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Permit A CITY OF T CARD MECHANICAL PERMIT �•��� DEVELOPMENT SERVICES PERMIT #: MEC2005 -00809 I DATE ISSUED: 12/8/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S102DB 03100 SITE ADDRESS: 13376 SW CHELSEA LP ZONING: R -12 SUBDIVISION: CHELSEA HILL LOT: 008 JURISDICTION: TIG Project Description: Install gas furnace. 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: 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: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES DONALD MERRICK Description Date Amount 13376 SW CHELSEA LP TIGARD, OR 97223 [MECH] Permit Fee 12/8/200: $72.50 [TAX] 8% State Surcha 12/8/200E $5.80 Total $78.30 Phone: 503- 968 -5838 Contractor: SPECIALTY HEATING & COOLING 7500 SW TECH CENTER DR #120 TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 640 -3607 FAX 503- 681 -0793 Reg #: LIC 66578 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: S 9 .Q `1 Call 503 - 639 -4175 by 7:00 a.m. for inspections that business d. ay 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. • n ' O t E® Mechanical Permit A pp 1c ion FOR OFFICE USE vNUX City of Tigard EC 0 8 2005 Date/By:4 ? a '� Permi,NO e, d.5- a,�F1e9 13125 SW Hall Blvd., Tigard, OR 97223 - Phone: 503.639.4171 Fax: 503,599.1960 CITY OF TIGAFA Pl,n Review Ocher Permit: r ' t it Date/B Inspection Line: 503,639,4175 q, r:l Date Read J 1 See Page 2 for Internet: www,ei,tignrd.or.us BUILDING DIVI I/ Notitled/Mathed. � i 11 Supplomentul laOr[nalun ,:i 7 ;;', •;,'ii,. (4 iii ":',.i ,:4i,' r.' ; `T ORAVORK'i' •4'1,• ,. '' •+;,Ihi'',; :':' 1 a' ia'C■`NIMERCI:4i::EEE' S'CRED.ULE — USE'CHECKLIST 0 New consmuction ❑ Addition/alterution/roplaccment Mechanical permit foes' are based on the value of the work performed, Indicate the value (rounded to the nearest dollar) of all ❑ Demolition 0 Other: mechanical materials. equipment, labor. overhead, and profit. ,.-'11, „:11-.. 'F ii. .It.•,''CP:TEGO'R.Y.LOF CONS1TRTTCTION'i' 1" . .dig' Value•5 ' : RESIDENT* EQ'PI!MENT / SYSTEMS FEES* IT 1- and 2- family dwelling ❑ Commercial /industrial © Accessory building ❑ Multi-family For special information use Checklist. y ❑ Master builder ❑ Other. Descnptton Qty. I Ea. Total . :'{ ' _i , •' ' " A h IN fll' LOCAT ON,,,,;,, I' '! Head ng/coo11ng Job e Air condicionmg or heat pump ob silo address: 3.3 1- J. CAQ_. f c..e_ 1 142 (requires site plan showing placement) 14,00 City/State /ZIP: 7 C; p 9 3-22_7 Furnace 100,000 BTU (ducts/yenta) 7 1 d 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 1-1.00 1 Hy dronie hot water system 14.00 Residential boiler (radiator or hydronic) 14,00 Unit heaters (fuel -type, not electric), in - wall. in - duct, suspended. ere. . - 10.00 Flue /vent for any of above 10,00 Subdivision: Lot no.: Other: 10,00 Tax map /parcel no.: Other fuel appliances .? ('F ° i • ' .t r,!' i ",', ^ DESCRIPTION OF : .rj( O R , u' ;t '` 1" Water heater _ _ 10 00 - - Gas fireplace 10.00 Flue vent for water heater or as fireplace 10.00 64A':1 _LO. lighter (gas) 10.00 Wood/pellet stove 10.00 wood Lir iacch nsert 10.00 :sr•`;i HROPER ;{ :I -,, Chimn /liner /flue/vent 10.00 ,,` ' #; -- TY' 1WNER l i i i_ ° �i;T GAt�1T y "` Other: _ 10.00 Name: -f dry h _ _f,' ✓' ( r dlt— Environmental exhaust and ventilation Address' Range hood /ocher Icitchen equipment 10.00 City/State /ZIP: Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: ( ) J F ax: tp � � �� ( ) toilet comacments, utility rooms) 6.90 ?' ;r „ E , 11PPT1ICA1!1T. a• . , ,. ,�t-� [ I w . ' , � �� . , :1..$�: � �; �,, il]= .C QNTAC}T;,•PERSpiY� A tic era ispace fans 10,00 Business name: Other: 10.00 I �•7 v f rt.. T� 1 (. - C : 7 (r �� Fuel piping / _ I Contact name: t % d e `- t; e . ' J (2.f 55.40 for first four: 51.00 for each additional Address: S” ' S ` •• t , ( - rat .# F umace, etc. I ( '' (2. u'' Gus heat pump City/State/ZIP: r ( j f \ C C P c ' } L Wall/suspended/unit heater Water heater Phone: ( Z J ) ( L( v — (a V Fax:: ( � a s) (, (�' (- c 4'1? — Fireplace E -mail: - - • ^�, F: " Range ' ':} i>t�a,�•i°;' i' ,_. 1. . j ,R I•" , ,;• 'i ' , )*WL0:Oli ,,:'i;:• t , ; .•i,.'-''[-. �'I;c'� ' ;'r, B arbecue Bus name: Sri c_;.�LL_ti / - t.,,Th . Clothes dryer (gas) Other: Address: {'i1_ ,.;,.:.:. - . MFSCHANICpii::PER City /State/ZIP: Subtotal Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) (C Plan review (25% of permit fee) CO3 lie.: S S State surcharge (8% of permit fee) TOTAL. PERMIT FEE Authorized signature: CL4- •�.- ` \ C Tbis permit application expires if a permit Is nor obtained within 150 TT`` �- �� days after It has been accepted an complete, Print nerve: - p ci, - -•. I E`-,- Date: og"I' d' e. • Fee mediodotoyy set' by Tri- County Building industry Service Board I;\ Budd iny\Panetu \MBC.PaerrdiApp,dae l+JO) SY0• +6I7T(II /07/COM/wCg) Z 00 /30011 Wdd 09 :1-1. 900Z /80 /Z1 . CITY OF TIGARD BUILDING DIVISION e PERMIT #: MEC2005 -00B09 13125 SW Hall Blvd., Tigard, OR 97223 • D ATE ISSUED: 120/2005 Phone: (503) 639- 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ... .. INSPECTION WORKSHEET FOR DATE: 12/16/2005 TIME: 7:04AM PAGE: 86 SITE ADDRESS: 13376 SW CHELSEA LP CLASS OF WORK: SUBDIVISION: CHELSEA HILL LOT #: 008 ' TYPE OF USE: PROJECT NAME: MERRICK DESCRIPTION: install gas furnace. OWNER: MERRICK, DONALD PHONE #: 503.960 -5838 CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 603 -640 -3607 Inspection Request Scheduled For: Date: 12//512005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 023466-01 503-640-3607 N Corrections/Comments/Instructions: /01/1/4 Wes(! 5 4 7 z I e /)- - e `7W a A2 i PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspecto4 Date: t v e Phone #: (503) 718 -T'5 ,,, _ .