Permit CITY TIGARD MECHANICAL PERMIT
*IA DEVELOPMENT SERVICES PERMIT #: MEC2006 -00226
e .IT. DATE ISSUED: 5/23/2006
13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171
PARCEL: 2S114AB -10500
SITE ADDRESS: 09257 SW MARTHA ST ZONING: R -4.5
SUBDIVISION: KNEELAND ESTATES NO.2 LOT: 079 JURISDICTION: TIG
Project Description: Installation of A/C unit.
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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTO UNITS:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
DUSTIE LAIN Description Date Amount
9257 SW MARTHA ST
TIGARD, OR 97224 [TAX] 8% State Surcha 5/23/200E $5.80
[MECH] Permit Fee 51231200E $72.50
Total $78.30
Phone: 503- 230 -2348
Contractor:
CENTRAL VALLEY AIR
6699 SKYLINE RD S
SALEM, OR 97306 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -589 -9429
FAX 503- 932 -8304
Reg #: LIC 127032
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 or 1- 800 - 332 -2344.
Issued By: -V ,P � Permittee Signature: S'A C .�
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business day.
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.
FROM :CENTRAL VALLEY A I R FAX NO. : 5035899429 May. 22 2006 09 : 58PM P2
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Mech4 nkal Permit ADD k:f° '1 1,EIV,_ .i ,,:,; i)it!.(i'i' 1 'IC
11:=1
13125 SW }fall Blvd., Tigard, OR 97223 MAY 2 3 20 Plan Review _ --
Phone: 303.639.4171 Pax: 503.598.1960 -.! .1 Datenty; O
Inspection Lille: 503.639.4175 other Pandt:
i 1 • 4 , ).1.: Due Ready:
Eigl -. Saa Page 2 tor
Internet: www.c1.6gartor.us Girl/ (j} -
- 1 L ' lir Notifiedethod; Supplemental Information
/ T Tyr rir7 A
0, • 77 11 , ,,,,)1,„11,11:, ;,1., i y, ArTg. i ,, lin rl i pp,, m4a r 16,,,, • 0 r . i .1ji
j. 15`t , 1■3131 IV- ) namitiou r 3 .
P) I 3 I) i4h4 t1:, 1 1 ,::tio, leii ,'.o.',i,',,,Jat,,-. 41.6 ilitEWAIWilr)LIL'' '',' g' ' . ', '' ." • '1''' l' 1 .'. 4:' PI' 1 """I'l j . : cgtelairsv
0 New oonstruotion ITAdditionialterationireplecernent Mechanical permit fees* aro based on the vahie of the work
0
performed, Indicate the value (rounded to the nearest dollar) of all
Demolition CI Other:
mechanical Materials, ettitOment. laboroverbeed, and profit.
• . ly I 0,:t 11 • •11. 1 i , 1■411, r: ,,, r•I or, ir IttIII tt I tt t I 't ' :II ", '', i , 1 1:1 f
1 I d i. I 1 4';'1q111 i'll ,I'lAg l ' Ill ' 1 1 i'lteet, ' I Or i I Value:
"filki+1110,,lik$,164 't P.1r p
1 14kAtill.114 , 1kli/1:11 tlit/ILKI 1 puz,11,0,,h,,,i,,, ..`1.1,1-1 4 t• I tt ' '' ' Urilni .1:'"Or-V44:1■VetaiiAll:
:a 1- end lamely dwelling 0 Commercial/industrial 0 Accessory building TM.I,'..• ' 1,,,■.:,,',11,1 ' 'Fillil: wimill*Plg
— -- '
Multi. Fitmtels31 frifOrMAIIOR We ChaCklift I
0 nimily Master builder uilder 0 Other: I
Deserl , don
1 MI Ea. Total
1,i 11 A i Y'r.0 l ; p i , , 0 1,';a , ,:',0111Talr':,5';171.111t_,Tr AiV IftlA ' ____
.1,.t...A..Y, II t ' 0 ;gill It/t!'llVtiti I 41'13117' Irtiri■■11.:11(arr 0111 1 1,1 I , , 1 ■ ..1Z COMIII ..,,,.......—..
I
Fob site address: 7 ,?j J 7 Q J-t Air oonditioning or beat pump
Owtuires site plan ahowina -- placement) / , 14,00 A trt.
City/State/ZIP: 7 -- 0 / t9,e J. Furnace 100 000 BTU (ducat/vents)
. . 14.00
.4.111._ - r Furnace 100,000* FITUiduciteveels) 17.90
lulto/bIdg,/apt, tx:,: Project name;
• - --- -- - - • • 14,00
,
2rose street/directions to job site: 6 1,...14... 74 ?c,?4,_ • Duet work 14.00
/1, /41707,-,4- Itydritio hot water system 14.00
Residential boiler (radiator or
hydron1c) 14.00
. Unit heatera (fuel-type, not electric), I ,
— in-wall, in-duct, suapemded, etc. 10.00
— 7
— ,
—.— _
Flue/vent ibr any of above 10.00
iubdTvit7ion: Let t10.: --. 1
Other 110.00
tax map/pareel no.: Other reel a ganee_p_p
'.'1`q"' ',/,'IsjItl l
l'. , IX }.'(ihT ',I i .,,, water beater taco 1
, , i• ,`. . ,, .1.1 . ; ,;,.‘,,,,‘ itAkii,A4, ,„gt• R., l'( 41Wtfr. 4 i'll t I I A h
Goa flreplace 10.00 _
1
4111•, C.-- - -, . Flue vent for water heater or gas
fireplace 10.00
Log tighter (PO 10.00 1
---.
Wood/pellet stove 10,00
-
Wood Enlace/Wert 10.00
Chimney/liner/flue/vent 10.00 I
_
.., ,,,,, i , , r. , 11 - : ... 0 .. ; „ 1 „ 511 1 ,
' ., 1 ' . 1;,;„!, l; 1
, ,It. ,..,,,' .1: il l.ii,'. .,,,.1,. ! I ii,. I I r . '., )..),;r) P).13/ii.tItill 0 . . i ,, oth 10.00
\, --- 1,■3 > r ) , -j Z. , Environmental exhaust and ventilation
Range head/other kitchen
vidress: 9 0 ),C . P . jr41 / . It . , 10.00 _
Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
oboes: ( Li . c xi,- d p' 9 8 Fax: ( ) , toilet compartitnints, utility rooms) 6.80
i zt ./r • II 1 ,, ',; pp; ' yvrimplaiTTP ,' . , ' :_a ,... I, s liffil,,;',L; iirepirf p, rffi , . 1 ,,,, ,,o, _,Attici/rawlefana 10,00
4 ' . " t C 1111 divr. other: _ 10 00
1111thiteall name:
Onta0t a L 0.." $15.40 for first four; $1.00 for each additions 1
".. 1111311
cidres _____1 1: _______. 40,, f 42.t.. / ,Y, Gee heat pump ...,_.....
•
:Icy/State/ZIP: 73 ° l'' Well/auspendedfunit heater -..... — i
- I
4161114 CP' ) ?3 .2 - 0,3 o 7 f ( )
Wa
Pi homer
'mail; _geRen _
Th- 1 IMO , '''1 P Barbecue
.' : , ,,, / , ,,, 1 1,0 1 :11 1 11 1 ' )I r 1 114: 1 4 Ii NIC
'11 , 0 , t. ? ■.: ,f il q,,,,,, ,1,41 it, rI +NO., IA I i i It !I ., i . (I LAI ■ . .,. _______________
Clothes dryer (gas)
dr ...... .
halms. nam e: Ce.e,i,..‘,k9/ //' . .., _ _ , 7 _ 7 __
kdon: 4: 6 ti: Liti .e.., r —ckci ‘5.-;')-Y-fl l moron ri. 0 iv.' Irff,'1 .1{ .. r 411, • •
i 11411 'Mt, iP j l'ir r 'r. 1 ' , j
l , j b, t II l' . J.
• ■ 1111 nr......Intom alsInlvd.rior. I ... a r
Nty/State/ZIP: Se Subtotal
22ae
, - _ MITtpnurn ermit fbe 472.50) 1 , 4 ,2,...yr-o_
It on& (01,3) ,,..y 3 0 r I ,__ Fax: (.5 S --- 9 •'7 f
Plan review (23% of permit fee)
..
:CB liC.: / 7v3 /
,2 State surcharge (8ik ■ eff:c_)_
TOTAL PERMIT FEE 7,-
....1) ,e 1 ,--d
' This permit appliaatian expires If e permit is not obtained within it10
. . 4 ‘ /d-
Intliowlarrati &hookah....
FROM :CENTRAL VALLEY AIR
FAX NO. :5035899429
May. 22 2006 09:59PM P3
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