Permit CITY OF TIGARD
MECHANICAL PERMIT
40 ,,,,•,, 1 4,,,, F D EVELOPMENT SERVICES PERMIT #: MEC2006-00085
DATE ISSUED: 2/10/2006
-`--' ^ 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 112CC -17900
SITE ADDRESS: 08387 SW DURHAM LN ZONING: R -12
SUBDIVISION: DURHAM OAKS LOT: 015 JURISDICTION: TIG
Project Description: Install a/c
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: 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: FEES
JAMES CHRISTMAS Description Date Amount
8387 SW DURHAM LN [MECH] Permit Fee 2/10/200E $72.50
TIGARD, OR 97224 [TAX] 8% State Surchar€ 2/10/200E $5.80
Phone: 503 753 - 0239 Total $78.30
Contractor:
A- ACTION HEATING
18240 SW TV HWY REQUIRED ITEMS AND REPORTS
ALOHA, OR 97006
Contact #: PRI 503- 649 -3524
FAX 503- 649 -6095
Reg #: LIC 78369
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 C ...... 32 -23 •
i Permittee Sign • ure: � 1 .4 ;� fl /�'
Issu : , � L�i� ��., _ 9
Call 503 - 639 -4175 by 7:00 a.m. for inspections t • 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.
Feb 08 06 04:48p Tim Mullenix (503)649 -6095 p.2
t ElW x - n C r.'t a r .Ti` ^"�V a t F 'q
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_ f cal Perm' x9a • u � � AH 6:44)40 f i'4wM' N 'R +^;4W Iraki ()I`PI ] ]( l: l ()�[ 1,' fi 1rTa4 r- o'Orf :P t, of T" �" Received �„ � _ Da�a r Z 8' o& 1,4 - 01 Permit N°. S AO / -i 16 Plan , 1 25 S W Heil Blvd , Tigard, OR 97223 P ( net 503.639.4171 Fax 503.598.1960 , , Date/By rubQlmit
h pection Line: 503.639.4175 FEB 0 8 2006 -14:. 1f Ready R1 See Paler for
lolemet: www.eLtigard.or.us = / I n 1 Supplemental Worming
CITY OF 'l� 1 i /
•+ �. �1 COMMERCIAL FEE* SCHEDULE - USE CHECKLLST
13 '1't= ; �, TSIf �. Mechanical permit Tees* are based on the value of the vnuk
0 New construction 2 Addition/alteratirmtreplaceinent performed. Indicate the value (rounded to the nearest dollar) °fall
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Vine $
FA 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building RESIDENTIAL EQUIPMENT mfann ton /SYSTEMS FEES*
For special information use r e cktirL
❑ Multi-family ❑ Master builder ❑ Other Description I Qty. ' Ea. I Total
YOB SITE INFORMATION AND LOCATION Ileatiag/eoulne
Job site address: $ 3 $ ! d ''q L/w1 yL9 , Ai site plan a to h
es ns) 14.00
City/State/LIP: 1---i 5x7 ,lrct 431 - 1 2,.-Z, 4 F,..... 100.000 BTU (di> aes) 14.00
17.90
name: Suite/bldg. /apt. no.: J 1 1 Project name: Raw= 100,000+ BTU (ducts/vwsT 14 00
Gas heat pump
Cross street/directions to job site Duct work 14.00
Hyadnonic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit beaters (tael -type, not electric),
in -wall, in-duct, suspended, etc. . 10.00
Subdivision: Lot Flue/vent for any of above 10.00
Other. 10.00
Tax map/parcel no.: Other feel appliances
DESCRIPTION OF WORK Water heater 10.00
�C��. 0-1./1. C 6�''-�. Fhz fireplace 10.00
' Floe vent for water heater or gds
fireplace 10.00
Log tight= (gas) 10.00
Wood/pellet stove 10.00
Wood flreplacelinsert 10.00
,QPROPERTY OWNER 1 ❑ -TENANT Chimney/ dlbte/vent 10.00
Other: 10
Name: (I. Ctve‘Sk- S Environmental exhaust and ventilation
1 �yt„) Range hood /other kitchen
Address: , 3'
pc..1�p✓ equipment 10.00
City/stateTLlP: c ZSe.- 9 � _ closesdr� are _ 10.00
Sinp1e•drnx °°taus[ (bathrooms,
Phone: (O3) - IS 3 - O 2_"3a Fam ( ) toilet compartments, uttiity roams) 6.80
❑ APPLICANT ❑ CONTACT PE RSON Atti//cravrlspace farts 10.00
Other
Business name: A- A (1 +, i> r( He & k 1 it i.Q { ` piping t �l Fuel n ( 10.00
Contact name: 55.40 for first four; $1.00 for each additional Pinnace, ere.
Address: 1 %- 2_,Li. 0 5113 ' 0.3.1 Gas Mat pump
City/State/ZIP: Aloha 1 0 2.. / R 7o G 1p Wall/stccpeaded/unit heater
Phone: (5E3) U3 - 3a.t_t I Fa2c : eS0 104 — ( C Water holder
Fireplace
E -mail: Range
CONTRACTOR Barbecue
Business name: 1'1 e Q : h 0.6b(: r't c-1 Odur " Clothes d+Yer (gas)
�-- KICK Gr
Address: 1 K2t4o S ty T 11. - ) 1 CAL PERMIrFE�
-
City/State/ZIP: p,1 n -- J r 1 9 0010 y Subtotal
Plume: 6M ) 9— 7.n ail- I Fax: ( 93 ) (p - l ' to l iniman permit ($72.50) 1 S., Plan review (25% of permit fee)
Cos Ho.: "7 g 3 ( , 1 State ( 8 % of p e r m i t f o e ) S' . 'O
TOTAL PERMIT obt $ , G)
Authorized sign TThis permitapplrcatioa Its permit le not t obmiaed rrkNa MG 1 daysafte rithas boon accepted as complete:
I Print name: ( k .1, ll^1.4J1...A..,
1 Date: 74 (06 1 • Fee tom set by Tri✓Catcaty [balding 1ndasmy Service Boned
111I 4:48p Tim Mullenix (503)649-6095 p.
we cup-o (a ---o 00 E
Site Plan A-Action Heating & Cooling, Inc.
. 18240 SW TV Highway Aloha, OR 97006
Phone: 503-649-3524 Fax: 503-649-6095
CCB#78369
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