pump 14.1)0 emss street/directions to job sitc Thai wink 14.00 . . . __ Hydronic hot water system 14.00 Residential boiler (radiator or -- hydronic) 1400 Unit heaters (Mel not. eleettie), in-wall, in-duct, susanded. etc. 10,00 Fla/vent for any of above L0.00 Subdivision: FT Alt no.: Other 10.00 Tax map/parcel no.: Other fuel appliances — _____ *:: .:::::.::/...:',.-::: :i'':;: .' i io .i.o. Wr :.iiik : .:.. 1.....:•.. :. . :....., • ... '. .... . • • • ., ' Water heater 10.00 zu,:',■;;;;;;;:l;'`.2::'%•;:'ll::';;.,':'. ':,' '., ' ' ' "" r • • , 6....c .........../ Gas fireplace 10.00 . , 2ff2Z,f:Z.,...-e„,e_,„- ) adotea- Hoe vent for water heater or gas fireplace 10.00 " 1 .'9131.i.&.,9 1 .112. 1 11 10.00 Woon/el let Aove 1.0,00 ....... Wood fireplace/inscii. 10.00 .. . . C'bimmy/liner/flue/vent 10 f10 .P:g::'ili . • 43**V. 4 •1,1:::.:t . . - :' - ...' .... :} .....;::.:..:::...::::.:.:::::....,::;E:r.tiwAriv.: ;:.:.','..,..:' 2 :.::':::.•,.. ,. .. Name ______ Environmental exhaust and ventilation Range hood/other kitchen Address: /53 gi) 6 t.c) (00 equipment 10,00 . .. .._...._ -- City/State/Z)P: - ,- ,6-- D 9 7.. Z--.V Clothes dryer exhaust 10.00 " ' ---- Single-duct exhaust (bathrooms. Phone: f it r 3 ) 67 4-y... v _1_ ) , toilet compartinent3 utility rooms) . 6.80 7477... 7 . 57, 7 iiiit t nifiti ---- , — 7" . ---- iiiii pp;186N. ......... .... ., Altie/cmwlspacc tans 10.00 '':l ................ ,..:.:..,..,.7',.:,.,.,..: •• ,......::•.•:.• :. . • .:'' .:',::,. ... :. : .. . • ',..... • .....:....: ,..n .,..., : . • :!•. .': , . '..... Other: 10.00 Business name: Aln3M P - BRATINGAND - ClOOLINCI1M - • - " " . Fiscizipilig • $ Curituul 7111711e: 16000 SE Evelyn St, smo for fint four; $1.00 fur each Anthem _._____....... ......... .. .. Address: Clackamas, OR 9701$ Furnace, etc. 503-650-5014 as heat pump Uity/Statc/ZIP: Wall/suspended/tun( healer ........ _ . . _. Phone: ( ) Fax: : ( ) Water heater _...... .. ---- •- - •-• • • . , • . • - • . . . • .. Fireplace ■ E-mail: 4 AA ■,, . i t .. .,.. a _ a „ • A _-. _.; .„,4,,, „ 4 Runge y.1 .,.7. i .,. ii :, ; ;: ii i- -..i.iii6 ;.:.,::,:::, , :: :, c ;: ::: :,:.i::.::i .::.., lifirbecue 2:::7:g•:a:.?;::- ,•-•... •:,-. ',•• ..,,..., . • . , • . ., ., ,..;•,. :.:; ,,„... '. ' .. • • • • .-.,...•-,,. :,•::.::::•,..,:.: ....:.,...:: '.:::: ......,.. . . ..,. .. ,. ................... ....... _ ...... . _ ..... . Clothes dryer (gas) Busincss name: AMEMPI-Mi/NO 'Aft coouNct ruc Other: Address: ,—....- 16000 SB tyclyu SL City/Stale/ZIP: Clackamas, OR 97015 Subtotal f 'Phone; ( ) 303-650114 ( ) Minimum permit fee ($72.50) . .. .... Plan review (25% of permit fee) CCB lie.: i/ . State surcharge (R% cif permit tee) .. . TOTAL PERM.F.I.. FEE --7.5(v This permit application oxpirea If a purntit not obtaintli within 180 AuthoriAcd siunaccrre: tV CA( tvf ,C ...... ,/ . dar3 OUT it hns been accepted as complete, ., . i 61 k A - LA r,kftt i I ' lg CITY OFTIGARD BUILDING DIVISION PERMIT #: MEC2007 -00060 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: //3012007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/26/2007 TIME: 7:03AM PAGE: 47 SITE ADDRESS: 15380 SW 100TH AVE CLASS OF WORK: SUBDIVISION: GULF SIDE ESTATES NO. 2 LOT #: 037 TYPE OF USE: PROJECT NAME: VERDIN DESCRIPTION: Replace furnace. OWNER: VERDIN, KEVIN PHONE #: 5 503 -684 -8256 CONTRACTOR: A- TEMP HEATING & COOLING PHONE #: 503-650-5014 Inspection Request Scheduled For: Date: 7/26/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 052781 -01 503 -415 -5417 Y Corrections /Comments /Instructions: Ott -tv . G,abt # S- 113942- 4A/ai PASS PARTIAL APPROVAL n CANCEL I NO ACCESS n FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: -o—c�? Phone #: (503) 718 - Z4-45---