Permit CI TY OF TIGARD MECHANICAL PERMIT
40 DEVELOPMENT SERVICES PERMIT #: MEC2005 - 00371
t DATE ISSUED: 6/21/2005
--� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S111 AD -09600
SITE ADDRESS: 08715 SW REILING ST ZONING: R -4.5
SUBDIVISION: SCHECKLA PARK ESTATES LOT: 063 JURISDICTION: TIG
Project Description: Installation of 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: REPAIR UNITS:
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
MCMAHAN, ADRIAN Description Date Amount
8715 SW REILING ST
TIGARD, OR 97224 [MECH] Permit Fee 6/21/200E $72.50
[TAX] 8% State Surcha 6/21/200f. $5.80
Total $78.30
Phone: 503- 784 -3416
Contractor:
OREGON HEATING + NC INC
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Phone: 503 -538 -2953
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:
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business ay.
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 21 05 02:11p 503- 537 -2172 p.2
:, ..
Mechanical Permit $ iiGfo t'J E D FOR OFFICE USE ONLY /
City of Tigard 1
13125 SW Hall Blvd., Tigard, OR 97223 , Receive _D� Permit NoVN C�0`) a3'7 /
2005 Date/By. �/
i Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 t� DatdBy: Other Permit:
Inspection Line: 503.639.4175 CITY 1 IGARt ;� ter : Q Se Pa e 2 for
sP V� k r Q; . +E� J. = Date Ready/By: / - g
Internet: www.ci.tigard.or.us BUILDING o V isI • t Notifred/Method: /� � I r Supplemental Information
BUILDING IJ . 111111
E ; OF WO 'COMMERCIAL FEE* .SCHEDULE USE
' CHECKT:LIS'
T
❑ New construction Addition /alteration/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
C ATEGORY Or CONSTRUCTION `.
Value $
�/ IP
RESIDENTIAL EQUMENT / SYST`EMS FEES*
LK I - and 2- family dwelling El Commercial/industrial ❑ Accessory building For special information use checklist_
❑ Multi- family ❑ Master builder ❑ Other. Description I Qty. 1 Ea. 1 Total
JOB.' SJTE LLFO TION AND LOCATION : Heating/cooling
Air conditioning or heat pump L
Job site address. t( (requires site plan showing placement) 14.00 "i
City/State /ZIP: U C 0 11 Furnace 100,000 BTU (ducts/vents) 14.00
1 ✓ Furnace 100,000+ BTU ( ducts/veats) 17.90
Suite/bldg./apt. no.: U Project name: Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydronic 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: Lot no.: Other. 10.00
Tax map/parcel no.: Other fuel appliances
... r
I)ESCR IP'i`IOIV O1wn, W ORK .:. Water heater 1
, Gas fireplace E 10.00
L +) i � l j( L j �� ( C l/1� Flue vent for water heater or gas
fireplace I0.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00 , . Wood fireplace/insert 10.00
❑ TENANT Chimn fluent
' t
e/v
. _ f OPERTY 'OER pR
Name: (_ 'i - i i AA/i fl" ( L � 1 � /�jI Environmental exhaust and ventilation 10.00
Range hood/other kitchen
Address: ) 1 - . 1 t 1/1,416) , i equipment 10.00
City/Slate/ZIP: ?N ✓ r, + , ` 12 Clothes dryer exhaust 10.00
{ Single -duct exhaust (bathrooms,
Phone: ) r "(` L _ t � v Fax: ( ) toilet compartments, utility rooms) 6.80
:�ApPLICANT ❑ ?CONTACT PERSOA Attic/crawlspace fans 10 -00
r } f Other. 10.00 1 19, Business name , ,� * I �G ) 'v 11 (% c_ 29,, Fuel piping P�P� R
Contact name: 1 '` J -' y FAve) $5.40 for first four; 51.00 for each additional
1° Furnace, etc.
Address:1 y ��, r1 Gas heat pump
City/State /ZIP: i (4 fl 11 S Walt/suspended/unit heater _
Phone -, ) • .� v Fax: : 13) S3-7 11 �7. Water heat ,
Fireplace
E -mail: Range
C ''rTFRACTOIt: Barbecue
Business name: 1 �^ 1 / (14.7)". e ,) l JY . d
Clothes dryer (gas)
Other:
( ,,4 � ! � .a. ' Address: � tt_`� ,. , . .
City /State /ZIP: O r , �'' t (' C I vi `t,,N Subtotal "
VLi V ' ! I Minimum permit fee ($72.50) e �- , Y.
�!T� 7
Phone:_ E'• )� 3 g a( r53 F-5"3 , 7 2 c - , Plan review (25% of permit fee) f
CCB lic.: `' J X �' State surcharge (8% of pennit fee) (i
iii TOTAL PERMIT FEE g •
r/)_ , ^ 6 . ( -,(l
Authorized 5'ature: I ' / / /( ' This permit application expires if a permit is not obtained within 180
^ XHTII i r tx t )�l �j �+� days after it has been accepted as complete.
Print name: ,,lnm, I ` 1 1/ '!I ' L . Date --L � • Fee methodology set by Tri- County Building Industry Service Board
iNivildirdser riaUtkC- PecmiTAap doe 12/05 "`"""rrr"'LLL i v , 440- 4 (11102/COM/vEB)
Jun 21 05 02:11p 503- 537 -2172 p.3
+'''b}u►1 13 05 07:34a Oregon Heating & H/C 5U3 1614 U4%Ib p.1
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CITY OPTIGARD
BUILDING DIVISION PERMIT MEC200&00371
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: E~f2i/20G1i
Phone: (503) 639-4171 w
Inspection Requests (24 Hrs.): (503) 639-4175 26
INSPECTION WORKSHEET FOR . DATE: 8/2/2005 TIME: 7:03AM PAGE: 70
SITE ADDRESS: 087-15,13W REILING ST CLASS OF WORK:
SUBDIVISION: SCHEC:KLA PARK EESTATES LOT 063 TYPE OF USE:
PROJECT NAME: MCMAHAN
DESCRIPTION: Installation of A/C unit,
OWNER: MC:MAHAN, ADRIAN, PHONE 60'S,7843416
CONTRACTOR: OREGON HEATING + AIC INC PHONE 503-538.2953
Inspection Request Scheduled For: Date: 8/2/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
899 Mechanical final 012582-01 503-538.2953 Y
Corrections/Comments/Instructions:
E
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone (503) 718-