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Permit • e CITY TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2005 -00825 ° � � I 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 DATE ISSUED: 12/15/2005 PARCEL: 2 S 104 D D -09400 SITE ADDRESS: 13515 SW 129TH AVE ZONING: R -4.5 SUBDIVISION: MOUNTAIN HIGHLANDS NO. 3 LOT: 052 JURISDICTION: TIG Project Description: Install 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: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES LINDA YORESEN Description Date Amount 13515 SW 129TH TIGARD, OR 97223 [MECH] Permit Fee 12/15/20C $72.50 [TAX] 8% State Surcha 12/15/20C $5.80 Total $78.30 Phone: 503- 579 -5053 Contractor: GENERATION ENTERPRISES 2208 NW BIRDSDALE AVE #14 GRESHAM, OR 97030 REQUIRED ITEMS AND REPORTS Contact #: PRI 503 -502 -6573 FAX 503- 661 -3776 Reg #: LIC 165607 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: , Call 503 - 639 -4175 by 7 :00 a.m. for inspections that business da 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 j Permit Ap [Bi I'OR ti nt' 1. I ,1. iii i.� • City of Tigard a.�Y M 1, `! V F }` , Date/ : /��' Permit N• • • ` 131 ,5. SW Hall Blvd., Tigard, OR 97223 G y , S / _ Gd .� ,. y Phoac: 503. 639.4171 Fax 503,598.1960 hM,;q.;ry,�,_: Review Lire Inspection Line: 503.639.4175 t_ .� �: See rage x �r Internet: www.ci.tigard.or.us DEC -- - Date Notified/Method. 4 Supplemental Information Tc,,,E 0 �)E "- 'ti_At C01MM1ti1EERCL4L FEE SCHEDULE = USE CRECKLIST , ❑ New construction — i p t Y t �v t ! t )f' Mechanical permit fees' are based on the value of the work �ldit to aJ t tto c�placeaacut • performed. Indicate the value (rounded to the nearest dollar) of all © Demolition El Other: mechanical materials, equipment, labor, overhead, and profit .... ' . " :CATEGORY OF CONSTRUCTION RESIDENTIAL �� ` * �+ V�al�ue! $ �•,�, / �� S y 7 � ( � � . RESIDENTIAL EQVl[R A�JUiN SYT1 NtS FEES*.•. . /1J 1- and 2- family dwelling 0 Commercial/industrial ❑ Accessory building ❑ Multi family ❑Master builder Other: Description special i�arnurrion use checklist. Description 1 Oty. I ha. Total . JOB. SITE INFORMATION AND :LOCATION Heating/cooling Job she address: 13� l 5 c I Air "conditioning pin showing or beat pump �L � l (requires site plan showing placement) i 14.00 City/State/ZIP: Furnace 100 000 BTU (ducts/vents 14.00 �' TI rarrl � � a'�3 Furnace 100,000+ BTU I (d 17.90 Suite/bldg. /apt no.: V v , Project name: l tb C(-t hi b t pu 14.00 Cross street/directions to job site: Duct work 14.00 11 lc hot water s ' Residential boiler (radiator or bydronic) 14.00 .. Unit heaters (fuel -type, not electric), in -wail, induct, suspemdcd, etc. 10.00 Subdivision: Lot no.: Flue/vent far any of above 10,00 Other: 10.00 Tax map /parcel no.: Ot f ae! appliances f11;SCTION OF WORK Water heater 10.00 Gas fireplace 10.00 it ak Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplacefinsert 10.00 , 1 Chimney/liner /flue/vent 10.00 �j ekOPEIO - X .(3.*I' 1 • • 0 TENANT • Other 10.00 Name; �� _I R rjI ( ) ' e _ Environmental exhaust and ventilation Address: t 3 *i 1 t W 1D-9 Range hind /other kitchen equipment 10.00 cityrsmte ZJT; ► �'3 Clothes dryer exhaust 10.00 -- . 50 53 Single - duct exhaust (bathrooms, Phone: ( ) ) i 5 3 Fax: ( ) toilet cormpaztmcuts, utility rooms) \. 6.80 . 0'AP]PErJC,e):N'I ;'. ❑ CONTACT PERSON Attic/crawtspaoe fans 10.00 - Rosiness name: Other: - 10,00 . Feel piping Contact name: $5.40 for first four; $1.00 for each additional Address: Furnace, etc. Gas heat pump City /Stare/ZIP: Walt/suspended/unit heater Phone: ( ) I Fax: : ( ) Water heater E-mail: Range . ' CONTRACTOR • ' . Barbecue Buszrie ame ss n: E p . ki S . Clothes dryer (gas) _ 1 Other: Address: •-..1...... ■ R ♦(, is r a' a _ \ I4'1EECRANICAA>J.'PERMIT 5* ' . City /State/ZIP: • I' S i 'We.--, r 0 ` Subtotal • Phone: (' i ) a _ t p ax: !) iv. 4.1- -7(4, Minlmuna�erturit fee ($72.50) Plan review (25%ofpermit fee) CCB lie.: / 65 C, b State surcharge (8% of permit fee) / / 1 A L MIT Authorized signature: j �. porno ap:vocation I0,e, if a pe>rndt PER 1; oat obtained within on r , -- j / _ f ' l q days alter it has been accepted as complete, i T , K ,((YI C}- I R Th.... ,4n1,- w, .... as, T.: -1 CU44.4inn 1..hwrw.. Cw,..:..r tte.a -,1 CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2005.00$25 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/15/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ��' _�:_. INSPECTION WORKSHEET FOR DATE: 12./16/2005 TIME: 1:06AM PAGE: 82 SITE ADDRESS: 13515 SW 129TH AVE CLASS OF WORK: SUBDIVISION: MOUNTAIN HIGHLANDS NO. 3 LOT #: 0 - TYPE OF USE: PROJECT NAME: VORESEN DESCRIPTION: Install A/C unit. OWNER: YORESEN, LINDA PHONE #: 503 - 575-5053 CONTRACTOR: GENERATION ENTERPRISES PHONE #: 503 - 502 - 6573 Inspection Request Scheduled For: Date: 12/16/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 023585.01 503 - 579-5053 ' Y A M C. a-LL Ft Q-57- ( F eo55 Corrections /Comments/ Instructions: 9 gh- OAC14-€ C of_ . ... 7/,77 0 4 0001 0)( -7 l,6 . , .0,t/ - ci d, k c)tkis . e t 4 f A O IP I I PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS •Ig FA n CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED Inspector: Date: 405 Phone #: (503) 718 -