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Permit I II CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00483 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/29/2008 PARCEL: 2S 102CA -00102 SITE ADDRESS: 09765 SW FREWING ST ZONING: R -4.5 SUBDIVISION: FREWINGS ORCHARD TRACTS LOT: 021 JURISDICTION: TIG PROJECT: DOAN Project Description: Installing air handler and heat pump. 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: 1 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: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 0 FURN > =100K BTU: <= 10000 cfm: 1 GAS OUTLETS: > 10000 cfm: Owner: FEES JEFFREY & JULIA DOAN Description Date Amount 9765 SW FREWING ST TIGARD, OR 97223 [MECH] Permit Fee 9/29/200E $72.50 [TAX] 12% State Surch 9/29/200E $8.70 Total $81.20 Phone: 503 -538 -1950 Contractor: FOUR SEASONS HEATING & A/C INC. 1005 INDUSTRIAL PARKWAY NEWBERG, OR 97132 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 538 -1950 FAX 503 -538 -0165 Reg #: LIC 97152 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: P Call 503.6 • 5 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. M Permit AnDlicatiann --ti � D ►1►c (41.1( I t s,...1 (r\ r, ) . ti City of Tigard � ` / InT PwmitNo.:1)1 ` Dotely, 13125 SW Hall Blvd., Tigard, OR 97223 t� t� Plan Revise �� 1 0 � 01,„ ' 6 Phone: 503.639A171 Fax: 503. 598 -1960 EQ 2 ` 2.11 ' flare/By. Other Permit; � Inspection Lin 503.639.4175 J Ready/DV tom= El s« Pape 2 for Internet: www.tigatd- or.gov �\, �� ;GAR �� N��cthod; 7G Supplemental Information C4 TYPE O1F�7 9R 1 .,' ...',. . - . OI ,.i I C1M FEE` SCHEDULE— USE CHECKLIST Q New construction Addition/aiteration/repiacement Mechart icai permit fans" are based on the value of the work performed. indicate the value (rounded to the nearest dollar) of all ❑ Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSgHFC,TION, ' Value: $ 7 '', ttESWENTLJ- EQUWMENT ✓ swims FEES" Xl- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building , Far special Information are checklist. ❑ Multi - family © Master builder 0 Other: Description _ SOB SITE :1Nk'OR.R ,r TIOOef AND IP4;#+ v.� :, -:: :::. , Heat/up/cooling I Ea. I Total J o b s i t e addross: q `7 ( e s r e 1 Air conditioning o heat pump (requires site also oh t) ` 14.00 1 City/ State/ZIP: t , # 0 ,1 ii it r 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: Duct work 10.00 Hydronic hot water system . 14.00 ' Residential boiler (radiator or hydron 14.00 Unit heaters (fuel -type, not electric). in-wall. in -dud, suspended, etc. 14.00 Subdivision: Lot no.: Flue/vent for any of above 6.80 Other: A {` ti 10.00 6 a O' Tax map /parcel no.: Other fuel appliances 'BiSCRI> 'ION Oliii , '.� .. ...V..:.......: � ... . . .: :..,..... Water eater ' N , .:.....,.,..., ..;,.. ;::..,.. 1000 Gas fn piacc 10.00 /rLa .L a iiiMPA Flue vent for water heater or gas fireplace • . 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood firepla 10.00 _ Chimney/lincr /Fuevent 10.00 IMP PROPERTY OWN ER` .,. . , :WWI' .,,) ' . , ,. Other. 10.00 Name: - r • A Environmental exhaust and ventilation Range hood/other kitchen equipment 10 -00 City /State/ZIP: • 0 V • *) 'C C 1 3 . Clothes dryer exhaust 10.00 - Single -duet exhaust (bathrooms, Phone: ( l'ify r f — g• s- • Fax: ( ) toilet compartments, utility rooms) 6.80 `'r, #' ,,ArruCAN . ' • . . . .. , ... t plogrAcif i O7rT :, , ' ; ,.: ;' ` ; Attic✓cra wlspac fans I ' :... � :. �i � ��± 1000 Business name: FOUR SEASONS HEATING ING Other: 10.00 _ Fuel piping • Contact name: �� e p IV: a ' ► , $5.40 for first four; 51.00 for each additional Address: NEWBERG, OR 97132 Funna do. Gas heat pump City /State/ZIP: Wall/suspended/unit heater — 0 I (9 5 Water heater (�r(6 ) �j • i — • �10 Fax: (M3 s �( Phone: V Fteliae E -mail: Range CONTRACTOR • :.:.' s. , ..... . Barbecue r--- — i��A .$ .1.,. Clothes dryer (gas) Business name: pv FIFA i ► L Outer: Address: AIR • ' IONING, INC. MECHANICAL P� PEE. INDUSTRIAL PKWY City /State/ZIP: NEWBER OR Subtotal �`-�} _ /_ Minimum permit fee ($72.50) 1 , SQ Phone: ( ' 5 t q s`0 Fax: C5Dz1 .; ?, t 'd f (0 Plan review (25% of permit fee) CCB lie.: -! -7 I s2_, State surcharge (12% of permit fee) ' , `" Q TOTAL PERMIT FEE i O Authorized signature : . _ This permit a t a expires lira permit lmct obtained within ISO signature: days sye after has it has Deco secapted as complete. Print name: 1(( A , a 4 Date: f' -- , V a • Fee methodology set by Tri•County Building Industry Service Board • l [.suildieeermitAMEC- Pormitemo.dee 01/19.07 4AW6irr (1uo91COMAND) b00 /t?0021 ni'd 617:E1. 800 NJ °m , - ( oOV' A/C-HEAT PUMP—UNIT SATE PLAN N °' - 14-att 0 FEET TO CK OF PROPERTY LINE VV 4 ' e W te +nw� p � T • Y• v 1 S ILK • FEET TO SIDE PROPERTY LINE FOUR 0 s 415 H 10 iNt Ug7R P!(4' INC. 97132 c- 3- e-` ?�6 FEET TO FRONT PROPERTY LINE , • ' EpRE q1 3W PretA3`t .. .S ./ -- n cliv-4.1 . . . _ PLEASE REFAX APPLICATIpN f1ITH srrE PLAN q - i ✓ r N ° ° CITi 'GARD BUIL. _AVISION PERMIT #: MEC2008-00483 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9128/2008 Phone: (503) 639-4171 Aikk ,_ /4 4 Inspection Requests (24 Hrs.): (503) 639-4175 .0 i INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 10113/200P 7:00AM '19 SITE ADDRESS: CLASS OF WORK: 09765 SW FREWING ST SUBDIVISION: LOT #: TYPE OF USE: FRE:WINGS ORCHARD TRACTS 021 PROJECT NAME: DOAN DESCRIPTION: Installing air handler and heat pump. OWNER: PHONE #: DOAN, JEFFREY & JULIA 503 CONTRACTOR: PHONE #: FOUR SEASONS HEATING & NC INC. 503-538-1950 • Inspection Request Scheduled For: Date: Pour Time: 10/13/2008 Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 076617-01 503.590-8590 Corrections/Comments/Instructions: • r ASS I I PARTIAL APPROVAL fl CANCEL I I NO ACCESS fl FAIL CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: Date:/ Phone #: (503) 718 XMg--