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Permit CITY OF 1 I ® MECHANICAL PERMIT 6"is DEVELOPMENT SERVICES PERMIT #: MEC2006 -00403 ° ; AJI ' . DATE ISSUED: 8/15/2006 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 PARCEL: 2S110BD - 08700 SITE ADDRESS: 11685 SW NICOLI PL ZONING: R - 4.5 SUBDIVISION: EDWARDS PART /MLP2000 - 00010 LOT: 003 JURISDICTION: TIG Project Description: AC Install. 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: UNITS: REPAIR S: FIRE DAMPERS ?: 30 - 50 HP: WOOD UNIT 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 JASON /SAVA HEGSTAD Description Date Amount 11685 SW NICOLI PL. TIGARD, OR 97224 [MECH] Permit Fee 8/15/200€ $72.50 [TAX] 8% State Surcha 8/15/200€ $5.80 Total $78.30 Phone: 503- 781 -4006 Contractor: R C HEATING & AIR CONDITIONING 2345 SE 143RD. AVE. PORTLAND, OR 97233 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 760 -5940 iv k O 5 Reg #: LIC 123660 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 2cc 4 Zet...... Permittee Signature: - ,d:1,4.2,8„..„._ 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. fe t ' O Mechanical Perm itA 1'..,'i ` I()R ()Hi( Ti I `,r • 0N1 \ • City of Tigard '4a81vL P annd Nn .. / i GDUB 00 I OR '97223 mat it Plzonc; 503.639.4171 Fax: 503.598.19 Mb 1. • 2O9 . �,. • i > 1 ',wilt.: other Pcmtit: .I I 11,..,, j,ine: 503.639.4 175 �� ^� -,,' Date Fo,+•►y/t►y. rte;.: 21 Sec Yat<eZ For Latin wtvw.ct.tigarll.ur.,19 N.difint/Mencrvi• SuppkmentaI Infirm-madam `.'—'` IS TI I i 7. w ig '7, �) i' - .. :colt lt8RcIAL PEE E . utiE New cpttsintclion , Addition/alteration/replacement .. -�. Mechanical permit fees' ate based on the value of the work petfQI1 1Cd. Indiente the value (rounded to thu t alr,;at dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment. labor, overhead, and profit. _. CA,TEGORY OF CONSTRUCTION - - � - R1tr6►JDEN IAL E Qv�tEA1'>t ! 8Yg'1'EMS R • - f'+ 1. and•.2- family dwelling ❑ C011uuereiai/i.ndustrial [] Accessory building - - For rpccivf nrfurniurion IMP fharldi.tr Multi - family ❑ Master builder ❑ Other: Destailltiwt I Qty. L Ea. I Total 777-77 400-141#114910144-110,1• AND. L.00 .. Heating/cooling �' �., . :. : Air conditioning, ut heat pump Job site aQdress; \t'��• s , 1 + jre9u ires site +hawing ptacuncut) i 14.00) .. +++ EPEE City /StateMP; _ • - r as Feuru RT' tce 100,000 U (dime/Yeats) 14.00 - - Pomace It )0,(nmi Is•ru_taucw_ _) 17.90 _... Project name: - -- • ...,,... _. .� -- Suile/bldg, /8pt. no,: l f)a heat pump 14.(X] Cross street/directions l0 job site: _ Duct work 14.00 • - - 1 r dronie hot water system 14.00 Residential boiler (radiator or hydronio) 14.00 - Unit !testers (fuel-type. not elewttic). r in-wall, in-duct, suspended. cto. - ( 10.00 1 - - Flue/vent for any of above 10.00 Lot no.: -__. Subdivision: - __ ._ -.- . ,.._.._ _ ether: 11).00 i Tax / Orcel no.; Other fuel oven:knees _^ —y 1 AI�i 1Cd1� W t u ... _.W -.. oRIC wale t ater I 1 a.cx1 ' 1.. j\S - C). .- it- - ...._., — t ams fire lace 10.00 . _ - - Flue rout for water hurler or gas ftrepinee - - 10,00 - „ - -.., __.,.- 1.cg lighter (gos) 10.00 Wouxl/11rito Yt „V,: 10.00 - Wntxi fircpluceJinseit 10.00 ��rrV ..��. . • . . _Chimneyy /liner /tlucIvcztt .. _. 10.00 '' ©1VO Q'{ NTg • . 0 TENANT; • .. . • . .. • l',)11w'r 10.00 Name: / I �� Fnvlronmcntul esbuuat and ventilation - - .� - Range hood/othcr kitchen Address: 1 Gs' >ti : .�, - _ �- .. aitvpment 10.00 - r -- City /StatelZIP: • ti i - Clodlcs dryer cxhavat 10.00 .0 4.- - Single-duet exhaust (balhroorrla, Phone: �)•����r ” Lol� / Fax: ( ) toilet compartments, utility room) 6.801 - R; '<CaR�1�P1G'' . i� C 1NTACi l l£liSSlw craw F --........ -- - -'. Attic/ is ace fens _10 .00 _ .... - -- t d-t r 10.00 BuBtneas acme: R. C. Heating . ir . C o n d i t_ T o n i n g, Inc- - Fuel piping Contact name: Rod C dr $ o n _ $5.40 for first four-, $11.00 for each additional - Furnace, etc. Address: 5 S E 14 3 r d 2 3 4 . Ave • • ........ ......... . . -- ZTM heat pump — ......... ..._. City/State/ZIP: Portland , OR 97233 Wall/suspendCai/wut heater Phone: ( 760 -5940 Fax: :(5031 -9514 Water haslet a _.. .... _ ._..... ...._ ._ Nir 1_1!"'e E -IMil: _. - .....,.. Range , - - - • - CON'T11UACTOR Barbecue • . . Buness ttstttec Clothes dryer Tans) si _._.._ . . . R,C, Heating & Air Conditioning, Inc. other - - - Addmis: 2345 SE 143rd Ave. . • - bf)LCNANFA� kRl! Cit P u r t 1 a n d, 0 R 97 '23 ; __. Subtotal ��_ _ - Minimum permit fee ($72,50) _ ” Phonc: (S 0 3 760-5940 T Fa- ( 503-760-9514 — " -" " - Plan raview (25% of permit I'co) CCB lie.: 123660 _ State su (8% of porrnit fee) -- ........_._._ _ _ _ TOTAL PERMIT FEE T1tle penult applkatton expires if a permit la not obtained within 120 A1tth si �teritre : �� drys after It has been accepted es enmPleta t • I 1 • l 10 ' d V 1 S609L£0S 3-0'2511H • O - d- NOSelic - Q0e1 WO 01:60 90 -S T -nno �w — CITY OF TIGARD ,.r BUILDING DIVISION PERMIT #: MEC2Q08"0t403 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 13/15/20€] Phone: (503) 639 -4171 um�l1ii�ll�'�I0 Inspection Requests (24 Hrs.): (503) 639 4175 ! /1 c a©Q6 — o tf 3 INSPECTION WORKSHEET FOR DATE: 2{73/2007 TIME: 7:01AM PAGE: 5 SITE ADDRESS: 11585 SW NICOLI PL CLASS OF WORK: . SUBDIVISION: EDWARDS PART /MLP2000- 00010 LOT #: Q03 TYPE OF USE: PROJECT NAME: HEOSTAD DESCRIPTION: AC Install. OWNER: HECSTAD, JASON /SAVANNAH PHONE #: 503 - 78°1 -4005 CONTRACTOR: R C HEATING 8, AIR CONDITIONING PHONE #: 503 -750 -5540 Inspection Request Scheduled For: Date: 3123/2007 Pour Time: Code # Inspection Description , Confirm # Contact # Mes 508 Mechanical final 043811 -02 503 - 750 -6940 ' M Corrections /Comments/ Instructions: -��� �__ ilco r , PLOA�� "mac, {-�� z ��f e` -c�f PASS n PARTIAL APPROVAL ❑ CANCEL O ACCESS IL ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED � \\ 1 Inspector: C- i4 Date: 1 Z-S C7 Phone #: (503) 718- ��7 i ...••••••••• ZO'd RC_ 04(6 t4-RILI TAQ. 5n 76) - ii Fw)4-. % -54O ph 4 ? c 6. c '0 VIS609L20g Ake ack ct)(1: 0 3 HVics Su) Kie.bli PL. "Tiscuct,M Q77 2.2.4 -- I 0/0'2DIH'0"21/1 14 II: 60 90—ST-51110