Permit C ITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00445
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/15/2006
PARCEL: 1 S133AD -09800
SITE ADDRESS: 10729 SW 127TH CT ZONING: R -7
SUBDIVISION: AMART SUMMER LAKE NO. 3 LOT: 154 JURISDICTION: TIG
Project Description: Replace 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: 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:
Owner: FEES
STEVE & CA SHERWOOD Description Date Amount
10729 SW 127TH CT
TIGARD, OR 97223 [MECH] Permit Fee 9/15/200E $72.50
[TAX] 8% State Surcha 9/15/200E $5.80
Total $78.30
Phone: 503 -579 -5095
Contractor:
ANCTIL SHEET METAL CO.
4320 N WILLIAMS AVE
PORTLAND, OR 97217 -2952 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 281 -0752
FAX 503- 282 -5722
Reg #: LIC 8897
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 By: 0 ' l 1 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.
,, FROM ANCTIL Heating & Cooling PHONE NO. : 503 2825722 Sep. 14 2006 03:45PM P1
"
1�:1 ri u P li l FOR 01 USE ONLY
Mechanical Permit Ap - •} ' ; t ' •
- P _ t. s• - r Pcnnit No;� L a)49/9, '
City of Tigard Dare /By: 9 0 U L C.4)2016
13125 SW Ball Blvd., Tigard, OR 91223 pl IteviCW
Fax 503,598.1960 SEP 14 ' " � ` "" Dates - Other Ferrlvc
Phone: 503.639.4171 Fa
1 u u•;rilr , y
Inspection Line; 503.639.41 5 1 I Date Ready/BY: lin la See page 2 for
Interact: WWW.CLtlgard.or.us Notified/Method: Supplemental Information
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a New construction ,, d performed. al Indicate fees* are based de the value of the work
perforated. Indicate the value (rounded to the nearest dollar) of all
0 Demolition ❑•Other: mechanical materials, eguipment labor, overhead, and profiL
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For special information use checklist.
0 Multifamily Q Master builder ❑ 1 Other Description 1 Qty. I EEL 1 Total
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1 ,n Air conditioning or heat pump
J.ab site address: 1 /�
E O 9-2.1 5 gin) 12 COQ r '� (requires Site plan ahowinr�plpeement) ) 14.00 I
City /State/ : ?O � `� / / Q p , O / I- Z'3 Furnace 100,000 BTU (duets/vents) 14.00
C' ( Furnace 100,000+ BTU (duats/vnts) 17,90
Suite/bldg./apt. no.: I Project name: 5 1 2_,f4.
Oas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydronie hot water system 14.00
Residential boiler (radiator or
hxdronic) 14.00
` •• Unit heaters (fuel -type, not etectric),
in - wall, in -duct, suspended, etc_ 1
Plue/vent for any of above 10.00
Subdivision: Lot no.: Other: 10,00
Tax trap /.parcel no.: . Other fuel appliances . _ _
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1:i�+;� : A °lyi Water heater 10.00
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Gas fireplace 10.00
V. 1' / P U , A/C Plue vent for water heater or gas
fireplace 10.00
.• Lag tighter (gas) 10.00
wood/pellet stove 10.00
Wood fireplace insert 10.00
Other: 10.00 ro, +r c i'�r ., ,ma 1' r rr ^+y . , r tJ, + r Chim /liner /fltte/vent 10.00
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Name_ G \ P CCh tA-es' woo ?, Environmental exhaust and ventilation
c .J 1 Range hood /other kitchen
Address: 10 _ { ' S°i- equipment 10.00
City /State/ZIP: po + ox,tn ot / 0 R / a q 22_5 Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone (5Q3) 53 c2 _ 50 / Fax: ( ) toilet compartments, utility rooms) _ 6.S0
''''.1,1,',,,',,'' 4 + C ,. , + r r, t 1 � .' 1 t � 1tirt }1 4+ , , . it 1(+ %10'1, r AtttC/erawlspaee fans 10.00
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,\^� Other: 10.40
l3usinzss name: A �c�' l't � ¢ l Fuel piping -
Contact name: I/- cs ., A p y t 1 $5.40 for first four: 51.00 for each additional
i \ Furnace, etc. I
Address: 9 520 N , J'► I j t p f uc- Gas heat pump
City/State�/MPP: > Va I OL1 10K / 91- ,2. 41- Walllsuspended/unit heater
Ph=c1 (fit/ 1-51 . 01- � Z ll j Fax::(, ) zbZ -. 51' E. Z_ Water
E-rrrad 1 W 1V\ 7 ACT i 1 vac . CO Range
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Clothes dryer (gas)
• Business name. Other; �1
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Address: u r v 4 Jt#: 1t4, ^ { t,';1n.a,,,11, V,at,rL,b,
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City /State/ZIP: Subtotal
Minimum perniit fee ($72.50) '_ -
Phone: ( ) Fax: ( ) Plan review (25% of permit fee)
CCB lie.: o V 1 T State surcharge (8% of permit fee) 5 , i
TOTAL PERMIT FEE •
Authorized signature: This permit application expires if wpm-suit Is not obtained within 180
-- ”' days after it has been accepted as complete.
Print name: lc 4' i 5 1 v '' Date; ° - lei- 0 c, • Foe methodology set by Tri- County Building Industry Service Board
i:1Bui1dina\Pc t *MECP miLApp.doa 12/03 4404617T(11/02/COM/NEB1
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CITY OF TIGARD
BUILDING DIVISION _ PERMIT #: MEC2005.00445 '
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 911512005
Phone: (503) 639 -4171 0 0i
Inspection Requests (24 Hrs.): (503) 639 -4175 .
INSPECTION WORKSHEET FOR DATE: 9/29/2008 TIME: 7:06AM PAGE: 72
SITE ADDRESS: 10729 SW 127TH CT CLASS OF WORK:
SUBDIVISION: AMART SUMMER LAKE NO. 3 LOT #: 154 . TYPE OF USE:
PROJECT NAME: SHERWOOD
DESCRIPTION: Replace NC unit.
OWNER: SHERWOOD, STEVE & CASEY PHONE #: 503 - 579.5095
CONTRACTOR: ANCTIL SHEET METAL CO. PHONE #: 503 - 261 - 0752
Inspection Request Scheduled For: Date: 9129/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 037369.01 503- 57 -5095 N
Corrections /Comments /Instructions:
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4 • PASS n PARTIAL APPROVAL 1 I CANCEL NO ACCESS
I FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: 0 ) �r / Date: 1 r Phone #: (503) 718- 4J�/