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Permit II CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00194 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/18/2008 PARCEL: 2 S 102AB -00202 SITE ADDRESS: 09455 SW CENTER ST ZONING: R -4.5 SUBDIVISION: MARIELL LOT: 002 JURISDICTION: TIG PROJECT: NUTIAL Project Description: Install A/C and ductwork. A/C unit cannot be placed within the required setbacks. 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: 1 > 10000 cfm: GAS OUTLETS: Owner: FEES KAREN NUTIAL Description Date Amount 9455 SW CENTER TIGARD, OR 97223 [MECH] Permit Fee 4118/200€ $72.50 [TAX] 12% State Surch 4/18/200€ $8.70 Total $81.20 Phone: 503- 332 -6969 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. i Issued By: � / - -- Permittee Signature: . ��/°L %e e51-j /p"I 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. C .... 1\ APR - 18 2008 09 :22A FROM: T0: 5035981960 P.1 M echanic al Per �� > � .�► FO OFFICE USE ON L1 • Ip V City Of Tigard APR 1 1 2008 Received � — /`�FC�goo� -Op • 13125 SW Hall Blvd., Tigard, OR 9722� , Date/By: 97,?' a, 6' 11 :ermit No . d Other Permit I I III Plan Review Phone: 503.639.4171 Fax: 503 1 ;b, Date/B rrr, A R n . Inspection Line: 503.639.4175 /� A� 4 ' r � - �= !� D Rea dy/13y Nei f !0 See Page 2 for Internet: www.tigard- or,gov ' t 1.6 , t K @ . Notified/Method T7 . Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST 0 New construction I< 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 CATEGORY OF CONSTRUCTION Value: $ 1- and 2- family dwelling El Commercial /industrial ❑ Accessory building RESIDENTIAL EQUIPMENT /SYSTEMS FEES* ❑ For special information use checklist. Multi fam ily ❑ Master builder Other: i Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION HeatinWcooling Job site address: q. VV center Air conditioning or heat pump (requires site plan showing placement) 1 14 00 City /State /ZIP: 1 I8 1223 Furnace 100,000 BTU (ducts /vents) 14.00 Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00 Cross street/directions to job site: Duct work I 10.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), G in - wall, in -duct, suspended, etc. 14.00 Subdivision: Lot no.: Flue /vent for any of above 6.80 . Other 10.00 E _ Tax map /parcel no.: Other fuel appliances i DESCRIPTION OF WORK Water heater 10.00 1 Gas fireplace 10.00 (1C uio r��, fireplace Flue vent for water heater or gas , 1 rl Ct ll MCI fireplace 30.00 Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 X PROPERTY OWNER Chimney /liner /flue /vent 10.00 �/� �p� q ©TENANT Other 10.00 Name: ` 3 e u kl '( J Environmental exhaust and ventilation Q „ ,,,gyp_ Range hood /other kitchen Address: C1UJ11" equipment 10.00 N. Cit /State /ZIP: Clothes dryer exhaust 10.00 �1 Single -duct exhaust (bathrooms, ��q ,(q Phone: (6b3 3 j ( ) toilet compartments, utility rooms) 6.80 %APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00 V Business name: Other: 10.00 Fuel piping Contact name: vane, Mann ....4 $5.40 for first four; $1.00 for each additional Address: 11+� Furnace, etc. Gas heat pump City/State /ZIP: Wall /suspended/unit heater Phone: ( ) .: ( ) Wate heate E -mail: Fireplace Range _ CONTRACTOR Barbecue Business name: l a air p f �r � /-p Clothes dryer (gas) 1 ^ +� O 6. raillet5 ki U tDY1 V V Other Address: MECHANICAL PERMIT FEES* _ City/State /ZIP: 61t 09-----41045 Subtotal Phone: ( 55 7 Fax: ( 667 ogpq Minimum permit fee ($72.50) Plan review (25% of permit fee) CCB tic.: 7247 State surcharge (12% of permit fee) C 1 2© �E TOTAL PERMIT FEE Authorized signature: This p ermit applicati expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: OM AR', 4 Date: 4 i gp • Fee methodology set by Tri County Building Industry Service Board t \awldmg'PermusiMEC•PermnApp,doe 01/16/07 440.46177 (11/02/COM/WEB) APR -18 -2008 09:078 FROM: TO: 5035981960 P.2 RECEIVED • «4./ � V V Y V I V V f AA lib 002/002 r , ` APR 1 8 2008 CITY OF TIGARD BUILDING DIVISION INSTALLATION ADDRESS' ��4 r /Uuri AA- 14753 aefxrEe. 6 /\3 prtorntrry LINE vas, Fr. FT: 5 D P FItUn'I rr: PRO PEZITY LWF - � CITY OF TIGARD 1 - BUILDING DIVISION PERMIT #: MEC2008 -00194 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4 /18/2008 Phone: (503) 639 -4171 /mv =,� Inspection Requests (24 Hrs.): (503) 639 -4175 '� INSPECTION WORKSHEET FOR DATE: 5/8/2008 TIME: 7:01AM PAGE: 57 SITE ADDRESS: 09455 SW CENTER ST CLASS OF WORK: SUBDIVISION: MARIELL LOT #: 002 TYPE OF USE: PROJECT NAME: NUTIAL DESCRIPTION: Install NC and ductwork. NC unit cannot be placed within the required setbacks:. OWNER: NUTIAL, KAREN PHONE #: 503- 332 -6860 CONTRACTOR: TRI COUNTY TEMP CONTROL PHONE #: 503-557-2220 Inspection Request Scheduled For: Date: 5/8/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 689 Mechanical final 069502 -01 503 -26a -6535 Y Corrections /Comments /Instructions: 1 ►i PA. a PARTIAL APPROVAL n CANCEL NO ACCESS • FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: _ Date: . 1706' Phone #: (503) 718-