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Permit ly CI 1 1 O T IGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT# MEC2007 -00747 :TIGARD DATE ISSUED. 12/21/2007 13125 SW Hall Blvd., Tigard, OR 97223 503 639.4171 PARCEL 2S103DC -00805 SITE ADDRESS. 11415 SW FAIRHAVEN ST ZONING R -3 5 SUBDIVISION: VIRGINIA ACRES LOT. 003 JURISDICTION TIG PROJECT. JAMES Project Description Install gas furnace, gas line, new a /c, revise ductwork, new bath fan CLASS OF WORK ALT FLOOR FURN EVAP COOLERS. TYPE OF USE: SF UNIT HEATERS: VENT FANS 1 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 FURN < 100K BTU 1 AIR HANDLING UNITS CLO DRYERS. FURN > =100K BTU• <= 10000 cfm OTHER UNITS: > 10000 cfm GAS OUTLETS Owner FEES SUZANNE JAMES Description Date Amount 11415 SW FAIRHAVEN ST TIGARD, OR 97223 [MECH] Permit Fee 12/21/20( $72 50 [TAX] 8% State Surchaq 12/21/20f $5 80 Phone Total $78.30 Contractor: ANCTIL HEATING & COOLING 4320 N WILLIAMS AVE PORTLAND, OR 97217 REQUIRED ITEMS AND REPORTS Contact # PRI 503 -281 -0752 FAX 503- 282 -5722 Reg # LIC 8897 This permit is issued subject to the regulations contained in the Tigard Muniopal 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 OU NC by calling 503 246 6699 or 1 800 332 2344 � ' Is ued By 1 _ / y � / Permit Sigh, /or ( Call 503 639.4175 by 7.00 a.m. for inspections • . 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 • o Mechanical Permit Application FOR 0 ETU. I' .''t SF. UNl.V , City of Tigard R " " vae � Vas) Date/ny - ki Perrot No ale i O ^ D 0 T ; Phone ° 13125 SW Hall Blvd , T O Q � 'V Plan Review Phone W Hall Blvd Fax Fax 503 )j`,rp' / %t4 p Date/By Other Permit r i C n D Inspection Line 503 639A 175 Q '1001 Date Ready/By See Page 2 for Internet www hgar - or gov OEC 2 fa Notified/Method 9 ® Supplemental Information , ; - rc4;W4�i Q §64}. �i. 4 i i . pf = . - ` � 5 1 . .,.+ n s<.'" " rR"alM" f�R .„ L{mcT.'6 i � , ..: , �l_ , s.. ; 3 *, '� � . .:u`•�u % >S ; s�3a # �x ' a�. • ' ` « la za.xs„.: ❑ New construction XAddltion /alt � . 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 f - , „- mY a�•:. r i v d4°, a 'a, ;r ..- 1 Value $ t pJ - '"2.r.+a_ '. }s?rh n' a. a;a �...r - s4ala v • 1 1 t1S 4 t;" 1 1/:A' - a 1 ` 1 A 1 7 R ' � i 1 - and 2 family dwelling ❑ Commercial/Industrial ❑ Accessory building - rk " " Xe ' d " "" 'n ' "-' For special information use checklist ❑ Multi-family ❑ Master builder ❑ Other Description Qty Pa Total as ,n `�c..3.'�i x ..,,1?t, ,`"`Sa' ��'¢� e+. a 3 e�iyAg „ °a,•., T Healing/coollnR Job site address r 4 ,- ) 1,0" /en Air conditioning or heat pump I ( q I 1 tFa,i/ I �/ )17Q e 1 - (requires site plan showing placement) I 14 00 City /State/ZIP Tbl/V 1t ` ,, __ - Furnace 100,000 BTU (ducts/vents) I 14 00 1 Furnace 100,0001- BTU (ducts/vents) 17 90 Suite/bldg /apt no 1 Project name d H L � /ter / / / Gas heat pump 14 00 Cross street/directions to job site _ I Duct work I 14 00 1 y - Hydronic hot water system 1 14 00 Residential boiler (radiator or hydromc) 14 00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc 10 00 Subdivision Lot no Flue vent for any of above 10 00 —~ Other* 10 00 Tax map /parcel no: Other fuel appliances 2'P1 r_ sir x -- . ' ' „ s l'A '"1c.' : "sr'1 A`a ry, ai:]' S - ` S11 J,1. _ Water heater 10 00 Gas fireplace 10 00 s. P, / 4 "I � A A _ , A S' - A A I i I L t L r Flue vent for water heater or gas n5t.11 M! fireplace 1000 f � 4/ Log lighter (gas) _ 10 00 / LA 0 e-.. e-.. r /' '- V) ea,. Wood/pellet stove 10 00 , ' �, Wood fireplace/insert _ 10 00 1. t P4 xa s ,� -- ti + - Chimney /liner/flue/vent 1000 :..l a`p WAT ��`Tw".'� -'°,t. _ ` atAW¢e ttm Other 10 00 Name: I I/I1 0 S OQ ` ' t G�1/ J . / _ ce — Environmental exhaust and ventilation Address Range hood/other kitchen (L a _♦ 4 AAA I .I 1 equipment 10 00 City /State/7JP.'a/M , y v/' r j� g a� 7 Clothes diver exhaust 10,00 7 •" ' Single -duct exhaust (bathrooms, p�� _ Phone' ( ) Fax ( ) toilet compartments, utility rooms) f fi 80 (p, p� n - ° �. .j a' �r ` MI i Attw /crawls ace fans 10.00 Other a^`'`u'TSA'1re' "f. ( `ta'J t 0 Y a. # c , .0 _ P Business name 4 't4 � N e'i /7/jj 4 f '� 01 Fuel piping 10 00 • �.l � i PP 4 Contact name , A. -/ ` 1 $5.40 for first four; $1.00 for each additional r Address l i7��,� N , 13 1I i' , a^ _ _ A n uE Gas heat um n 4 � City/State/ZIP. �o✓44 arA gt , ' I '3 ) ?— Walt/suspended/unit P heater Phone P _ Fax 1' 1 Water heater • i__ ,. �i i '' i . - Fireplace I /1 I a Range r( �- "; . +Z zk'tt d:" 7 a.,... ; a' n. p � �ikas '33e?� a, rn.,r " '-e vxeuvs)S .« =1 ` . _ Barbecue =Elua J' t _ aid la ■ '0 • Clothes . er as Address. °ther rte. e- ` zt4" ¢a�� i,' � a 9v r.eiiss0 �i a. City /State/ZIP ,,(��//� ' / Subtotal � ( I`^' ( ) Minimum permit fee ($72,50) ../,?,e-0 Phone Fax Plan review (25% of permit fee) CCB he . t , State Sureharge(S %ofpenmt fee) (�-�) TOTAL PERMIT FEE 9- , - Authorized signature I �('lj This permit application expires if a permit is not obtained within 180 �_)1 (�/�( �".�rt�V/1/I7� I t days after it has been accepted as complete. Pnnt name . +! /I „ - . D ate - ' Fee methodology set by Tn- County Building Industry Service Board 1 jauddingjPeimhsNff,GPemat&pp doc 04/06/06 440.4617T (1I /02/COM/W56) C00 /1000 XVd ST'OT L00Z /0Z /ZT N , 4,± O WV9)TY'l r.V( ; i'v�/SI�+�IT FMB' � rn ry A'. J {� '' ° ��Y ``��,,,�,��� O a3zoH wnwun nrm» redu.m aswiem� : ` fC ' ' et11Jae QiS'tano4 9 lip", ) t3iCeSTDE PROPERTYUNE T eeto In0Periy Line - v - TO BTREeT MIN j L �rt' 125 et 5'► nom= I I H I SGo -f aAYh4tver 1Yee-4 . isi CITY OF TIGARD t ' ' Vht -- 007 V, BUILDING DIVISION I PERMIT # 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED Phone (503) 639 -4171 n iA Inspection Requests (24 Hrs ). (503) 639 -4175 ;'� INSPECTION WORKSHEET FOR DATE -'301, ( % TIME PAGE SITE ADDRESS 1 l L I I C 1r ,_ , + "ems CLASS OF WORK SUBDIVISION LOT #• TYPE OF USE. PROJECT NAME DESCRIPTION. , / OWNER Y . __ . — PHONE # 7 3 0 - 3S-6 4 CONTRACTOR 111✓✓✓"`��� °°°��� PHONE it- Inspection Request Scheduled For. Date: Pour Time: Code # Inspection Description Confirm # _ Contact # Message Corrections /Comments /Instructions: A J - V "PASS ❑ PARTIAL APPROVAL ❑ CANCEL 7 NO ACCESS 1 I FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED �� Inspector: V v'' v NS V ON Date " 13/or Phone # (503) 718 - `� l. ' 24 COTY OF TBGARD `•n�J T# e < BUILDING DIVISION .. PERMIT li{Ja 6 06 �� 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED Phone (503) 639-4171 nhi g( @, �CL Inspection Requests (24 Hrs ). (503) 639 -4175 INSPECTION WORKSHEET FOR DATE 7/ /4 STALL �, / / 0 r TIME PAGE SITE ADDRESS 11 % P % S * if AGW es CLASS OF WORK SUBDIVISION LOT # TYPE OF USE PROJECT NAME DESCRIPTION ��// v� y ;SE"' (/` OWNER YvVVV.. PHONE # ! 7O 0 CONTRACTOR PHONE # Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message lAq 1 l x -�iw.ad Corr ntlons /Cymments /Instructions N -._.: 1t C, 26 01 - o o - 1 - 91 — 't C � N u - -4- _Q > Fir ✓(04, sAi ei � ) ( r�i - 4 GC s - - y a. DX MetiA01 - co 2-c 4 \K3 Cre. ..,, ) — OAC DYLV n i n„ 1 (Th ... ( ) ©A 41 `J \ PASS v /y`, PARTIAL APPROVAL J CANCEL I I NO ACCESS FAIL fl CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: v i"` v Date. 2 /31 3 tl Phone # (503) 718- Z c1 2 _ y CITY OF TIGARD „ s BUILDING DIVISION 1 ,( FP / 4 PERMIT #. MEC2007 -00747 13125 SW Hall Blvd , Tigard, OR 97223 (" DATE ISSUED 12/21/2.007 Phone (503) 639 -4171 ryp Inspection Requests (24 Hrs p (503) 639 -4175 M A 'I I� INSPECTION WORKSHEET FOR DATE 1/3/20013 TIME 7:00AM PAGE 25 SITE ADDRESS 11415 SWFAIRHAVEN ST CLASS OF WORK SUBDIVISION' VIRGINIA ACRES LOT # 003 TYPE OF USE PROJECT NAME JAMES DESCRIPTION Install gac furnace, gas line, new a/c, revise ductwork, new bath fan. OWNER JAMES, SUZANNE PHONE #• CONTRACTOR ANCT IL HEATING & COOLING PHONE #' 503-2131 -0752 Inspection Request Scheduled For Date: 113/2008 Pour Time: Code # Inspection Description Confirm # ,Contact # Message PP( ,N �A 615 Mechanical rough-in 062490.02 503 V Corrections /Comments /Instructions: �bl ('LAY 011 ( 6 A( Dk '6M/b1b1 c2 JP.vit O p lomit.t.t.„ 0 K >- le _ 1 E' -c oK PASS 9 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ��1 ALL FOR INSPECTION I ADDITIONAL FEES ASSESSED Inspector: LILA Date: I ( "/ I6_ Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #. MEC2007-00747 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED 1212//2007 Phone (503) 639 -4171 , 1wiI p Inspection Requests (24 Hrs ). (503) 639 -4175 .._„10r INSPECTION WORKSHEET FOR DATE 1/3/2000 TIME 7-00AM PAGE 26 SITE ADDRESS 11416 SW FAIRHAVEN Sr CLASS OF WORK SUBDIVISION. VIRGINIA ACRES LOT # 00; TYPE OF USE PROJECT NAME JAMES DESCRIPTION Install gas furnace, gas line, new a/c, revise ductwork, new bath fan OWNER JAMES, SUZANNE PHONE # CONTRACTOR ANCIIL HEATING & COOLING PHONE # 503-281-0762 Inspection Request Scheduled For Date: 1/3/2008 Pour Time - Code # Inspection Description Confirm # Contact # Message 610 Gaff line 062490 01 603-519-3404 N Corrections /Comments/ Instructions: 7 e Gw,n^ X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL I I ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 1 11 b ;) Phone #: (503) 718-