15455 SW OAKTREE LANE-2 N7 33?INVO MS 99"
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15455 SW OAKTREE LN
CITY OF
T I G A R D _ MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2005-00358
13125 SW Hall Blvd.,Tigard,OR 97223 503-639-4171DATE ISSUED: 6/20/2.005PARCEL: 2S111173-10200
SITE ADDRESS: 15455 SW OAKTREE LN ZONING: R-7
SUBDIVISION: SUMMERFIELD Nr).10 LOT: 590 AURISDICTION: TIG
Project Description: Attic fans.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: 3F UNIT HEATERS: VENT FANS:
OCC'"PANG GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORSHOODS:
FUEL TYPES u - 3 'M: _ DOMES. INCIN:
ELE 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15-33 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 -50 HP: WOODSTOVES:
GAS PRESSURE: 50+ HP: CLO DRYERS:
` FURN< 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm:
> GAS OUTLETS:
10000 cfm:
Owner: FEEb
WALTER WEFT Description Date Amount
15455 SW OAKTREE LN. (MF,CIiJ Permit Fee 6120/200,v $72.5(-
TIGARD, OR 97224 ITAXj 8"/f"Stat( Surcharl 6/20/200: $5.80
Phone: 503-598-8850 To'al $78.30
Contra tor:
BETTER BUILDING
5017 SW FAIRVAILE CT. REQUIRED ITEMS AND REPORTS
PORTLAND, OR 972_21 — - - -
Phone: 503-720-4164
Reg#: LIC 145002
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This permit is issued subject to the regula"ons contained in the Tigar.i t,`)nicipsl Code, Stale of Ore. Specialty Codes^.Q
all other applicable laws. All work will be done in accordance with approved pians. This pormit will expire if work is not
m started within 180 days of issuance, or if wor*. is suspended for more than 180 days. ATTENTION: Oregon law requ'res
t7 you to follow rules adopted in the Oregon Utility Notification Cr--t ter. Those rules are set forth In OAR 952 001-CO10
LU through OAR 952-001-0100. You may obtain copies of these naica Vf direct questions to OUNC by lung 503-2-118-6699
or 1-800-332-2344.
z1 A
Issued By: Pormlttee Signature:
Call 503-639.4115 by 7:60 a.m.for Inspections that dy.
Tt;is permit card shall be kept in a conspicuous Wace on the Job alto until completion of the project.
Approved plarn are required on the fob sfte at the time of each Inspeetltom
Mechanical Permit Appli&ajin'
t Ity OrT1g8I'd •_ ED YGj s.y/O ParnitNur y
13125 SW Ilsll ltivd.,Tiprd•OR 97223 Plan
Phone: 503.639.4171 Fax: 503.59f.1960JUN DoWBy OtbarPenodt:
1•,spection Linc 503.639.4175 1UU5 t Doe ady � gee Ps e 2 fer
e RReIFIy: m
Internet: www.ci.tigard.orus tioYfaN�l4ethod: Ilapptkrn�tlal turorrsilea
CITY r;! TIGARD — `---- W�
tot CfpGClCiavl`
❑New construction A(I(Iition/alteration/mplacement a cal permit feu*are basad on the%slue of the work
pWfxn)ed.Indicate the vvlue(rounded to the nearest dollar)of all
❑Demolition ❑()thcr: mW*nical malerisle,(�uipment Valor,overh ad,atter profit
CATILCARY OF CONSMUC170N value:S I
I-and 2-family dwelling ❑Comm ercial/industrial ❑Acrossory building •-
❑Multi-family ❑Master Milder ❑Other: For spacial k1forawlkw use checklist.
Desai 'on Ea. Taal
JOB am V411111C)RMAThON AND t�0((".ATION Heath eoo��_
•----�— - _ — Air conditioning or hent Pump
Job site address: '<' S S 5 t�A) . L� �ct`��/ (requires site plan shovA )ice�L 14.00
City/State/71P: Furnace 1000006�T :.
d� 14.00 Furnace l00000+ 6Ll�&adveras 17.90Sute/bldg/apt.no.: 080 hat
14.00
Cross street/directions to job site: Duct work _ 14.00
Hj*onichotwvtvL%Aj!a 14.0'1
Residential boiler(radiator or -- --
h dronic _ 14.00
- -- - - - Unit henters(fuel-type,nrn electric),
tn-vrall,in-duM sus ded,_etc. 10.00
-- -
Subdivision: Flue/vent fur any of above 10.00
-
_ --l,ol no.: -- Other: 10.00
Tax nuip/parcel no.: Other tel applhaces
I1WRIF'TION OI WORK — Water hm*w 10.00
_.--------_.__..- Ona `ace 10.00
Flu-vent for water hater or ps -
ace 10.00
10.00
—.— ---------___._-----_-_��--------- -- Woo_d/�elletnnve - 10.00 --
Wood Are�lsaaitutert 10.00
❑ ra(WSRTY ("*mfILII C3 TENANT _.W Chimney/liner/flue(vent- 10.00
1 Other: - - i.10.00
Name: w[L�tp. _ lQ Cavlroattaeatal exhaut sad veattlathe
Address: Range hond_/o_t_ha-kitc—hen
tCt!t�xhtj
- 10.00u
dycr
xhaust City/Satelzip to.w
nge-duct
exhaust(hathrooms,
Phone: ) sa Fax c ) toil;omm�tments,utility roues) 6.110
13AFFUCANT ❑ CONTACT !>6IIlrO1V Anirltxawlspace Ens 10.00 _
—_ - 10.00
Business name: Met:
f - _— Rtrelpipht
Contact name: SSAS for lint four;$1.001 or each addidesel
Furnace,de.
Address: nes hat pump ^-
~ CN /Sate/ZIP: --
fli Y � WdV_w�endedunit hate
Phone:( - ) -Fax. ( 11--- --- - --- Water hater -
a E-mail: Ftrtplace -
Range
1?-tsmess name: J �__. .__ Clothes_J -
address: S t� -
City/SatelLlP: r Q Subtotal
Minimum- ndt fce(572,50) _
Phone:(SOS �(''�(1�-4 Fax:( ) Man rimew(25%ofPermit fee)
CCA tic.: sate surcharge(li%orpermit fee)
7� TOTAL PERMIT FEE
/ �►uthorized signatt 11%perrall a/peagw esplres It a penult Is not ebtali @4 w;Mlo 1 M1
_ Aqa ager It Mas been accept eA on eaapMe
Date: _—j Fee nwhahrlopv set by Tri- ourdy Raild'inp Irxherhy Service Road
0HW1dingTermfS%W_(7-PmniUypdm W03 440461Tr(1!/e MIMM))
Mechanical Permit Ayl2lication - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule: _
To Valanflon:_ _ Permk Fee:
Sl.00 to$2,000.00 Minimumfec
$2,001.00 to$5,000.00 S72.5n for the first$2,000.00 and$2.30
for ey .i additional$100.00 or traction
thereof,to and including$5,000.00._
$5,001.00 to$10,000.00 S 14 I.50 for the first$5,000.00 and
80 for each additional$100.00 or
fr ica thereof:to and inchk::ng
__ $10, .00.
$10,01)1.00 to$50,000.00 $231.50 the fir/cluding
0.00 d
51.35 for ePc d
$
100 or
fraction thereof,ttlu ng
$50,000.00. _$50,001.00 to$190,000.00 $771.50 fir tYe fird$1.25 fbr each add100.00fra✓tion thereof,toluding$11b000.00.$100,000.01 and up $1,396.50forthe ,000.00and
$1.1'J for each add100.00 or fraction tha wE !-
Note: All new commercial huilding�require 2 sets of plana.
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