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Permit C I ? [y 0 F TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00177 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/8/2008 PARCEL: 1 S134DB -11700 SITE ADDRESS: 11039 SW BRENDEN LN ZONING: R -4.5 SUBDIVISION: DAKOTA GLEN LOT: 019 JURISDICTION: TIG PROJECT: MCFADDEN Project Description: Installing heat pump. 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: 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: WOODDRYERS: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES BILL MCFADDEN Description Date Amount 11039 SW BRENDEN LN TIGARD, OR 97223 [MECH] Permit Fee 4/8/2008 $72.50 [TAX] 12% State Surch 4/8/2008 $8.70 Phone: 503- 639 -8212 Total $81.20 Contractor: OREGON HEATING & AC PO BOX 241 DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS Contact #: PRI 503 -538 -2953 FAX 503 -537 -2172 Reg #: LIC 172126 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 503.6 '.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. r ' Mechanical Permit A licati ECG d Mf FOR OFFICE- USE.ONLY . , . Eri City of Tigard k 7008 Recei Date /B ved 'PemitNo.: 13125 SW Hall Blvd., Tigard, OR 97223 l\N y` ! '�� .& 4 t ^(1(I CITY 1 ! p Plan Review Phone: 503.639.41 71 Fax: 503.598.1960 1 1 ® � � '' � � to /B Other Permit: TLGARD Inspection 503.639.4175 t t p�,n t,IFC��� d e Internet www.tigard- er.gov (��3L�.9`�� � " +"' f Dat Read }dBy_ axis' Ff See Page 2 for Neliled/Method: Supplemental lnformacioa TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees* are based on the value of the work ❑ New construction Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION • • Value: S • 1 -and 2 -famil dwellin RESIDENTIAL EQUIPMENT! SYSTEMS FEES` Y g ❑ Commercial /industrial ❑ Accessory building Multi -family For special /nformariort use checklist. Qty. ❑ M aster builder ❑ O ther: Description Ea. Total • . JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: r t/ , Air conditioning or heat pump (requ:re& site plan s.tawing placement) 1 14.00 L Ciry /Slate /ZIP: T .G l rR c' -772._z, Furnace 100,000 BTU (ducts/vents) 14.00 t ` f / Furnace 100,000+ BTU (duets/vents) 1 7.90 Suite/bldg. /apr.no.: Project name: /lc IA1Uw 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: Lot no : Flue/vent for any of above 10.00 Other: 10.00 Tax map/parcel no.: Other fuel appliances _ , , . DESCRIPTION OF WORK • Water heater j 10.00 .-1-IY '57711-1.-' /1i Gas fireplace 10.00 Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood/pellet stove i I0.00 Wood fireplace /insert 10.00 zB P(�OPERTY.OWNER Chimney/liner /flue. /vent 10.00 ❑ TENANT Other Name: 13/./( r () 10.00 f Environmental exhaust and ventilation Address: I V `' '� Range hood/other kitchen i r , A equipment 10.00 City /State /ZIP: w ` ' 2 '?, Clothes dryer exhaust ' 10.00 Phone ,( (� ;I _ Z� F ax 7 — Single- duct exltaust (bathrooms, _ _ toilet compartments, utility moms) 6.30 APPLICANT 0 CONTACT PERSON ... Attic /crawlspace fans 10.00 Business name: �% Other. 10 00 ��' t�� ���" ( Fuel piping . Contact name: p,,- !!ff C -Ar ; i /'�`u -1y7)` $5.40 far first four; $1.00 for each additional Address: V ' 4 e ) •�,4 1 Furnace, a etc. ( •l n 1 Gas heat pump City/Slate/ZIP- 7 W all/sus U��L� t!? Ci 1? �� — (i 1.6 pendedlunit heater • Phone: ( l S m /l'j F ax:: 1, heater f G�3 �3( 1 7a.--- Wa ter hea E -mail: g • -. ,, Fireplace A • 1 ' Range CNTRACTOR Barbecue • _Business name: -t � 4 Other s dryer (gas) • Address: Other: MECHANICAL PERNIIT FEES* City/State /ZIP: Subtotal Phone: ( ) F ax: ( ) Minimum permit fee (572.50) -72,...,.A"),— • Plan review (25% of pennit fee) CCBlie.: ` - 7Z -4 w State surcharge (12 %of permit fee) "u TOTAL PERMIT FEE �� Authorized sign atu �j r , • This permit a pplication ecpires if a permit is not obtained within 180 �� } „ -� , - -era days after it has been accepted as complete. J .t ,?� , i Date: 4/. 8 Print name: , .-- j? ° Fee melt :odotogy set by Tn- Counry Building Industry Service Board r'.DuildineVernias� \ C- -PcnnirA pp. Jon t 04///06 , .(U� 44 It /0? 0 -46177 ( COtrVW'E9) .•d ZL I- Z 4 98 Z0 80 80 add First Floor ® 120 cfm ® 120 cfm ® 120 cfm ®12.0 fm 2 30 � �I 959 cfm N/ First Floor ® 120 cfm ® cfm ® 120 cfm Garage App AppaV Plc OW,)er-- 0- 120 cfm Bre Nb En! LA NF Job #: Oregon Heating & Air Conditionin... Scale: 1 : 86 Performed for: Page 3 Bill Mc Fadden PO Box 397 / 992 Hwy 99W Right -Suite Residential 11039 SW Brenden Ln Dundee, OR 97115 6.0.106 RSR39325 Tigard, OR 97223 Phone: 503 - 538 -2953 Fax: 503-537-2172 2008- Apr -03 15:46:40 Phone: 503- 639 -8212 Tom ©oregcnheating.com Projectt.rrp E ZL LZ d9E :Z0 80 so .ldy CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2f10t 00177 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/8/2008 Phone: (503) 639 -4171 Ail. p 4 @� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/1 /2008 TIME: 7:00AM PAGE: 26 SITE ADDRESS: 11039 SW BRENDEN LN CLASS OF WORK: SUBDIVISION: DAKOTA GLEN LOT #: 019 TYPE OF USE: PROJECT NAME: MCFADDEN DESCRIPTION: Installing heat pump. OWNER: MCFADDEN, BILL PHONE #: 503- 639 -8212 CONTRACTOR: OREGON HEATING & AC PHONE #: 503 - 538 -2963 Inspection Request Scheduled For: Date: 5/1/2008 Pour Time: Code # Inspection Description Confirm # Contact # Me- - • 6C9 Mechanical final 069169-01 503-538-2953 A .yl. Corrections/Comments/Instructions: "r ∎eA-\ to V!rJ-c, eat 6 lecAl:Lal ie. r PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: ' 77- 5 , Date: // y O Phone #: (503) 718- C/42 -5