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Permit 1 14 N CI TY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00200 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/12/2007 PARCEL: 1S134CB-16300 SITE ADDRESS: 12435 SW ANTON DR ZONING: R -7 SUBDIVISION: ANTON PARK NO. 2 LOT: 090 JURISDICTION: TIG PROJECT: THIEL Project Description: Replace furnace, Add AC. 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: NAT 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: OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Owner: FEES THIEL, MICHAEL S + SHIRLEY A Description Date Amount 12435 SW ANTON DR TIGARD, OR 97223 [MECH] Permit Fee 4/12/200 $72.50 [TAX] 8% State Surcha 4/12/200i $5.80 Phone: 50 3 - 37 �• '9' 5 Total $78.30 5 8 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. Issued By: C/ 4 jL d Permittee Signature: Call 503.639.4175 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. APR -11 - 2007 11:21A FROM: TO: 5035981960 P.1 I`f Mechanical Per A plication - FOEt OFFICE USE Diva. City of Tigard CE' Reeei °e 13125 SW Hall Tigard, OR ® Da ceive y a �/ t >t Permit b1 ^,� ` / l , Plan Ravi ' Phone: 503.639.4171 Fax: 503.5986 t ,N.e•„ , . , Other Permit: Inspection Line: 503.639.4175 1 N 1 1 1 2007 ?t :4 11 Date/By: y * �, Date Ready/By: ® See Page 2 for Internet: www.ci.tigard.or.us CITY ®F TIGARD Notified/Method: ME Supplemental Information '�• f r , S }.:.. Y= 'yaGdl tI ( . '1� ,, w 1 1 • vry ti'Q x :i i l±W�{ �. • s n..r . _ f r - .• . . � . p�y��y . y � y,w �. ��,y� >r 2n tri ltA ..",, 4 : . , .. } 'i'ia4..k,.i, 1'h I0Y, R ;J 9011/4SCfgrAAT WAVI7sErC>IEGFCLIST . ❑ New construction 14 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. 1:4 � ) IV .� L •. Y. $. ,� _ .` y , 'R 7C '',n. : 4: � i(.i 1 ... �:t .. " "r S . 1'rn, ill':' :' .r 2 ` = (�'1r1,0 8 1 Oi S 7 IRV6TI O1 k 4il!' •;. '''' 1:4: -e s Value. fyQ b=. r � : Si!V �. ,►Tt. .y Ki:..i.:µ r. ,hl4f• u� ,H �ti r ` �,,�: .� ., , - 4" ,f-, 1- and 2- family dwelling ❑ Commercialiindustrial ❑ Accessory building i S D : i : )�'Q : 1IPMEW1I /'$SJSTEMS_FEES Y For spec i nformat i on use checklist. ❑ Multi -family y ❑ Master builder ❑ O ther: 1 �, P'�a .s,N �� � Description 1 Qty. I Ea. Total i .# :� 1 ;4• p f�t�. 7 7.14: RYfI't�TI6;43, Nli*.i CATIOL ' �}{y . Y i. - ' ., -11,`- .: t ' Henting/cooling rl j�. 3F \ p t � Air conditioning or heat pump Job site address: 1 L"F.: 5 e V y (requites site plan showing placemcnq I 14.00 City/ State/ZIP: -ftgW d ` ! Furnace 100,000 BTU (ducts/vents) 1 14.00 Suite/bldg./apt. no.: Project name: • Furnace 100,000+ BTU ( ducts/vents) 17.90 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 Flue/vent for any of above t 10.00 Subdivision: J Lot no.: Other: 10.00 : Tax map /parcel no.: Other fuel appliances , �" , ;. , ,„ :, ., .nsr y . 'rs,x` .•4 10.00 Nt , ; ,.., :ja` �" `Yrr/���-�x4— 'ITON'0 7*§.. ;' :.4 5 :,._ p Water heater ,.'hM}°1t- 7�M"�'�x�` :- _ _ {�.. r� •A LF � °d�glT.r'". •�,�'!k`'1^!G* '. . y':�r�;:, �. T � 1 :�� �, ��,,��yy y�� � 1 Gas fi replace 10.00 • lJlc . � i t s l� t ` -�� 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 • ..L. - !9 ' "b ' ER 1rQ, ::;� -. i.., a,,. t , ,.® p • •At: s'�. , , y ,�� " Chimney /liner /flue /vent 10.00 s s ''_4.` m E 4 .:t t ''s ,'; ..... a .x 1r ;. - ,,,t.:44 ,1s',. Other: 10.00 ti Name: T 1 TM Till - Environmental exhaust and ventilation Address: Range hood/other kitchen equipment 10.00 City/ State/ZIP: Clothes dryer exhaust . 10.00 Single -duct exhaust (bathrooms, Phone: ( ') Fax: ( ) toilet compartments, utility rooms) 6.80 x," �: ' " '° '" 3 "''� • � Attic /crawlspace fans 10.00 , 4, , ,,,.o:v. • ... r4 ,4... . , , ∎,.i t � . . .' tl .' ;et kl#•. a" r .. Business name: In Te (01 6 I I Euel i 0 1 Other: 10.00 G� piping Contact name: ay o� 55.40 for first four; 51.00 for each additional Address: V3 G .�O 5 C nC . � v ) Furnace, etc. l Gas heat purnp City /State/ZIP: OrOr] 0 ©R_ 6 � 7 5 - WalVsuspended /unit heater Phone: (t 5b7 " 9/91-1 l Fax:: � �/ 3 ) 55 iq Water heater Fireplace _ E -mail: Range ^ ' ,r it� ..� s„v,i4 ��,�r°t u 4 l' u t: wwiu g.t 1 ; r. j�,6 . . Barbecue Business name: Tri co Temp CC t Clothes dryer (Ras) F I /� Terry y � �1 / ��r �� -� 1 Other: _ Address: l 1 1 i;JIJ G • ,(�.l I t la J V Lf ,i )1 i ! i ,rte >lf ' „ , City/ State/ZIP: Ors ( C ©R_ a� rJY ��('/J� Subtotal Phone: (S) 5s2 f Fax: 001 651 (q Minimum permit fee ($72.50) Plan review (25% of permit fee) CCB lic.: 7 2.S State surcharge (8% of permit fee), ri l / ,J,',,.,/� TOTAL PERMIT FEE ) o „ / t 1, - bt This permit application expires it a permit is not oalted within um Authorized signature: + -+��'/ ' 1 days after It has been accepted as complete. Print name: .ba,Q ,Ulj.304 Date: 41 1 1 (01 1 • Fee methodology set by Tri -County Building Industry Service Board +•1al, lid ;naw.rrerittt,m ,,t,,,, r.ae.s 17/03 440.4 1 6 17Tt11/0LCOM/wa81 . v • . 4 r TN CONTRACTOR NC-HEAT PUMP —= UNIT SITE PLAN • • = Tri4L' (Zakuty Qir +k) n • • nU ce} TO BACK PROPERTY LINE , D 11 aY XI D . 3 r feel' . • • q TO SIDE PROPERTY LINE . 8 . • 0- • cte� oF � c o�- proper-! Lire . <,. TO STREET to m W w ' - I . • . . . . ,_ . - I CUSTOMER INFORMATION NAME c444E L xt St CALKy -fl ER.. L ADDRESS - /Z105- SW bra ry "TtGA -4/) C` <7Z 2 -S PLEASE REFAX APPLICATION WITH SITE PLAN. ru „ f CITY OF TI ARD 4-- j. #(.4,-,91- #(.4,-,91- r ..r..4-"P BUILDING DIVISION PERMIT #: MEC2007 -00200 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 4/12/2007 Phone: (503) 639 -4171 :4111111, Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/27/2007 TIME: 7:00AM PAGE: 61 SITE ADDRESS: 12436 SW ANTON DR CLASS OF WORK: SUBDIVISION: ANTON PARK NO. 2 LOT #: 090 TYPE OF USE: PROJECT NAME: THIEL DESCRIPTION: Replace furnace, Add AC. OWNER: THIEL, MICHAEL S + SHIRLEY A, PHONE #: 503.372 -5895 CONTRACTOR: TRI COUNTY TEMP CONTROL PHONE #: 503.557 -2220 I Inspection Request Scheduled For: Date: 4/27/2007 Pour Time: Code # Inspection Description Confirm # Contact # M- s.. 699 Mechanical final 047256 -01 503.557 -2220 ` Y Corrections /Comments/ Instructions: 6 00■0 . , . . , . . . . j — . . . — 4_, ,.._ .. X PASS n PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS I 1 FAIL ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 1 /` 2'7 v 7 Phone #: (503) 718 -