Permit "? ` ' .; . CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00627
G_A DATE ISSUED: 10/29/2007
Tt
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S135DB 10100
SITE ADDRESS: 11160 SW 95TH AVE ZONING: R -4.5
SUBDIVISION: MAYFAIR LOT: 005 JURISDICTION: TIG
PROJECT: SALQUENETTII
Project Description: Replace existing air handler and add on 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: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
JOSH SALQUENETTII Description Date Amount
11160 SW 95TH AVE
TIGARD, OR 97223 [MECH] Permit Fee 10/29120( $72.50
[TAX] 8% State Surchar€ 10/29/20( $5.80
Total $78.30
Phone: 503- 639 -1671
Contractor:
A -TEMP H EATING & COOLING
16000 SE EVELYN ST
CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 650 -5014
FAX 503 -557 -2990
Reg #: LIC 71878
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 Not cation 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 OU NC by
calling 503. or 1.800.332.2344.
Issu d By: ! /� � � ' Permittee Signa re: v ,, � / jib / /
Call 503.639.4175 by 7:00 a.m. for inspection that busi ess 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.
1^/29/2007 06:42 5035572990 A -TEMP HEATING PAGE 02/03
Mechanical Permit Application
City of Tigard 0 un le g9 D7 PermiI NQ,; // re 7-466-27
NI • 13125 SW Hall Blvd.. Tigard 4 , .` ,' .'1 ` ry Plan Review
R Phone: 503,639.4171 Fax: 1': '1' '11 Cj ' L Date/By: CxherPermit:
Inspection Linc: 503,639.41.75 ` r -\ Date Rea bait: PI see Page 2 for
1• I (; An n Supplemental Information
Internet: www,tig,lyd- or.gov Q _c,V T Nol: fied/M,ethod: � rM
i , it f(�r`,F'i" $ `I1i1 ) iL . 400 acs
New co nst ucti0n ® l �ddrttoxi /tlltelationheplacelnent '� a ,V . i
" 1vlochanrcal permit fCCl+" are hosed on the value o the work
❑ performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition 0 Other: mechanical materials, equipment labor, overhead, an j root
0 itiii i ,O ' t"'iE T . gt . ti i titpi»
.._ ;,..w., ..., '' . ,: a �,..,,; .. i
Value
` > . ,�-. ,1Et�Sf�lf�C'k'Irit)F. Ik1��.�tll'llt�t'�'rE' ✓'a"1A'i`i+�I'� 1'lS*
1 and 2- family dwelling ❑ Commercial /industrial 0 Accessory bt» lding For special information use checklist.
0 Multi - family µ y y 1� {y y�} Master builder 0 Other: Desaiptitm , Qty. Total
/ ,yy ,0 1tI kri k7l_ U 3C' ?I„> G rx . ' .0. . ?, ;:,; . . . . wK
�' Rodin /caolIn-
" Air conditioning or heat pump
lob site address: 11160 SW 95TH AVE rc uire: site Ian ahowin, taccmcnt 14.00 14 00
City /State /ZIP; TIGARD 97223 Rimacc 100,000 13113 duc:Jvonts 14.00 14.00
Furnace 100.000 -1 13Tt1(ducts /vcrnt& 17.90 a
Suite /bIdg.lapt. no.: Project name: SAL>�JENETTi Gautltcnt • r 14.00 ill
Cross street /directions to job site: J Duct work •„_ 14.00 NM
I•.i dremic hot walerutam 14,00
iicsidentinl boiler (radiator or
11 dronic 14.00 IIII
- Unit heaters (fool -typc, not electric),
in - wall, induct, suspended, etc. 10.0D
Fhte/vcnt for any of above 10.00 III
Subdivision: Lot no.: - Other. 10.00
Tax map /parcel no.; Other flael appliances
1Ctil t '' liOji 0 t1� l Water heater 10 -00
, - . �„ Cintz fits fLln
{ �. _ C cc 10.00
REPLACE EXISTING AIR HANDLER ADD ON HP Mc vent for water banter or gas
,_•, fs • lace 10.00
,_. log li brat gas)
Wood/ . alter stove 10,00 MI
Wood fireplace /insert 10.
Chimney /liner /flue /vent y � 10
( _ 1000
. I0.04tl�'t Other
Name: JOSH SALGUVENET H Emimnmemtal exhaust and veniiiation
Range hood /other kitchen
Address: SAME AS ABOVE e ui t 10.00
clothes dryer exhaust 10.00
City/State/ZIP; Singie duct exhaust (bathrooms,
Phone (S03)639-1671 Fax: ( ) toilet Qom artmcnts, utility rooms) - 6.80
Ai'k..E"A
. ' D K�C04 • :1 ' P)F;ttboi Attic /crawlc•1 11fls 10.00 Other: .
Business name: - Fuel piping
$5.40 for find four. 51.00 for each nddi
Contact name: tional
- - ar e - COOLING I Fumace, c*c. NC. G an hoar e .
11111•1 .
Address: pum -
City /State/ZiP! Cfackamas, Oregon 97015 Wall /suspended /unittheater
ax.: (503) 557 -2990 Water hatter
Phone: ( ) , - Firepla ill ,
E - mail -
r i t`l i # i r•n ci
1Q Inn Rarha e Mall
- Clothes dryer _ s
Business name: ,. O1her:
Address: A -TEMfa ar i as HEATING u COOLING IRJC.
FG"t1!fl'!►1E' t3M
_, Subtotal 28.00
City /State /ZIP: - Cl G r Ore 97015 Minimum permit fee (572.50) 72.50
Phone: ( ) ( 503) 44 R"Ca 61) 557 -29911 — N Plan review (25% of parsnit fee)
t-1 l O 1. w
CCB lie.: State snrchargc (MI of permit fcc) - 5.80
TOTAL PERMIT TEE 78.30
Authorized slgltattt o: I•l %��K' ♦ h 4 Thiz permit nppileotten expires irtt permit is not obtained within 180
_ "�
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29/2007 06:42 5035572990 A -TEMP HEATING PAGE 03/03
IU1� c 260 Too 27
A -Temp Heating & Cooling, Inc.
SITE PLAN
Prepared by: dr- ja Date: I O
Customer Narne:i0c r 1 5±4120/11.4_ Address: , I I ( (.{ () S14, a •
Customer Phone :3 q ! _Nat _f_19_1(2 712
Property Boundary Line
w _
3
House s
4
o af . >
.efort
Street �� .�
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