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9724 SW OAKS LN
CITY0"r T I G A R D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT S: MEC2004-00017
13125 SW Hall Blvd., Tigard,OR 97223 (503)6E39-4171 DATE ISSUED: 1/15/04
PARCEL: 25111 CA-12400
SITE ADDRESS: 09724 SW OAKS LN
SUBDIVISION: SATTLER PARK ZONING: R-7
BLOCK: LOT:009 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
GCCUPANCY GRP: R3 VENYS 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:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN >R100K BTU: <.10000 cfm: OTHER UNITS: 1
> 10000 cfm: GAS OUTLETS:
Remarks: Change out of furnace a water heater.
Owner. _ FEE
WATSON, ERIC & DONNA Descriptlon Date Amount
9724 SW OAKS LN. IMECti]Permit Fee 1/15/04 $72.50
TIGAF2D, OR 97223
[TAX]9%State Surcharl 1/15/04 $5.80
Phone: 503-431-2061 Total :7H.30
Contractor:
EJ CA3SELLA&ASSOC.
PO BOX 13328
PORTLAND, OR 97213 REQUIRED INSPECTIONS
Phone: 503-233-4563 Mechanical insp
Heating Unt Insp
Reg#: LIC 35622
F-
W This pet snit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
.i and all other applicable laws. 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 to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00
Issued By: Permittee Signature:
Call(503)619-4175 by 7:06 P.M.for Inspections needed the next business day
a�aari
M_ echa,nical Permit Application
.
ReceivedCIty of Tigard Permit No ; �.
Date/By:( 7
_J
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Dsle/By: (Niter Permit:
Inspection Line. 503.639.4175 Date Ready/Fly: lurr 0 See Page 2 for
Internet: www.ci.tigard.or.us Nodfied/Method: ' Supplemental Information
,TYPE OF WORK COMA CW ltR" SC 4EDULE - USE CHIA: LIST
❑New construction Addition/alteration/replacement Mechanical permit fees'are based on the value of t'. +vo tk
performed.Indicate the value(rounded to the nearest 6ollor)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,urns,Wit.
CATEGORY OF CONSTRUCTION Value S _-
- -- -- RESIDENTIAL EQUIPMENT/SYSTEMS FEES"
1-and 2-far,-illy dwelling ❑Commercial/industrial ❑Accessory building
For special information use checklist. _
❑Multi-family E]Ma&er builder []Other: _ Descriplicm Qty. Ea. Toual_
JOB Sr1rE INFORMATION AND LOCATION Heating/cooling
F 7 2 y- !j(,J 0f} S Z N . Air fires conditioning ing t2 heat pump
lob site address:
— ^— - (requires site plan ettwin_R!scefnent 14.00
City/State/ZIP: Q/ Furnace 100000 BTU(ducts/vents) 14.00
— Furnace 100,00_)*BTU(ducWventa 17.90
Suite/bldg./apt.no.: Project name: pas iotas:pump 14.00
Cross street/directions to job site: Duct work 14.00
1 / H tunic hot water tem 14.00
r
Residential boiler(radiator or
h runic) _ 14.00
_ Unit beaten(fuel-type,not electric),
in-wall,its-duct suspended,etc. 10.00 Flue/vent for any of above 10.00
Subdivision: — ^— Lot no.: ------
Other: 1000
Tax map/parcel no.: Other fuel appliances _
_ Water heater 10.00
DItSCR
CL I ION,4�F.WORK — -
_ - Gas fireplace 10.00
Hue vent for water heater or gas
fireplace 10.00 _
- -- --- -- ----
Log li ter 10.00 _
- Wood/ lletstove _ IU.00
— Wood finploce/insert 10.00
Chintneyliner/flue/vent _ 1000 _
f!ROPERTY OWNER L ❑ TENANT — Other:
Name: bo vA,14 A l �tJ� Eavlronn ental exhaust and vendlatlou
Range hood/other kitchen
Address: ,Z !� w p/�,L'S 1 /✓ - — ux1 ipment 10.00
City/'Z}.lte/ZlP: /1 C, Clothes dryer exhaust 10.00
-- Single-duct exhaust(bathrooms,
Phone:(.p ) q 06 Fax:( ) toilet c rtments,utility reams 6.80
n �J
f r 0' T [J CONTACT PERSON Attir✓rwlapace fans i 10.00 II
_ - -
- ,,11 Other: I0•00
Business name:G, �A1L,q /�fSL. v� Fuel ItIpI21
Contact name: \ ��p 1 t�V �/�yy $5.40 for flrst four;$1.00 for each additional
dFurnace,etc. -
LL, Address' > pas heat pump -
City/StatetzlP: r Or f l4�el. I k Wall/suspended/unit hater _
Water hater _
Phone:(Cp3) 2 3 3 - �/S6 3 Fax::( , 3� gb 3 -/803 Fireplace
J E-mail: Range
m ------ 'd .. Barbecue — - -
i _ -
w
_J Business name: � C SS ��� �• yN C Other:
Address: ( �� ;119C41<ANICAL PERMIT FEES"
t
Subtotal
City/State/ZIP: O r r G N 7 2 /3 - - e
Minimum permit fee($72.50) 7�.
Phone:(Spxj )
.2-2 Fax:(�D�) �/'(� -/� V �? Plan review(25%of permit fee)
CCB lic.: State surcharge(8%of permit fee) <�. T7
— TOTAL Z,RM IT FEE �.�0
/) C This permit application eipires If a permit is not ohtained within 180
Authorized days after It hoe been accepted as complete.
Print name: �Ct`C `[�ry1/21 G RIV FL f�a SSP14
Date: J `rj-4-4/ Fac methadobay set by Tri County Building Indutry Service Board
--r
t\auildinatPemdn\MEC-P&,mftApp,doe 12/03 4404617T(I I/021commsa)
Mechanical Permit Application - City of Tigard
Page 2- Supplemental Information
Commercial Fee Schedule:
$1.00 to$2,000.00 Minimum fee$72.5_0
$2,001.00 to$5,000.00 $72.50 for the first$2,000.00 and$2.30
each additiottal$100.00 or fraction
th of to and including$5,000.00._
$5,001.00 to$10,000.00 S141. 0 fe-the first$5,000.00 and
$1.80 Tach additional$100.00 or
fraction reof,to and including
_ $10,000.!10. _
$10,001.00 to$50,000.00 $231.50 for th fist$10,000.00 an
$1.3.5 for each a itional$100.00 r
fraction thereof, d inc
$50,000-00. ---
$50,001.00 to$100,000.00 $771,50 for the first S 0 .00 and
S 1.25 for cach additiona 100.00 or
fraction thereof,to an nc ,ding
$100,000.00.
$100,000.01 and up S 1,396.50 for the t$100, 00 and
$1.10 for eac dditional$100. or
fraction d of.
Note: All neve commerc buildings require 2 seta of plane.
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i:\Huilding\Permits\MEC-PermitApp.doe 12/03 2
CITY OF TIGARD 24-Hour
BUILDING Inspection Llne: (503)539-4175 � MST
INSPECTION DIVISION Business Line: (503)6394171
OUP
Received Date Requested AM-__ PM _ RUP
Location Suite—_`�,, �p MEC / 7�
Contact Person —___� d ._. _ Ph f PLM
Contractor __ Ph SWR
BUILDING Tenant/Owner _____��_ ELC _
Footing ELC
Foundation Access:
Ftg Drain ELR _
Crawl Drain
Slab inspection Notes: SIT - —
Post&B9am _ _
Shear Anchors
"_xt Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler - - -- - ----� -- -- -
Fire Alarm
Susp'd Ceiling
Hoof
Other: `-
Final - ---
PASS PART -FAIL
PLUMBING _
Post&Beam
Under Slab — - -
Rough-in
Water Service -
Sanitary Sewer
Rain Drains --------
Catch Basin/Manhole
Storm Grain
Shower►'an
Other:
Final
PASS PART FAIL
CHAN AL—
Post3?3earn
Rough-in --
Gas Line
a Smoke Dampers —
WCS PART FAIL
TRICAL
Service
m Rough-
UG/Slal
W Low Voltage
Fire Alarm
Final F] Reinspection fee of$ _ required before next inspection. Pay at Glty Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE - Please call for reinspection RE: _ Unable to inspect -nn acx:Ass
Fire Supply Line
ADA
f
Apnroach/Sidewalk - __-.- lII �Or_ --_-.--_-----_._
Other:_
Final _ N4 REM01 E this Ins on record ons the job alto.
PASS PART FAIL