Permit . _
:., .,, ,._.,.
C ITY OF TIGARD MECHANICAL PERMIT
. 4. ' :ii. DEVELOPMENT SERVICES PERMIT #: MEC2006 -00273
:trip 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/14/2006
PARCEL: 1S136AA-08900
SITE ADDRESS: 10022 SW 70TH PL ZONING: R -4.5
SUBDIVISION: VENTURA ESTATES LOT: 011 JURISDICTION: TIG
Project Description: AC INSTALL
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: 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
LIZ CORNELL Description Date Amount
10022 SW 70PL.
TIGARD, OR 97223 [MECH] Permit Fee 6/14/200E $72.50
[TAX] 8% State Surcha 6/14/200E $5.80
Total $78.30
Phone: 503- 244 -4324
Contractor:
SHAMBURG HEATING LLC
PO BOX 829
TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 692 -5563
FAX 503- 691 -6855
Reg #: LIC 126881
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: Permutes Signature: A ,
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.
Jun 14 06 07: 36a Scott ShamburiCA 503-691-6855 p . 1
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6 7 . Mechanical Permit Applicatiqn
FOR OFFICE LSE ONLY
City of Tigard 2* . .... ..
Pi ob * P—itNcic • .9 -00 , k
13125 SW Hall Blvd, Tismd, OR 972221 , . - . •
Man - . - •
none: 503.639A171 Fax; 503.598.1960
Omer PCITIlit
Inspection Line: 503 4394175 ... i:' u:: ''..--,-Ak- ,T, D.R.dyfty: EA " svp„...1 scep
fatemet wwweLtigard.oun
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- ....... ' ! ..' •• . i . ri 1 I WOI5r ■: C0. *J : iSqViR OS 4tEe4lber •
0 New consentetioo lEr Mechanical petntit fees' ere based an the value of the work
pi:donna lodicam doe yoke (rounded es the seven dollar) of all
D Demotion 0 Other
tocchanleal moknie1 t. equipment labor, overhead. sod Pro&
%dna 5
. 't,' ''.:. :: .: j". , • ;'..." : +..: :.: ' - t 1: . . ' : .! i ':;.. 7. ' . . : •.1 Y r " ' . . •
t : ' •-.ROPElik.kiKitiegitai.4474PEtailf$14`.'.-1:;,.:
all-Irld 2-family dwelling 0 Commereittlfindostrisl 0 Accessoay building
FOP Veda/ illflPurorien Mr CheatUA
0 Multi-family 0 Mosta builder 0 Otto=
DeSC/1Plion j Qty P.a. I Total
' ..: • . 00RfS i ,'.! : . : . •-.... : .: ' Reatlegl000lint
Job site address: zgo,„? ,sid 2O44 4(
• aim a 9r c P9199 3 1 14.00
.
CRY/Slate/Mk )^ C.4 4M. '
r 9 ,Z , Fulsome 100.000 BTU Pluerthenra) 14.00
Pim= 100,4300+ BTU tea memos) 17.90.
Suitc/bldgfapt. no.: Pzoject =MC
Gas hem pump 14.00_
Cross streendireedons to job site:
Duct work 14.00
■••••■ .....
Hydronic bot wares system 14.00
Residential boiler (ma= or
hdrualc) 14.00
ttla rem (Alel-lypc. not clunk).
a.wa
10.00
Floc:Neat for of ti..tibo 10
Subdivision: I Lot no.:
Odom 10.00
Tax map/parcel no.:
Other fuel appliances
: . ..... • . .'. 2. .:;:i.: .-, ...azteviirk OK OC RX :: ; : . .17 ; ! .. : i . .'.:: watt:chewer 10.00
Gas Emplace 10.00 .
Flue vent for mater heat= or gas
ntellbee law
r. uskter(ps) 10.00
Wood/pellet stove 10.00
.3 _
Wood anthem/Insert .., 10.00
10.00 .
..: -:.1.r.'..jg4t--trim-.!---1-"b'-'-----•GS:krV 0*** ::::. '- ...! , 7ERNAATf -...*:.1: :::: Chimmlibmdftw"Iff .
10.129
741°71c: 4 z- t%',,eiI . ,EuvirotunentsJ exhaust aad veathatjea .
Address: IM.a SO A8 A Rause hoodi other ldtchen
10.00
City/State/ZW: A A/a, 0.4_9 223 Clothes dryer tuchaust 10.00
Single-duct abanst (bathrooms.
PhAlc ( ) 07V9- e/32 V Fax; ( ) Wet anaparoneou, utility rooms) 6.80
. • • . • ..• ' C i . 0 14 .04 141- " . • " - ' • • ..:.:' ." l."‘ t:Iit9B*Cr. f*AkIPI" - : ' ' Altiatalawis lb " am
— Other r 10.00
Bushiess name:
Feelp1P1IS
Contact none:
SSAD for Zest four; SLOG for eseltaddltiorial .
' Furnace. etc. ,
Address:
----- Gas heat pump ;
ClU/State/Z1P.
WalVompendeqhmit heater .
Phone: ( ) j Fosc : ( ) Water heater .
Fut:doer
Femail:
••
Rove .
777 .: . -. - - : ...,;.;* ..-.: . i*:-: . • . : CONtRACIFOIC•' • .. i'- ,.. ':" . .' • ' ' . '. • i ' Barbecue
Business name ., 9 4 6 Am Aid!, cyhr 1 Clothca thyarotas)
. .
Other: _
Addrem: AO Aqox ga a'
::i1 Otuetltiitiar.Fstisi :::';‘. •::::,. . , .'. ': ,
City/State/ZIP: --,--f og._ g zoba-
"Seim= permit fee (372.50; _yz. 9) .
P b *71 e: 401‘6 4 2: - 3 LI_ ky___ 6 / - Ar5" __I
Pima review (25% of permit fee)
CCB lic.: ZiVegy
sag mama (SW. of Minh fee) 8 fir
/ TOTAL vzsivirr vex lf.30
.
rads penult appliotten caplets Ida pareatt itt au °itemised witbla ISO
Authorized Si grammer
days afro it am boo accepted as cetaplelle.
Fent ours: S . ■
,....., Dow -/ _ii - Re aserhololegs EU bY TACa.my Bonding ewearryserrice anlit
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006-00273
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/16/2006
Phone: (503) 639 -4171 ,�° '� �!
Inspection Requests (24 Hrs.): (503) 639 -4175 �'!!+� `'I I ..
INSPECTION WORKSHEET FOR DATE: 8/31/2006 TIME: 7:00AM PAGE: 72
SITE ADDRESS: 10022 SW 78T1 PL CLASS OF WORK:
SUBDIVISION: VENTURA ESTATES LOT #: Q11 TYPE OF USE:
PROJECT NAME: CORNELL
DESCRIPTION: AC inF:tall.
OWNER: CORNELL, LIZ PHONE #: 503 -2 -4324
CONTRACTOR: SHAMBURG HEATING LLC PHONE #: 583 -69? -5563 J
lY
Inspection Request Scheduled For: Date: 8/31/2006 Pour Ti e:
Code # Inspection Description Confirm # Contact # M- -age -
K
699 Mechanical final 035831 -01 503.644 -9233 Y
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1 JZCk ^ ,�. b • Corrections /Comments /Instructions: I v
` j7j �..- -1,'C- -
V
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` / , , ' , S S 111 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: 503
p
- 24
rr (503) 7 8
CITY OF TIGARD
BUILDING DIVISION f.- - A
PERMIT #: MEC2006-00273
13125 SW Hall Blvd., Tigard, OR 97223 ATE ISSUED: 6/1012006
Phone: (503) 639 -4171 ,,,,;� '
I
i c
nspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 8/22/2006 TIME: 7 :03AM PAGE: 60
SITE ADDRESS: 10022 SW 70TH PL CLASS OF WORK:
SUBDIVISION: VENTURA ESTATES LOT #: 011 TYPE OF USE:
PROJECT NAME: CORNELL
DESCRIPTION: AC install.
OWNER: CORNELL,,LIZ PHONE #: 603.2'144324
CONTRACTOR: SHAMBUR W EATING LLC PHONE #: 503 - 6915663
Inspection Request Scheduled For: Date: 8/22/2006 Pour Time
Code # Inspection Description Confirm # Contact # M= s =g- -
699 Mechanical final 035333 -01 503 -692 -5563 Y
Corrections /Comments /Instructions:
A) 0 l&-e._ 1_,GrYleL-e )
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
k ; AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 0 6 Phone #: (503) 718- 2j12,4
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