Permit CITY F T I G 1&`R D MECHANICAL PERMIT
,' Awo DEVELOPMENT SERVICES PERMIT #: MEC2005 -00338
„ 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/14/2005
PARCEL: 2S 109AB -09700
SITE ADDRESS: 14308 SW 132ND PL ZONING: R -7
SUBDIVISION: RAVEN RIDGE LOT: 026 JURISDICTION: TIG
Project Description: Installation of 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:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
FITT, BRAD & PAULA Description Date Amount
14308 SW 132ND PL
TIGARD, OR 97224 [MECH] Permit Fee 6/14/200f. $72.50
[TAX] 8% State Surcha 6/14/200f $5.80
Total $78.30
Phone: 503 - 590 -9425
Contractor:
TRI COUNTY TEMP CONTROL
13150 S. CLACKAMAS RIVER DR
OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS
Phone: 503 -557 -2220
Reg #: LIC 72623
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.
/2
Issued By: Permittee Signature: -e, CAN
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.
Jun 12 05 07:10p Tri Count Temp • 5035570919 p . 1
, .
Mechanical Permit Application . , • .•-•,.,,:-•,..- ••-••• -:----..; • .
City of Tigard . ,..! ,5. . Received r ,‘, / r ....• .....!!
Date/By: Permit No: AL A._.a. 0 . 5 .-- .1 - 90 3;
131%5 SW Hall Blvd., Tigard, OR 97223
Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 i Other Permit:
Date/By:
Ln spection Line: 503.639.4175 * ' ' l it
jitt,..fe Date Ready/By: Jurist 121 See Page 2 for
Internet: www.ci.tigard.or.us
Notified/Method: .0f- Supplemental Information
.....I •i`:.':.i'l.Z'' ' EE * -uh,--crrEctcusT
New construction Addition/alteration/replacement
Mechanical fees* are based on the value of the work
0 :
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical matenals, equipment, labor, overhead, and profit.
CATEGORY OF CONTRTJGTION ‘:.
Value: $
' ' * * . •' * . ' ' * ; :.::: RESIDENTIAL E
IAL:QVIPNTI
MESSTEMS FEES*
4 1 - and 2 dwelling 0 Commercial/industTial 0 Accessory building . . . .. .. .. .... ..
For special information use checklist. ;
0 Multi 0 Master builder 0 Other:
Descnption Qty. I Ea, I Total
:- --:'', -', • ''" :-•-• :. : --;;;! * •' '. 'Oli. Tfog AND LOCATION' . '• f. - .: -- ...,' Beatin
Job site address: iik4j4W i lf. 4 ..ild pit= Air conditioning or heat pump
(requires site plan showing placement) I 14,00
City/State/ZIP: Tic 1i1 Furnace 100,000 BTU (duets/vents) • 14.00
Furnace 100,000+ BTU (ducts/venrs) 17.90
Suite/bldg./apt. no.: Project name: • I
Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydronic hot water system I 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel-type, not electric),
in-wall, in-duct, suspended, etc. 10.00
. . . .,
' • Flue/vent tor any of above 10.00 '
Subdivision: Lot no.:
Other: I 10.00
Tax map/parcel no.: Other fuel appliances
' .--;:•:!""• ;' '-'1-•:•.;. 7" ''.i,EtlijitioKr OF WORK :.:,-;.;.„;.,:" : .''; , ,..; Water heater (0.00
I nObal 1 IIC I Gas fireplace
Flue vent for water heater or gas 10.00
, fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
Environmental exhaust and ventilation ...,;! . ic?.E13 t.: 11,,,,,I, 7 .;:.,.. ,., . ,...., : . ,4,62.74.7N,I
Name: ;,.. , , .. ; , ,..2 o Ch th iMn er: ey/lineriflue/ven t
3, ' - f - - - ' ' ' ' .''' • 1 - '''-- - = •;•,-!". :'• '',7 , ..: !,• ..- :•-, --;'....-;•—•::. .-•'. •:. . '';`.. •.:!, .' •::, :::. ..
,
MI , 4 Pak, p tr ,
i 10.00
10.00
aync) Range hood/other kitchen
Address:
I equipment ,
10.00
City/State/ZIP: I Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Plume 6(j) 3'1() '41•41-0 Fax: ( ) i toilet compartments, utility rooms) 6.80
* 'r•'',':.i'-'''rif: - .: ; :ist,:x6A:iit .::•:;:tt.:7-i::::::::. :,;-:::::,:;:::-..=`;‘.7:.:0 c-..j.6-40k17:iip§-0N.-::-i:'.-:: Attic/crawlspace fans 10.00
Other: 10.00
_
Business name: TnCcuirty Tcrr.p Caltrol Fuei piping
Contact name: S5.40 for first four; 51.00 for each additional
Address: 0 tau 6 cKlikam( s Rjrtr-VAIC) Furnace, etc.
Gas heat pump ,
City/State/al': C
'r Ci N e tQ q 7045 I Wall/suspended/unit heater
Phone: ( '.:.a) S7- 2220 Fax: ' 62 0 ) 5 57- l q I Water heater
, I Fireplace
I E-mail:
, Range
l• ....; ( -,;A Tcr
, , 'i ':-• ' '-:-:'...- ''; - -..'....:
I':::::"; '',;:.1:4,"--;r.":,%kYti.lt,'"..-..`;`:.2.:.1.,-1'.i. Barbecue
•• -::: :- • '4.';'
Business name: (r( ccuryv Temp cp-rtroi Clothes dryer (gas)
Other:
Address: ?) G. _r RrNrivt ' f .. -......:: •:.? ' i - 0§ ..*;,:' : ...- • -
CityiState/ZEP : 0 yreen 0 0 k C[7( Subtotal ,
Phone: (a`.3) 2_Z20 I Fax: Ce) ,6-57 .._6(.11/1 Minimum permit fee
Plan review (25% of permit fee) :
CCB tic.: 721 zs State surcharge (8% of permit fee sw
TOTAL PERMIT FEt '
Authorized signature: s /Le A?' aocii-------- This permit application expires if a permit is not oh .ined within 190
days after it has been accepted as comple
Print name: _NarLe A/111,364 Date: I 4 OD i
i . Fee methodology set by Tri-County Building Industry Service Board
0.BuiktingWermits \ MEC- PerrnitApp.doc 12103 440-4617T ( 11/02:CCM/WEB)
•
•
,A. C
3
, .
--
.
. ..
. ry
7 1 • CONTRAbTOR AJO-11E_AT PUMP —L UNIT SITE PLAN . o
u,
jp,t, - C/00
Dirr.c.-Vo n ...]
.
i-
71
...........,,...........................-..................-..■................ .
H
I-
c
0
c
.. 3
Lo o
LC
. to
3
. 19
I- . .
..--------------.....---__
Ul
, 0
TO STREET Cil
Ul
c.n
---- - --------
,.._.. . 1 -.I
0
(13
1--
(ri
clisTot,IF.R INFORMATION
.. .
/JANIE. 43) E--\--- . . .
,
- ADDItE5S .
HS08 - SCiL3 124-nij a . .
1 is-{L-0 PLEASE REPAX APPLICATION WITI I SITE PLAN.
NI
CITY OEARD
BUILDING DIVISION PERMIT #: M 'EC2005 -00338
13125 SW Hall Blvd. \, Tigard, OR 97223 DATE ISSUED: 6/14/2005
Phone: (503) 639 -4171 k osq1111\
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/12/2005 TIME: 7:06AM PAGE: 20
SITE ADDRESS: 14308 SW 132ND PL CLASS OF WORK:
SUBDIVISION: RAVEN RIDGE LOT #: 026 TYPE OF USE:
PROJECT NAME: FITT
DESCRIPTION: Installation of NC unit.
OWNER: FITT, BRAD & PAULA, PHONE #: 503- 5590.9425
CONTRACTOR: TRI COUNTY TEMP CONTROL PHONE #: 503 -557 -2220
Inspection Request Scheduled For: Date: 7/12/2005 Pour Time:
Code # Inspection Description .Confirm # Contact # Message
699 Mechanical final 011240-01 503- 557 -2220 N
Corrections /Comments /Instructions:
•
ASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: - 7- / 2- --cr,) Phone #: (503) 718-