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Permit CITY TIGARD MECHANICAL PERMIT y7. DEVELOPMENT SERVICES PERMIT #: MEC2003 -00554 Ail. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/10/03 PARCEL: 2S104DC -04200 SITE ADDRESS: 13556 SW CLEARVIEW PL SUBDIVISION: BENCHVIEW ESTATES ZONING: R -4.5 BLOCK: LOT: 042 JURISDICTION: TIG 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: 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: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: 0 Remarks: Replace furnace. Owner: FEES HOOGEWERFF, MARIUS A J + LOUISE Description Date Amount 13556 SW CLEARVIEW PL [MECH] Permit Fee 9/10/03 $72.50 TIGARD, OR 97223 [TAX] 8% StateTax 9/10/03 $5.80 Phone: Total $78.30 Contractor: SKY HEATING + AIR CONDITIONING 1637 SE NEHALEM PORTLAND, OR 97202 REQUIRED INSPECTIONS Mechanical Insp Phone: 235 Final Inspection Reg #: LIC 50244 • This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Cr. 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 -00 ./ Issued By: kV r - ' Permittee Signature: ,1,/i9 -/e_49-770 Call (503) 639 -4175 by 7:00 P.M. for inspectil ns needed the next business day Sep 08 03 03: 15p P - i., RECEIVED SEP 0 8 2003 CITY QF TIQARD Mechanical Permit AkRateaufA ) Received achanlca1 ,r�//� Date /By: 9 17 0.3 Permit No.: /le .1 1V3 , City of Tigard Planning Approval Building 13125 SW Hall Blvd. Dale/By: Permit No: Plan Review Other Tigard, Oregon 97223 Dale/Hy: Pcrrnic No.: Phone: 503 - 639 -4171 Fax: 503 -598 -1960 Post-Review Land a vse r ylr ; I Date(By. Cate No.: Internet: www.ci.tigard.or_us i _•i III Naa r/Meth o d Contact J 24 -how Ins ction Request: 503- 639 - 4 1 7 5 So See Page 2 For � Q uest: : ,� Su . • asncntal Information. , d.;!.r :; :,l ' l: 1 ; it - !: , i';•1s1). TT : 1 11& 4 tAL•FElrt15C1 IDIRillijaREICEOEffikaStle? I `_t . New constrtiction Addition/alteration/replacement ® Other: Demolition Mechanical permit fcca• arc based on the total value of the work performed. indicate the value (rounded to the nearest' dollar) of all a •, •,:, mechanical materials, equipment, labor, overhead and profit. 61 & 2- Family dwellin l ❑ Commercial/Industrial Value: S Stec Page 2 for Fee Schedule 111 Acces Buildin - ❑ Multi- Family !Eder?EPti rikt E401 ,hr yeas '.1tA01411 �:lo;_ ■Master Builder El Other: Descrtpt[on f Qty I Fet(ea.) I Total • . .aientitip/Cootin • :':. • . ...'' , ;i Furnace - add -on air conditioning** • 14.00 Job site address: (OCf* C �D(�,1l!f �i.� pt Gas heat pump 14.00 ; Suite #; l B14. /Apt. #: Duct work 14.00 Project Name: Hydronic hot water system 14.00 Cross Street/Directions to job site: (for ( a t o holler (for r adiator or hydronic system) 14.00 Unit heaters (fuel, not electric) (in wall, in -duct, suspended, etc.) 14.00 Flue/vent (for any of above) i 10.00 Subdivision: 1 Lot #: Repair units i 12 .15 Tax rrt3 /parcel #: • ' Other :Fuol Appliances p Water heater 10.00 n • ;A ', '. DESCRIPTION OF:WORE `.•, .1: Gas fireplace 10 00 ,< E,L9 -- /iz. /ur,4 -cE' Flue vent (water heater /gas fireplace) 10.00 Loy, lighter (Ras) 10.00 ' Wood/Pellet stove 10.00 - - - - - -- -- - . - Wood fireplace/insert 10.00 Chimney/liner /flue/vent 10.00 - i ':a ! i;• 'I .'• TYOWLVE *.el ' x •', i :: .: .'.4 • Other: 10.00 errs: Mari L !? � • 11 _'- - I - ()Gg t/Eo2FG Eoviro eiental East,* A•ventilatien. . i Address: l � ; ° � �// Range hood/othcr kitchen equipment � _ • 10.00 - __�/. - _ ���� V (C Lpu /S_ Clothes dr cr exhaust 10.00 ' City /State/Zip: �'gO „¢'( ()Q C 7 2�j y — G � /� T � j � Single duct exhaust Phone: ` ( o Fax: • (bathrooms, toilet compartments, 1i1 :1sCTT'4T : %, .•. • [] 'i.C,O'I"ptiRS — utility rooms) 6.80 Name: Of-j_ i �G ! i/ - _ Attic/crawl space fans 10.00 , Other. 10.00 , Address: , , . • • • f ad P City /State /Zip • •(S5.40 roe first 1, 51.00 each additi..aal) Phone: rr Fax: Furnace etc. Gas heat . um ' E -mail: WalI /sus. endcd/ualt heater •” ... - , . . i ., 'i •,Uoila ' l o.R..: • . .. .:i . I `d, water heater __ —` . • — Business Name: ©` ;1411 .: a -( Mc, Fitc•lace ■ •• - - -. _._ - _ Address: (OD ,A 1.- C'1 17M Rare.c I ( /� -7q �— BBQ <- Cit /S tat e /Zi Po I ' - C l a1 f C - q [ 2 2 Clothes d y e s ) ( gn s -. " Phone: 22) 0, p - � i Fax: Other: ) .« CCB Lie. it: 5( lL Total: _— Au[ho n2ec' — — . : fcchanicalP.ermitFees' . . .. Sigrarurc. a ��]/ 2f� q,4 Dace: • Subtotal: S — Minimum Permit Fee S72.50 S .2...P (v io N1001t Plan Review Fcc (25% of Permit Fee) S — — (Please print name) i State Surcharge (8% of Permit Fee) S AIIIIMMI TOTAL PERbr1T FEE 5 7'.. Notice: This permit applicatloa expires if u permit is not obtained within 'Fee methodology tet by Trl- County Building (ndu,try Service Board. (s0 days after It has been accepted u complete. ''Site plan required for exterior A/C units. i:\Dsu\ crmit Forms\.vecPeJmiwpp.doc 01/03 24 -Hour CITY OF TIGARD�; -� BUILDING Inspection Line: (503) 639 -4175 MST INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested /1 / AM PM BUP Location • 13.6 C./ea.-iv i - 'D P. Suite 111 Contact Person b i o.•"k Ph ( ) =2.3S- goes PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC • Ftg Drain Access: ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer • Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PA • : • T FAIL E,CHANICAL Rough -In Gas Line Smoke Dampers inal i 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: Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Dat /� a3 Inspector • Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL