Permit CITY TIGARD MECHANICAL PERMIT
i DEVELOPMENT SERVICES PERMIT #: MEC2006 -00178
Q 4 1I DATE ISSUED: 5/1/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S115AA -00800
SITE ADDRESS: 10966 SW DURHAM RD BLDG D ZONING: R -25
SUBDIVISION: OAK TREE APARTMENTS LOT: 026 JURISDICTION: TIG
Project Description: 4 exhaust fans. Value: $300
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: MF UNIT HEATERS: VENT FANS: 4
OCCUPANCY GRP: R1 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: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm:
OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
• CARR, BERNARD AND Description Date Amount
LABBY, ROBERT TRUSTEES ET AL
633 NW 19TH AVE [MECH] Permit Fee 5/1/2006 $72.50
PORTLAND, OR 97209 [TAX] 8% State Surcha 5/1/2006 $5.80
Phone: Total $78.30
Contractor:
ADF, INC
15121 SE DIVISION
PORTLAND, OR 97223 REQUIRED ITEMS AND REPORTS
Contact #: FAX 503 -521 -8479
PRI 503 -560 -3481
Reg #: LIC 165506
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: � J Permittee Signature:
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.
U.41 LU:40 FA& OVJOI/01/JOU ---., .., _ r (.;.11Y OF ilLiAlU) L¢JUU1
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Mechanical Permit , Application q PV ? --1'--
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City of Tigard Rereived
Ose/By: o& b . _Aa 7i(
13125 SW Hall Blvd., Tigard, OR 97223 i Permit 140.A I "
, ..' 1 2006 A Plan Revie:r I " ' i
- -' '-'
Phone: 503.639.4171 Fax: 503.598.1960 Fl, hY „ ' i
,,,,,,,
rispection Line: 503.639,41 75
Internet www.tigerd-et. gov • ILL Al' r 2 . Date/Br
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, -..----, ,, ... - . __, Mee Ready/Br.
eiTY 01=-ATUA Li.s.r.- Notified/Method Other F•ermit.
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0 New construction Addition/alteration/replacement Mechanical permit fors* arc based on the value of th c work
performed. Indicate the value (roundest to the nearest dollar) of all
El Demolition Other: . mechanical materieds, equipment,14or overhetil, and profit
I. -';''.71.:;.•:•••••*:15;?..trt:''.*FltiallitreitieONBRIEktION7`.:;::-7:' :.:.' `‘•.'.'' '7777- Value:
El 1- and 2 dwelling 0 CorrunerdaYindustrial 0 Accessory building 1•::*4 •
For special information use checklist.
7.' Multi 0 Master builder 0 Other:
Description 1 Qty. 1 Ea. J Total
..-..• .:':: ' ' ''' .. :' ::. :•Y•n Rattiae/ectelitig
Job site address: 061 C G LVAAA o. Air conditioning a heat pump
(mina site plan showinorplaantent) 14.00
City/State/ZIP: *-1.11.9kAg_D C32-.. 41-8..22-1-1 Furnace 100,000 BTU (ducts/vents) 14,00
Furnace 100.000+ BTU (chacte/vents) 17.90
Suite/bldg./apt no.: , I Project name: 01,--rar ":
a Gas heat pump 14.00
---.
Cross street/directions to job site: 17021kA eg , 630al Duct work 14.00
Hytkonic hot water system 14.00
SO re.. A. 140g-57T OF 1 06 116- i Residential boiler (radiator or .
hydronic) 14.00
Unit heaters (fuel-type, not electr(c),
in-wall, in-duct, suspended, etc. 10.00 .
Flue/vent for any of above /10.00
Subdivision: I Lot no.:
Other. 1 10.00
Tax map/parcel no.: Other fuel a pplianees
1..Y VititilkiiikittkitISFOR5r Water hcatcf 10.00
Gas fireplace 10.00
- k 0 S14-L 1- 1 "-- 10 CAFtriA CEALLOCA Flue vent far water healer or gas
/Ja;isk..c 9'k
44 N MDCF fireplace 10.00
, Log tighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insat 10.00
Chimney/liner/flue/vent 10.00
11§1EL7 s.:•:',j* ., Nur
' . 10.00
Name: .4 • A , . f 4 ). ;; __exte ... ,,S.
• Environmental exhaust and ventilation
- ki4 4ii--. Ort9r-e- Range hood/other kitchen
equipment 10.00
City/State/ZIP: "PVQ..1-140-4Z, C3 44-21:301 Clothes dryer almast 10.00
Single-duct othaust (bathrooms, Li -ey.r, 7i)
Phone: (SCS-- 2.2.1...p- C Fox: 62.3 2.2 ZS toilet compartmen(s, utility rooms) 6.80 c.--r --
k'fitiq4CiiiEttiallir),Zt Attickfavdslmo fans 10,00
Business name: \(.. Co rz.r. Other: Fuel. Fuel : • in: 10.00
Contact name: . i - kAs. r i e .. ---‘2,44...)t(--- $5.40 for fast Mar; $1.00 for each additional
Address; " -- -2';"45 -Si- 1415/2.1/4/3/4a0s0 Ual Fumace, etc. ,
Gas heat • m . ,
City/State/ZTp; ,,.__ - 11 . 6/krZC) 0 a.- q Wall/suspended/unit heater
Phone: . - "ACcift --. LOD Fax: : cSb*3 ela 0 Wata heata
Fireplace
E-ma0: ` F es? _ Range
l:.`:•: - '•! . .toiticroii' , ''...,:••:•. • ,:•'-•-.:'-;;•.!:.;.:'••;..• Barbecue
Business name; 1 ., KA 14....:. --- Clothes dryer (n)
Otho-. r
Addr.: isimg c,L) L(�2-
City/Stare/ZIP: -1 1(0442 , 10 0 4 14 - 7 7 -F Subtotal
Minimum permit fee (572,50) - 1P. . 5 to
Pbone: 6)3) ( ,,.. . Fax 5
il Plan review (25% of pamit fee) ,
CCB lie.: i 6 6 .. Ii_ _ State surcharge (8% of permit fee) S. g0 •
, - TOTAL PERMIT FEE -7g 30
ilk
.., Tbis penult engrafts empire' Ifs penal, la not obtained tablas ISO
Authorized signature: ...... -0.
Oollale: daye alter it has been accepted at complete.
Print name: 0 L t . ' - [ Data: E, I Crt, • Fee methodology set by Tei-Coiatty Balding bultney Service Board
1.aildiagainoitiONEC-PennitAeo.doe moms 441146171* (i i/COJCOM/WEB)
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CITY OF TIGARD N.
BUILDING DIVISION . A PERMIT #: MEC2006-0017B
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 51112006
Phone: (503) 639-4171 aisMil
Inspection Requests (24 Hrs.): (503) 639-4175 A, - 1±.
INSPECTION WORKSHEET FOR DATE: 5/412006 TIME: 7:00AM PAGE: 1
SITE ADDRESS: 10966 SW DURHAM RD BLDG D CLASS OF WORK:
SUBDIVISION: OAK TREE APARTMENTS LOT #: 026 TYPE OF USE:
PROJECT NAME: OAK TREE APARTMENTS
DESCRIPTION: 4 exhaust fans. Value: $300
OWNER: CARR, BERNARD AND, PHONE #:
CONTRACTOR: ADF, INC PHONE #: 503
Inspection Request Scheduled For: Date: 5/4/2006 Pour Time:
POI Aoo( - oucog
Code # Inspection Description Confirm # Contact # Message cgs, 4. j e j
699 Mechanical final 029310-01 503-453-2991 Y
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Corrections/Comments/Instructions:
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PASS 71 PARTIAL APPROVAL fl CANCEL El NO ACCESS
n FAIL fl CALL FOR INSPECTION 1 ADDITIONAL FEES ASSESSED
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Inspector: /1.6141111,1/i . Date: 5 ) 4- 1 / 0 6 Phone #: (503) 718- 9 23
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