Permit 4 CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 - 00384
--n I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/8/2006
PARCEL: 2S112BD - 04900
SITE ADDRESS: 07975 SW LEISER LN ZONING: R - 4.5
SUBDIVISION: LEISER PARK LOT: 013 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:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
JOHN & MAG DERUNTZ Description Date Amount
7975 SW LEISER LN
TIGARD, OR 97224 [TAX] 8% State Surcha 8/8/2006 $5.80
[MECH] Permit Fee 8/8/2006 $72.50
Total $78.30
Phone:
Contractor:
SUPREME COMFORT HEATING
9425 SW COMMERCE CIRCLE #16
WILSONVILLE, OR 97070 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 682 -1985
FAX 503- 682 -1018
Reg #: LIC 21892
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: Permittee Signature: _ , Q
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business
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.
08/08/2006 09:54 503 - 682 -1018 SUPREME COMFORT INC PAGE 01
A 1
Mechanical Permit Apk lication FOR OFFit'l': (I E ONLY
City f Tigard ' c ` � � Permitxo. n `►
131 SW Hall f31vd., Tigard, OR 9 ` Plant Review la _' , 4 a f , °
Phone: 503.639.4171 Fax: 503.598.1960 ' \ Date/By: Other Permit:
Inspection Line; 503.639.4175 t1 � i l
p Date Ready /By: ® Sac Payee 2 far
Internet www.cidlgard.or.us AUG (: r. 2006-- Neti6ed/Metltod: Supplemental Information
:�...... .... ,,�. � "rN' dgi 1 ��,�.�� �:-. , pI�S"�{ i' k�,� :G4';}ili;1!r� d1g1.J!J%:,,.1J:l.q.:'r.:l', i i:
r „rr'jT
. ,�,:� .�.,, ,ri:,, ,, t . „r,t S a @.� .�` y - r '; ,!." "it,,ls:^.. .L;. ) rf j i. 0 .. ,,,,. r .
; ∎.', " 'ill! '. r ",' ; W iit r {{ ..f. �i.r • 't GI^' )It4. }} �d� 1 S{iiiit: , r. ' rs {! "R. . tl�r ;��ll�y�� , i ;lr'L,, � .., yd tR? +i �„rfr rl.1: 4t •,, .,,• ,.,� ,4
�i : :.i 1 1 ; ∎�:ra iGl(! :1:i;:ri %.111 :0: r.rs1)I: dot: }:k,tn11'1l1lC,"... A A x �+...,t iea - S Ii l., t YhL, ��ft, � .� � •, :,n� ,�„
- .,-- - rl ^ter i Mechanical permit fees' are based on the value of the work
❑ Ncw construction • �:9 tai Ti�altaration/tcpittcem�rit performed. indicate the value (rounded to the nearest dollar) of all
❑ Demolition El Other; y g � J�g i ! y mechanical materials, equipment, Tabor, overhead, and profit.
l a • ,,;.s i'''c'rI' C Y '{ i .', d 10,,�� 4 s �, ni "t r ; ,Ai•f if i 4 (�4 1 ,1 f {� }F 1 1i l.)'# �9 �, mi m �afuc: $ i
' ,I' 1., ; `f l` S' .� { ' sic if �;Yf,li , ` � i,b,d ,i7�Ir , ,c •i. #It 1�1JZ e ^�+n y � rnr 1, i '
�, „t I fl,l1 r,h1a`', Iz ntftlGn iilgrrear ; a 4t a 4fik n ";' Ct' ittiit .e
® I- and 2- family dwelling ❑ Commerciallindustriai ❑ Accessory building For special information use checklist.
❑ Multi family 0 Mastcr builder 0 Other: Description Qty. I Ea. I Total
Pt
'- ,' „ ri ,r . ! ,.1 i y 1 f i 1 i lr :ii? f y I , Ic, i . m, i . ( + i iiir•rrl. !
I ! i. ;; 111k i11 111`].isr; t I' ; � ti- i+3rs ^ r1.1' . # ; -. ° ,. ' i . t r f t it d 1 9� °'" 1£1Si S, '. ,,, ' Heating/cooling ' • Air conditioning or hcat pump /
Job site address: 7975 SW Leiser Ln. _ �regtrires site plan showing placement) / 14.00 /5
City/State/ZIP: Tigard, Furnace 100,440 BTU (ductslvcnta) 14,00
Fumace 100,000+ BTU (doors /vents) 17.90
Suite/bldg. /apt. no.: Project name: _ Gas hcat pump 14.00
Cross street/dircctions to job site: 79 Ave. Duct work i•" 14.00
11 dronic hot water s .:tem 14,00
Residential boiler (radiator or
hydronic) 14,00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Flue /vent for any of above 10.00
Subdivision: iot no.: -
Other: - , 10.00
Tax map /parcel nn.: Other fuel appliances
i it ;,n i },}'..' _ ;,iu,h�:I (iii'; 6'".14 }Efhl'p r+ }n Watcrhea 10.00
i.;' : ; :IU?:1 ::4'''{'! { I ; !ii 42i8! ; �I�l: l ga, wi # ', i i 5 .. 1 ' ,hgr : ; 4 ,S �I S�) s ( t'( i.I 1,, . i �
Gas fireplace 10.00
Add Air Conditioner Flue vent for water heater or gas
fireplace 10,00
1,2g lighter (gas) 10.00
_ Wood /pellet stove _ • 10,00 _
Wood fireplace/insert 10.00
r �#i (' „,. i4' "ii i i Ij "h "i Y !�f'y`i( iri € ' 6 is „{,, 9 '�. r ± t 'tii�ti k,i Chimney/liner /flue/vent 10
.:. i t, ' + �` } ,. , .rJ `(C � . , t 4$ r"'; i' • 0 ,, d ft; A�.° t, ' 4 . Other: 10.00
Name: John & Maggie DeRuntz Environmental exhaust and ventilation .
Rangc hood /other kitchen
Address: 7975 SW Leiser Ln. equipment 10.00
City /State/ZIP: Tigard, OR 97224 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
tip ".r;,, ,,;;;1` °':.r r.:iFr: -t; A ;ic,. "I " "!' , yy ' I(.. ! i i( i`7 °;'+ i 1 Attic/crawlkpacc fans 10.00
i � i 'F,l 1. ! ))' 1 ;l ; ' . �'tl � g.:;MI s"y!V t %via 1 ' ` J .5,',:ll '.� fl.,Y - ,
.,. ,. .,' 11s ? • el i r? =1'•Ir1 Ji��s _ li .. m
Other: 10 .00
Business name: Supreme comfort Inc. Fuel piping
-
Contact name: Randal Lapp 55.40 for first four; $1.00 for each additional
Address: 9425 SW Commerce Cir. 016 Furnace, etc.
Gas heat • um
City /State/ZIP: Wilsonville, OR 97070 Wall/suspended/unit heater
Phone: (503) 682 -1985 Fax: : (503) 628 -1018 Water heater
Fireplace -
E -mail: randyl®casystreet.com Ramie
7.
.Zi' ;i :;4 i(:,- ilfY i,}! i 01;'Pr' " r l ° l •;, I� :''' 11dC ! i lly�i'�i:i l id4:('14$ "`ri 'j
.', ct' f„ ", t , ,q:¢ r1!,.,l' 1` t ;,.e,t, i,i' w ..1.1' 1 • ` �'' > Q •tl .,, i a • }lii }: ,' .S t' I'6; ,t;tk i Barbecue
. Clothes dryer (gas)
Business name: Same as applicant - Other:
i,: a. si tt � i
Address: ;7ill.diilli,. l { i ( .5'"h� { j'lis ,l
- ti iglu I" 4 ,.- h'r„�.'r. }lrHr,.,�,r. of : u.:41b'1 , r i4 : &ii
City/State/z1P: _ subtotal / '.
Minimum pennit fee ($72,50) ?L •5
Phone: ( ) Fax: ( ) Plan review (25% of permit fce)
CCBlie.:21892+ State surcharge (8% of permit fcc) a5"; if)
TOTAL PERMIT FEE _ 7A 3'
' This permit application expires Ira permit b not obtained witin 180
Authorized signature: ' , days after it has been accepted as complete.
Print name: Randal Lapp Date: 8/7/06 • Fcc methodology set by Tri•Cottnty Building Industry Scrvice.t3oard
iMuildinK Mumits1MP.C.PermitApp.doc !2/09 440.46171' (11/02/COM/W ti)
08fI8/2006 09:54 503 - 682 -1018 SUPREME COMFORT INC PAGE 03
J D / . P1 ,4 !`k7
79 75 SGT SUPREME COMFORT INC.
9425 S.W. COMMERCE CIR. # 16
WIL ONVILLE, OR 97070
*P ,, CZ� 0 `3 _ 682 -1 985
--------
•
•
' � k
7 `r�
/ e/ r se r fin, f
•