Permit " ., CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00415
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/11/2007
PARCEL: 2 S 103AA -03700
SITE ADDRESS: 12300 SW 106TH DR ZONING: R -4.5
SUBDIVISION: CLYDESDALE LOT: 017 JURISDICTION: TIG
PROJECT: NEWTON
Project Description: Install 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
ELIZABETH NEWTON Description Date Amount
12300 SW 106TH DR.
TIGARD, OR 97223 [MECH] Permit Fee 7/11/20M $72.50
[TAX] 8% State Surcha 7/11/2007 $5.80
Total $78.30
Phone: 503 -579 -9276
Contractor:
ALL FAMILY HEATING & COOLING INC
3606 CHERRY AVE #A
KEIZER, OR 97303 REQUIRED ITEMS AND REPORTS
Contact #: PRI 1 -503- 393 -4328
FAX 1 -503- 304 -7118
Reg #: LIC 171431
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 B U /ill j / A J / ` Permittee Signature: ar Call 503.639.4175 by 7:00 a.m. for inspections that business da Afikuir
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.
Jul 11 07 01:26p ALL FAMILY HEATING 503 - 304 -7118 p.3
Mechanical Permit l:
A17>a '
,�, �11:A'fl_ .�';� FOR OFF! i:E: �F ON � 1
• 1 ° 1 SV1 Hall Blvd.., i OR 97223 107 gib . _ t DeRO 1' Ia �Ia
i t Plea Review
. Phone: 51)3.639A171 Fax: 503.598.1950`/ r/ •/ ma r ^r
lospection Line: 503.639.4175 ` 1 ' 1 Date gm
i t i, it I:) C (UV dylHy: hK bt See page 2 the
Intranet ww�w.tiga d - or.gov / r O F (U No¢6ed/MctLod , Svpplemeaeal laf�ation
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❑ New construction p lddition/aReTa1icn / replaeemcnl r y Mechanical permit fees' are based onihevalue of the work
performed. Indicate the value (rounded to the neatestdol lar) of all
0 Demolition .0 Other. mechanical materials. equipmentt, labor. overhead. an
>.: CA TF faORYiOF C ( )c7)
X�F$1
1 and 2- family dwelling 0 Commercialfindusttial [ Accessory building B FS1 D filVTti .. 'BQUIPM. . . DES :-
For special information Use checklist.
0 Multi - family 0 Master builder 0 Other.
Description I Qty. 1 Ea. 1 Total
• : 7 " JOB'Sh E AtND'LOCATIOPi;•.. ••:;••:_;. :: •'• " Hen tinnfeaoliaa
Air conditioning or heat pump
Job site address: t 'D 3c (-) vj _ 1 O•Sti 'l - t;:2 . . _ site •Ian show' ...: - en f 14,00 I or
City /St:te./ZIP: Cil* ,.. • t ,. ( c a a 3 . rIirnaCe 1 00,000 aTU (dnctshcatn) 14.00
Suite/bldg./apt. ao�.: �t.�� Project name Furnace 100,000+ BTU (declai rnes) 17.90
Cras heat puny 14.00
Cross street/dircc*itms to job site: Duct work 10. 00
Hydronic hotwatet system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit beaters fuel -type, not elcchic),
iix.wall, in suspended. etc 1.4,00
F1
Subdivision: Lane.: .: ue/vent for any of above 6.80
Other 10.00
Tax map/parcel no.: Odic: fuel applLates
:., . : '.._.: ..:;�:.•
_;.. ::..,. •., . - • ' - •. AF.SCRlE170N..OF,,34 -_ .' . .. Water heater 10.00
Om fireplace 10.00
Flue vent for water heater in gas
Iw�s�C l l B , 5replaoe 10.00
to lighter (gas) 10.00
Wood/pellet stave 10.OD
Wood 6 .1=e/insert 10,00
.: FBQI'El1:TY:O_*Nita ••: '., -.0 A5.. • Chimney/liner/flue/vent 10,00
Other: 10,00
Name;
E.1 ! - 2 F.! VV iii K. E .GU''1- (1l'1 Environmental exhaust and vdrtSLrtion
Adders/: Range bood/odur kitchen •
I ? C� .0 16 (4 'FL � �A equipment 10.00
city /state : t - . c ,,,,, `c Q ( , r -7 --. -3 Clothes dryer exhaust 10.00
Single-duct etihanst (badman's,
Phone_ ( 5-0) 3 - 9 a76 Fax: ( S F) -1(?) _ DH 1 toilet compartments, utility roams) 6.80
APP.Lt6A1 T • • ... 0 CONTACT -' • ' Attic/crawls • ace fans 10.00
Business name: Other 10.00
ALL FAMILY I !EATING & Fuel piping
Contact name: o run tpcc COOLING. INC. SSAO rar first foul S1.00 for each additional
Address: J 3606 CHERRY AVE, SUITE A Furnace, etc.
City /State2II': xtl «� wall pump heater
- 'hone: ( ,-9 3c-- Li - Fan: ( 3 ..{----/ l Water heater
F. -mail: Fireplace
Range
. CO1*.THAC7OR�' ::• - ' Barbecue
Business name: Clothes dGreas)
- Other:
P. ALL FAMILY HEATING &
City /Stecc
COOLING, INC. Subtotal I ct r v
Phone: ( ) 360 ERRY AVE, SUITE A blininnunpe mil fcc (572.50) -• _ �Z'
Plan review (2.5% of permit fee) /
CCB lic.: - 7 ((.4 State surcharge (8% of permit ftc) .- co,
1 TOTAL PEWIT FEE - `?55 Z
Authorized signature: i �r TM. Dec+ot appTntioa et pvea tt a peewit b tree oplaiaul 180
� ,, �-} // / �� � ✓ days aficrithasacesaeceptedaemaplate.
Lrint name: TA1�,V1 ( - x 1 _ Date: '7 +'. ` - 07 • Fee maTOdOlogy us by Td- County Building imdaatry Service Beam
L16y lbr.,gkrami G•Percrirnypoksc oL19re7 4.40 (1 iitunx nwitr)
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AJC ' PUMP-.r-UNIT SITE PLAA1
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ADDR S;• ii 300 Sui 106. +0 12, ' r - u, ' D 2 et 1t_2 .
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CITY OF TIGARD
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BUILDING DIVISION PERMIT #: MEC2007 -00416
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/11/2007
Phone: (503) 639 -4171 ' ' o i
Inspection Requests (24 Hrs.): (503) 639 -4175 AL
INSPECTION WORKSHEET FOR DATE: 8/3/2007 TIME: 7:03AM PAGE: 16
SITE ADDRESS: 12300 SW 106TH DR CLASS OF WORK:
SUBDIVISION: CLYDESDALE LOT #: 017 TYPE OF USE:
PROJECT NAME: NEWTON
DESCRIPTION: Install heat. pump.
OWNER: NEWTON, ELIZABETH PHONE #: 503- 579 -9276
CONTRACTOR: ALL FAMILY HEATING & COOLING INC PHONE #: 1- 503 -393 -4328
Inspection Request Scheduled For: Date: 813/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 053390 -01 503-318-1391 Y
Corrections /Comments/ Instructions:
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PASS 1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL , I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: it q ( ) _�
Date: g '-� —� �% P hone #: 503 718- 7
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