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Permit r� CI TY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2004 -00128 {III 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/19/04 PARCEL: 2S 114AD -00600 SITE ADDRESS: 09005 SW WAVERLY DR SUBDIVISION: WAVERLY ESTATES ZONING: R -12 BLOCK: LOT: 005 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: 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: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1 > 10000 cfm: GAS OUTLETS: Remarks: Install exterior A/C unit. Do not place within the required setback Owner: FEES JILL MCCARTY Description Date Amount 9005 SW WAVERLY DR TIGARD, OR 97224 [MECH] Permit Fee 3/19/04 $72.50 [TAX] 8% State Surchar€ 3/19/04 $5.80 Phone: 503 609 - 1973 Total $78.30 Contractor: TRI COUNTY TEMP CONTROL 13150 S. CLACKAMAS RIVER DR OREGON CITY, OR 97045 REQUIRED INSPECTIONS Phone: 503 - 557 - 2220. FINAL 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: Permittee Signature: Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day Mar 1g 04 11:54a P.1 w <.; • / , Mechanical Permit Application FOR OFFICE USE ONLY Received ,,y Mechanical Date/Bv. II/f Permit 1at( el Ot/a ' City of Tigard ��I E® Planning Approval Building 13125 SW Hall Blvd. �� Permit No.: Plan Review Other Tigard, Oregon 97223 b" 04 DateBv: Permit No • Phone: 503- 639171 Fax:t6- � Post - Review Land Use Internet: w-ww.ci.tigard.or.us 1n� AS RD �� Date/By: Case No.• a' Contact Juns.: El See Page 2 for 24 -hour Inspection Request: (W» -4� Name/Method BUILDING I Supplemental Information. TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST _ 1y New construction ❑ Demolition Mechanical permit fees" are based on the total value of the work Addition %aleration/replacement ❑ Other: performed. Indicate the value (rounded to the nearest dollar) of all CATEGORY OF CONSTRUCTION mechanical materials, equipment, labor, overhead and profit. Ell & 2-Family dwelling Value: S y g ❑ Commercial/Industrial ciaUlnd See Page 2 for Fee Schedule ❑ Accessory Building 0 Multi - Family RESIDENTIAL EQUIPMENT /SYSTEMS FEE* SCHEDULE Description I Qty I Fee(ea) Total ❑ Master Builder El Other: JOB SITE INFORMATION and Hea � umace - add -on air � nd LOCATION Furnace 14.00 I Job site address: gl;0;5_ �j j`l iN`vy� stv fa-(v Gas heat pump i 14.00 I Suite #, : _ Bldg. /Apt. Duct work I 14.00 • Project Name: Efydronic hot water system 14.00 Cross street/Directions to job site: Residential boiler (for radiator or hydronic system) 14.00 Unit heaters (fuel, not electric) (in wall, in -duct. suspended, etc.) 14.00 _ Flue/vent (for any of above) 10.00 Subdivision: , Lot m: Repair units I 12.15 Tax map /parcel R: Other Fuel appliances Water heater 1 10.00 DESCRIPTION OF WORK Gas fireplace I 10.00 Flue vent (water heater /gas fireplace) 10.00 _Log lighter (gas) 10.00 Wood/Pellet stove I 10.00 Wood fireplace/insert 10.00 Chimney /liner /flue/vent 10.00 4PROPERTY OWNER I ❑ TENANT Other: 10.00 I Name: r VI ti / 1 tf•l 1 Environmental Exhaust & Vendlation Address: � ' >` r t Range hood/other kitchen equipment 10.00 �CC �1bV ��c�;�l� Clothes dryer exhaust 10.00 i gc rd 1 0 & q-IN4 Single duct uct exhaust Phone: V.A. Fax: (bathrooms, toilet compartments, gg APPLICANT ❑ CONTACT PERSON . utility rooms) 6.80 ame: TRI COUNTY TEMP CONTROL Attic/crawl space fans 10.00 Address: 13150 S. CLACKAMAS RIVER DR_ Other: 10.00 I City /State /Zip: OREGON CITY, OR 97045 •• (55.40 for first 4 Fuel s 00 each additional) Phone: PHONE: t :557 -222p Furnace. etc. • I *• E -mail: FAX. Itnq) cc -rte --- Gas heat pump •• Wall/suspended/unit heater •» CONTRACTOR Water heater •* Business Name: Tri County Temp Control Fireplace •• Address: 13150 S. Clackamas River Drive Range *» Ci /State /Zi or BBQ »» ty p: egon City, OR_ 97045 Clothes dryer (gas) •• Phone: 503 - 557 -2220 Fax: 503- 557 -0919 Other: •• CCB Lic.: 72623 Total: Authorized J y/ mary�,, Mechanical Permit Fees* Signature: � jZUQ�t1L Date: 0/ Subtotal: S *M �,y��y� Minimum Permit Fee $72.50 S 117 ,G,(''I andl t(.V f , f77r - i ) Plan Review Fee (25% of Permit Fee) $ (Please print name) State Surcharge (8% of Permit Fee) S 5,p, TOTAL PERMIT FEE $ , Notice: This permit application expires if a permit is not obtained within •Fee methodology set by Tri- County Building Industry Service Board. 180 days after it has been accepted as complete. ••Site plan required for exterior A/C units. t: \Dsts \\Permit Forms MecPermitApp.doc 01/03 Mar 1 4 04 11:55a p.2 r _ •J A — t ) (1\ e_. vA c- P'es ;dam 6 o)oo S.w Wxverle y - 1,GOAr� 1 ©2 J � ? 22A epS Ipad. • . qc;? 5- u . w 1y CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested c AM PM BUP p� Location S Suite MEC o�� y -60 Contact Person . '�R .0 Ph ( ) PLM Contractor Ph ( ) SWR • BUILDING Tenant/Owner 4 Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors ,-M14 Ext Sheath/Shear J a Int Sheath/Shear — (� Framing v J Insulation Drywall Nailing Firewall Fire Sprinkler �� / `-- _in Fire Alarm Susp'd Ceiling j Roof Other: / 2 � Final PASS PART FAIL rte, / - t ;-' PLUMBING f i /t��[ _ —Lad Post & Beam / Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan • Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Sm• . Dam•ers PASS i fr FAIL ELECT AL Service Rough -In UG/Slab Low Voltage Fire Alarm Final , El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE : - E Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Approach /Sidewalk Date V2/e Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. . • PASS PART FAIL •