Permit u CITY OF TIGARD MECHANICAL PERMIT
`' ° COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00432
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/17/2007
PARCEL: 2S 110DC -90201
SITE ADDRESS: 15605 SW 114TH CT 20 ZONING: R -25
SUBDIVISION: FOUNTAINS AT SUMMERFIELD CONDO LOT: 020 JURISDICTION: TIG
PROJECT: HIBBERT
Project Description: Install mini split heat pump.
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
EILEEN HIBBERT Description Date Amount
15605 SW 114TH CT. #20
TIGARD, OR 97224 [MECH] Permit Fee 7/17/2007 $72.50
[TAX] 8% State Surcha 7/17/2007 $5.80
Total $78.30
Phone: 503- 620 -3366
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.
1 �j
Issued : // A1 Permittee Signature: �� � f 6j ' " ery
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.
7/l7/27 10: 04 5036916855 SHAMBURG HEATING LLC PAGE 01/03
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CITY OF TIGARD
BUILDING DIVISION A i' PERMIT #: MEC2007 -00432
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/17/2007
Phone: (503) 639 -4171 �1p +
Inspection Requests (24 Hrs.): (503) 639 -4175 J .�I �!
ME C, o � 0 O7� 0093.z.
INSPECTION WORKSHEET FOR DATE: 7/23/2007 TIME: 7 :06AM PAGE: 33
SITE ADDRESS: 15605 SW 114TH CT 20 CLASS OF WORK:
SUBDIVISION: FOUNTAINS AT SUMMERFIELD COND LOT #: 020 TYPE OF USE:
PROJECT NAME: HIBBERT
DESCRIPTION: Install mini split heat. pump.
OWNER: HIBBERT, EILEEN PHONE #: 503 -620 -3366
CONTRACTOR: SHAMBURG HEATING LLC PHONE #: 503 - 602 -5563
Inspection Request Scheduled For: Date: 7/23/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Me -
699 Mechanical final 05249901 503.692 -5563
AtA
Corrections /Comments /Instructions:
' : /
(2111.-C.-e_- 651.11TRA'l ( « 11 /
I I PASS Pa PARTIAL APPROVAL ❑ CANCEL NO ACCESS
FAIL � BALL FOR INSPECTION ❑ADDITION L FEES SSESSED
Inspector: ■ Date: z � one #: 503 718 -