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079A SW BOND ST
CITYOF T N G A R D MECHAWCAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2003-00661
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13125 SW Nall Blvd. Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/19/03PARCEL: 2S112CD-05300
SITE ADDRESS: 07963 SW BOND ST
SUBDIVISION: BOND PARK NO. 2 ZONING: R-12
BLOCK: LOT: 033 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EV4P COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEM.:;-
STORIES: BOILERS/COMPRESSORS HOODS:
_
FUEL TYPES _ 0 - 3 HP- i DOMES. INCIN:
L 11G 3 - 15 HP: COMML_.. INCIN:
M 4X INPUT: BTU 15 - 30 HP: REPAIR UNITS:
IRE DAMPERS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLU DRYERS:
FURN < 100K BTU: 1 _AIR HANDLING UNITSOTHER UNITS:
FURN —100K BTU: <= 10000 still: GAS OUTLETS:
> 10000 cfln:
Remarki: Replace gas ILrnace kith like kind and install nc%% a,r.
Owner: _ A FEES^ _
GOLDBERG, LAURA D Description Date Amount
7963 BOND ST - —
TIGARD, OR 91223 1\11 CI I I Permit fee 11/19/03 $72.50
1 1 \J K"'o State 5urc;iart 11/19/03 $5.80
Phone:
Total —__ $78.30
---
Contractor:
ADVANTAGE AIR & PLUMBING
3106 NE 163RD 'T
RIDGEFIELD, WA 98642 REQUIRED INSPECTIG14S
Phone: 100-693-5330 Heating Unt Insp
Cooling Unt Insp
Reg#: LIC 00079182 Final Inspection
This perntii is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other applicably,i3ws. All worts 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 t4 follow rules adopted in the Oregon Utility Notification Center. Those rules aft set forth in OAR 952-001-00
IsrjuBy: _ Permittee Signature: �� L' �
Call (503' 6394175 by 7:00 P.M. for Inspections needed the next business day
�I
Nlechanieai Kermit Application Rrcei,eo E ha(
()ate.)/Y. l/ /`j�j Pennit No.
City-It of Tigard Planning Approval Building
g Date/By. Permit No.:
13125 SW H411 Blvd. � Plan Review - Other
Tigard,Oregon 97223 Date/By: Permit No.:
Prone: 503-639-4171 Fax: 50Post-Review Land Use
^k Date/By: Case No.:
Int.rnet: www.ci.tigard.or.us contact Z Ser Page:for
24-hour Inspection Request: 503-6394175 Name Method T_/fa Supplemental Into,inatior.
TYPE OF WORK COMMERCIAL FEE*SCHEDULE-USE CHECKLIST
,New construction I Q Demolition Mechanical permit fees•arc based on th,tool value of the work
Addition/alteration/replacement Other: performed. Indicate the value(rounded to the n wrest dollar)of all
CATEGORY OF CONSTRUCTION mechanical mL:erials,equipment. labor,overhead and profit.
—1 & 2-Family dwelling Commercial/Industrial Value: s_ _ See Page? for Fee Schedule
Accessory Building Multi-Family RESIDENTIAL EQUIPMENT/SYSTEMS FEE*SCHEDULE
LJ-�----- --- Description h' Fee ea. Total
Master Builder -7-n Other: Heatin Conlin
JOB SITE INFORMATION and LOCATION Furnace-add-on air conditionin '• 14.00
Job site address: -7`!&3 IR,0 Si Gas heat pump 14.00
Suite #: Bld ./A t.#_ Duct work 14.00
Project Name' _ H dronic hot waters stem 14.00
Cross street/Directions to job site: Residential boiler
for radiator or h dronic system) 14.00
Unit heaters(fuel,not electric)
in wall,in-duct,suspended,etc. 14.00
Flue/vent for any of above i0.00
Subdivision: Repair units 12.15
Other Fuel Ap illances
Tax map/parcel #: �— Water heater _ 10.00
DESCRIPTION OF WORK _ Gas fireplace 10.00
dam;/nom ? k Flue vent(water heater' as fireplace) 10.00
Log lighter as 10.00
\lood/Pellet stove 10.00
W xod fireplace/insert 10.00 _
Chi.inc /liner/flue/vent 10.00
PROPERTY OWNER ICITENANT Othet 10.00
Name: Jr e G�i j ,y q ,_ Environmental Exhaust&Ventilation
Address: '74b iRange h,od/other kitchen equipment 10.00
City/State/Zip: oil ?l 3
Clothes dr.,er exhaust 10.00
Single duct.\�haust
Phon .5.3 (,2 Fax: _ (bathrooms,tuIet compartments.
APPLICANT CONTACT PERSON utilit rooms) 6.80
Name: Attic/crawl%aace fans 10.00
' �---_-- ------ ---- ._ _--- - Other: - - 10.00 --
Address: _ -----
_ Fuel Piping
City/ Late Z _ _ 1.00 evch add410-121) -_
Phone: Fax: Furnace,etc. _ _ ••
---- -- -- Cas heat pump _ •'
E-mail_-- _s'all suspended/unit heater ••
CONTRACTOR Water heater ••
Business Name: 1J, 41r� Ln•i;��{ plv�b Fireplace — •• --
Address: 11 o b 0 4J BBQe 00
--_
Cit /Stategi — qts 4 L. Clothes dryer(gas) •"—
Phone: Z Fax �)�,y 2 z ; Other:
CCB Lic. #: '7 ml� L Total
Authorized `f�� Mechanical Perndt Few _
Signature — Date I/ / 19 j Subtotal S
-IVT Minimum Permit Fee S':.50 S _
Plan Review Fee(25%of Permit Fee) S _
(Please print name) — State Surcharge(8%of Permit Fee) 5 en
'rOTAL PERSIIT FEES
Notice: This permit application expires if a per.wt i%(lilt obtalnrll %ithio *Fee methudolugy,set by Tri-County Building Industry Service Board.
Igo days after It has been accepted as complerc. "Site plan r.-wired for exterior A/Cunits.
i Dsts Permit Fonns.Mecl erinitApp dtx 01 03
Mechanical Permit Application - Cite of Tigard
Page 2 Supplemental Information
Commercial Fee Schedule:
TOTAL VALUATION: PERMIT FEE:
$1.00 to 52,000.00 Minimurn fee$72.50
$2,001.00 to$5,000.00 $72.50 for the first$2,001-00 and$2.30 for each
additional$100.00 or fraction thereof,to and
_
including$5,000.00.
$5,001.00 to$10,000.00 $141.50 for the first$5,000.00 and$1.80 for
each additional$100.00 or fraction thereof,to
_ and including$10,000 00.
$10,001.00 to$50,000.00 $231.50 for the first$10,000.00 and$1.35 for
each additional$100.00 or fraction thereof,to
and including$50,000.00.
$50,001.00 to$100,000.00 $771.50 for the first$50,000.00 and$1.25 for
each additional$100.00 or fraction thereof,to
and including$100 000.00.
$100,001,00 and up $1,396.50 for the first$100,000.UUU and
— �- $1.10 for each additional$100.00 or fraction
LI thereof,
All Nc%% Commercial lWildings require 2 sets of plans.
i\Building\Permit Forms`MecPenndApt1Py2 09.0 1.03 dr,(
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CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175
INSPECTION DIVISION Business Line: (503) 639-4171 MST
BLIP --
Received - - --- -_ Date Requested _-----���;3 AM PM ___—_ BUP
Location _ 79�} �j�'` — Spite -- ----- rEC 3—OO4�0&/
Contact Person _
Ph(—) -_7 7 _ PLM
ContractorPh
— ( ) SWR _
- - -
BUILDING Tenant/Owner
Footing ^-- ELC
Foundation Access: W—
Ftg Drain ELR
Crawl Drain ---
Slab inspection Nctes: �' '� pL iv_(o,,, cp,'d,'ls,..: SIT
Post& Beam
Shear Anchors T -�G�
Ext Sheath/Shear 1`'^
Int Sheath/Shear
Framing
Insulation
Drywall Nailir-
Firewall
Fire Sprinkler -- -- -- ------- - - -
^ire Alarm
Susp'd Ceiling -------- -
Roof
Other: -- --- — -
Final
PASS PART FAIL
PLUMBING —
Post& Beam
Under Slab
Rough-in
Water Service ---- - --_ — _
Sanitary Sewer
Rain Drains -- ---- -
Catch Basin/Manhole
Storm Drain -
Shower Pan
Other:
Final ------.-------
PASS PART FAIL --- -
HANK ---
Post&Beam
Pough-In — ---- ---- ----- —
Gas Line
SMA Danopers — -- --- -- - --
t
PART_SAIL
_EtEMICAL
Service
Rough-In
UG/Slab
Low Voltage _
Fire Alarm
Final IJ Reinspection fee of$— required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
_PASS PART—FAIL
SITE _ [] Please call for reinspection RE: — F-] Unable to inspect-no access
Fire Supply Line ADA
Approach/Sidewalk Date �z-- .,a Inspector /_ Ext__-
Other:
Final DO NOT REMOVE this Inspection record trolm the job sita.
PASS PART FAIL