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Permit il iphi CITY OF TIGARD COMMUNITY DEVELOPMENT MECHANICAL PERMIT PERMIT #: MEC2007 -00550 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/18/2007 PARCEL: 2 S 110AC - 00400 SITE ADDRESS: 14723 SW 109TH AVE 1 - ZONING: R -12 SUBDIVISION: TIMBERLINE APARTMENTS LOT: JURISDICTION: TIG PROJECT: TIMBERLINE APARTMENTS Project Description: New ducting for fan replacement. Project Value: $2,000 CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: MF UNIT HEATERS: VENT FANS: 3 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: AIR HANDLING UNITS CLO DRYERS: 1 FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES TIMBERLINEAPARTMENTSLLC ' Description Date Amount BY WPL ASSOCIATES 522 NW 23RD AVE [MECH] Permit Fee 9/18/2007 $72.50 PORTLAND, OR 97210 [TAX] 8% State Surchar€ 9/18/2007 $5.80 [MECPLN] Plan Rev 9/18/2007 $18.13 Phone: Total $96.43 Contractor: KENNEDY RESTORATION 315 SE 7TH AVE. PORTLAND, OR 97214 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 234 -0509 FAX 503- 234 -4479 Reg #: LIC 3402 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 OU NC by calling 503.246.6699 or 1.800.332.2344. Issu d By: / = � ,�� / Permittee Sig � ,O /' : �j�� _ - 1 Call 503.639.4175 by 7:00 a.m for inspections t • • business • ay. 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 ; Applicant° FOR OFFICE USE ONLY CE Date/By: d. 7 / o City of Tigard Date /B O Permit No , ,...60 55 III - 13125 SW Hall Blvd., Tigard, OR 972 3 r , , y � 1 > E D te y ie E �IJ� Phone: 503.639.4171 Fax: 503.598.1960 1 t h ' 1 r�, Other Permit. Date /B TIGARD Inspection Line. 503.639.4175 CITY Of- ''`,Q rC�� Date Ready /By. Juris H See Page 2 for Internet: www.tigard- or.gov 8 n , ILDIA,1 01 I Notified /Metho• Supplemental Information °a.` .a ` ..•.,1 TYPE OF WORK: - > :- CO 4Fa tkiTE o H D : E = a IIC I �,,:� ._„ - .� . �.r,,... •. .� «;;a?��<<:; <,..,.,. . ,.• ... ..... , ,.. .. " , - ,,,.a -. .. �, p < ... .. .. �,;<S EKI.IST. as :, �,- �,.. �., , . _,.,,.`�h..,.�� .. .:� 5`., `: �u�. <� ..,. .:� Mechanical permit fees* are based on the value of the work ❑ New construction V] Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, profit. s eq , t ab r, overhead, and nd o r a:: Value: $ �a ;, ` .. CATE,GORY.F:OF , CO IVSI R L 00 ` ° t % ;, ;; .,��v 7 :: s<.� : � `m,`..^, o .: %� '..,,;.w. •, - .::.,� ... `::`.. `DY >.. "`.:';,..z�" ". ..pzx : , . � r3•i - _� ..- . ..,, ^a , . ,.- - met _ __ ,R ❑ 1 and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building %SYSTEMS'FEES*;;: ''` "' "" ° "` N Multi - family El Master builder 111 Other: For special information use checklist. Description Qty. Ea. Total _4 JOB SITE` INFORMATION�A"ND)OCATION.',•,: �'1°%:' , .:,:'°'s Heating/cooling `�,;. _ `.�nS� _, ;=- �.,,�., ..,�� - . ., �s'-��,��; ,��.... �a .. Ilea g /cooling Job site address:1 Air conditioning or heat pump �7'Z 3 S /6 /it/e (requires site plan showing placement) 14.00 City /State /ZIP: 1--, 6 4 „d 0 re, 1122 Furnace 100,000 BTU (ducts /vents) 14.00 Furnace 100.000+ BTU (ducts /vents) 17.90 Suite /bldg. /apt. no.: Project name: I I � y JZN . Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 !.!/ �� " Hydronic hot water system 14.00 Y e Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Subdivision: Lot no.: Flue /vent for any of above 10.00 Other: 10.00 Tax map /parcel no.:' Other fuel appliances ' f ' i' Water heater 10.00 DESCRIPT;ION,OF'aWURK °; , °'�' �.�, .�., %. �, .;(`` .ate: � .� :u Gas fireplace 10.00 rV e w 0b. .,-,4 /-ro f F,- ci�✓ f(',.0 Ai 4 a , c .✓-r - Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 p; i met /flue /vent 1 iRRORERT a im ne 10.00 ,," Y =;-_OWNER:::, � NT �.• .. , , � ,,,..::,c< „,,,k, :.=�..1, ,: te= � .,� � 10.00 ;TENA • �� ^ � ..� : _- ,•>„ Other: Name: TI €,,,/).:v 2 Apo; Environmental exhaust and ventilation Address: Range hood /other kitchen � S /09 Y P _ equipment 10.00 City /State /ZIP: -7/6 ago( 0re., 412.2 q Clothes dryer exhaust 1 10.00 /0 Single -duct exhaust (bathrooms, Phone: (CO3) 13 y .... aco Fax: Cs-0 3) 23 y „..4,9 7 4 toilet compartments, utility rooms) 3 6.80 2 d 7,/11 , :,,fir ' APP I : • Trr -' `: a, Attic/crawlspace fan 3` ,�:''�a; ;...,, . .... L; GAN ,.. �COiVT,4C>T ?PERSON. < ttc craws ace s . .. p 10.00 , Other: 10.00 Business name: ` e 4 ,,, ..e d (/ \ e j . *0) ,. gg *,,, A, J`' Fuel piping Contact name: SGO _ C S'� w _S $5.40 for first four; $1.00 for each additional Address: TS Furnace, etc. 3/3 7— eve Gas heat pump City/State/ZIP: re) �'e 6 /72 , / , -/ Wall /suspended /unit heater Phone: D. /) z3 y c Fax: : (s2) 3) 3 Water heater Z y_ yy Fireplace E -mail: .,�`�. "�., ..z. « `..; ..�,.',,",',z :iz. 'adv��:y:; p :` x:' ,,., Barbecue 12 <.., . x >�, �.- _.: ;,,. fi x.. N:'t�, :::` '.�'_ > .a. , a =; _ >��x.:, ` Bar b e Business name: - Clothes dryer (gas) I�e.ti ve. 07 J 4-tv(I / Other Address: a ... _CZ . 7 __ ` MECIIANI N /� A C - CAPERIGII'I'rFEES *,'` ' � ':' /State /ZIP: � 0 �a�•,• Cit ` Y fT 4,'-it Ore'. R`7V ,-/ Subtotal 3 6 Minimum permit fee ($72.50) Phone: (5-63) Z 3 y - ®Soq Fax: ( ) 2�3N_ ev y7ci Plan review (25% of permit fee) CCB lie.: 3 7 7 State surcharge (8% of permit fee) TOTAL PERMIT FEE _ Authorized SignatuCe S This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: See 71-1- Zvd"- S - Date: /.....1-7— 7 * Fee methodology set by Tri- County Building Industry Service Board I:\Building \Permits \MEC- PermnApp doc 04/06/06 440 -4617T ( I 1 /02 / COM /WEB) CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2007 -00550 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 91`18/2007 Phone: (503) 639 -4171 A''' 11,1 ii �!1rl Inspection Requests (24 Hrs.): (503) 639 -4175 �''1. INSPECTION WORKSHEET FOR DATE: 11/ J/2007 TIME: 7 :00AM PAGE: 68 SITE ADDRESS: 14723 SW 109TH AVE 1 - CLASS OF WORK: SUBDIVISION: TIMBERLINE APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: TIMBERLINE APARTMENTS DESCRIPTION: New ducting for fan replacement. Project Value: $2,000 OWNER: TIMBERLINE APARTMENTS LLC, PHONE #: CONTRACTOR: KENNEDY RESTORATION PHONE #: 503 Inspection Request Scheduled For: Date: 11/29/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 060420 -01 503 -6598 Y Corrections/Comments/Instructions: i PARTIAL APPROVAL CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: _ / L.A._ _ Date: / I *&'/ Phone #: (503) 718- z -‘ • � = t .. . CITY OF TIGARD BUILDING DIVISION • PERMIT #: EC2007. -00550 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/18/2007 Phone: (503) 639 -4171 iaNdov 1 Inspection Requests (24 Hrs.): (503) 639 -4175 J IL INSPECTION WORKSHEET FOR DATE: 10/8/2007 TIME: 7:00AM PAGE: 62 SITE ADDRESS: 14723 SW 109TH AVE 1 - 4 CLASS OF WORK: j SUBDIVISION: TIMBERLINE APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: TIMBERLINE APARTMENTS DESCRIPTION: New ducting for fan replacement. Project Value: $2,000 OWNER: TIMBERLINE APARTMENTS LLC, PHONE #: CONTRACTOR: KENNEDY RESTORATION PHONE #: 503 -234 -0509 Inspection Request Scheduled For: Date: •10/8/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 057131 -02 503 -572- 5736 Y Corrections /Comments /Instructions: _Ali 4 !1 PASS • /.ARTIAL APPROVAL ❑ CANCEL I I NO ACCESS FAIL r a C ■ L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • / ,5 / Inspector: Date: 6 Phone #: (503) 718- Z K n' INSPECTOR'S SIGNATURES ARE NOT N Inspections Required for: eC ?C 7- do56O REQUIRED ON GREEN INSPECTION CARD. Code Inspection Description PASS Date i B 1 ✓ Code Inspection Description PASS Date By BUP - Building Permit ELC - Electrical Permit 405 Excavation 105 Underground /slab cover 410 Fill 110 Temporary electrical service 415 Grading 115 Electrical service 205 Footing 120 Electrical rough -in 805 MFG- Structure grading /footing 125 Wall cover 210 Foundation walls 130 Ceiling cover 215 Footing drain 135 Low voltage 220 Slab 140 Sign installation 310 Crawl drain 145 A/C or heating unit circuit 225 Post /beam structural 150 Hot tub /spa /pool 230 Underfloor insulation 195 Misc. inspection: 235 Shear walls /anchors 199 Electrical final 240 Exterior sheathing 245 Firewall 250 Roof nailing ELR - Restricted Energy Permit 255 Wtr proofing basement walls '135 Low voltage 260 Tilt -up panel 195 Misc. inspection: 265 Masonry 199 Electrical final 270 Reinforcing steel (rebar) 275 Framing 810 MFG - Structure set -up MEC - Mechanical Permit 280 Insulation 605 Post /beam mechanical 285 , Drywall nailing 610 Gas line 287 Suspended ceiling 615 Mechanical rough -in 295 Misc. inspection: 620 Hydronic piping 899 MFG- Structure final 625 Duct work 498 Grading final 630 Fire damper 299 Final inspection 635 Smoke detector shutdown 640 Exhaust hood 695 Misc. inspection: 699 Mechanical final BUP - Fire Protection System Permit 905 Sprinkler underfloor /slab PLM - Plumbing Permit 910 Sprinkler rough -in 305 Plumbing underslab 915 Fire alarm rough -in 310 Crawl drain 920 Suppression trip test 315 Post /beam plumbing 995 Misc. inspection: 320 Plumbing rough -in 998 Alarm final 322 Shower pan 999 Sprinkler final 330 Water service 335 Rain drain 340 Storm drain SIT - Site Work Permit 505 Sanitary sewer 405 Excavation 345 Culvert /catch basin 410 Fill 350 Septic tank 415 Grading 395 Misc. inspection: 205 Footing 399 Plumbing final 210 Foundation walls 215 Footing drain 420 Sprinkler supply lines SWR - Sewer Permit 495 Misc. inspection: 505 Sanitary sewer 498 Grading final 595 Misc. inspection: 499 Final inspection 599 Final inspection I: \Buildng \Forms \InspCard -AOP -Blank doc 02/02/07 14 v �� OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT' ' PERMIT #: MEC2007 -00550 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/18/2007 PARCEL: 2S110AC -00400 SITE ADDRESS: 14723 SW 109TH AVE 1 -4 ZONING: R -12 SUBDIVISION: TIMBERLINE APARTMENTS LOT: JURISDICTION: TIG PROJECT: TIMBERLINE APARTMENTS Project Description: New ducting for fan replacement. Project Value: $2,000 CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: ME UNIT HEATERS: VENT FANS: 3 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: CLO DRYERS: 1 FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Owner: FEES 3 TIMBERLINE APARTMENTS LLC Description Date Amount M BY WPL ASSOCIATES 1 `' 522 NW 23RD AVE [MECH] Permit Fee 9/18/200i $72.50 c), PORTLANO, OR 97210 [TAX] 8% State Surchar€ 9/18/200 $5.80 N [MECPLN] Plan Rev 9/18/200i $18.13 O Phone: 0 Total $96.43 U 1 Contractor: O KENNEDY RESTORATION r O 315 SE 7TH AVE PORTLAND, OR 97214 REQUIRED ITEMS AND REPORTS Contact #: PRI 503 234 - 0509 FAX 503- 234 -4479 Reg #: LIC 3402 • This permit is issued subject to the regulations contained in the Tigard Muniapal 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 OU NC by calling 503.246 6699 or 1.800.332.2344. Issu d By: ` . Permittee Sig / /' • / i Call 503.639.4175 by 7:00 a.m. for inspections t• . business may. 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.