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Permit { � f L 11 t4 CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00379 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/22/2007 PARCEL: 2S 109AA -02100 SITE ADDRESS: 14472 SW 130TH AVE ZONING: R -7 SUBDIVISION: WOODFORD ESTATES LOT: 009 JURISDICTION: TIG PROJECT: SCOTT Project Description: Replace furnace and install new 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: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: GAS OUTLETS: > 10000 cfm: Owner: FEES REGGIE SCOTT Description Date Amount 14472 SW 130TH AVE TIGARD, OR 97224 [MECH] Permit Fee 6/22/2007 $72.50 [TAX] 8% State Surcha 6/22/2007 $5.80 Total $78.30 Phone: 503- 214 -2072 Contractor: TRI COUNTY TEMP CONTROL 13150 S. CLACKAMAS RIVER DR OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS Contact #: PRI 503 -557 -2220 FAX 503 -557 -0919 Reg #: LIC 72623 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. i Issued By. W/%1/7Q Permittee Signature i/ I % , • Cal 503.639.417' 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. JUN- 21 -20Q7 02:33P FROM: TO:5035981960 P.1 AIecIianical Permit Appl _ :tl e� FOR OFFICE USE ONLY City of Tigard ' -- -.Q V • R eceived p Date/By: w & I� • • 13125 SW Hall Blvd., Tigard, OR. 97223 JUN 2 1 20 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 B m�G.4, t , u ' r , Other Permit: Inspection Line: 503.639.4175 . ■ 1 P ' l t Datea3 . y A ,- '.!.C. Date Read /B H See Page 2 for Internet: www.ci.tigard.or.us BUILDING DIVISION TIDI V ''.pIS� Syr _::�I ©1 V , Notified/Methnd Supplemental Information <:�; . - '��I;sy'� '. le.? 1 ; ° - '.t.`Jr ' T3''&1: . .k:. Y: �-� .,'r} " i .;q . ': bler ' �� i . . �.i, - • - .: 'i - i �'1 _ c;; ':;'~ '(` «.:t i .. .. t' ?s - _ '�'P .; � ;Y:� " -I .- .- ,';,, � 1 : I lAt . 1. , ' ',;. • „ ,... A,.� „ - rte. i. il• _ S CHE1lT1I�E - T1SErCHECiCLIST' G, t�'• M �te�, l;`. �a: %>hC. , r .,'�fik, , , , ,:.in.�'.� , - ' ...QB.., ,,�'t'�'T� ,.. � �.- v _ _. ,.,,,_�� ,. ❑ New construction Addition /alteration/replacement Mechanical permit fees* are based on the value of the work performed Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. 'TT iC` ;;„1' 1 6 : .*-1.1; `t !.,m:71;i�:',4N - : . l . r . t :,'q ^ veil d s ;, „ - : }.`.,, -:. Value' $ . :,,.,, f %; ,tt , r . dill I ..: a.. .,Q 1 E'O :4 0 .' ,? '- , .'-,...:.t-Ii fi; , . ,, . ' , . , , ' - • 11p$�......r. :, fi7c,.. Li +;: 4 .. 1:41. ,L;Gti)., r ?'r�_6 �r..:ti ,.r.� .r -,.,. .,. ' ;' .�� ".,...�, T �..m� � ,., .. and 2 dwelling :' ; - S 1).c.iyTIA : is .UIPMENT / SYSTEMS FEES* 1 y g ❑ Commercial /industrial ❑ A ccessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. I Ea. I Total :+tl, :r:' _ r 2 GI,r. 1 : !.i>8.7:u. 1 :w }; . . ' �.u�x.� ,'! f ,. „�' 1, di ,: i:" i61.:1SIt� O I QC' � �. • -Iw i v t ,1 Heatin cooti Job site address: F ; y Air conditioning or heat pump I� 4 ..100w0 re uires site plan showing placement) 14.00 City/State /ZIP: `Tj /� ` , r VA Furnace 100,000 BTU (ducts /vents) I' 14.00 ` , U Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: J Project name: • 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 hydronic) 14.00 , Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Subdivision: `Tot no.: Flue/vent for any of above 10.00 . Other: 10.00 Tax map /parcel no.: Other fuel appliances ;1:VI t: -r • )•a u,art�F 1 rr, �, n ya y..lw,;;,.T '' Water heater 10.00 , fl g '' ti QQ/f`' :.A... 14 #1 0 • !it,.'r��� +'1 ^,.-ArM'`�ie . lA' !' i;;9'1'i ;�:• , G+ Jt „r:'s?;:.,'i�'Fui.:.l� +...,N:�; 1r.:r.a','Y:ti,r�ll. ,k ,w:t f �i'.. Gas fireplace 10 .00 Flue vent for water heater or gas Waco I w r on e mac Lreplace 10.00 (�f� + Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace/insert 10.00 d r I i wii mg-Mg ,,yl . _ • k,. �n Chimney /liner /flue /vent 10.00 'A inie ; °` i t i 01M1 1.!M•41{::' r- t W Other 10.00 Name: ° ./ ° 1e COtt Environmental exhaust and ventilation r4 , • Range hood /other kitchen Address: equipment 10.00 City/State/ZIP: Clothes dryer exhaust 10.00 ' Single -duct exhaust (bathrooms, Phone: (506)2.14-707Z. "F^V Fax: ( ) toilet compartments, utility rooms) 6.80 ;14 . , _ ; ` "p '•r' • fi ' = :!;'r ii'vti:7 i - : • 'a+4% ''t;: Attic /crawlspace fans 10.00 i +i t ;',.. .:.> i �' ':•: .:„ 0- 110f 5:,,x L': h :',4i t f, .'�,�. ra q p ' 12 ( 11q:, ', t of:'-1 +t : t i'a$1 . ; >$ J .: :, Other: 10.00 Business name: In CCtrt / Tcrnp (OMIT l�'�j �' 1 1 Fill n Contact name: ry (( /' / 1 r� � Iy $5.40 for first four; $1.00 for each additional ( Address: I!)C) 0 0 lal..kl•� 1 ld� l (�v � t r cb t V`�l Gas heat pump . City/State/2113: 1\1 ( _ 0L Wall /suspended /unit heater Phone: (t 0e5) C . ' 7- -i) 20 1 I Fax:: ( 1 5s 7-X.11 C/ Water heater Fireplace E -mail: SS ,tt I d 1� Range .14.1 j. { k:�y „., „is,• '' 4CF ICT 1.udi` :. ffi, `Y:0 )!If +.4 ' ly. nr�r.k �`. l r '+ 4 ,i- ,. ..4114, X11' Il+ietj { o- Ri2•' 1 .' B , _ arbecue _ e 'ii .. 1 ;; 7 ,; lf`ar r'd null ' .' r,,- - '�Cyf� t,.: •�",n ; -- y . y ' � , I I Y ss��� 1, t ,� fiLr� .k tp ;. l9 1 � xlf t.r:C , � ^ , r:, j�, Y.?'(�'. +. �. ylt :L �t�� rA ! A 1 h % 1 'I� ;ii tnl+t/.7, i.� Business name: T ��i C(c r re�' CO �'�°;i Clothes dryer (gas) 1 Other: 1 1(i r� ' Cic Kl.l.01C13 P (t;/ ,� ; r. t ' : .„ 1,:. v. s . Address: ( } l l = i'_F]CkkiUYI `I' : I2iyII`f +Y City/State /ZIP: ill'C ( 1 ( , i . t . c f � Subtotal r - ) 55 r - 1� F ax: t 4.J 5..( ^.(7 -mill Minimum permit fee rrnit fee) Phone: (. (� Plan review (25 /o of permit fee CCB lic.: -72412S State surcharge (8% of permit fee) r //� y �o TOTAL PERMIT FEE [ •" ( v 5 Z2 7 ' t ' J £ U -_... This permit application expires Ira permit h not obtained within 180 Authorized signature: ( (0 days after it has been accepted as complete. Print name: D� an' Z( Alta t l i) Date: 0 • Fee methodology set by Tri -County Building Industry Service Board JUN-21-2007 02:34P FROM: 70:5035981960 P.2 Wricc /cvur vi, w rnn 121002/002 • INSTALLATION ADDRESS: a ' L �' /W 72_ ./-v /30.1:3 4 75-7_01 /722-7 PROPERTY LINE Fri V I Dt1 '(I Go FRONT 1 • rr: PROPERTY LINE ��' = OUTSIDE UNIT c- CITY OF TIGARD • • . BUILDING DIVISION A _ PERMIT #: MEc2007.00379 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: U22.1.,M07 Phone: (503) 639-4171 .40,40 Inspection Requests (24 Hrs.): (503) ,639-4175 AA AIL INSPECTION WORKSHEET FOR DATE: 10/31/2007 TIME: 7:00AM PAGE: 84 SITE ADDRESS: 14472 SW 130 AVE CLASS OF WORK: ,1 SUBDIVISION: WOODFORD ESTATES LOT #: 009 TYPE OF USE: PROJECT NAME: sum DESCRIPTION: Replace furnace and install new a/c unit. OWNER: SCOTT, REGGIE PHONE #: 503-214-2072 CONTRACTOR: TRI COUNTY TEMP CONTROL PHONE #: 503-557-2220 Inspection Request Scheduled For: Date: 10/31/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final ,. 058703-01 503.657-2220 Y Corrections/Comments/Instructions: C. C / A 1 if a xu A Ms 1 ....\ . _I/ A , i ar. ..., . ■ All A.--;A.. ) . # - i .1■-■ i i - • ' v ■ r ' f - • ap 4 t< PASS 1 1 PARTIAL APPROVAL fl CANCEL I I NO ACCESS 0 FAIL 0 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: L. , r - _ Date: M( / ( qhone #: (503) 718-