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Permit CITY TIGARD MECHANICAL PERMIT l- DEVELOPMENT SERVICES PERMIT #: MEC2005 - 00024 ''` I 'l l 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/18/2005 PARCEL: 2S1 10 DC -90082 SITE ADDRESS: 15695 SW 114TH CT 8 SUBDIVISION: FOUNTAINS AT SUMMERFIELD CONDO ZONING: R -25 BLOCK: LOT: 008 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: MF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: LPG 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: > 10000 cfm: GAS OUTLETS: 1 Remarks: Gas insert, outlet and gas line. Owner: FEES ROXY, BARBARA Description Date Amount 15695 SW 114TH CT #8 [MECH] Permit Fee 1/18/200`. $72.50 TIGARD, OR 97224 [TAX] 8% State Surcharl 1/18/200: $5.80 Phone: 503 443 - 6005 Total $78.30 Contractor: LUDEMAN'S FIREPLACE & PATIO 12675 SW BEAVERDAM RD BEAVERTON, OR 97005 -2129 REQUIRED INSPECTIONS Phone: 503-646-6409 Gas Line Insp Mechanical Insp Reg #: LIC 51469 Final Inspection 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. Issued By: ' ;.� ..<. Z ,7; Permittee Signature: KO1 _ Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day JAN.15.2005 5:25PM 0.136 .2/4 1V Permi 1' City of T E p - l _ (� y f Permit No,: l,/i� % „4..4.76_6490 a 4 1 3125 SW Hall Blvd., Tigard, OR 97223 Plan Review Other p ;t. Phone; 503.639.4171 Fax: 503.598,1960 DateiBy: InspcotionLine: 503.630.4175 ►JAN 18 2005 . _iJ_ 'IL Dear' /By' h�. 65 Set Pate z for Internet: wWw_ei.tigacd.otus _ Noti 7 /Gr Stipp/mental lnturmatioo CI r ,. "4: e I COMMERCIAL FEE* SCHEDULE - USE CHE • e ■ v. • le It , • Mechanical permit fees* are based on the value of the work ❑ New construction u A. dition/alteratiou/rep eaemem perforyned. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other mechan mate rials, a nipment labor, overhead, and profit. - - Value: S CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT /SYSTEMS FEES* t]'rand 2-faintly dwelling 0 Commercial/industrial J Accessory building For special iai formerton use checklist Q Multi - family ❑ Master builder ❑ Other: - Description _ I Qty 1 En. 1 Total — JOB SITE INFORMATION AND LOCATION Heatin(t/cooling Air conditioning or heat pump Job site address: 45'6,95 9.5 s 4J // S/ C f (reeuires stitpun showing pneemeao 14.00 City/State/ZIP: - / G Q ... r-e, 0n qua. Fumace100,000B7ULuoe/vmtss) 14,00 Pomace 100,000+ BTU (ductaNemsl _ 17.90 Suite /bldg, /a pt. no : name: D X 1 roj ne Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydnmic) 14.00 lJnit heaters (fuel -type, not electric), in -wall, in -duct supended, etc. 10.00 Flue/vent for any of above 10.00 Subdivision' Lot no „ Other; _ 10,00 Tax map/parccl no.: Other fuel ppliaaces DESCRIFTION OF WORK water heater 10,00 Gas fireplace 10.00 ,} Z1-9 / f _a 776 a e ., 71 4 .14 Floc vent for water heater or gas fireplace 10.00 /"4e) a az Log l�ter gas) 10.00 Wood/pellet store 10.00 • Wood fireplace/insert rj G. / 10.00 /0. 04 )!'ROPERTY OWNE TEN NT Chimney/liner/flue/vent / 10 :00 /a as Other. 10.00 Name: _` , ,. • - r . G Environmental exhaust and ventilation Address: /...ce 9..5 s u // V ' C'. Rarge other kitchen 10.00 City/State/ZIP; ry 77,6 , O/Z . 97avZ Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms. Phone: (5 o3) W3 -, C4 oaf' Fax: ( ) toilet compartments. utility rooms) 6.80 PP [ CANT © CONTACT PERSON Atti /crawispace lima - 10.00 ________§ Other - _ _ 10.00 Business name: ..e.„ 4c 4.74 h S - — Faelyipinp _ Contact name: o / _ 4 e jeer /t 55,40 for first four; $1.00 for each tldltionit Addrtrs � Furnace, etc, 9[� ea rl ; Gas heat pump City/StaterLIRZe det* v er /, I 02 9 79e2,5 walVsusponded/unit heater water heater Phone: (SO / CO f/ep 699a - Fax :: (503 G Ws) - 'Oa Water .h Email: . Range CONTRACTOR Barbecue _ Business name: s Cloth dryer (qus) A!H Other. Address: _ MECHANICAL PERMIT FEES' City/State/ZO?: _ - Subtotal '� ya I Minimum permit tee ($72.50) 7 A SO Phone: ( ) I Fax: ( ) Plan review (25% of permit flee) CCB lie.: _ i 962 / p - a 9J S t ate sut (8% of permit tbe) .s�Q r _ TOTAL PERMIT FEE 7 a...36 Authorized signature. This permit I t be aa� ed os ° complete. wltl'ia t9a days aBer Print na me: C �J� I slate: 0 / 7.. co s" 1 • methodology by Tri -County Building Industry Service Board CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested /— 2 F AM PM BUP Location / S ( /14f � '`" Suite F MEC 0C 5 -00 Contact Person G .r Ph ( ) 6 (iC - 6 46 9 PLM Contractor Ph ( SWR BUILDING Tenan & &e:K ELC Footing Li 3 - (duo Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear l f Framing Le i.�./6-2. Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers dire PART FAIL CTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next in action. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 0 Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA 2 p S''' Approach/Sidewalk Date I " Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL