Permit CITY TIGARD MECHANICAL PERMIT
• DEVELOPMENT SERVICES . PERMIT #: MEC2006 - 00081
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 2/7/2006
PARCEL: 2S 103CC -06700
SITE ADDRESS: 13750 SW 124TH AVE ZONING: R - 4.5
SUBDIVISION: WHISTLER'S WALK LOT: 014 JURISDICTION: TIG
Project Description: Install AC
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
ELE 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
KELLY BENNETT Description Date Amount
13750 SW 124TH AVE [MECH] Permit Fee 2/7/2006 $72.50
TIGARD, OR 97222 -1722 [TAX] 8% State Surchar€ 2/7/2006 $5.80
Phone: 503 -521 -9201 Total $78.30
Contractor:
MACHAEL ALLAN COWHER
PO BOX 154928 REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97238
Contact #: PRI 503 - 262 - 6736
Reg #: LIC 154928
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.
t(/(4/11
Issued By: ,i' / � L�(/� Permittee Signature: , ( /`
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.
Mechanical i r
,'!! n t i' .
echmnical Permlt ��.� �� �� t .. -. ; _, FOR Ql l Iri?_ (_.i; iil.N' py� •
a �, .. - Received , ����
City of TlTigard : Pamir N. E �(
13125 SW Hill Blvd., Tigard OR 97223 Plan Review
Phone: 503.639.41/1 Fax: 501598.1960 FEB 07 200 1.;;;%.,-. �� + (J
( i ��, OtherPemtit
Inspection Line: 503.639.4175 '- ' t.l
::'1'� Date Ready/By. ® See Page 2 for
Internet: www.ci.tigard.or.us CITY y . �� Notified/Method: S upplemental Information
OF Tt a w ! . .- COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ New construction ❑ Addition /alteration /replacement Mechanical permit fees" are bused on the aloe of the work
performed Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ® Other: Air Conditioning mechanical materials, equipment, labor, overhead. and profit.
CATEGORY OF. CONSTRUCTION . . Value: $
® 1- and 2- family dwelling ❑ Commercial /industrial RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ Accessory building
For special information rere checklirt.
❑ Multi - family ❑ Master builder ❑ Other:
Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 13750 SW 124 Avenue Air conditioning or heat pump
(requites site plan showing placement) 1 14.00
City /State/ZIP: Tigard, OR 97223 -1722 Furnace 100.000 BTU (ducts/vents) 1 14.00
Furnace 100,000+ BTU (ducts/vents) 1 7.90
Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00
Cross street /directions to job site: 121 right at Quail Creek. Turn left on 124 Ductwork 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydmnic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -dud, suspended. etc. 10.00
Subdivision: Don Morr. - Whistler's Walk Lot no.:
Flue/ventforany of above 10.00
Other 10.00
Tax map /parcel no.: • Other fuel appliances
. ... DESCRIPTION OF- WORK .- ..: : - . - : - Water heater 10.00
Gas fireplace 10.00
Air Conditioning installation: 4 ton Amana add on air conditioning, indoor coil, line set, Flue vent for water heater or gas
condensation line, scoops for upstairs duct. fireplace 10.00
Log lighter (gas) 10.00
Home is already pre -wired by Don Morisette for Air Conditioning Wood/pellet stove 10.00
Wood fireplace/insert I 10.00
Chirmt /liner /flue/vent 10.00
C. PROPERTY OWNER ❑ TENANT
Other: , 10.00
Name: Darren and Kelly Bennett Environmental exhaust and ventilation
-
Address: (3750 SW 124 Avenue Range hood/other kitchen
• equipment 10.00
City /State /ZIP: Tigard, OR 97223 -1722 Clothes dryer exhaust 10.00
Fax 503 21 -9201 Singledudexhaust (bathrooms,
Phone:
(503)521-9201 ( toilet compartments, utility rooms) 6.80
❑ APPLICANT ®- CONTACT PERSON - -- Attic/crawlspace fans 10.00
Business name:
Other: 10.00
Fuel piping
Contact name: Mike Cowhcr - $5.40 for first four; $1.00 for each additional
Address: P.O. Box 55.931 Furnace, etc.
Gas heat pump
City/State/ZIP: Portland, OR 97238 Wall/suspended/unitheater
Phone: (503) 262 -6736, 503- 679 -6179 cell Fax: : (503) 251 -9046 Water heater
Fireplace
E-mail: machvac@nethere.com Range
CONTRACTOR Barbecue
Business name: M.A.C. IIVAC Clothes dryer (gas)
Other:
Address: same as above MECHANICAL PERMIT FEES* .
City /State /ZIP: Subtotal
Phone: ( ) Fax: ( )
Minimum permit fee ($72.50)
Plan review (25 %ofpermit fee)
CCB lie.: 154928 3 / - State surcharge (8 %ofpennit fee)
— j - _ � TOTAL PERMIT FEE ' 7g . , �
Authorized signature: p 'ITT This permit application expires if a permit ii not obtained within 180
4 _ . evil . VVim �� . .� days after it has been accepted as complete.
Print name: ft ■ A i CAW 1,w/11 / 11ate • Fee methodology set by Tri- County Building Industry Service Board
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' CITY OF TIGARD
BUILDING DIVISION ,, A PERMIT #: MEC2006-00091
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 71712006
Phone: (503) 639-4171 eireolli?\
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2/9/2006 TIME: 7:04AM PAGE: '16
SITE ADDRESS: 13760 SW 124TH AVE CLASS OF WORK:
SUBDIVISION: WHISTLER'S WALK LOT #: Old TYPE OF USE:
PROJECT NAME: BENNE
DESCRIPTION: Install AC
OWNER: BENNETT, KELLY PHONE #: 603.621-920)
CONTRACTOR: MACI MEL ALLAN COWHER PHONE #: 503-2616736
Inspection Request Scheduled For: Date: 2/9/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final . 026686 503
Correcti ns/Comments/Instructions: 1
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iy: PASS P RTIAL APPROVAL fl CANCEL 7 NO ACCESS
fl FAIL ALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
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Inspector: A. ". Date: Z ' q 06 Phone #: (503) 718-
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