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Permit • II CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #:' MEC2007 -00174 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/2/2007 PARCEL: 1 S133CD =07000 SITE ADDRESS: 11844 SW MORNING HILL DR ZONING: R -25 SUBDIVISION: COTSWALD MEADOWS NO.2 LOT: 068 JURISDICTION: TIG PROJECT: KARANDIKAR Project Description: Furnace 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: 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 KARANDIKAR, B M + S B Description Date Amount 11844 SW MORNING HILL DR TIGARD, OR 97223 [MECH] Permit Fee 4/2/2007 $72.50 [TAX] 8% State Surcha 4/2/2007 $5.80 Total $78.30 Phone: Contractor: OREGON HEATING & AC PO BOX 397 DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS Contact #: PRI 503 -538 -2953 FAX 503 -537 -2172 Reg #: LIC 172126 • 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: £ OVw� -� ` Permittee Signature: ,0-3 • 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. • • Mar 28 07 02:48p Oregon Heating & A/C 503-537-2172 P-1 .. Mechanical Permit Application FOR OFFICE USE ONLY (I.ty 'orTigard 9722R rm ECEIVEDA Acuity 2 DateBy: •W -,,/ 166 Peit Nolyt . ..... e , e ) / 7g 13125 SW Hall Blvd., Tigard, OR Plan R • Phone: 503.639.4171 Fax: 503.598.1960 Other Permit: Inspection Line: 503.639.4175 MAR 2 8 2007 Zillill‘ Date/By: Date Rcadygly: larty,....---- el See Page 2 for Internet: www.ci.tigard.or.us CITYOFTICIARD NotifiedIMethod: / Supplemental Information .-:.':-. .: .1:::::: .::::: :; ':It i .::! :tokr00.0 !.0E...egoetato: 0 New construction Addition/alteration/replacement Mechanical permit fees* are based on the value of the work 13,1 performed. Indicate the value (rounded to the nearest dollar) of all 0 Demolition El Other mechanical materials, equipment, labor, overhead, and profit. CATEGORY .: OF CONSTRUCTION : '..:. :..i., V : !.,::'-l's,i -. , ':'f.:. , . . VaI . .. ue: $ RESIDENTIAL EQUIPMENT! . SYS.TEK5 F:EE' El I- and 2-family dwelling ED Commercial/industrial 0 Accessory building :. , , . . . . . , . . . . For special information use checklist. ID Multi-family 0 Master builder 0 Other: Description L Qty. I Ea- 1 Total I : '•-•:: . ::.:.'.. ''''': ' '..-; 04. liq0*M*r A?0: ..''.. ' : ''' ..:' Heating/cooling Air condition or heat Job site address: I t S LA LA S. m orn \ nci VI -‘ \\ il- , ing pump j (requires site plan showing placement) 14.00 City/State/ZIP: 'T acc q 1 a . . Furnace 100,000 BTU (ducts/vents) i 14.00 3 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 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 Flue/vent for any of above 10.00 Subdivision: Lot no.: Other 10.00 Tax map/parcel no.: Other fuel appliances .: ...:-''' '' ;•.. '''' :';'. ; :- : '' : :.• :. ' 1 . iii.,c 'Riniiiit.ifii:Wiiiii&S ' : r.: : ..! ...!...,. ,; ,, 7' : .. Water heater I 10.00 Gas fireplace 10.00 W\ - \1 Ck 1 r nnce. Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace/insert 10.00 Chimney/liner/flue/vent 10.00 Name: 5 ci \ 0 y yorn,i _ lc ..... xo , iny Environmental exhaust and ventilation Range hood/other kitchen Address: t i 5‘ ' cci tii1V ni- . . equipment 10.00 City/State/ZIP: 'Clothes dryer exhaust 10.00 Single-duct exhaust (bathrooms, Phone: (505) - • _ k .....tizi.--D . Fax: ( ) . ," toilet compartments, utility rooms) 6.80 iiiiik Aid; ::'''''. ''..; r ' :; ':' '. '' :j.. - ::::V. - if 620TAefiiiii.§iiki ::' --,;,, AttickrawisPace fans 10.00 Other 10.00 Business name: Oregon Heating and Air Conditioning Fuel piping Contact name: 1...< Il $5.40 for first four; $1.00 for each additional Address: PO Box 397 Furnace, etc. Gas heat pump City/State/ZIP: Dundee OR 97115 • Wall/suspended/unit heater Phone: (503) 538-2953 Fax: : (503) 537-2712 Water heater Fireplace E-mail: rashelle©oregonheating.com Range CONTRACrOR _ B ar b ecue Business name: Oregon Heating and Air Conditioning Clothes dryer (gas) Other . . . " • " Address: PO Box 397 .. :....:; :. •::::: .!..•'::':::.;•:. : ... . City/State/ZIP: Dundee OR 97115 Subtotal Minimum ;..) Phone: (503) 538-2953 I Fax: (503) 537-2712 permit fee ($72.50) 7, f z i ) Plan review (25% of permit fee) CCB lic.: mesa i'7 , ' 1 ", (1. State surcharge (8% of permit fee) TOTAL PERMIT FEE -- 1K 5() . f i Authorized signature: ' 4.2a s 1:21....,..,,Z,--2_1?,„,„ . This permit application expires lf a permit is not obtained within 180 t days after it has been accepted as complete. ,.., Print name: firr I Date: ? — . Fee methodology set by Tri-County Building Industry Service Board ni ,i j 0.BuildingTcrmicAMEC-PermilApp.doc 12/03 440-4617T (11/02/COM/WEB) CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2007 -00174 1 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 4/2/2007 Phone: (503) 639 -4171 ...Art 1 Inspection Requests (24 Hrs.): (503) 639 -4175 °I 1 INSPECTION WORKSHEET FOR DATE: 5/10/2007 TIME: 7:02AM PAGE: 33 SITE ADDRESS: 11844 SW MORNING HILL DR CLASS OF WORK: SUBDIVISION: COTSWALD MEADOWS NO.2 LOT #: 068 TYPE OF USE: PROJECT NAME: KARANDIKAR DESCRIPTION: Furnace OWNER: PHONE #: CONTRACTOR: OREGON HEATING & AC PHONE #: 603-538-2953 Inspection Request Scheduled For: Date: 5/10/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 048038 -01 503 - 538 -2953 Y Corrections /Comments /Instructions: , i. 1\i‘ 4 /j iti PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: M .) yV(/ Date: I 1 Phone #: (503) 718 -