Permit • A
'' "j0 CITY OF TIGARD MECHANICAL PERMIT
1 COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00373
^*' DATE ISSUED: 6/21/2007
w, ARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S109DA -07500
SITE ADDRESS: 15056 SW HAZELCREST WAY ZONING: R -7
SUBDIVISION: SUMMIT RIDGE LOT: 052 JURISDICTION: TIG
PROJECT: LENNEHAM
Project Description: Install heat pump.
CLASS OF WORK: ALT 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:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
MATT LENNEHAM Description Date Amount
15056 SW HAZELCREST WAY
TIGARD, OR 97224 [MECH] Permit Fee 6/21/200i $72.50
[TAX] 8% State Surcha 6/21/200 $5.80
Total $78.30
Phone: 503- 968 -0294
Contractor:
FOUR SEASONS HEATING & A/C INC.
1005 INDUSTRIAL PARKWAY
NEWBERG, OR 97132 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -538 -1950
FAX 503 -538 -0165
Reg #: LIC 97152
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.
Issue= t Permittee Signature: A / " a fi CO
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.
Jun 20 07 03:1Op - Malcolm Lamb 5035380165 p.2
Mechanical Permit , ' ; t _ NEII � " y Y ,c r OFF USltE6;'Ll f �,y ':
iVlechani FOR
g JUN 2 0 2007
Received ( o�21 f�}- Vernal Nn.1 tie .2c0� _003373
City of Tigard nalcll3y:
131' SW Hall Blvd., Tigard, OR 97223 Plan Review
Other Permit: 503.639.4171 Fax: 503.598 V T *MID Datc/Ry:
Inspection Line: 59 ° e T r �� b � ,�� ���1 � ` Jut El tier Page 2 for
G 4"' . ",pry Date Itead
Internet: wtvw.ci.tig:tl.urus BUILDING D)VISIO -
, Nulificd/Method- 1 I6.5" Supplementalln(armaliur
TYPE OF WORK COMMERCIAL FEE SCHEDULE - USE CEFEC;1'
�, / Mechanical permit fees' are based on the value of the w4.:;
❑ New construction LK Addi l ion /allcrttivn /replacement perfomtcd. Indicate the value (rounded to the nearest dx •II ±
p Demolition ❑ Other: mechanical materials, equipment, labor, c.vcdlead. and r :•
• Value: S
CATEGORY OF CONSTRUCTION
RESIDENTIAL EQUIPMENT / SY• "` ,-_^.`.
and 2- family dwelling ❑ Cotntnercial /industrial ❑ Accessory building
For .rpe eia/ information use ch< ckli.:
0 v(uiti lantily El Master builder ❑ Other: Description O'y. 1 L::. —
JOR SITE INFORMATION AND LOCATION Hcntin
Air conditioning or heat pump 1
Job silt: address: 11c Ft ..p \.4 _ - 13 ca__, A i n:q uires site plan slwtvingplacement) 1 1 1 4.11'1 ,
Cily1St ate /LIP: t _�_.� `!l 7 ,- G r-• -�� Li FurnaCC 1(70,000 t3TU(ducts.cnt�l i 14.t,!._
— >, w • Li Furnace 10(1,000+ BTU Iducts 17 - 'r , :
Project name: 1 '^
Suite /bWg. /apt. no.: J' Lenrle. �Q,t Gas heat pump
Cross street /directions to job site: Duet work 1 14 , r.
Hydronic hot water system I ' I.=. l i:1
Residential boiler (radiator or
hydronic) , I
Unit heaters (fuel -type. not electric I.
in -wall. in -duct, suspended. etc. 1 (n_t■;
Flue/venbfor any of above 1. 11,.,,:l
Subdivision: Lot no.: Other: ; 1 ' 1 __.
Tax map /parcel no.: Other fuel appliances —
DESCRIPTION OF WORK Water heater _ I 1 t 1 ' 11 `
-- Gas fireplace 1 lt1.h
k Nr`, — a\ \ g 0-y-1 41‹. \A---,.._ u ,A, -. Flue vent Ihr water hinter or gas I
fireplace 1(1.111;
Log lighter (gas) 1 tools
World/pellet stove , 1 h.
- Wood fireplace /insert i i(o)r, -!
TENftf�1T Chimney /liner /flue /vent I 1(1.r1r1
-1 OPERTV OWNER ❑ Other. I l u.rin
Nittltc: c * 4 2-Y∎ •nc� --k/u ..or1 Environmental exhaust and ventilation _
Range hood/other kitchen
Address: % 0 In .J LA -) �-Z �� .,-A, \ equipment , 1 •
City /State /ZIP: �_ ...1 •�� Clothes dryer exhaust I loll!
Single -duel exhaust (batluutnns.
Phone: 4•�r,r! c Lo , e _ (:),--(:),--an L� 1'00111N) • Fax: ( ) toilet compartments. utility 1'00111N) I (r 1 ,1r _
� 7`' �9-"APPLICANT ❑ CONTACT PERSON Attic erawlspace fans j PI (('1
Other. — I 141.1,11 •
Business name: fl � Fuel piping
L : tit lL J ��� L's v �� ' � Tl tl lq P p g
C onctcl name: ��` .rte •�.�"� J $5.40 for first four: 1.0(1 for each ) additional
Furnace, cic.
Ad drcss: `C> L: S. -1\► 1,. \ --(2, 11� -7\ vJ Q -- pump
--^
C Gas heal um
NEIll
City /Stales LIP: �._„. J � -. ` 7 1 '''r 11111k . all /suspendedfunit heater
Phone: 51 .. .- 5 .... __ t .1 S x :: st0 5 Sr J fZ:: i Lo. z Water heater --
Fireplace
Email: Range
CONTRACTOR Barbecue -___
`L., J Clothes dryer(gas)
Business name: p--,,, ��_ -.y „ y.� � /
Other:
Address: 1 be5 y bJ fl _ �. ifs I.+ `.:- -T C(iJ.NECAL PERMIT FENS :'
City /Slate /ZIP: j•„,.. !(,_ _ Subtotal :N.@ c> Minimum permit fee (572.5111 Sa
15'," I'
Phone: r 1 Fay: � j 3 p .-c-/51 S Plan rev ( 35`.1 • o perm (C 1 , _
CCU Ile.: 9 ' 5 _ Stute surcharge (8! ul pcnnn tee] S
TOTAL PERMIT FEE 17-g_30 � + ,'\ This permit application expires if u permit is MI utrt .o
it ir
AtillIOriZtA sign:l(ure 1G , v� 1 v s J v � " clays after it has been accepted at cumplel,
Print rant •�� vl r•4: A ] Date: L•raD — Fee methodology set by TO- County Beddow ludu.,o-• Sri - .;.; I
1 lluildiul: l cr,nit, r 11:(' -1 ,- oil A1i11.Jt.: 12 (1' .l.1u -•1L 177' (1 I -l1 2 •CO .I W l:l l l
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Site Plan: L2 6 0 'dti rIll
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PI open �{ lines
Back 3
30 7'tittli CO
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garage
B co
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Front co
SW HazeIcrest Way
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