Permit C ITY MECHANICAL PERMIT
. COMMUNITY DEVELOPMENT
PERMIT #: MEC2007 -00389
410:, DATE ISSUED: 7/3/2007
lWRD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
''MM g PARCEL: 2S114AB
SITE ADDRESS: 16465 SW 93RD AVE ZONING: R - 4.5
SUBDIVISION: KNEELAND ESTATES LOT: 021 JURISDICTION: TIG
PROJECT: OTIS
Project Description: Install 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: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
OTIS, DAVID A Description Date Amount
16465 SW 93RD
TIGARD, OR 97224 [MECH] Permit Fee 7/3/2007 $72.50
[TAX] 8% State Surcha 7/3/2007 $5.80
Total $78.30
Phone:
Contractor:
ALL FAMILY HEATING & COOLING INC
3606 CHERRY AVE #A
KEIZER, OR 97303 REQUIRED ITEMS AND REPORTS
Contact #: PRI 1 -503- 341 -5010
FAX 1 -503- 304 -7118
Reg #: LIC 171431
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 B • �1 A. / // Permittee Signature: _Cp 4134Callan
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.
Jul 02 07 01:09p ALL FAMILY HEATING 503-304-7118 p.2
igf V CI
Mechanical Permit Application OFfli. USE r- t. N
City of 'Tigard ,fi' 47.7, ti \?....i Received .
Date/Dr: il a nliffin ... c iti 7 _ _ ac_...4
1 13125 SW Hall Blvd., Tigard, OR 97 Permit N .
Phone: 5113. 639A171 Fax 503.598.1960 si U L 0 2 L007 Plea Rxriew
Derell3r. 0 :. • • - e
Inspection Line: 501.639.4175 ' Dale Ittadylly: /4..1; - II &illegal ter
Internet www.tigard-or.gov
al V ,-;'.4 ; I k:.YAD Isletiaadahleittod: I t , Suppleanne1 Wariest=
RI III 91Mf.`.' D1Vi SIOt`■'
::.;..":..-.:::: ''..,...::::'..:: '',.:'...•::. ':,:; .: -.. -.::•• '.... .:•:..-., -..!. :.:- ..-:''7 ..::,.-- -.-'. :. 1 4 ;V!i 1 70404 . 4.104 . ::.ti000 31 *. t."t,J. E- C
Mechanical pcnnit fees* are based on the value of the wont
Cl New construction gAdditionlaltetation/replacemcnt
performed. Indicate the value (rounded to die neaten otolhir) of all
0 Demolition Other: mechanical reoleriale, equipment. labor. overhead, and_proat
''. f - . - '''- - .-: •••• • ..". 7 : : ' 'f'...: tit' coianitictloi4. J.'. '': • : I -.- --- --" .% -. Value! S . S" -------
_ :a: ;.": :..:.': •
aod 2-family dwelling 0 Commercial/industrial 0 Accessory building
Far vadat informasion tat citeddis.
0 Multi-family 0 Master builder 0 Other:
Description 1 Qty. 1 Ea. 1 Total
';'',:' .`. ; : -.• :., ::-!..:::'. l 4t*E#E tb.CKWIN:-':' . --...:.:...::- :. ::-....- - Heetilaricoang
Air conditioning or heat pump
lob site address: 1 i 6 5 '5 L.,_' 0 13 rr i+Ve...2 ' el_ima twIptasi sh 'ta=iL_ 00
- ureaec 100,000 BTU Nuetalvent s) 14.00
Ciry/StateIZW: i ( c. r vi l oe_ q -- 1.Q D 4 . p
Furnace 100,0004- BT1J (doetstvcsma) , 17.90
SuitelbldgJapt. no.: Project name: . Gas heat p_usp 14,00
Cross siree1/dircct00s tojob site: Ductwork , 10.00
Hxdronic hot water system 14.00
Residential boda (radiator or I
hydronic) r t . 14,00 -
Unit hearers (fuei-tre, rug electric),
• in-wall. in•duct, suspended, etc. 14.00
Subdivision:
Fluelvent for any of above ,
Lot no.: I
Other: ,
'lax map/parcel no.: . 1 Other feel appliances
I- .. ..-: .... ;.. ".: .. ..: : ' ...::' . liEspOrkiciN.....op -... ':..-. -:.: ..::: • :' • :. • : •...' :' • L Water bearer 10.0
eas frrcplar.c 10.00
Flue vent for water hearer or gaS
(1 7)4 - Kt (.1 * Al C.■ fir cplaCC
Log lighter (Os) 10.00
, 10.00
Wood/pellet stem 10.00
t.-
Wood1ircplacrfinex1 10.00
... ChimnevtlinerMue/vent 10.00
..'.. '.. :. '.;': . ;:::: ::: * 2 : 1 -: ' -:...".
Other: , 10.00
NEWI2e: T t .,,,e (-J= Eirriremmeatal czkinnt end reardiona
, Range hoodloilser kitchen .
Address: 11 " Ci (et 0-4, _ equ'Ornent 10.00
City/Stoic/ZIP: --Fc c-r C12., q 7 Q Li 1 Clothes dryer exhaust , 10.00
Sinak.dact exhaust (bathrooms,
Plume: (,aI, * ( ...._ :2, 9 ........ Fax: ( ) toilet compartments, laity rooms) , 6.80
.. . .. .
cZcli.f.X;t0 .:...- :... • ';'.:..::::...... '.:::.". 0 CONTACT POSO i ... ' i ' '. Ath fang , 10,00
Other 10.00
Busincsa name:
ALL FA' " . '' ATING. at Fuel tp' igx
Conn= name: ' (-_, ....,l, . ...., ilNC.
S5.40 for tryt four; SLOO far each adrEtioaal
I
Address: 3606 '7 . , c.., • • , Furnace, etc.
....,_ -1, On D7303 , Cm hcat pump
City/Store/MP: Wallisuspendedherit haute:
fr Water beater _
Fireplace
E-mail: ,
Ran_gr
''..., C01
Business name: 1 */ VIEJCONG & Clothes dry/sines) ,
Aa"" d
it u4C. Other:
' -.-
Address: 09 - s iirTE A, , ::. :::...::' ':':. SECti .... -.'. -.....,'.....
City/Stater:1,1P: .., it. ,
311:"--9MitillES:4CIB973. 03 Subtotal
minimurn pent' tee (S72.50) - v-A.3t.
Phone: ( ) 1 Fay:1 ( )
Plan review (2514 of permit fee) -
CCB lic.: 11 i L I. -- State stutherge (3% of permit fec)
TOTAL PERMIT
Authorized signemsrel‘2654-c* Dab rsers4 appiltsitiess ermine II* permit is Nor obisined within Lfia
day/ afar 4 bit %tom artepted as ample%
,S,
Print name: Dr (7 ,-
.,.? , ....._ Date: '7.- a -0-7 i . Fee reethodotoey sn hy TriCoanof Buitdice Industry Senior Board
ZABuildintitravotts1)42C•PareitApp.dee miaow J 4.0-4617r (I I euxoterimt)
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