Permit C ITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00436
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/19/2007
PARCEL: 1 S 134DC -05000
SITE ADDRESS: 11660 SW 113TH PL ZONING: R -4.5
SUBDIVISION: MUTTLEYS ADDITION LOT: 025 JURISDICTION: TIG
PROJECT: PANASEW ICH
Project Description: Install 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:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
PANASEWICH, MICHAEL R + BILLIE D Description Date Amount
11660 SW 113TH PL
TIGARD, OR 97223 [MECH] Permit Fee 7/19/2007 $72.50
[TAX] 8% State Surcha 7/19/2007 $5.80
Total $78.30
Phone:
Contractor:
SKY HEATING & AIR CONDITIONING
1635 SE NEHALEM
PORTLAND, OR 97202 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 235 -9083
FAX 503- 235 -0454
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 or 1.800.332.2344.
Issued :.. .44 //, , Permittee Signature: 5e-e, i1p1/ 64' ail
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.
07/18/2007 10:13 5032350454 SKY HEATING PAGE 01
-.41= i• itSt(7 'lip
Mechanical Permit Applicarion.. LI • _=,_.1 1.4)1( 01,1.14 I.. 1 ,Ir. ()NA \
City of Tigard U L 1 8 00 MEE D ' , Permit No.: 6 c....ci _ a ,
l3125 SW Hall Blvd„ Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503,598.1960 4.):-. 7 ‘!•?" 1 1 ' Date/ay; Other Permit;
inspection Line: 503.639.4175 BUIDINe.---- Date Reedy/By: Id Sec Page 2 far
Internet: w L
ww.ci.tigard.or,us • ... ...... Notified/method: Ela Supplemental Information
• ,... , , : ..., , :77., '. et . ,V.':':i ,titfititititeatlEVi OE casocusT
Mechanical permit foes* are based on the
ID value of thc work
New construction dontalteration/rcplacement diti performed. Indicate the value (rounded to thc nearest dollar) of all
D Demolition K-ick)ther: mechanical materials, cquipmert labor, overhead, and profit.
:
: '''.*:•'. - c20106R .:.::: Value $
!'•:• :V. ': • ''', : • -1. :lir' . . . , — f:--- . .. .
') H SY 'TE/115 *FEES!'
" --
, and 2-family dwelling 0 Commercial/industrial 0 Accessory building
1 El Master builder E:1 Other: Dcriptiop For special ilformatiori use checklist
Multi-family ea
Qty. Ea_ Total
. .
„ : • , . • SOB §ITE :PfirORBIATioN JOrp 0. 0.0100:r . :. : ',... ..„. :::', ilea11111//coolinft
Job site address: Pjmo_SP_ Air conditioning or heat pump
si p wir lreduires Rita plan showing placementl I 14.00
City/SintarZIP: C I 7 a
-T-- , Furnace 100,000 BTU (duets/vans) 14.00
• ... III • ...
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
Bydronic hot water system 14.00
Residential boiler (radiator or
hydronicL 14.00
Unit heaters (fbel-type, not electric),
in-wall, in-duct,suspended, ctc. 10.00
. . - Flue/vent for any of above 10.00
Subdivision: Lot no.: Other: 10.00
Tax map/parcel no.: other fuel appliances
DESCRIPTION : or"00,itit s ' , :.'',■::' .: ".. ' ' .. :. , '':;'' Water heater 10 00
.11111NPMME1111". Gas fireplace
Flue vent for water heater or as 10.00
fireplace 10.00
-- Log lighter (gas) 10.00
--
Wood/pellet stove 10.00
- Wood fircplace/insert 10.00
, - . : ~ -,_,...,_ ,,,,.„,, , ... Chimrtcy/liner/flue/vent 10.00 •
• , 171 irRoPERTY :::,', :,.' . . ::' . . ' -:,: . .1.1 " ''2'!':'': othc 10.00
Name: a N\ - rglk C,■ - . 1. V.1 Environmental exhaust and ventilation
— _ Range hoed/other kitchen
Address: -, equipment i0.00
City/State/ZIP: Clothes dryer exhaust 10,00 .
. Single-duct exhaust (bathrooms,
Phone: (5o2) •. 11 — 5 _ Fax: ( ) toilet compartmentS, utility roorM1 6,80
. ":: • : 2! Appu411T,..:', -..•,.:-.....: ;• • •'.:::'...! ::•:;;:::"-: .:'. ati rt ,...,,..;:.,::: . Atticicrawlspacc fims _ I 0.00
Other:
. 10.00
Business name: , . tT —
li, inlkIMIIIIIMIIIIIMIII - -
Fuel piping
Contact name: 55.40 for first four; SI.00 for each additIonal
Furnace, etc.
Address: -
-- Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone: ( ) I Fax: : ( ) Water heater
_ Fl .lace
E-mail: . Range ..
• : • t • :.; • • . 9 ' . CrOlt:;:' ^!'.! '. '.• i ' ' : ;'" ,s. ,','' Barbecue
Business name:
Clothes dryer (gas)
', Z . 11gla Other
Address: 1 i Es %14sal.a7, &gb Inr,:), ' 1 " ;; - ... ,, ': ''.
City/State/Z1Py
el SY C l/ ' 1 a' 0 - Slibtaa I
Minimum permit fCc, 572.0) 7_3tic'CL
Phone: ( ) aLS a ,.., Fax: ( ) Da 44 • Les Plan review (25% of permit fee)
CCB lie.: T 4.t State surcharge (8% of perrnitite .... 5.g o
4 - • • TOTAL PERMIT FEE
' . This 180 permit application expires Fla permit Is not obtained within
Authorized • signature: it - :1(-- dityx after it has bean aceepted IS COMPIC*"
Print nOre... ,....‘ eo_y\„... L re. ' 1 I risrte- 1 • Fee methodology sot by *Fri-County Building lndustry Service Board
07/18/2007 10:13 5032350454 SKY HEATING PAGE 02
HOME LAYOUT /SITE PLAN
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STREET
CITY OFTIGARD ,et1(
BUILDING DIVISION - t 1 Iv P A PERMIT #: MEC2007- 000435
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
7/19/2007
Phone: (503) 639 -4171 / ,y' Ip �I
Inspection Requests (24 Hrs.): (503) 639 -4175 _4.
INSPECTION WORKSHEET FOR DATE: 9/8/2007 TIME: 7:00AM PAGE: 45
4 f
SITE ADDRESS: 11660 SW 113TH'PL CLASS OF WORK:
SUBDIVISION: MUTTLEYS ADDITION LOT #: 025 TYPE OF USE:
PROJECT NAME: PANASEWICH
DESCRIPTION: Install a/c unit.
OWNER: PANASEWICH, MICHAEL R + BILLIE D. PHONE #:
CONTRACTOR: SKY HEATING & AIR C ONDITIONING PHONE #: 503 -235 -9083
Inspection Request Scheduled For: Date: 916/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Iviechanical final 055236 -01 503 - 235 -9083 N
Corrections /Comments/ Instructions:
rTh
(&
•
•
PASS n PARTIAL APPROVAL I I CANCEL NO ACCESS
❑ AIL I I CAL FOR INSPECTION I I ADDITIO AL FEES ASSESSED
1 07 Inspector: Date: 1; 1� Phone #: (503) 718-
.