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Permit `' - ITY OF TIGARD MECHANICAL PERMIT i DEVELOPMENT SERVICES PERMIT #: MEC2006 -10034 ' �I DATE ISSUED: 3/16/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S110BB -02300 SITE ADDRESS: 14300 SW HAZELHILL DR ZONING: R -1 SUBDIVISION: AMES ORCHARD LOT: 023 JURISDICTION: TIG Project Description: Replace furnace. 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: DOMES. INCIN: NAT 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: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: GAS OUTLETS: > 10000 cfm: Owner: FEES RICHARD SCHRUPP Description Date Amount 14300 SW HAZELHILL DR TIGARD, OR 97224 [MECH] Permit Fee 4/4/2006 $72.50 [TAX] 8% State Surcha 4/4/2006 $5.80 Total $78.30 Phone: 503- 968 -6287 Contractor: MECHANICAL INC PO BOX 19569 PORTLAND, OR 97280 REQUIRED ITEMS AND REPORTS Contact #: FAX 503- 245 -7613 PRI 503 - 244 -1730 Reg #: LIC 124283 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: ` L� 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. b • Metp_anit 1 e m J �hq C FOR OFFICE USE ONLY City of Tigard Received Date /13y: / 6 —/, i If PermitN.\�X ( , r I R 13125 SW Hall Blvd., Tigard, OR 97 1 6 11 2000 U v Phone: 503.639.4171 Fax: 503.598 L Plan Review Other Permit: �bta „ I i Date/By: Inspection Line: 503.639.4175 •I Date Ready/By: girl ® See Page 2 for Internet: www.Ci.tigard.o[.u5 c , � , � Notified/Method: Supplemental Information Rr z � '° - - - 0 1,- . ° , v,— m T . „�.,._..., t a rt: • „.: R£ 7 . : TYRE ®F WORT; ,F ;� :•• � �� .� E - �-..- ..,�,. ;, � , . .._.,. F � :_E_ >.: , � �COlYI�1+IERCIAL`wFE * SCHED ” IiISFsCFECKL[ST ..., 3 . ... .: . .. ....u, -_ . .,z„ .,,_: [; � ... .a�r,�,... ... .., ,,, ...'�' :. :�� - ' .. .. ... ;:a�.t.d:•6 .. .,,... � .....,,. -, - ., , .,..... ., a.a ,. , „. ....atnr�<�.::.. ... �4 Mechanical permit fees* are based on the value of the work ❑ New construction _ Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. tE. ' .ATEGORYOF , E<OPtgTRi3CTION. .. "s t?= Value: $ l E €. . e �. , - .. ,, .,t';dt S A Am„,„„,,,,,,,„„. „. .....ill” 4 ='ttt.::,::.. - „ - - ,._.t..,, . ,'Zt,:i .,,t .rc. i. .Im t , ,. ,,e.E ; ,::t `j �p�l.`JY.as};.:t J' RESIDEI`ITIAL.,E I31P <IF N 1; °! "SI'STEMS,FEES* ,: E ; ; y;' <.As ate,.., �-s+_a ^.yytF- mS.t¢, ,, ,,. .y rEit. ":, a t ... 725% isr1 - and 2- family dwelling ❑ Commercial /industrial 1=1 Accessory building ❑ Multi - family ❑Master builder =I Other: For special information use checklist. t Description Qty. Ea. Total EE; .t, �•t,:a •• - � „ctt,. -,^ ” E tttt •EEE J ESI� ,��' � F y ;t lts„ x- t'' JOBt;,SITJ;=''IlVFO12i4iATIOIY *1,,, I f�GATi ©N olin �,_, -;3z, )EEEEE4: S�Ut�u �. ?''v:��s�r -: ,.....x,.,ttta�a� =�,t. .,n ".t!,PE:.E,r���R:? yicSa,�., ._ _ Heating/CO g Job site address: / if 3 00 514 gayer if Air conditioning or heat pump �� (requires site plan showing placement) 14.00 City/State /ZIP: 779 et re e ©/? ' 2 Z y Furnace 100,000 BTU (ducts /vents) / 14.00 Suite/bldg. /apt. no.: Project name: Sc.?, r u Furnace 100,000+ BTU (ducts /vents) 17.90 f' f Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 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 r t• ' z _' ° Water heater 10.00 V :P :5 ,,E , €it5., .:: " :- :B - -,. -- ETIOIY;OFTV4'OR„, „„ f (( ] -M "0: ,; ';::.�. :.: ,�_ „�-- „ 1� '� �E *. P«,. � ,` - . - -„"... �..... t. ttr•:, �auttEEt .,, �' m u,, ,,,,,,, ,, „,-/' '_ ::.. . Gas fireplace 10.00 /1e.02o/ht d) Oki . 92$ furr7Qee f ,.- tj7 Iz,1/ .'I,/ Flue vent for water heater or gas fireplace 10.00 •% aS 4'- ('E' Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace /insert 10.00 T .. - f ,, ,,,,,t„ . , ;, ° Chimney/liner/flue/vent I?ROPER ',' QWNEIt , : oy —\ TEiVA1VI ,E,,. €I0 €,,,' _ _” � < , .,� _ � � . _ .� E ,' Other: 10.00 Name: R, G j 5 h ru Environmental exhaust and ventilation Address: / 4 / 300 3 m //4Z � /'%/ L, Range other kitchen / 2 equippment ment 10.00 City/State /ZIP: 7;100 e e/' j 72 z y Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: (3 ) y' g - 6.2 r7 Fax: ( ) toilet compartments, utility rooms) 6.80 ,...,. ,,, E t - craw ce ans p ,:., tttc s a TACT. PER Business name: Other: 10.00 Fuel piping Contact name: $5.40 for first four; S1.00 for each additional Address: Furnace, etc. Gas heat pump City /State /ZIP: WalUsuspended/unit heater Phone: ( ) Fax: : ( ) Water heater Fireplace • E -mail: Range - R;*,*,'-, T t ., : NT RA T Q R ' : ., Barbecue CO C Business name: // /� Clothes dryer (gas) �C -Gs?Lt i7 C c �S� /l? C . Other: Address : 9 *• ,.i°' . , lh / .SG <� �t 14IEG EERMTT FEES . �, "i': ,`�' � „ -.•tom ty:� tt...� r .: City /State /ZIP: r7 na © ' 1 72 '0 Subtotal Minimum permit fee ($72.50) '7.Z. S Phone: ( j 3 ) .2 i 1 / 7 3 0 Fax: ( )3 ) Z 1. /..5 -- - 76 f Plan review (25% of permit fee) CCB lic.: / 2 4 /2 '3 State surcharge (8% of permit fee) 5 g0 TOTAL PERMIT FEE 75', 30 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: " „ Date: 3//4/04 * Fee methodology set by Tri- County Building Industry Service Board i \ Building \Permits \MEC- PermitApp.doc 1 2/03 440 -4617T (11 /02/COM/WEB) CITY OF TIGARD BUILDING DIVISION • PERMIT #: MEC2006-10034 13125 SW Hall Blvd., Tigard, OR 97223 ' DATE ISSUED: 3/18,12006 Phone: (503) 639 -4171 apvilt Inspection Requests (24 Hrs.): (503) 639 -4175 -..„ INSPECTION WORKSHEET FOR DATE: 4/17/2006 TIME: 7:0 iAM PAGE: 95 •r - /1 - 77 r.M - ZLGi rr- SITE ADDRESS: 14300 SW HAZELHILL DR CLASS OF WORK: SUBDIVISION: AIMS ORCHARD LOT #: 023 TYPE OF USE: PROJECT NAME: SCHRUPP DESCRIPTION: Replace furnace. OWNER: SCHRUPP, RICHARD PHONE #: 503 - 968 -6237 CONTRACTOR: MECHANICAL INC PHONE #: 503.244 -1730 Inspection Request Scheduled For: Date: 4/17/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 0 699 Mechanical final 0;x1115 -01 5,03..21, -1730 Y 4 N Corrections /Comments /Instructions: 7 �/� . /4 [' L3`/ M I'V L -*. S � 'Z- � ���� ? �� 4s11 . _-_ . . I 4 S n PARTIAL APPROVAL CANCEL n NO ACCESS ❑ FAIL H CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED �` y� 9 o6 c Inspector: �f�� D ate: P hone #: (503) 718- _Z__C-4L':" V CITY OF TIGARD BUILDING DIVISION PERMIT #: Me._C-3 -O 6 634f 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 /u0041/411 1 ; Inspection Requests (24 Hrs.): (503) 639 - 4175 I.. id i,5 INSPECTION WORKSHEET FOR DATE: 3 / 7, 1 /d 6 TIME: PAGE: SITE ADDRESS: I (43 0 0 /--M3 a #7 ( )-4. • CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: � PHONE #(9U3J 2401 1 73 0 � CONTRACTOR: � 7 PHONE #: - Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message - 6)/S mod . y? (k . Q , r r coons /Comments/ nstructions: • c l C /// C ALIA11 t / 6 b(?(- f es a V{ c-). a___ p....-7 ( - 0 - 7A2___. &la-SO, e--ze. 0 . -- ( .4 I I I PASS Xf PARTIAL APPROVAL n CANCEL I I NO ACCESS FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: V/' U l t--- ---'/..------- Date: 5r 1 / Phone #: (503) 718- - 74 2--i