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Permit CITY TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2004 -00731 - I I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/9/2004 PARCEL: 2S1 12 CA -04800 SITE ADDRESS: 07934 SW ASHFORD ST SUBDIVISION: ASHFORD OAKS ZONING: R -7 BLOCK: LOT: 002 JURISDICTION: TIG 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: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Replace furnace Owner: FEES JAMES PHILIPSON Description Date Amount 7934 SW ASHFORD ST [MECH] Permit Fee 11/9/200 $72.50 TIGARD, OR 97224 [TAX] 8% State Surcharl 11/9/200 $5.80 Phone: 503 639 - 5801 Total $78.30 Contractor: CLIMATE CONTROL INC 16500 SW 72ND AVE PORTLAND, OR 97224 REQUIRED INSPECTIONS Phone: 503 Heating Unt Insp Final Inspection Reg #: LIC 62196 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 • a • e OAR 952 - 001 -0100. You may obtain copies of these rules or direct question0o OUNC by calling (503)246 -.:99. Issued B • /1 / �. %�i� Permittee Signatuiy i' % i — f t - Call (503) 639 -4175 by 7:00 P.M. for inspections needed the n-x business day 1V�.cchatkicak Permit Application,� FOR OFP1( USE ONLY eiT Ott relf l ,..,..,,,,-- ,- ,,.- ,•r._ 1 n �ri\'Ia �l =--.2.. «,,.,,.. '''..._:.... -- - ..- ,:.Re+ce:;- I: - -- ..:, „_ . .r,- - •.-- I� �/ � DatelB 1 / A r.: ; .: � '_ / r Permit N o.: ■ _ " �° eV 13125 SW Hall Blvd., Tigard, OR 972Z3 Pfau Review Phone: 503.639.4171 Fax: 503.598.1960 (aa4 ;r DateB Other Permit: Inspection Line : 503.639.43 75 NOV l: • ab ■ 4 ' ' I ' i Date Ready/By: Juth: 17 See Page 2 for Internet: www.c i,tigard.or.us )J <, " - --. Y o± I ` ^, • I Notified/Method: 4/ 1 1 Supplemental information r•►TV OF TIGARD - . v S; ..- >,^L}. ".:....yrAMU. r»- >..�.. �. _. ' ":41411V";.;.:;"-r.; v - - ..t.. ._._...... �L_k"'-:rL- : @. _i�.�J:... . ',liir'i• t'- •5it.- _ - :r:.y'F ...»...a... _. .,e___�.. r ._•._ at .3..G . 8t, .= =,,-:=.:.. .� %'-_ - s.1: =:ci.. t..;J : s _ _ :'_i , ; • . i ^ ;r -- --...s4,.: =:,,,- :..__._..,., ,. ti_:�: -fie _�__�..�x�xr.�._��_�• :- -,.��•x xs;�-= - -:��_ __ `f)(i `._k' 8 =�Ii:;..... t`y,�.•y���n,,. ��2I;.I'a;T ._.....+, .._ ... N.;#.: Y.°'.__».. �.,..........^..... 2i=-= ._n.- .�o� >.. : ._. 2 ..� '^�_.•: ..rt rt y ��3^'� 3 » }g. }1 { � , - •:- :^ `4e::��a.' � Mechanical ernrit fees* are based on the value of the work ❑ New construction :�,r• ddition/alteration/replacement p • performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. -- - „.1- -- - _I<w ;z "�'i;;i� ..1: :�>;- �,•..: _: . • Value: $ "-- °.,Y i :-rr,_.�:: z %is4.. _ ..t;:==!sv: �a * _: !,S'0AiS'r•.- . te r.. _- - :' _ - t i,Vr. _,.s ..- . ._.._.._ . -. .._._. ...._._._: .....- .� �.... ��p 'r � ,C7,Jy - - a ... _ ,. « .... .. • . # w' :.ffigI irJ+ h• :Ee:t5; I - and dwelling Commercial/industrial r '-� r = -- =- _= »'= �= , _�'= *: -- -:a + -,.. . xz z•; �. ___,. �::,.. <;__�.;, y g Accessory building For special information use checklist. ❑ Multi- family ❑ Ivtaster builder ❑ Other: - �.�...:. ;�= »:cw:- °- .` - - - :.,, - _.�,. -_ Ea Total __ - a _ • Description Qty. . c •r `=r Sii •M ' 1 ' . S.T - = I,I _ '' wk ._: Z z l k ,P"j' ,......�;,,.:., c-- �_._ •.,. '_ _ __.. :���:::. - - _ .. �: ",_ _ eanc HtigJ Q , ` e , 1„.,.X.::, Air conditioning or heat pump Job site address: -7c( 3 �f w v�- (requires ste plan showing placement) 14.00 City /State /ZIP: zar q• - Furnace 100,000 BTU (d ) j 14.00 I Li / f � � / Furnace 100,000+ BTU (duets/vents) ' (duets/vents) 17.90 Suite/bldg. /apt. no.: Pr 1 Project name: 1(1 '-/ 9 9 Gas heat pump • 14.00 Cross street/directions to job site: Duct work • ' 14.00 / r C---- 7 Hydronic hot water system 14.00 CC�J 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 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances ' ,.:__ - Ian•. ,r,<.' �, - �:,-.= ; .; Water h ti :F_::�.;��`Lc =- ater eater :tY .s - � : 1- i * : _` 1- l �. ^r ._.. V. :ia 10.00 ,. __...�.; i=:tii�= -- "���: ,.,:. .( - .......��_� ::.� ��vr� �•`�s' °'F> .M '"iw rs�• =. 1 =:�;, _ ,. ._s" . : =. .a ,..:. .r .e .. _: _-- - ....�s;r.�''t..;. .. „ r ..,� 3.:.,3G.".:. .Ea. .. � �, r ',, TZT Gas fireplace 10.00 1 Q C_,•2____ • (kr C am- 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 • _J� ,i., :.,..,,. :: ; <;,. Chimne )li ner /flue /vent I 00 itiQY.- RT -;:a �::�M: .lsi Y 0. t.., '- , . -3t.. .:N to ..., . :'' rc? ii , ••.�;< ^.:ae.�T:..- �•:. ^:cr..., _4 ., .. ^.,..., a::r. - * -: �::..,.r. •. -. .. ,. e. 6 r.•... _.. .art • ... ". " • - _• .. v., - :...'.:_-i:t•.::'?•v.. _. `- °- - -'• Other; I0.00 Name: �GINv Qi`5 Vl t l c) ' V1 Environmental exhaust and ventilation Address: 7a� ? j� co , a t Range hood/other kitchen ` �C' S� _ equipment 10.00 City/State/ZIP: l ' f 9 -D..2,44 Clothes dryer exhaust 10.00 ,�` Cl Single -duct exhaust (bathrooms, Phone: 5b 3) (a 9 _ ,0 ( Fax: ( ) _ toilet compartments, utility rooms) 6.80 • i Attic/crawlspace ..t..T �ls ce fans 4 0 )�,• , T Ma•. - 10.0 .,. ...,:.. ... :.... '.- ....ter .: �.- :...r.- _ : �•��...x.�.:. ^:':::. ii Other: . 10.00 Business name: C 11 1fyt w . C Cah - ' J ` Fuel r in p�p 1a • Contact name: �. i f2-... }„ �w� $5.40 for first four; $1.00 for each additional Address: t t s p© 6 v f Vi A �/ e- • Furnace, etc. Gas heat pump City/State/ZIP: ® 1....i_t . tu f / 6 9 7 (,,� • Wall/suspended/unit heater Phone: (5? 3) Lf 53 _L-i g,�,� Fax: : (5a3 ) `l e.,os _7 - Water heater . ' Fireplace E -mail: • Range ' • ___. . _..�.._ .... ........ .... .... �,."'::.- -:• .: fit.. :(] - _ __ - ;:r -:• ;t-: .~i.. C(��. R'' - �i~;� -- - - :��i,1:= ����- - Barbecue Business name: •__�_�_ Clothes dryer (gas) LAN A 1. -I y1 vt��t Ca Address: 1 14 SDO StIJ [ /e___ :; Other: tx'; "- 1Kt diiii4`CG Ei ,U1J 1 ir-f ;,4- City/State /ZIP: ' Q,VL f ' 0 �� �.� • _ ;_ . .x Subtotal :,. . i Minimum permit fee ($72.50) 7A • Sd Phone: (� 1. 3 - y$ ,, Fax: ( 503) �5 - 7 Plan review (25% permit of pe fee) CCB lie.: 'a 1 9 6, l State surcharge (8% of permit fee) 5, .to TOTAL PERMIT FEE 7-g , 30 Authorized Signature This permit application expires if a permit is not Obtained within 180 days after it has been accepted as complete. Print name: (4cL ,� 1,---k ± 1 ^ ' i Dat ` i c (11/1 * Fee methodology set by Tri- County Building Industry Service Board i;\ Building \Perrnits\MEGPermiiApp.doc 12/03 " ` 440-461 461 (11/ /CI:MNIBB) T ' el - .1722aLB96EO9 3141 10?I11403 31EW I10 WIJEO : D T t'ooa SO AOW • CITY OF TIGARD 24 -Hour BUILDING Inspection Ine: (503) 639 -4175 MST INSPECTION DIVISION Business - Line: (503) 639 -4171 BUP I. V /� I l Sr Received �- Date que ted AM PM BUP Location 0 9 3 ( t 5 7ite MEC ,9e19 Contact Person Ph ( -S= PLM Contractor Ph ( ) SWR BUILDING ELC — Footing ELC Foundation Ftg Drain Access: �/� (-�- �7 q +i - ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear l/A� � �� !/J Framing ► , �+ ' v d'�` - / / Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING r� , ' ° Post & Beam Under Slab • Rough -In Water Service _ Sanitary Sewer = • Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL Po eam C Rough -In • Gas Line S •ke Dampers •AS PART FAIL EL CTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE,- Please call for reinspection RE: l Unable to inspect — no access Fire Supply Line / I ADA 496 Approach /Sidewalk Date I /�� Inspector Ara Ext Other: Final DO NOT REMOVE this inspection record fr e Job site. PASS PART FAIL