Permit CITY TIGARD MECHANICAL PERMIT
*4'" M�I� DEVELOPMENT SERVICES PERMIT #: 2/6 04004 -00052
• DAT
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S1 11 AB -08600
SITE ADDRESS: 14425 SW 94TH CT
SUBDIVISION: PENROSE TERRACE ZONING: R -4.5
BLOCK: LOT: 031 JURISDICTION: TIG
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:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: AC installation
Owner: FEES
FERGUSON, DONALD W Description Date Amount
JULIE A
14425 SW 94TH CT [MECH] Permit Fee 2/6/04 $72.50
14425
TIGARD, OR 97223 [TAX] 8% State 2/6/04 $5.80
Phone: 503- 620 -6748 Total $78.30
Contractor:
SKY HEATING + AIR CONDITIONING
1637 SE NEHALEM
PORTLAND, OR 97202 REQUIRED INSPECTIONS
Phone: Cooling Unt lnsp
hone: 235 9083
Final Inspection
Reg #: LIC 50244
•
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
Issued By: Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
Feb 05 04 09:16e p.1
_' `� RECEIVED
FEB 0 5 2004
Mechanical Permit ZwPixiicattim Received Mechanical
HUILDING DIVISION Dace/By ' - 1 2 1( Permit No. & &e? OW -
City of ‘Tigard Plannin Approval Building
b Date/By: t'ermtt No •
13125 SW HaU Blvd. Plan Review Other
- Tigard, Oregon 97223 Date/By: Permit No..
Phone: 503- 639 -4171 Fax: 503-598-1960 .,,,,, Past - Review Land Usc
„ • Oae/H Case No.:
Internet: www.ci.tigard.or.us ` d°" v. t t
,�� a�h
Contact ; s.' .�1 Sea Page 2 [or
24 - hour Inspection Request: 503 Na
nr/Method: / /Ct Su• lomcntal ln[ormatioi.
,1 ,,iI: 1 . Eii:R:'JLVOAK' .. :.i''1![si1.11,J;
I 1 ,i_'!:Elbg C D) 4 1caileteasari. ", . .
El New construction Demolition Mechanical permit fees' arc based on the total value of the work
' Addition/altcrationfreplacement _ DOt her: performed. indicate the value (rounded to the nearest dollar) of all
,, ;, ;, mechanical materials, cqutpmcnt, labor, overhead and profit. .1 CAT.156421Rk0.111;0014STRUCTION.
'Ff
1 & 2- Family dwelling (11 Commcrciallndastrial
Accessory Value: S See Page 2 for Fee Schedule
1'1ESIDF lkt: tr +s3/S,Y rsr s UL) .
- �� Buildin - ❑ Multi-Family Description IIIC o Fcc(ea.) Total
Q Master Builder ❑ Other: , : •beating/CoounR .. - - - -.-
:, :. i ii �Q111tS7Kt"E171�OTXrMAl1Iu'iN sKltltlltaC} 1 [t�1�I: 1 Furnace - add - on air conditioning** 1 14.00 --
Job site address: [442,5 ..S V (Atli Ct. Gas heat .tun — t 00
Suitc if; FBldg. /Apt. #: Duct work I 14-00 _
Project Name: _ H • onic hot water a trtcrn - 14.00
Residential boiler
Cross streetrDarections to job site: I /for radiator or bvdronic system) 14.00
Unit heaters (fuel, not electric)
(in wall, in -duct, suspended, etc.) 14.00
Flue/vent (for and of above) ! - _ 10.00
Subdivision: Lot Repair units 1 ; 12.15
- - -- pplianeos
Tax map/parcel #: Other Fuel A -
I Water _ -- 10.00 _
.. ' i 1' ' . '. • DESCRD'fTJONi OF:WORX I ; - . Gas fireplace 10 00
l ru - tO1 air (Clul rf ..r 1 Flue vent (water lieater /gis fireplace) - — 1 10.00 -
Log lighter (gas) 10.00
l -- — - Wood/Pellet stove - 10.00
Wood fireplace/insert ! 10.00 ~
• Chunncy/liner /flue vent i 10.00
�TY d W Y l l E f t :: ) i ,.. < "` Other:
(,•T�� - - -- T 10.00
—
Eavlronmental Exh V'enaW ien
N
•
ame: �^ to �• L c11 .
— - Range hood/othcr Idtcaen equipment j 10.
Address: i442_ tAi (1011 (CCErt -.
7,� Clothes dryer exhaust
I I D 00
City /State/Zip: 1: l _ d ft {224- _ 1 Single duct exhaust
Phone �^}}�.(trJ>'�. Az Fax: (bathrooms, toilet compartments,
•
1( 4.11Cer • • :. ' t e utility rooms) 6.80
Name: a I Attic/crawl sp ace fans 1 10.00 __ _.1
�i ant. 14�(t C� l " t
Odra: ( _ 10.00 I
/ �
Address: ` S cr .tCl rn . Ftiet Pip ag '
• •
City/State /Zip: ••(55.40 for Grct t, 51.00 each additi.oal) _
Phone: Fax: Furnace etc. ! .' I
Gas heat cm. ..
E - mall: W all /st pendcdruntt '" 1
i . it ..: .:14 1 ..C`t10R • • • - Water beater a.
Business Name: P7 H>s4`I lfi'1C (i Fireplace — L {
G — f • Ran l i
Address: I L hE klAt ∎ — - I
..__ . .. - BB*
City/State/Zip: _ PCB: - iallc _. c ��2fl_ — .•
_ Clot dryer (gel) _
Phone: V73....-73: .z- �. lQ`�3 _ E a �:Gj. CLIC^ • Oder- - i •
CCB Lic. #: O2L Total
-- -- ----- - -- - - -- Kerhaoical P.arnut Fees 1
Authortze -
l
Signature I Subtotal: I S
C � �Gi: Jt �- rare. ' Minimum P erreit Fee S72.50 5 - "L _ . .. (
_ —_ __1)I )c1 ivia, (71 l Plan Review Fee (25% of Permit Fee) 5_
(Please print name) f State Surchar _
g e (8 o Permit Fee) S ,, • (�' - _
I _ TOTAL PERMIT FEE j S - 7 1 2, �l _ _ . -
Notice: This permit spplicatloa expires it'll permit is not obtained within 'Fee methodology set by Trl- County [Wilding (nduitry Service Hoard.
I80 days after h hat been accepted as complete. "Site plan required fo exterior A/C unlit.
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