Permit CITY F TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -10062
rt �Jl DATE ISSUED: 6/15/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 639 - 4171
PARCEL: 2S109AD -10900
SITE ADDRESS: 12739 SW WINTERVIEW DR ZONING: R -7
SUBDIVISION: ARBOR SUMMIT LOT: 007 JURISDICTION: TIG
Project Description: AC INSTAL.
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:
ELE 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
CHRIS LEE Description Date Amount
12739 SW WINTERVIEW
TIGARD, OR 97224
Total
Phone: 503- 620 -3490
Contractor:
OREGON HEATING + A/C INC
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -538 -2953
FAX 503 -537 -2172
Reg #: LIC 125815
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: _ rl d s /
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.
Ju 06 12: 36p MS Rentals, Inc. 503-537--2172 P- 1
j
m c apical Permit 'c '
FO FICE USE ONLY . .
•
City of Tigai-d Received"( ,
Date/eye /57efor 86 Permit No.N4C4006, , / 09 6 ..-,
13125 SW Hall Blvd., Tigard, OR 97223 ; Plan Revie •
Phone: 503.639.4171 Fax: 503M1910 5 2006 4,,,,, . 0. Datelay. Other Permit:
Inspection Line: 503.639.4175 _Ail, • /I Date Reny/B: Saris: 0 See Page 2
Internet: www.ci.rigard.or.us
CITY OF TIGARD Notifietvmeibod: 1 Supplemental Information
RUILDING DIVISION
• -*; i'-'' 1 • .r -' ' ":' ' :- ' 1 -/ ''' • . •:- -• '.. - 1 - YkE OF WORK .-:'. :•-r. :, .. .,.:: , •: 2 --; • --,,: ; ' ': ' - COMNIERCIA.LiEi* qajEDTIL,E1:-.•;.118E-CIIECKIIST':-
1 Mechanical permit fees* are based on the value of the work 1
0 New construction iill. .sc1ditionialteration/replacement perfomied. Indicate the value (rounded to the nearest dollar) of all
D Demolition 0 Other: „. mechanical materials, equipment, labor, overhead, and profit.
:';'...!;.' ' ..,••'',•:;'..::';'..."..?::;:;_istEGORiii.•,:oB:.;;6i4Siiiitetio.1-.2':,::::.,...-.,..:;.::..:.:- value: s
. , ..... r • • • •• •• , , ..• . . .• „. • . .. . .. ... • .. ... . • , , • .,.. . - •- - .,.- `,. : . ..:- ; :• • • , . . ,. '.., ... . , ,.,.• . ,.. - • • • . -, „ . •. : . . ,.• , , . , • ,.,
. '....;':',..:..E.OSI:P.ENT,T4:',f QPrit*NT1.,S7YSTEAiS .KEs ';•
EZ:1--1and 2-family dwelling [I] Commercial/industrial 0 Accessory building
For special information use cheddist.
1:11 Multi-family 171 Master builder 0 Other.
Description 1 Qty, 1 Ea. Total
*" . : •"• :. ' . ' 1 ' ..:1• : :: : .'•':'•1'.'1:F.':;;;;;;t4oi3§iTE-ii4iditkkii&.-,ti!tieiri5i■i:,-;:,::..:::.,:---, Heat
Job site address:/ /36 s \ 10 tA1 ,,,- ine ._ 4 1 •
( k.) condorung_or .eat pump
,..- • n @rowing piacement)
r tsent 1 .
t 1 14.00
City/State/ZIP: Furnace 100,000 BTU (ducts/vents) 14.00
Suitefoldglapt. no.: Protna
Furnace 100,000+ BTU Oucivs) 17.90
Duct work
1 14.00 1 .
Hy dronic hot water system 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: 1 Lot no.:
Other 1 1 10.00
Tax map/parcel no.: Other fuel appliances
i''''';'''/,:s'1;'.1:'•.2:;';:.•.1,.:,11•;;.';!..1.7e- a146elfit'llXiii.4.61ife.1:..-:;21;'-;-.:::,P0i,:"17F.::'.i.l.:-.t114'-'•Ji11'''':"..';•;12..J.l'A Water heater 1 10.00 1
.11;.;-•:•1.':.--:P=,;*1..it:Nl1.:":,•.:;.YJ:•.1.••••;?.,•...2;-:;:;•.;•?:-!?::::ti1...:,..,te.e.,...•..,e'=,:......: .e.,,Are::;,..e:1;is
Gas fireplace 10.00 1
jr.6)/La 0A;)/ .ib ur eA/ Flue vent for water heater or gas 1 -
fireplace 10.00 „
Log lighter (gas) 10.00
Wood:pellet stove 1 10.00
Wood fireplace/insert 1 10.00
1 .
;,--'•.- .!-•`,''.n.-:.,:.`..t, -•"..0';•/:;.•':..,'••4'--.....,11.• '""....tii,,:-.:::,,,:liu.t:;•••-,l,.*..111,.;:.:•.•.'1.:•:. 14.:.:. ' .. :.'.,., ChilineWlinerlflueke 10.00
rat
. :•.,...:;;. : ..',... ; :, , ,,,..., ;;: .t... _ ,....7r...-n-!e!,:r-i....-.1•!.... ,....,„::,•‘:•,..:;1.,,,i.t..:-::,;;:iy.i•,.;•',,:i..;.•,•:....7.:::-..?;•:111!?4...:'i1.!..7...:.1t...1.::•:.•:,..-1.,7":t..::::=..:i.: other. 1 1 10.00
Name: 0 l'.4 `'. . _......„
r ,
r\ Environmental exhaust and ventilation
Address: / )3t .,u I e.,,., Y . th Range hood/oer kitchen
equipment 1 10.00
. City/State/ZIP: l .ii A ,-- c i_ - C-i ----/ D-D-"1"/ Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phoill;b o .,L3i,,.., () Fax: ( ) _ toilet compartments, utility rooms) 6.80
J;:,';',-"..;.',•-",';':-.:1;;;..;.•:.:Jr-',0..BE'.IlkA*,..,:i.:.?:111;•:,R.:.;'-•''..:::."•::',I.;..''..1,:i=f;.iliffAa--;':fER.S.O14,1Z,.•:;;:4:1::. AtticfcrawlsP ace fans 1 10.00
Business name ''':" icric ,1
1 10.00
Contact name: Cr ( J l
rl - Fuel piping
S5.40 for first four; $1.00 for each additional
Furnace, etc. 1
Address: 1. LBO, kl 1
• Gas heat pump .
City!State/ZIP: ..1, ail_ b V... '4 (i, 1 1 S Wail/suspended/unit heater
s 3_ :_ln , 3__
Phone&2. ) 5 Fax: : 13) i 2 ....--2... Water heater .
_,, L_ Fireplace - _
E-mail: Range
;•••'•;::: ,: .• s : ` ,:...., :-. 1 .° -t.c:AC:T:',cT :':1 -
,
Business name # ."..i . I . \---- • . / Clothes dry•er (gas)
Other I
Address: p -) ‘)1 r)
- . . . . .. .. - ..... .
• city/stateizu): jl 0 V__. 1.1A 1LS- Subtotal
Phone:
i Minimum permit fee
IR& -
.,, 3 I F 3 2
Plan review (25% of pemnt fee) r L ei
CCB lic.: . r
.- • t . State surcharge (8% of permit fee) (7, 6„(....
TOTAL PERMIT FEE C. '
1
Authorized s attire: 1 i .
'print name: E) (.:,
pin ' Sl_Q-' ,Lb1, ! I 1 /1 4
..A Date: 0 #4:
• - P 11 1 1-4-'-- .?- This permit r b
application expires if a permit is pot obtained withiic
days afte it has been accepted as complete.
* Fe,t methodology set by Tri Building Industry Serviee Board
- ."1,1A17T fl,mrprm.oveRwl
CITY OF TIGAD
BUILDING DIVISION. PERMIT #: MEC2006-10062
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6
Phone: (503) 639-4171 Ai if
i sidtfiviti I i I
Inspection Requests (24 Hrs.): (503) 639-4175 . ...,--fA 11.. / A.00
INSPECTION WORKSHEET FOR DATE: 776/2006 TIME: 7 : ° PAGE: 94
SITE ADDRESS: *12739 SW WINTER VIEW DR CLASS OF WORK:
SUBDIVISION: ARBOR SUMMIT LOT #: 007 TYPE OF USE:
PROJECT NAME: LEE
DESCRIPTION: AC INSTALL.
OWNER: LEE, CHRIS PHONE #: 603-62
CONTRACTOR: OREGON HEATING + A/C INC PHONE #: 503-5313-2953
Inspection Request Scheduled For: Date: 7/6/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 032683-01 503-536-2953 Y
Corrections/Comments/Instructions:
' LI— • I t•-.) A - 4 16 , ,... _ _ --. - _ _ iu ,
■
F P S El PARTIAL APPROVAL
CANCEL NO ACCESS
FAIL
8
C LL FOR INSPECTION 0
I ADDITIONAL FEES ASSESSED 0
r /
/ Inspector:. .44, Date: 7– 4- —0 ec. Phone #: (503) 718-
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CONTRACTOR I A/C — HEAT PUMP —UNI'l* SITE PLAN- DIRECTION
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CUSTOMER INFORM' ATION
NAME: Ow k
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ADDRESS: .r . . t) k- • \./ •., IN i t, acA) ia,V ', 1
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, 0a '1,41)tJE FAX APPLICATION WITH SITE PLAN