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Permit • CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2004 -00694 ���� DATE ISSUED: 10/20/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S111AD -06800 SITE ADDRESS: 08875 SW SCHECKLA DR SUBDIVISION: SCHECKLA PARK ESTATES ZONING: R-4.5 BLOCK: LOT: 022 JURISDICTION: TIG 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: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Replace furnace. Owner: FEES TURZILLO, DAVID J + LINDA S Description Date Amount 8875 SCHECKLA DR [TAX] 8% State Surcharl 10/20/20( $5.80 TIGARD, OR 97224 [MECH] Permit Fee 10/20/20( $72.50 Phone: Total $78.30 Contractor: CLIMATE CONTROL INC 16500 SW 72ND AVE PORTLAND, OR 97224 REQUIRED INSPECTIONS Phone: 503 - 453 -4822 Heating Unt Insp Final Inspection Reg #: LIC 62196 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. Issued By: Permittee Signature: ' € � Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next bu ir ss day 1 echar ca1 Permit Application I in( ()l l ice_ I st: ()NI., City Tigard � ECEtVE I Permit No.: L ` r ,' 13125 SW Hall Blvd, Tigard, OR 9722 rya / / O� o r • Plan Review Phone: 503.639.4171 Fax: 503.598.1960 �,, { I . B • Other permit Inspection Line: 503.639.4175 L •1 ' i ®were for I U 20 .. a ,� I Internet www.ci.tigard.or.us l• ` tal . Notified/Method: Supplemental Information CITY OF TIGARD . sa t ig • W , lr r � � » . r i v z .; - a.: , r , :! , • c: : -- ] It 1 T y m u . n 1 rl I l r- s - •- :- -J f -: i..} • I I 1 � E R t 5 1 � _ - 'I�4 2 } ! 1} r . 1: � 1 '� :, L . .- I i . 7 1) L t F _ R, �, . 1c 4 l' � �._. . f!� I E:._.� ifm,,.,. -- - ._...,II��'n 1_I _,p< nl :urlld,...11,..5„,„„-=_____, ,_ _ � �h:�.Ilhr. is =1_:. c:c: 9,. u, ul .,- ,_ ❑ New construction ►�� 1 • ddition/alteration/replacement Mechanical permit fees• are bated on the value 43f the work El Demolition ❑ Other: performed Indicate the value (rounded to the nearest dollar) of all mechanical materials, equipment, labor, overhead, and profit II 11 �4 I t.l I H I II ! . V It6: flll - l ( i f x•+ S 1 �. [ - Value: I nk: . . 1. .. ;Thum i : ,�L ' S-t I 3 - -t7 ,. _ - . - - - - IL 1 : � I1 � - J I. __ :u: $ u' - , u,l, I_:� _I _s� _ t.� • -- -^ n-- - - , _.:u�.: L L3o__�{= _ ..if n p;-•4 u u_il 'Ail- •,1._Fr�,�; I F r i_ and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ���_.,, ill, I_ .. = ,. _. i _ .rl, Ili • Multi-family ❑ Master builder ❑ Other For special information use checklist. r elk r., r i r m n. n u; rug Description I_ Ea I Total --.: si! Vi a. _ � 1 1 - : 1 . u :`) I1 -- Ili d4. L rnP • . m „ r,-_ ,,EI� E,m._.. Illl "-t . _ - Heating/cooling QtY Job site address: $S 1 6 5 W 5 cAl�c .1 c.,_ Air conditioning or heat primp �T 1 e� (requires site plan showing placaaeat) 14.00 City/State/ZIP: r i 4).X• sr. i.‘ r1, q --] �.al^1 Furnace 100,000 BTU (duct ents) , 1 14.00 l / Furnace 100,000+ BTU (ducts/vents) 17.90 SuitelbldgJapt. no.: I Project name: 161 a-7'a,.. Gas heat pump 14.00 Cross street/directions to job site: Jr _ .5 ,p__*-- ■ 5 (-40.\ 1 - Duct wor 14.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) • 14.00 Unit heaters (fuel -type, not electric), in-wall, in -dud, suspended, etc. 10.00 Subdivision: I Lot Flue/vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fbel appliances • - 1 �gI + �9a: '` ~ -1, � 14: -- _ .1 : 1€1!91 Waler heater 10.00 _ ; raz..x.. =emu -- =- '2 I ._..,, •,1r, l- :•:;;I! ivi t 1 I w l 1 1 : ?t Gas fireplace 10.00 Flue vent for water heater or gas fireplace 10.00 Log lighter (Bas) 10.00 Wood/pellet stove 10.00 Wood fireplace/insert 10.00 •__ Ica", -,,,,, , :Ilup.. : , ;l` - _ :utlU 4.:.fi:. :yy f(rcn�..al.p� _ Chimney./liner /flue/vent 10.00 - ,+...p. :•,,''-:.-_. �:> . _,,t.= m T `=1-i -. '` i _ - . N._ . ,.., , Other. 10.00 Name: 1740 i 6 Ttsf^ z. , \ ( Environmental exhaust and ventilation Address: $ S - 7 S -s w r- ,� P i Range hoodlotha kitchen i�` �. equipment 10.00 City /State/ZIP: T O . c k 1 olk ci 7a,a4-( Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: (p 3) -md'7 g Fax: ( ) . toilet compartments, utility rooms) 6.80 --- -. ------ _ =;ur'r •• _ =4 -:::'":=4_. t)r 9. I -T te r.= ' - -_ c 6 _i 1- E i;c = - �.2 �_ .' f,� •I -i { 1 s _ . .- 1 : _ AltlC/C7HVY15paGe fans 10.00 Other: 10.00 Business name: C i ; 4,71- . C a...4r- o 1 Fuel piping . Contact name: Kik.k4 , 1 Owl $5.40 for first four; $1.00 for each additional Address: 1144 5""n© 6 7 "A AV e-.- . Furnace, etc Gas heat pump City/State/ZIP: � t / p °(--7 4 Wall/suspended/unit heater Phone: (A L f S3 - di g " I F ax : : (5b5 ) /I -7 • L f Water heater E -mail: / Fireplace _ .-L i lt. ma Range � i( II L , r - - - -- __ ter a l II , : I�: ��•a al reli.:1 .._. -Ili Barbecue . ��'.�. 1 II t ti Y G • Clothes dryer (gas) Business name: `a _ �� - Other: Address: ; z1- .(�il �t " {yr-- `•�.' � �rII I `� 1i` - (n So t� S W 2� "we-- II , . 731,',8 y RIL ,,ti, Ii r;;!,0 , t�olhl � 4;kA4 City/State/ZIP: Q0 r h-\ a a , D ( ''v 1 `, .a� Subtotal I finimum pemnit fee ($72.50) 7 SO Phone: (se) YS 3 -- tpsa'� I Fax: ( $53) e l Cos - ?a.,:f:..( Plan review (25 of permit fee) CCB lit.: 4„9..t q 1 State surcharge (8% of permit fee) S. gO �j TOTAL PERMIT FEE r; 7g . 30 Authorized j . � / - This permit application expires If a permit Is not obtained within 180 / days after it baa been accepted as complete. t Print name: 1� (...4 'I I Date: (o � c / Q C.(. • Fee methodology set by Tri- County Building Industry Service Board i:\Buu� a c Pa,mrnpp.doc 12/03 n., 440-4617 (11/0 C 1 lrvwsa) i • d 1722G896E0G 3W1 10211W00 31UW I 13 Wld T O : B b'002 02 100 8/25/2005 ../1110/1111. Case Activity Listin 9:36:19AM TIDEMARK Case #: MEC2004 -00694 • COMPUTER SYSTEMS, INC. - Assigned Done Updated Activity Description Date 1 Date 2 Date 3 Hold Disp To By By Notes MECA007 Application received 10/20/2004 None DONE DER 10/20/2004 . DER MECA008 Create Permit 10/20/2004 None DONE DER 10/20/2004 DER MECA725 Heating Unt Insp None 10/20/2004 DER • MECA799 Final Inspection 12/2/2004 None PASS CB 12/2/2004 CB MECA060 (F) Issue permit 10/20/2004 None DONE DER 10/20/2004 DER MECA800 Case Finaled 12/2/2004 None DONE CB 12/2/2004 CB • • Page 1 of 1 CaseActivity..rpt CITY OF TIGARD 24 -Hour BUILDING Inspection Line: 503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639.4171 MST BUP Received Date Requested la AM PM BUP Location ' 5 �_ ' _ 1-1 Suite o UCH ¥`O O Co 9 `f' Contact Person • h( ) 4 5 Z PLM Contractor "h ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation �� ta-e-7 ELC Ftg Drain Access: N- �-�-c- S ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear �v1 �" 2 L Framing Insulation Drywall Nailing ;��1� ��N T�2o Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Alms Storm Drain Shower Pan A.c5T-E : o s 40 Other: Final A • • C1/V 6/�/- S � C.:� • — PASS 'BART FAIL MkettAPICAL Post Beam C J [V/ / Nl. 9a //n 1( Gas Line dO 1 /2-z D Smoke Dampers P Ati i S t TO PART FAIL ELECTRICAL • , V me Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: Unable to inspect — no access Fire Supply Line • ADA / Approach/Sidewalk Date /2 2 - Inspector Est Other: Final DO NOT REMOVE this inspection recor om the Job site. PASS PART FAIL