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Permit r CITY OF TI.GARI: Y h MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00650 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/7/2007 PARCEL: 2S109AD -02000 SITE ADDRESS: 14538 SW 130TH AVE ZONING: R -7 SUBDIVISION: WOODFORD ESTATES LOT: 012 JURISDICTION: TIG PROJECT: GRAY Project Description: Replace gas furnace, add zone system. CLASS OF WORK: ALT 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: DOMES. INCIN: NAT 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: 0 AIR HANDLING UNITS CLO DRYERS: OTHER UNITS: FURN > =100K BTU: 1 <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Owner: FEES GRAY, WILLIAM R AND REBECCA J Description Date Amount 14538 SW 130TH TIGARD, OR 97224 [MECH] Permit Fee 11/7/2007 $72.50 [TAX] 8% State Surcha 11/7/200i $5.80 Total $78.30 Phone: not available Contractor: PETRA HEATING 465 NE 181ST. AVE #472 PORTLAND, OR 97230 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 253 -3267 . FAX 503- 253 -3263 Reg #: LIC 170378 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: P ermittee Signaturex M Call 503.639.4175 b 7:00 a.m. for ins ections thaday. that business da Y p Y 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 Application r FOR OFFICE USE ONLY �) City of Tigard Received Date /By: a Permit No •• o r 50 - ° Phone: 503.639.4171 Fax: 503. 13125 SW Hall Blvd., Tigard, OR 972 A � ' ® ®��` � Plan Review Date/By: Permit: Other Pent: TIG ARD Inspection Line: 503.639.4175 Date Ready /By: turis: ® See Page 2 for Internet: www.tigard or.gov Notified /Method Supplemental Information NOV 0 " 2007 TYPE OF OF TIC COMMERCIAL FEE* SCHEDULE - USE CHECKLIST P ❑ New construction U Addition /�• Q � ;, i tr:l�Yi/1e10 N Mechanical permit fees* are based on the value of the work ��I performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. ' CATEGORY' ,OF CONSTRUCTION' Value: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES *' X I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total /415 3g JOB SITE INFORMATION AND LOCATION heating /cooling ,t� Air conditionin or heat pump Job site address: / `(g � (-5 A.4.)e_ (requires site plan showing placement) 14.00 City/State/ZIP: 1 ' a f� 402 ff 7 a(-t Furnace 100,000 BTU (ducts /vents) 14.00 y / Furnace 100,000+ BTU (ducts /vents) l 17.90 11 - 'to Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00 Cross street/directions to job site: Duct work s 14.00 11 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: Lot no.: Flue /vent for any of above ti 10.00 10.00 _ Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 Gas fireplace 10.00 i?Jr..ilk,r t D_ CI CAS- ( _� .._ A Flue vent for water heater or gas fireplace 10.00 Z-c ✓La_. oy s`1".e.✓A.'.. Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 Chimney/liner/flue/vent 10.00 11 PROPERTY OWNER ❑ TENANT Other: 10.00 `� Name: — A' l 8. ,' . „.' ""°� , � Environmental exhaust and ventilation Address: / Range hood /other kitchen 4l' 7 0 S (,�� /-4044-4- .22 equipment 10.00 City /State /ZIP: ,� Q Clothes dryer exhaust 10.00 y � / ` 7 T Stogie -duct exhaust (bathrooms, Phone: (563) Fax: ( ) toilet compartments, utility rooms) 6.80 - g. APPLICANT , a . , Cl 'CONTACT PERSON . Attic /crawlspace fans 10.00 Other: 10.00 Business name: Pek0,_ 1. E "� ` T TTTT C_ .�stC. Fuel piping - Contact name: H� p� S5.40 for first four; $1.00 for each additional Furnace, etc. Address: [/65 jog /$/ � V. i# y7 Gas heat pump City/State/ZIP: ?c, r 4,6„./LOL 2 9 7a 30 Wall /suspended /unit heater Phone: ( 3 6 ( Fax: : (SOS _DS3' 3...4,3 Water heater Fireplace E -mail: Range CONTRACTOR Barbecue Business name: Clothes dryer (gas) Other: Address: MECHANICAL PERMIT FEES* City /State /ZIP: Subtotal iii .10 Minimum permit fee ($72.50) 7.a. SO Phone: ( ) Fax: ( ) Plan review (25% of permit fee) CCB lic.: / 70 3 7 8 State surcharge (8% of permit fee) TOTAL PERMIT FEE 6 Si 3e signature: This permit application expires if a permit is not obtained within 180 Authorized si g ` days after it has been accepted as complete. Print name: 1/ „. , _ Date: / ©O * Fee methodology set by Tri- County Building Industry Service Board I:\ Building \Pernuts \MEC - Permit App doc 04/06/06 440.46177 (II /02 /COM/WEB) • CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2007.006550 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/712007 Phone: (503) 639-4171 639-4171 ep (l Inspection Requests (24 Hrs.): (503) 639 -4175 &W 1 INSPECTION WORKSHEET FOR DATE: 1'1/29/2007 TIME: 7 :00AM PAGE: 7'1 SITE ADDRESS: 14 538 SW 130TH AVE CLASS OF WORK: SUBDIVISION: WOODFORD ESTATES LOT #: 012 TYPE OF USE: PROJECT NAME: GRAY ti DESCRIPTION: Replace gas furnace, add zone system. OWNER: GRAY, WILLIAM R AND REBECCA J, PHONE #: not available CONTRACTOR: PETRA HEATING PHONE #: 503- 253 -3267 Inspection Request Scheduled For: Date: 11/29/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 !Mechanical final 060342 -01 503.598 -7530 N Corrections /Comments /Instructions: • yG .- /4y o 47 P ' e / 4 0 . ' d c & PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: • Date: // -o7 Phone #: (503) 718 - �- CITY OFTIGARD . BUILDING DIVISION PERMIT #: MEC2007- 00650 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1117/2007 Phone: (503) 639 -4171 /� � �Ipi i ° i Inspection Requests (24 Hrs.): (503) 639 -4175 g 4. INSPECTION WORKSHEET FOR DATE: 11/19/2007 TIME: 7 :01AM PAGE: 51 SITE ADDRESS: 14530 SW 130TH AVE CLASS OF WORK: SUBDIVISION: WOODFORD ESTATES LOT #: 012 TYPE OF USE: PROJECT NAME: GRAY l DESCRIPTION: Replace gas furnace, add zone system. OWNER: GRAY, WILLIAM R AND REBECCA ,I, PHONE #: not available CONTRACTOR: PETRA HEATING PHONE #: 503 -253 -3267 Inspection Request Scheduled For: Date: 11/19/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 609 Mechanical final 05971301 503 - 319.0630 V Co /Comments /Instructions: v ; -r 6g I 4 i &14ce- ge/c,1! ,41-x_ `S (� ;�i.) -7777 . f6�-1Z-\ • S �3 - iiSc) 7l c--SG u3 --- - c - ,,e- - '.ptz 4 f 0 6-6--// Gr.r- ,.1 -ioti L,4 Zz-- = 147o +.L ,4se' c,4 a r7- 7* .. . ,, ,,-- n PA PARTIAL APPROVAL ❑ CANCEL fl NO ACCESS .FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: A \ Date: `7 fV! —G7 Phone #: (503) 718- -ts}4j---'-