Permit N
CITY TIGARD MECHANICAL PERMIT
/44 DEVELOPMENT SERVICES PERMIT #: MEC2005 -00431
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 7/19/2005
PARCEL: 2S112BC -13700
SITE ADDRESS: 14592 SW 81ST AVE ZONING: R -4.5
SUBDIVISION: LEISER PARK LOT: 006 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:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP:
WOODSTOVES:
.FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
THOMAS, DARWIN Description Date Amount
14692 SW 81ST AVE
TIGARD, OR 97223 [MECH] Permit Fee 7/19/200 $72.50
[TAX] 8% State Surcha 7/19/200f. $5.80
Total $78.30
Phone: 503- 670 -8520
Contractor:
TRI COUNTY TEMP CONTROL
13150 S. CLACKAMAS RIVER DR
OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS
Phone: 503 -557 -2220
Reg #: LIC 72623
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: / ^ —_141741 Permittee Signature: 01) �
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.
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liFFV. CSEVINti7 ' ' "
City of Tigard Received
I Date/Bv / 1'9 -- - pe,..i, „.,..v. ce2a0 3 .---- 00 (,/„.?
Phone: 503.639. Fax: 5 O ,CL , 0 ve iew
EIVED . , ., , -- P4"--
Date/By: Other Pcrreir:
Lnspection Line: 503,619.4175 -.4 . 'nate neadyiBy; ---
.wee El Set Nice 2. Car
Internet: www.ci.tigard.or.us • NorifiecVmethod: • 1-/(f- Supplenteetei intatoputi
JUL 1 8 10Q5
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zr i
New construction ttititeeiMak:liacement ...._
Mechanical permit fees arc based on the value of the work -
performed, Indicate the value (rounded to the nearest ollar) of all
0 Demolition , n Other: mechanical materials, equipment, labor. overhead, and profit.
. . .. value: $
. •--`''' 1 M"'"'"'"'''' '^' "'" " " - "-"--- ----...s. - — ' .•'....-.. ... .. '.::....:...0 .31DO.YX,4,1.6,!UIPIVIENT.ISY.StBMS:EEES*
1- and 2-family Aeiling 0 COmmercial/indnStrial El Accessary building „..
For special information use checklist.
0 Multi-tamily 0 Master builder El Other: -
Description 1 Ea. Total
- . .
ii:a014.# ibi..., :„..H: r .:-.! : ..: aptin coal, , .
Job site address: 1 14■ .'"- A --n- Air conditioning or neat pump
(requites sae plan showing placement) 14.00
City/State/ZIP: Furnace 100,000 BTU (duc ts/venta) 14.00
_..... zz3 _
Furnace 100,0001- BTU teuetavents) 17.00
.
Suite/bldg./apt. no.: Project name: .
Gas heat pump 14.00 ..
.._
Cross streedirections to job sue: Duct work 14,00
-
. ,.._.=
*:••! ::ut water :”.5mrn i 1400 :
Residential boiler (radiator or
hydronic) 14.00
— . Unit heaters (fuel-type, not electric),
in in-duct, Suspended, etc. 10.00
-- .
' — - Fluennt for any of above 10.00 •
Subdivision: Lot no.:
— Other : 10.00 .
Tax map/parcel no.:
_Oiler fuel appliances__
6i1V1,.‘;`:0:.,* :ll Y iiieke,,; Water heater 10,00
'''''''''''' -• •'•t •••-•-.. :,-, •-•,.. :7 !gr'lli•%.';' - :;k i :'iP' : . . --.
'AP PI Mr4
&Ire 4•=1/IIIM Gas fireplace 10.00
Flue vent for water heater or gas
V at
w repfi lace 10.00
—
— ----- Lug lighter (gas) 10,00
, Wood/pellet stove 10,00
Wood fireplace/insert 10.00
/lincritlue/vent 10,00
%7: .. -v•-■ , -,....,...;1, - ..., .:•• , .... , -41.7sc,g:Irif:rPP,•r!,irdiat_.,„,..1.:., __,I. ,,,,?,.,...., Niisw Other: 10.00
Name: I DIrAeh - f ) Thlerner . Environmental exhaust and ventilation
Range hood/ocher Icitchen
Address:
' -f'.t...--,,,,, ..,- , 6 .. JA-Kite — equipment 10.00
—
City/State/ZIP: Clothes dryer exhaust 10.00
.
-
---------- Single-duct exhaust (bathrooms,
Phone: (ci")) 1 1 D - _0 Pax: (,!./.. ) toilet comptu utility looms) , 6,80
1,1kAirt 'i.:''',7iN,'agqiiiriliOgalk:,:: 7,1 Attic/crawlspace fans 10.00
Business name: Tn Caulty TCMp COlitttc / Other:
. Fuel plplug
-
Contact name:
55.40 for first four; 51.00 for each additional
Addre ,,,,
(5 00 E . . a k 11 LS (Zi vscr; Or , Furnace, etc, — . '
. •
cityistawap, ercgon ci N 0 k_' q 7045 GEIS heat pump
Wall/suilperideci/unit heater
.
Phone: ( ' - a ) 5,5'7 9 22_0 Fax: : (a3) 557__cci 1 q Water heater :
____
Fireplace
E-roail: . . .
Range •
i.i? Barbecue
Business name! 711 CO 1iL I .., i Clothes dryer(21)
.. . Other:
11=11.161WAV ..•:4 il t. ' +icr : !1
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City/StateIZIP: i recti CI oe_ cr ft . . Subtocul
Phone: (6) as 2220 F.,: ( 77jci . .,-) r ---Oti i /F.-- Minimum permit tee (S72,50) . t
Plan review (25% of permit fee)
_
CEl'ai..0 State surcharge (8% of permit fcc) Win
--. -
TOTAL PERMIT FEE viiwal
Authorized signature: --,it•n 7Le 5 1- ; - ?(L 0C 1 _____
Tine permit epinteAbOn eapiree if a pormit la eat obtained •Ir i 7
days after it has lietq accepted as eminnett,
Print. namle: able m /1.3) al Date: — 1 • Fee methodology set by Tri-County Building Industry Service Boanl
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CITY OF TIGARD--
BUILDING DIVISION PERMIT #: MFC2005.00431
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/19/2005
Phone: (503) 639 - 4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7!2812005 TIME: 7:08AM PAGE: 70
SITE ADDRESS: 14592 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: LEISER PARK LOT #: 006 TYPE OF USE:
PROJECT NAME: THOMAS
DESCRIPTION: Installation of NC unit.
OWNER: THOMAS, DARWIN, PHONE #: r.. 503 67Q 9520
CONTRACTOR: TRI COUNTY TEMP CONTROL PHON #: 5
03657-2220
Inspection Request Scheduled For: Date: 7/28/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
690 Mechanical final 012089 -01 503 - 070 -5500 Y
Corrections /Comments/ Instructions:
trA .1 5 S/ / c �..�/ �, AA- L'#JC - U A - z �
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 7 Z g OS #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: M EC2005.00431
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/19/2005
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/22}2005 TIME: 7 PAGE: 31
SITE ADDRESS: 14592 SW 91ST AVE CLASS OF WORK:
SUBDIVISION: LEISER PARK LOT #: 006 TYPE OF USE:
PROJECT NAME: THOMAS
DESCRIPTION: Installation of NC unit.
OWNER: THOMAS, DARWIN, PHONE #: 503.670.6520
CONTRACTOR: TRI COUNTY TEMP CONTROL PHONE #: 503. -557 -2220
Inspection Request Scheduled For: Date: 7!22/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 011969 -01 503 - 557 -2220 Y
Corrections /Comments /Instructions:
Lt
c 1 4
ter,
PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL IICALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: r104, Date: 3 6 Phone #: (503) 718-