Permit J }
C ITY OF TIGARD MECHANICAL PERMIT
= COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00186
TIGARD DATE ISSUED: 4/4/2007
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S112BC - 12700
SITE ADDRESS: 14581 SW 83RD CT ZONING: R -12
SUBDIVISION: STARLING'S CROSSING LOT: 008 JURISDICTION: TIG
PROJECT: CHEN
Project Description: Install a/c
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
KEN CHEN Description Date Amount
14581 SW 83RD CT
TIGARD, OR 97224 [MECH] Permit Fee 4/4/2007 $72.50
[TAX] 8% State Surchar€ 4/4/2007 $5.80
Total $78.30
Phone: 503 - 968 - 2154
Contractor:
OREGON HEATING & AC
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -538 -2953
FAX 503 -537 -2172
Reg #: LIC 172126
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 OU NC by
calling 503.2 .6699 or 1.800.332.2344.
Is ed By: ( i // • i Permittee S gnature: / &Mr/ „ J
Call 503.639.4175 by 7:00 a.m. for inspec ions . busine day.
This permit card shall be kept in a conspicuous place on the j • • site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Apr J 117 03:24p Oregon Heating & A/C 503- 537 -2172 p. 1
Mec!iantal Permit Application FOR OFFICE USE ONLY
City of Tigard Received
�� E� Date/By: ' V 15 e7 - �/ Permit / r �,f
t�'a'ev7 -OD /8�
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review j Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 _ uI'1, Date/By:
Inspection Line: 503.639.4175 APR j +h
� Date Ready /By: �t ® See Paget for
Internet: www.ci.tigard.or.us Notified/Method: / a Supplemental Informa
CITY Of TIGARD
' , . ' , - •• . _.., ., . TYPE '0 • COMMERCIALS F *'! SCHEDULE '.- .USE;CRECKLIST'.
Mechanical permit fees* are based on the value of the work
ID New construction ® Addit ion /alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORI'.OF CONSTRUCTION .. ..
RESIDENTIAL EQUIPMENT / SYSTEMS `,; .':
® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other:
Description Qty. ( Ea. Total
JOB AND
_ OCATION :. Heating/cooling
/ Q ¢2i-dt ` Air conditioning or heat pump
Job site address:
'i5 3 i b V `1 , (requires site plan showing placement) 1 14.00 ,
City/State/ZIP:.11(3ard q- L.( Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt- no.: 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.: ether. 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF: WORK - Water heater 10,00
Gas fireplace 10.00
H vAC _ Flue vent for water heater or gas
- Ih 1 At('
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
. � . • • • Chimney/liner/flue/vent
. -� PRPTY bWN` 1 < , :0 TE3(ANT :.:.: • .
•.. OER ' . -. • . Other. 10.00
Name: \Sph C�en Environmental exhaust and ventilation
Address: ^ I L{ 5R. I .3 3rd G. Range hood/other kitchen
en
t v equipment 10.00
City/State /ZIP: T ar f� Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: 603) 9 - 15.4 Fax: ( ) toilet compartments, utility rooms) 6.80
''':',.•:!:. ., :. [, :ktiitjemg. , ❑ :CONTACr PERSON , crawlspace fans
Attic/ 10.00
Other. 10.00
Business name: Oregon Heating and Air Conditioning Fuel
Piping
Contact name: V 08 1,, e Ale $5.40 for first four; $1.00 for each additional
Address: PO Box 397 Furnace, etc.
Gas heat pump
City/State/ZIP: Dundee OR 97115 WalUsuspended/unit heater
Phone: (503) 538 -2953 Fax: : (503) 537 -2712 Water heater
Fireplace
E -mail: rashelie @oregonheating.com Range
.
- CONTRACTOR' Barbecue
Business name: Oregon Heating and Air Conditioning Clothes dryer (gas)
Other:
Address: PO Box 397 : .:.., ....... IT . ...._ ,
'. is MECHANICAL PERMIT FEES* ':'_ .. .: ;: � r'''.'. � ; -: ;
City/ State/ZIP: Dundee OR 97115 Subtotal
permit fee ($72.50) ]� 50
Phone: (503) 538 -2953 Fax: (503) 537 -2712
Plan review (25% of permit fee)
CCB lic.:11111686 f o la(7.1 State surcharge (8% of permit fee) 'S. $6
TOTAL PERMIT FEE IS , 3 Co
Authorized signature: This permit application expires it permit is not obtained within 180
l days after k has been accepted as complete.
Print name: 1r-J.\ eH � Date: 4 -g_-6 • Fee methodology set by Tri County Building Industry Service Board
i:• Building�Permits \MECC- `` PermiWQp.doc 12 VY' 440.46,7T (1 i/02/COM'WEB)
•
CITY O . t ARD
BUILDING DIVISION PERMIT #: MEC2007 -001B6
I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/4/2007
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ' IL.
INSPECTION WORKSHEET FOR DATE: 4/16/2007 TIME: 7:00AM PAGE: 30
SITE ADDRESS: 14513 SW 83RD CT CLASS OF WORK:
SUBDIVISION: STARLING'S CROSSING LOT #: 008 TYPE OF USE:
PROJECT NAME: CHEN
DESCRIPTION: Install a/c
OWNER: CHEN, KEN PHONE #: 503 -968. 2154
CONTRACTOR: OREGON HEATING & AC PHONE #: 503 -53B -2953
Inspection Request Scheduled For: Date: 4/16/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 046539.01 503 - 538 -2953 Y
Corrections /Comments / Instructions:
Q fl�c c4c. bt-v, VA- lahs�. le $ -- f 2- y < � .�e�L .� r
•
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL • ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ' Date: 4 —16— 0 2 Phone #: (503) 718 - Z l�
•
Apr Q31 -'07 O'3.:25p Oregon Heating & ^ R /C, 503- 537 -2172 p.2 • -
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