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Permit x` • • : m - II C I TY O F TIGARD PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00530 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/5/2007 PARCEL: 2S109AD =11000 - SITE ADDRESS: 14812 SW LOOKOUT DR ZONING: R -7 SUBDIVISION: ARBOR SUMMIT LOT: 008 JURISDICTION: TIG PROJECT: BOUTIN Project Description: Install a/c unit. • 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: 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: > 10000 cfm: GAS OUTLETS: Owner: FEES • BOUTIN Description Date Amount 14812 SW LOOKOUT TIGARD, OR 97223 [MECH] Permit Fee 9/5/2007 $72.50 [TAX] 8% State Surcha 9/5/2007 $5.80 Total $78.30 Phone: 503 - 579 -0790 Contractor: • A -TEMP HEATING & COOLING 16000 SE EVELYN ST CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS • Contact #: PRI 503 - 650 -5014 FAX 503 -557 -2990 Reg #: LIC 71878 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 B 410 /Jl j // / t Permittee Signature: • Li, Call 5.3. • 39.4175 b 7:00 a.m. for ins ections that business day. / Q/2// Cqir) Y P 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. FRM :A —TEMP FAX NO. :5035572990 Sep. 04 2007 05:08PM P1 /3 v. - .i.,4•; n; anical Permit A • • 7 . ; x-• i -� 1 • WE , . • t►l:'OF 1' ll ii5i. H1, y " y of Tigard EffillgIff 6-9- PmitN Tin... � (� nor, (73,0 125 SW Hall Blvd., Tigard, OR 97223 S E P 0 4 200 Plan review view Permit . Phone: 5 Lino: .63 503.639.4175 Fax: 03.598.1960 4 . :i� D t /B Internet: Www. ci 1a f � ....• CI 11 •. :. 4' I _. 11 Data Ready/By: Svc Paget far gUILO1N'3D =�I - Nethied/Method; Supplemental Information • • ,..... -. �...,.. .:.,. �.:,.,,- ................. � .. ''"�� , . ..... • .. Cc1iR!R�I1eliC7�;: •F�?'E" :RCHEbULE •� • ��: ...... °• ..... S1' • New construction i1ion/ulteratian/tcplaeement Mxheuical permit fCCa' are based on the value of the work �g A�td ID Demolition ©fir performed. Indicate the value (rounded to the nearest dollar) of all mechanical materials, egoip_inv )or, overhead, end otit •..: -- .... -. ............. .. • . • • -(,:A, 0( 17•.; COON Rvenori . . .. ..., .. Value S Tom"`- and 2- family dwelling 0 Commercial/industrial Q Accessory building ; .Rlr h "EJRI!1 CI rL RQrllit'IVIENT °/ 191EYI EMS FEEH•.. . d Multi - family 0 Master builder 0 Other: _ For spiels] t formation use checklist. —,- .. Description Qty. En, Total JOB :•SITE ;IN O MA T1ON AM?: LOrNriAN ilemtinpicoolim_ ..• Job site address: , 1 Air conditioning nr Croat pump 4 l/�+ t/ tt/ 1 r �_� (requires site plan show placement) i. 14.00 ' 1('t ^ City/3tate/7,iP: -- Pinnace 100,000 ETU (duets/vents) 14.00 Suie/ bldg•. /olrt .no.: ]'reject name: '' Furnace 100,000+ BTU (ducu/vems) 17.90 • .__ I�......�... 1! C.!V•� Gas hem pump 14,00 Cross street/direotions to job site: Duet work 14.00 __ _. _._.-- Hydronic hot water eyetem 14.00 , — _ Residential builer(redinlor or • . „kdrouicj -- - - - 14-.10_____ ,...... —.__ I /nit boaters (tilel-type, not electric), _ in- wall �a sur nded, ere. .__.�. ...^., 10.00 ..,,.___ Subdivision: T.. — ` Lot no. Flue/vent for any of above ~ 10.00 . _. --.-_. Other: 10.00 Talc map/parcel no.: . Other eld appliances fesciak1'ION .011t .'Wes ,T .. • r._ Gasfrreplece 10.00 Flue vein for water heater or gas fireplace ..,.....r, _ 10.00 iol lighter (pas) _ 10:00 ..._.. • ... , .. W Wollet stove 10.00 Wood fireplace/insert 10,00 GlPF.it'pY Q!1'iklC t. — ti: :T�31'fA,rTT ut Chney /{iner/8ue/vent 10.00 _ „10.00 Name: WLJ Environmental exhaust and ventilation Range hood/other kitchen • Address: , . ` A equipment 10.00 City/State/ZIP: , tZ n� Clothes dryer exhaust 10.00 40--101/0 Single -duct exhaust (bathrooms, Phone: (, Fax: ( ) _.._... _.�._ ._._ . toilet Com puttm otrtn, . om _... m s } _ ..v-.^ 418 . .. ,. . �.:= . .7 : 8001" . 1 44 4 1 ' • ' • • ''C1 CONI•APT P ON• Attic/crawlspacc fans` MO. Business name • _". - Other - 10.00 lluel piping • • Contact name. $5.40 for fi r s t f o u r ; SLOG f o r e a c h odditionnl _- — Phu °vIItl (bus) Furnace, etc. Address: q,ku uo6ea0..®eulepl10 One heat pump City /state/z1P: pens uAlens ss 0009 i "ONI 01 ©1�d1.L1�m J �� j V . .� � . Wall /suspanded/unit heater Phone: ( ) Nax :: ( ? `� +� _ c" Water heater E -mail: - _... . Fireplace Range CONrRArtfiR• • ^• Barbecue Business name: Clothes dryer (}me) -- Other: - . Address: A- TFIy)12 HFATJN[�„ 44�G MfCE`14fANt('A1r:1'ItitMlt ' i( .y ..::.. City /State/ZIP: 16000 SE Evelyn Street Subtotal Phone: ( ) Cltrt,kam - : , • �re� qqn s,9i s • Mi nimum permit fie (572.50) -7a. 5 V (503) • . 1 lA .,, .. Plan review (25% of permit fec) CC13 lie.; 'i t Q� <8 Butte surcharge (8% of permit fee) . _w_.. w . �•.- TOTAL PERMIT FEE - Authorized signature: ` r J , - This per,nit uppllcuthn expires hiss If a permit h not obtaObtained 180 I - -�� ` days utter it h been accepted as complete. r FROM :A-TEMP FAX NO. :5035572990 Sep. 04 2007 05:09PM P2/3 'ex• , A-Temp-Heating & Cooling, Inc • • SITE PLAN Prepared by: Ziy:fz Date: -- Customer Name:___,..),__ _ Address: ,s(A) tevead-Pr, Customer Phone: S0 — S-� 1'D 7 c 4;11 711 Property Boundary Line ' 3D p House • • Street CITY OF TIGARD .- BUILDING DIVISION PERMIT #: MEC2007- 00,30 13125 SW Hall Blvd., Tigard, OR 97223 �/ DATE ISSUED: 915/2007 Phone: (503) 639 -4171 li A Inspection Requests (24 Hrs.): (503) 639 -4175 _.' i i L INSPECTION WORKSHEET FOR DATE: 9 / 1 2000 7 TIME: 7:01AM PAGE: 53 SITE ADDRESS: 14812 SW LOOKOUT DR CLASS OF WORK: SUBDIVISION: ARBOR SUMMIT LOT #: Q TYPE OF USE: PROJECT NAME: UOU'MI DESCRIPTION: Install arc unit. OWNER: BOUTIN, PHONE #: 503579 -0790 CONTRACTOR: A -TEMP HEATING & COOLING PHONE #: 503.650 -5014 Inspection Request • Scheduled For: Date: 9/12/2007 Pour Time: A---- Code # Inspection Description Confirm # Contact # M: sage A14/ 699 Mechanical final 055519 -01 503-380 -6644 Y Corrections /Comme is /Instructions: yam r 6 ss s..,/2,,•es ✓, e,/k. ?-.7._ y f rns - 1 4 vh 6 1-Sfr „ 1r , , jj .... ,../ s t x..1 , — . __ mow i >4 67€_,/4-, ()Pic-rin -- • CY ti/I 6 (7 5(7.-.e PASS r PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: C " V Date: / Phone #: (503) 718- 2--\/