Permit 4
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CITYOI e TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00052
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/25/2007
PARCEL: 2S 101 DC -04300
SITE ADDRESS: 07180 SW FIR LP 100 ZONING: C -P
SUBDIVISION: 72ND BUSINESS CENTER LOT: 2 -3 JURISDICTION: TIG
Project Description: CASCADE CENTERS. Replace heat pump, like for like. Valuation $7260.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B 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:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
STUBBLEFIELD, JERRY D Description Date Amount
1850 NORTH SHORE
LAKE OSWEGO, OR 97034 [MECH] Permit Fee 1/25/2007 $182.90
[TAX] 8% State Surcha 1/25/20W $14.63
Total $197.53
Phone:
Contractor:
TRI COUNTY TEMP CONTROL
13150 S. CLACKAMAS RIVER DR
OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -557 -2220
FAX 503 -557 -0919
Reg #: LIC 72623
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 ` -e 41.0
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.
'. JR14-24-2007 2:34P FROM: TO: 5035981960 P.1
I . . .
Mechanrc\a" 1 Permit Application . ,
1 . FOR OFFir.E USE ONLY
:
City of Tigard ' 11 Ir n , Received , _ _,.
13125 SW Hall Blvd., Tigard, oRg.20E,I v .,,_. 1 Date/13y: r 6---- - r_ Permit No '''I --:-.f.: _ ,id i7
I Plan Review'
Phone: 503.639.4171 Fax: 503.598.1960 Other Pennit:
Inspection Line: 503.639.4175 JAN 2 4 2.007 AzZy Mt
Internet: www.ci.ti gard.or ; \ 1 Datelay,
...,4 Iv... Date Ready/By: Juri2t-- Ea See Page 2 for
.us Notified/lviethod: Suppiementai Information
CITY OF TiGA
e riD mi
4 4 , ., g04 ci.': . 1 :1- tliSEiCHEeKLIST
El New construction t Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
■ performed. Indicate the value (rounded to the nearest dollar) of all
El Demolition Other: mechanical materials, equipment, labor, overhead, and profit.
Value : S ..
-,- :, / SYSTEMS:PEES*
El 1- and 2-family dwelling 5 Commercial/industrial 0 Accessory building
For special information use checklist.
0 Multi-family 0 Master builder 0 Other: 1
_ Description I Qty I Ea. I Total
§,gs ii*It101:0,4 HentinWenoling
Job site address: 4 .0 4.0 ar 401 Ai - A I Air conditioning or heat pump
Irequires site plan showing placement) . .
14.00
City/State/ZIP: lie 4 11273 , . Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: Proj rn
ect name: .
in heat pump 14.00
-
Cross street/directions to job site: I Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel-type, not electric),
in in suspended, etc. 10.00
I Flue/vent for any of above 10.00
Subdivision: Lot no.: 1
I Other: 10.00 ,
Tax map/parcel no.: " i Other fuel appliances
I
' -.-.;'..:...... t ,: ) ..i,,, , ,, -' ''D LS,C1,11,Ptf0 .., Water heater 10.00
'
Gas fireplace 10.00
Feplate, hfaet pu rnp - 1 i Kr , Y ( I kit) Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert i 0.00
- — ' ' ''''' • -- yt'L. ---*- ' " "".•.:_.........ir ' 4.F.ri-e.,:'7.4rir ti i.....z5 Chimney/liner/flue/vent 10,00
i piro,i g:PX'Avi Other: 10.00
Name: bbatdr1 Otrity6 Environmental exhaust and ventilation _,
Range hood/other kitchen
Address: &Ape, equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: 50 ..* gig20 , Fax: ( ) toilet compartments, utility rooms) 6.80
Attic/crawlspace fans 10.00
Business name: Tn ccurrtv Temp Cortro i Other:
Fuel piping 10.00
Contact name: $5.40 for first four; $1.00 for each additional
Address: 01E0 6 Clatarnao Ri Var( brn) ' - Fumace, etc,
Gas heat pump ,
City/State/ZIP: Orrecn Cl - N ek_ 6 t7045 I Wall/suspended/unit heater
Phone: (T,,„) -7
55 ( — 2221) Fax: : ( 603 ) 557--IY 1 q Water heater .
Fireplace
1 .
E-mail: ,
,..„' cMnktf ,4 ',■ : Barbecue
La- -....i41. . •‘*.-.. • - -er. .,.. , '..........!4 "' , .... L: * .;:e.' ii!'t■Ag: .. , ;:i. : . ., """ ' *
Business name: Tn CO TerilP COrrtr0 i Clothes dryer (gas)
Other:
Address: NF) G. 1(1) rno, tcr
City/State/ZIP: orri ok_ ql Subtotal
Phone: (0) 55 - Fax: 005 -ilci Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lic.: 72.to 23 I State surcharge (8% of permit fee) /4,611
TOTAL PERMIT FEE pq 9 , 571
Irlat,Cro-_. i
This permit application expires If a permit Is not obtained within 180
Authorized signature: 4 1
A t days after It has been accepted as complete.
Print name: vs j- Date: 1,[2 7 Fee methodology set by Tri-County Building Industry Service Board
rlItuildino \ PernwcAMEC.PerrthAnrs rine 12/03 4404614 (I 1/02FC014/WBB)
_, ' _
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CITY OF
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BUILDING DIVISION PERMIT #: tvIEC2087-00052 `
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/25/2007
Phone: (503) 639-4171
Inspection Requests (24Hm.):(503)630'4175 * �Ze l ��
INSPECTION WORKSHEET FOR DATE: 1/3112007 TIME: 7:02AM PAGE: 41
SITE ADDRESS: O710OSVY FIR LP1OO ' CLASS OF WORK:
SUBDIVISION. 72ND BUSINESS CENTER LOT #: 2'3 TYPE OF USE:
PROJECT NAME: CASCADE CENTERS :'
DESCRIPTION: CASCADE CENTERS, Replace heat purrp, Itk or like. Valuation $7260.
OWNER: STUBBLEFIELD. JERRY 0, PHONE #: '
CONTRACTOR: TRI COUNTY TEMP CONTROL PHONE #: 603-557-2220
Inspection Request Scheduled For: Date: 1/31/2007 Pour Time: . .
Code # Inspection Description Confirm # Contact # Message
'
659 Mechanical final 042738-01 603-667c2220 N �
Corrections/Comments/Instructions:
•
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_. _.....
Enrcatnim
(IP
, PASS | I PARTIAL APPROVAL ri CANCEL NO ACCESS
.
I | FAIL CAL FOR SPECTION I | ADDDlO'`AL F:ES ASSESSED
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Inspector:
t �� 0� � Date: ~°� N07 Phone #� (503) 718- -
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