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Permit F CITY TIGARD MECHANICAL PERMIT 'Ff l DEVELOPMENT SERVICES PERMIT #: MEC2005 -00036 � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/24/2005 PARCEL: 1S133CD-05000 SITE ADDRESS: 13645 SW FEIRING LN SUBDIVISION: COTSWALD MEADOWS ZONING: R -25 BLOCK: LOT: 048 JURISDICTION: TIG 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: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: 1 AIR HANDLING UNITS FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Replace furnace and a/c unit. Owner: FEES WARNER, HAROLD E + BETTE K Description Date Amount 13645 SW FEIRING LN [MECH] Permit Fee 1/24/200f. $72.50 TIGARD, OR 97223 [TAX] 8% State Surcharl 1/24/200: $5.80 Phone: Total $78.30 Contractor: AIR MASTERS RICHARD ALLEN CAMERON 2858 LIVINGSTON ST NE REQUIRED INSPECTIONS SALEM, OR 97303 Heating Unt Insp Phone: 503 244 - 8880 Cooling Unt Insp Reg #: LIC 149532 Final Inspection 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)24 99. Issued y: Permittee Signature: .J // , �` Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day Mechanical Permit Application FO'lz OFFICE OIN City of Tlga e' -d 4. Received We s 36 Date/By Permit No.: �J, 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 / / " r. ;N t D aze /B y: Other Permit Inspection Line: 503.639.4175 , � � 1 ' I I Date Ready/By: Ju i • ® See e Page 2 for Internet: www.ci.tigard.or.us Notified/Method: /42, Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE = USE CHECKLIST Mechanical permit fees* are based on the value of the work El New construction I 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: $ BI- and 2-family dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ` y g ❑ Commercial /industrial ❑ A ccessory building El Multi-family For special information use checklist. y ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling 6,4(s- _ Air conditioning or heat pump Job site address: S w f- tom 21 Id 6- L. k f , (requires site plan showing placement) I. 14.00 City /State /ZIP: -( G- , 04. 'i 1 2.1 3 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: S t~- b{oI.LS .-ro t 3 Duct work 14.00 3 S TO , F E 4 t2 I t` Cr L kJ, TO E-I-v -� R eside n i hot water system 14.00 Residential boiler (radiator or CD-NJ 2 17 S 1 D hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Flue /vent for any of above 10.00 Subdivision: Lot no.: Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 Gas fireplace 10.00 P--e--('LA r ,j cavil A-C.2 ,4e.1 A \ ( (-v D 1T1ty11 Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 ,-,/ Wood fireplace /insert 10.00 Ea OWNER ❑ TENANT Chimney /liner /flue/vent 10.00 Other: 10.00 Name: y\4 rZ irh4../1N LD A -24,1 C✓ Environmental exhaust and ventilation /' Range hood/other kitchen Address: (3 - c t� R l- l r21 tot, LP equipment 10.00 City /State /ZIP: - - , v ,/. , 9 '7 z Z 3 Clothes dryer exhaust 10.00 / Single -duct exhaust (bathrooms, Phone: (b 3) 5 Z `t - S 7 1 0 Fax: ( ) toilet compartments, utility rooms) 6.80 © APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00 n Other: 10.00 Business name: ,4 ^ I it - T"1 ,5 1, 1-).,J( * A -C- Fuel piping Contact name: 'Z , cAA All (J 14 F L x - 1 0 $5.40 for first four; $1.00 for each additional , Address: Z �S L I \/ )A.1 (r S TD�l ST. . tJ & - Furnace, etc. Gas heat pump City /State/ZIP: SA- t,ltit,✓l t L},2 1 7 303 Wall /suspended/unit heater Phone: (SZ)3) 2. `/ q - - -g p Fax: : ( ) Water heater Fireplace E -mail: 3 .cS -4-1 e & (. A O C. , C.c., Range CONTRACTOR Barbecue Clothes dryer (gas) Business name: A-1((._ - 0 " lA- /C S Other: Address: Z g"% L I k/ I n1(r - S Tb ,L) S• tl-I , 1Z . MECHANICAL PERMIT FEES* City /State /ZIP: S /A--(-,Q,1A4 OA. °( - 7 3 0 Z Subtotal Minimum permit fee ($72.50) 7R. Phone: ( S"7-1 Z 41 _ g - Fax: ( ) Plan review (25% of permit fee) CCB lic.: I' 9 S 3 Z State surcharge (8% of permit fee) ,'S. ro TOTAL PERMIT FEE 7f. 3d Authorized signs re: �C This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: 2t ct4.4/t.0 A . C.fwvt - 6,4,Ja) Date: I /z 4 f 0 s- • Fee methodology set by Tri- County Building Industry Service Board i:\ Building \Permits\MEC- PermitApp.doc 17/03 440-4617T (I1 /02/COM/WEB) • Mechanical Permit Application - City of Tigard 4 . Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation 'Permit Fee: $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. • i:\Building\Permits\MEC- PermitApp.doc 12/03 2 • .. ,,. 2-2 V 2.4 I' oc . ........_ ._:',... . ------------------- i 1 1 , I . tA , I '1 • .....;, A ,I A- i . [3 1 " ' A•44,41,) 1 \ \ . \ . 6,-L .. . v 6k . ,;. ....-1 ilyot b t e21. .,„,i) - 7 z z 3 24: - r 7 I Ci A--) 4._ mks S T cz) - 2_ Li cl — Y Sl 0 i q 6 1 S - 3 •- CITY OF TIGARD 24 -Hour BUILDING Inspection Line;„ (5031.639-4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received / / Date Requested - 7 AM v PM BUP / Location 3c( 'S 1 �(/ - /)' '1 Suite IE aZO 0 0 0 3 Contact Person AL4A,5,d Ph ( ) — S7 I b PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC N 64 / - Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear - Int Sheath/Shear GA Q _ �7 cJ n Framing inAA 1� 6- 1 //kCJ` r . '- r �!� M , L. Insulation C' ` I U Drywall Nailing J 3 Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab )51 Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final P RT FAIL M •ICAL Post & Beam Rough -In Gas Line f Sm • - Dampers Of 4 ART • FAIL ce I Rough -In UG /Slab 1 Low Voltage ' \ 1/ Fire Alarm �i No PART FAIL E . Reinspection fee of $ required before next inspection. Pay at.City Hall, 13125 SW Hall Blvd. SITE ❑ Please call for reinspection RE: ❑ Unable to inspect - no access Fire Supply Line ADA - I ) a∎ � '' �� In spector u�� �`� L ©AA .� Approach /Sidewalk Date __ Other: Final DO NOT REMOVE this inspection record om the job site. PASS PART FAIL •