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Permit C I T Y TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00196 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/11/2007 PARCEL: 1 S133DB -07700 SITE ADDRESS: 13491 SW SUMMERWOOD DR ZONING: R -25 SUBDIVISION: SCHOLLS FERRY ROAD TOWNHOMES LOT: 003 JURISDICTION: TIG PROJECT: PITSINGER Project Description: Install a/c 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 MARLEEN PITSINGER Description Date Amount 13491 SW SUMMERWOOD DR TIGARD, OR 97223 [MECH] Permit Fee 4/11/2007 $72.50 [TAX] 8% State Surchar€ 4/11 /2007 $5.80 Total $78.30 Phone: 503 - 521 -9539 • Contractor: TRI COUNTY TEMP CONTROL 13150 S. CLACKAMAS RIVER DR OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS Contact #: PRI 503 -557 -2220 FAX 503 -557 -0919 Reg #: LIC • 72623 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0 100. You may obtain copies of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. • . Issued Permittee Signatu Call 503.639.4175 by 7:00 a.m. for inspections th usine ay. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. AID10 007 11:13A FROM: T0:5035981960 P.1 - 1 Mechanical Permit Application FOR OFFICE USE ONLY - City .of Tigard RECEIV ' ll, Rem y i p ,9.je PernutNo.: /ygC. /dl- Da/ 9 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Other Permit: Phone: 503.639.4171 Fax 503.598.1960 ,;• ( ' DatdH Inspection Line: 503.639.4175 APR 1 0 ! �. I I Date Rey /By: Si See Page 2 for i Internet www.citigard.or.us CITY OF TIGARD Notifled/Method: , Supplemental Information tr e- Ail t I. ,r. .. IS - .. . t.1*" _ t - : m : E:ia{ q' - ' Ill CICI.TI. CI �.- : . 9 . a ' � � �. { •m Ct 1, �' � ,:�C$EEI(��5. New construction, Addition /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. �. .p� - a� T �. w .; �. � ; . i r .t, Value: S � . 3?' ire`: ,W r 'OteJ i ON 7.i 514 6 ' ! sk t4 s RC'� ;.31 4 'a c ?�r�� , yy <��'/�-��-���rrr�rr�����pppppp���a+ eQ. U_ p. 01 y1 ..., w. +ey. +f+, r , L w.. V t: e.,�,'�} �'t�'�R�C -- r 440.- w$ t ",. ±a/ �'!' . �, " A ' A' LS' {xlvS,•'ICL'JGS it l- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder 0 Other: Description ' I Qty. 1 Ea. 1 Total %err :( .? : =' � ' . ! ! c9. B - sr d A , `WQ i:• f • . , 4:.-2`0%.,,..' Hendnp/eoolleg_ Job site address: ( q 1 - ► 1m V wood DrI Air conditioning or h pump (requires site plan showing placement) I 14.00 City/State/ZIP: (�� �'r t j,� Furnace 100,000 BTU (ducts/vents) 14.00 T�""' Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bidg /apt no.: 1 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.: , 10.00 ; Tax map/parcel no.: Other fuel appliances !... - .><!, -• 79 . ;'. .F: - .-. -.7 . 'Ir. � I 0 %Ofw IC, . f..�. =s , d J . - , i•••., + Water heater 10.00 r `' - .per b Gas fireplace I nif - h l l M Flue vent for water heater or gas 'J • fireplace 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace/insert 10.00 Chimney/liner /flue/vent 10.00 `{' • '$O' 'F1}' ti ..p•' l' �, la Fi : . M'' �_l� :, c : "' 10.00 •' � 1, . ;O . = 2'� .- ;, ikii . 9 - �•. 4 Other: Name: or . 1 e) fl1f�r Environmental exhaust and ventilation 4J1�) l i� I L/ t t`M+�/' equipment kitchen hood/other kitchen Address: equipment 10.00 _ - • City/State/ZIP: Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: ( �21 - CtSbi Fax: ( ) toilet compartments, utility rooms) 6.80 W,. ' `' ' Attic/craWISpace fans 10.00 IlV ,`" :1 1��p�n'��' ► 40-71' -4: .•".fi " } g S r. .". 10.00 �M,J[xl� C© 7 � ; '. a'b;. :� Other: _ Business name: Tn CEttTtv Temp C0 r11-01 Fuel piping Contact name: �- ' gyp` 55.40 for first four; 51.00 for each additional Address: Cl fil ll �( 4`-J I l.�qr V V Gas heat purnp City/State/ZIP:. &JO 11 '// e f Ci Q 7 / 45 n Wall/suspended/unit heater Phone: ( ) J5 7 ` L1-L Fax: : (JI.J SS'7 '7 Water Fireplace eatet E-mail: Range . p, r, �,,� IT. M T7 . ...-^a. / • : Barbecue 1 r i cot, Temp lF) Co o 1 Clothes dryer (gas) Business name: 1 Other: _ Address: ►lIi..Jl.1 rL - garrl l `/c ' 1 u , : u .. - * 4 -- : c -•� '�' • .. /� , • e p c ry t ( (� - Subtotal City/State/ZIP: ©r E! n � `'L ((((,JJJ���JJ �] ( ) 5� I (6� �5? 1�'' I Minimum rm peit fee it fee Phone: F ax: Pion review (25% of permit fee CCB tic.: 7 State surcharge (8% of permit fee) 4/ /� / TOTAL PERMIT FEE 4 ��f • 4 el � e �r This permit application expires If a permit Is not obis within 180 J Authorized signature: " `-"^ w - days atter It has been accepted as complete. Print name: liQ f' ,0004 Date: b , orl • Fee methodology set by Tri -County Building Industry Service Board I 410 V .---- IA n.det 7r tl 1ta2/COM/WBa% • . . lv - . , . evil 1 i u\G rot? ,..‘,./( :. I IFAT I 1 11k11' • • I If /I I .';1 I I: I'l 'N.I I iol' , 1.) - m m . 0 I\ • 1: . . 41 , ,.- , .1 If t )111, ;p: I .pi ll]; I 1 Ill ?1 3 "r1 • .•.: XI 0 . 2 . .. . -4- . a . I i I i • . . • I - I 1 ini 1. IY HUE . 1 . . • . A' CA My e • ( - -we rot ----1;74 .._......_________......, _._......_ .. ,... _..,... ._....._ c‘..• . I 11 li •,.., 1 r c() pet 1• 1 Li,, .. 1' ..._ / 4/6 spit . , 11w1:1- _1 0 • (./I 1 • ID GA . co .— : k.o cusiomim ImmitmAiimi co NAME morken o-5,-r , . 0 ADD)1Ess /51/91 su. Stiv<rwaltDr . . . . I fyovA p0' 9 1.1 ii.•,..0;.11F.p...,N Aril .I( .A.1.1, ;II WITH !;I I P. 1•1.,\ II. I —0 ............ .....—......... _. . . ro. ' • CITY OF TIGARD BUILDING DIVISION • PERMIT #: MEC7007 -00196 13125 SW Hall Blvd., Tigard, OR 97223. DATE ISSUED: 4/11/2007 Phone: (503) 639 -4171 G? , A, Inspection Requests (24 Hrs.): (503) 639 -4175 � INSPECTION WORKSHEET FOR DATE: 51/0 /2007 TIME: 7:02AM PAGE: 4ti SITE ADDRESS: 13491 SW SUMMERWOOD DR CLASS OF WORK: SUBDIVISION: SCHOLLS FERRY ROAD TOWNHOMES LOT #: 003 TYPE OF USE: PROJECT NAME: PITSINGER DESCRIPTION: Install a/c OWNER: PITSINGER, MARLEEN PHONE #: 503 - 621-9539 CONTRACTOR: TRI COUNTY TEMP CONTROL PHONE #: 503.557 -2220 Inspection Request Scheduled For: Date: 5/10/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 048018-01 503 -657 -2220 Y Corrections /Comments /Instructions: (i,11 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: I v Date: / 6 Phone #: (503) 718 -JP/4 CITY OF TIGAR-D BUILDING DIVISION PERMIT #: MEG2007 -00196 ' 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/1/12007 Phone: (503) 639-4171 + Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/17/2007 TIME: 7:01AM PAGE: 37 SITE ADDRESS: 13491 SW SUMMERWOOD DR CLASS OF WORK: SUBDIVISION: SCHOLLS FERRY ROAD TOWNHOMES LOT #: 003 TYPE OF USE: PROJECT NAME: PITSINGER DESCRIPTION: Install a/c OWNER: PITSINGER, MARI.EEN PHONE #: 503-521 -9539 CONTRACTOR: TRI COUNTY TEMP CONTROL. PHONE #: 503-557-2220 Inspection Request Scheduled For: Date: 4/17 /2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 046609-01 503 -557 -2220 Y Corrections /Comments /Instructions: r ❑ P ❑ PARTIAL APPROVAL _ ❑ CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 'Inspector: Date: Phone #: (503) 718-