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Permit r• fi t' . R C ITY OF TIGARD MECHANICAL PERMIT ii z PERMIT #: MEC2005 -00020 4- Ai DEVELOPMENT Tigard, SERVICES 639 -4171 DATE ISSUED: 1/14/2005 PARCEL: 1 S 134CB -02600 SITE ADDRESS: 12150 SW SUMMER CREST DR SUBDIVISION: SUMMER HILLS PARK ZONING: R -4.5 BLOCK: LOT: 024 JURISDICTION: TIG 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: LPG 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: Furnace replacement Owner: FEES DAVIS, JOHN EDWARD Description Date Amount SUSAN MARIE [MECH] Permit Fee 1/14/200: $72.50 12150 SW SUMMER CREST DR [TAX] 8% State Surchart 1/14/200: $5.80 TIGARD, OR 97223 Phone: Total $78.30 Contractor: TRI COUNTY TEMP CONTROL 13150 S. CLACKAMAS RIVER DR OREGON CITY, OR 97045 REQUIRED INSPECTIONS Phone: 503 - 557 - 2220 Heating Unt Insp Final Inspection Reg #: LIC 72623 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: AP _ _ �GGj�i Permittee Signature: �1 . Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day Jan 12 05 08:05a_ Tr ' ty Temp Cntrol 5035570919 p.1 � > `MCC � nical Pe 1 pp 'cation FOR OFFICE USE ONLY ei City of Tigard . ' 1 9 144 132005 n r ✓'/ B5 ?emit No.: NI 6-: 01105 -6.26 0 13125 SW Hall Blvd., Tigard, OR Plan Review Phone: 503.639.4171 Fax: 503.598.1960 �, a ,�. Date ty: Other Permit: Inspection Line: 503.639.4176 .ITV i Mi OF TIGARD ,_,1,L ry l'll 1. l Date Ready/13y: y: rum: ® See Page 2 for Internet: www.ci.tigard.or.us DING DIVISIO , Notifiedethod L -r Supplemental Information = t..'4; :T'itg.t - A WORK,. ' - - -i;[; r .CO`1Vwte 6 CHk;DUI:E" -'USE CKLIST ❑ New construction XAddition/alteration/replacement Mechanical permit fees• are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor. overhead, and profit. > ';" ,_ : >r - iC&I'EGORSf CTIO Value: a .. :0��.'COhTSZ'RU N'' : °c. ' �`r '}, )4 -and 2-family dwelling . _SIOE1!ITIAE : NT [.SY FEES* y g 'Q Comm erciaVindustrial ❑ Accessory building El Multi-family ❑ Master builder ❑ Other: For special information use checklist. . _ :• Description 1 Qty. I Ea. , Total •r. - -. ^n.r,. .i ,:::,- ..::OB . .IT..�E_ �' . .. UN : :�pi _IOCATIO ,: �:: �� .�� : :'�! : :'.i : :�;a :=i{,"_ Headae/rnolinq Job site address: Air conditioning or heat pump t wisp 6 W BU mm � n (requires site plan showing placement) 14.00 City/State/ZIP: 4/22b , Furnace 100,000 BTU (ducts/vents) 1 14.00 Suite/bldgJapt no.: I Project name: Furnace 100,000+ BTU (ducts/vents) 17.90 Gas heat pump 14.00 Cross streer/directions to job site: Duct work 14.00 Hydronic hot water system 14.00 Residential boiler (radiator or • hydronic) I 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 _ I z ris .r : r.' i , . ?'r� :...., -;=:*'• Water heater I 10.00 i .. ° :z4c..t∎ - ' * "• iSl w �='i7 F.'SCEZIP.T'ICON ' 1 A . O '1�, . ..i'a_ ",. :- •`' It .IJ ` L !. a � I Gas :fireplace 10.00 Flue vent for water heater or gas nrenlace 1 0.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 . Wood fireplace/insert I 10.00 other: 10.00 :. ;, _ ..M -4h'f: _ Chimney/liner /flue /vent 10.00 . •r?as't�;�' _��` ,.f•... ';L� :,.. , .,..: :',; : :'s-..,:�, :{ : �; : .i. :..: ,.._... : -t! Name: a loof) l y N Environmental exhaust and ventilation Adtiress : Range hood/other kitchen equipment 10.00 City/State'ZlP: Clothes dryer exhaust 10.00 ((g ) toilet Single-duct exhaust rooms) Phone: ) G Fax: ( ) toilet compartmennts, utility s) _ 6.80 " . . ' .0 7 .{., :: "� .a . ' '2,-;- t � ,. ;;, r p . ", Atti c/crawl c/crawl ace fans 10.00 : ":.i. : ;5 :.t,. :sC:'. ,: � 'a:! . 7 r r..,. ,~ : :r -: 1 .. .T. -A. ^ 'Y.i..... ' l :. ' 7 ' : . • Fuel Business name: •f n Cab . TCmp Coy trr I F I0.00 Fuel piping Contact name: inapt , y v $5.40 for first four; $1.00 for each additional Address: 0 100 6 . C I QC�na8 tRi vcr �) Furnace, etc. 1 /� /� Gas heat pump l: City/State/ZIP: ` j 3f 0 t c IQ C 70445 � y] n I Wall/suspended /unit heater Phone: ()j) s5-7.- 2210 l Fax:: (503) 55 7- _C1'11 q Water heater . Fireplace E-mail: Range tr. •K,.. :5 ) � 5 ' :.'Tet4 E ii':1''f";;t,.: r <' k i -:t:.:: ::i; i .. • " ., Barbecue �ia , .�;,� : :w:�..;,.5':i.. � :..srk: :a k.:, 4 "'!?4,'- �'.:. :... .., ,e'�.•:.,r ;r te; " „: .... Business name: 1 11 court/ Control Clothes dryer (gas) (�/� / /� L yy� C (� l}� � (�,�� Other: Address: tC 1 �fJV t 7 • t QC�(�L.l 1 1 IQ� J tV V `-t J )1 t it ?.. 'r^ '�;;lV1 c qA.� c4,..,P)E.L C EIEES* , City/State/ZIP: © On Li O . �7 Subtotal Phone: (S) 55 27 Fax: ( F 657 - � 161 Minimum permit fee ($72.50) /o -7 Plan review (25% of permit f CCB lie.: State surcharge (8% of permit ee) . � /' TOTAL PERMIT I. : �y Authorized signature () �'� This permit application expires if a permit is not obta . . within 1 'qn� // i,;� ,�,^ days after It has been accepted as complete. _ Print name: N:tine Nl(�J0 j� I Date: i b - Fee methodology set by Tri- County Building Industry Service Board 0.13uitdingWemiuNMEC- Pva6App.doe 12/03 440.461 7T (11 /07/COM/WEa) CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (50 639 -4175 INSPECTION DIVISION Business Line: (51 ) 639 -4171 MST BUP Received Date Requested ` 3 AM PM BU • Location D dI 4 A / % of Suite 665 -ova d Contact Person P ) 5 $ 7 - Z ZZ PLM Contractor • ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: ) z J s• Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT .� Post & Beam Shear Anchors } ' 1 /' Ext Sheath/Shear / (� Int Sheath/Shear Framing Insulation Drywall Nailing 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 Storm Drain Shower Pan Other: Final PASS _PART FAIL ivCcabibuGAL Post & Beam Rough -In Gas Line Smoke Dampers PART FAIL ELECTRICAL 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 ,- 3� d A sr pproach/Sidewalk D a t e ddd I nspector Ext Other: Final DO NOT REMOVE this inspection record m the Job site. PASS PART FAIL