Permit T . t
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C ITY OF TIGARD MECHANICAL PERMIT
,�r DEVELOPMENT SERVICES PERMIT #: MEC2005 -00362
AA E' II- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/20/2005
PARCEL: 2S 109AB -09600
SITE ADDRESS: 14264 SW 132ND PL ZONING: R -7
SUBDIVISION: RAVEN RIDGE LOT: 025 JURISDICTION: TIG
Project Description: AC install.
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: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
ANGELINE CHONG Description Date Amount
14264 SW 132ND. PL. [MECH] Permit Fee 6/20/200f. $72.50
TIGARD, OR 97224 [TAX] 8% State Surchar€ 6/20/200: $5.80
Phone: 503 - 524 - 1749 Total $78.30
Contractor:
TRI COUNTY TEMP CONTROL
13150 S. CLACKAMAS RIVER DR REQUIRED ITEMS AND REPORTS
OREGON CITY, OR 97045
Phone: 503 -557 -2220
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Reg #: LIC 72623
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and
all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not
started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires
you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010
through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699
• or 1- 800 - 332 -2344.
Issued By: /�� / _ i Permittee Signature: e
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
18 05 05:50p Tri Count Temp 5035570919 p.1
i vIe.chanical Permit Application :2.---:., - w: _- ..>FO><r'o> CETISlrr-ONtr "- _, :_.... -._ ' .__ •
City of Tigard Received / Pe rmitNa.: RECENED Dae.�y: 05 A, o. -003 --
13 ! 25 SW Hali Blvd., Tigard, OR 23 Plan Review 11i
Other Permit:
I
Phone: 503.639.4171 Fax: 503.598. 960 fr + D ate Ready:By:
ate;By: I
Inspection Line: 503.639.4175 t.�UN 2005 r! -�- + i El Sec Page Z for
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Internet: www.ci. tigard,or.us Notined/Method; are based on the value of the work (� Supplemental information
r • , _.:._,. , (U1 - KL:IST
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.. •'CO'1VLNIERCI`I: EEE SCHEDUtiE ' L ISE•CHEC
' New construction _ €3$ A � " � . , . .. -
alteration /replacement Mechanical permit fees* ❑ ' performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: 1, mechanical materials, equipment, labor. overhead, and profit.
CATEGORY' QF CONS TRUC TION; .. ; .::.
. ''- . RESIDEN'I'IAL':EQUIPIVLENT._! SYSTEMS E
1 :41 - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description ; Qty. Ea. 1 Total ,
•,-. • •.• . IT:E'
JOB :•SINTOItIYIATION.AND. LOCATION $ cooling
Y4�Z(j4 ow "( ,,, ^ Q Air conditioning or eat pump
Job site address: 4 pl (`^(j�r�`' i (requires site plan showing placement) 1 14.00
T(
City/State /ZIP: ' a t ` is Furnace 100,000 BTU (ducts/vents) I 14.00
Furnace 100,000+ BTU (duets/vents) 17.90
Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00
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, Cross street/directions to job site: Duct work 14.00
1 H dronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00 -
Unit heaters (fuel -type, not electric),
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in -wall, in -duct, suspended, etc. 10.00
' Flue/vent for any of above 10.00
Subdivision: l Lot no.: Other: 10.00
Tax map /parcel no.: . r Other fuel appliances
.:..: _.,:�_....:, >,..:.. DESCRIPTION-OF WORK 7 ... . ... - - •
_
Wale heat °• t0 00
Gas fireplace 10.00
' y Flue vent for water heater or gas
fireplace 10.00 I
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Log lighter (gas 10.00
, Wood /pellet stove 10.00
, Wood fireplace/insert 10.00
.
PROPi�RTY'..OWNEI2 �'.:TEYAI`1T ' ' 1 .. ' ,
.....• >:. -: . ... . ..-:�':: I 10.00
Chimney/liner/flue/vent
..... �: ... ,. :. , - ..:....... • Other:
Name: ` - i � Environmental exhaust and ventilation
a►! Range hood /other kitchen
Address: r S.
equipment 10.00
City/State /ZIP: 1 Clothes dryer exhaust 10.00
60-0 u. ,tri Single-duct exhaust (bathrooms,
Phone: 6 c
Fax: ( ) toilet compartments, utility rooms) 6.80
' ® : CONTACT,;,P ER SO N ` Attic/crawlspace fans 10.00
AI'PLXCAfVT. <L . ; '; :it ,
: % •.:: - ' Other: I 10.00
Business name: in (i w ( C�'tI' ` i , Fuel piping
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(n � 1 $5.40 for first four; $1.00 for each additional
Contact name:
+ Furnace, etc. I
Address: F I ,) �) . Cta(k�U`�C�S k � ` 1 l Gas heat pump I
City/State/ZIP: C` T/ C1 e 6 (7045 , Wall /suspended /unit heater
( 3) 0 Fax:: �� 7- L q Water heater
Phone: ��7' - � (.. ) , I
Fireplace
E -mail; 4
Range 1
s r`u! -F• : ;, _ __ _ _ Barbecue
�- `�'' '• " n Clothes dryer (gas)
Business name: { rI �� l /fj 1
((�� }�� r� Other.
C K �t t , �! 1 �� . . : M._ .... NICAL)PERMIT FEES *
Address: ?) C t i � C. t_t :J ! -. .., .
City/ State/ZIP: O1 �/1n`'l C O � � C Subtotal I
j (� "�� ] y in 1 Minimum permit tee ($72.50)
Phone: (�� J) S (- 2ict I Fax: ( FjQJ . �- / Cam•` (. I (! Plan review (25% of permit fee)
CCB lie.: 7 State surcharge (8% of permit f ) .
TOTAL, PERMIT FE i 1
.) 4 Ct nG7Z�� This permit application expires if a permit is not obtaine
Authorized signature:' days after it has been accepted as complete.
Print name: I L k l
b L,I n e ,, �! ) Dale: Al .14 th • Fee methodology set by Tni- County Building Industry Service Board
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0.Building \PetminiMEC- PermitApp.doc 17/03 440-46177 (11,02!COM/WEB)
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• 1 CUSTOMER INFORMATION -..,7: LID
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AUDI1ESS
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PLEASE IIITAX APPLICATION NVITI I SITE PLAN.
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CITY OF TI ARD i W .
BUILDING DIVISION PERMIT #: MEC2005 0035
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/251/2005
Phone: (503) 639 -4171 �Oi N �At ,,,,, \ 4 puy��p
Inspection Requests (24 Hrs.): (503) 639 - 4175 ° '''..
INSPECTION WORKSHEET FOR DATE: 8/5/2005 TIME: 7 : 02AM PAGE: 50
SITE ADDRESS: 14264 SW 132ND PL CLASS OF WORK:
SUBDIVISION: RAVEN RIDGE LOT #: 025 TYPE OF USE:
PROJECT NAME: CHONG
DESCRIPTION: AC install.
OWNER: CHONG, ANGELINE PHONE #: 503 -524 -1749
CONTRACTOR: TRI COUNTY TEMP CONTROL PHONE #: 503- 557 -2220
Inspection Request Scheduled For: Date: 8/6/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 012904 -01 603-657-2220 Y
Corrections/Comments/Instructions:
P ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
x y
Inspector: Date: 8- S`--C" Phone #: (503) 718-