Permit CITY TIGARD MECHANICAL PERMIT
O i „ DEVELOPMENT SERVICES PERMIT #: MEC2004 - 00162
.1 030 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/1/2004
PARCEL: 2S112CA -04100
SITE ADDRESS: 07996 SW ASHFORD ST
SUBDIVISION: DURHAM ACRES ZONING: R -
BLOCK: LOT: 021 JURISDICTION: TIG
CLASS OF WORK: ALT 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:
LPG 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: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Remarks: AC and furnace install.
Owner: FEES
POTTS, TERRY L + JOHNNIE R Description Date Amount
7996 SW ASHFORD ST [MECH] Permit Fee 4/1/2004 $72.50
TIGARD, OR 97224 [TAX] 8% State Surcharl 4/1/2004 $5.80
Phone: Total $78.30
Contractor:
CLIMATE CONTROL INC
16500 SW 72ND AVE
PORTLAND, OR 97224 REQUIRED INSPECTIONS
Phone: 503-453-4822 Heating Unt Insp
Cooling Unt lnsp
Reg #: LIC 62196 Final Inspection
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.
Issued By: 4- .�'! Permittee Signature: (�1
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
,.:.man ..31 04 10: 49a climate control 503 968 7224 p.1
Mechanical Permit Application FOR OFFICE USE ONLY
1312S
City SW Hall Blvd., of Tigard
Tigard, OR 97223
i
rECEIVE , Received
rm
Date/By: ,41 1 71Z Peit No.: ryet ......
Plan Revie
Phone: 503639.4l71 Fax: 503.598.196,, Other Permit:
Inspection Line : 503.639.4175 , /11 !NW Date/By:
Internet: WWW.ci.tigard.or.tts MAR 31 ..410- , 1.. Date Ready/13y: kris:
Notified/Met:10d: Ed See Page 2 far
-776 Supplemental Information
;i 04 T 5 . 0 1 1 G f A tS R P D 1\1 i . :: , :: . ;...- : .:,.:; ':...; •;.)004
ID New construction 0 Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit,
Value: $
:::::;:::::! :Tr.;: . :.:...: • • :,... .. :• .. • • • ,:...: :, „..„,„......, ,„„... .... .,.„......., ..„,..„,... , _. .. ,.:::„ ,.
':''''!::•:•- Otit0-014110 0 iMiO: C:tit
El 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building
For special information use checklist.
0 Multi-family 0 Master builder III Other:
_ Description _ I Qty. Ea. Total
t:,: :',$0,v;r6 LOCATION , .. : - . : - . Heating/cooling
or
Job site address: 7996 SW Ashford Street Air conditioning hem pump
I 14.00
(requires site plan showing placement)
City/State/ZIP: Tigard, OR 97224 Furnace 100,000 BTU (ducts/vents) 1 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: Project name: 804060 Potts •
_ Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydronic hot water system 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 for any of above 10.00
Subdivision: Lot no.:
Other: 10.00
Tax map/parcel no.:
Other fuel appliances
.. " - DEeRtirtibi■I' c i)f'ilioit.K - - • ' : • - : - • :' - . • : : -. Water heater . 10.00
Gas fireplace 10.00
install furnace and add on a/c
Flue vent for water heater or gas
fireplace 10.00
— Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
Chimney/liner/flue/vent 10.00
41 :-.- ..:.. CI TENANT :- • .
'• ''''' ' l' Other: 10.00
Name: Terry Potts
Environmental exhaust and ventilation
Address: 7996 SW Ashford Street Range hood/other kitchen
equipment 10.00
City/State/ZIP: Tigard, OR 97224 Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: (503)639-6835 Fax: ( ) toilet compartments, utility rooms) 6.80
::;..::'•• :: -;,. : i i : •:i . . '. :! : t 1 :::*WOV•: . :-..'gliE: : :.: ' 0 : Cc! N*4 r-!' PERSON :: :.., :. Attic/cravvispace fans 10,00
Other: 10.00
Business name:
, Fad piping
Contact name:
$5.40 for first four; $1.00 for each additional
Furnace, etc.
Address:
Gas heat pump .
City/State/ZIP:
Wall/suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E-mail:
Range
: ..: :-::. :. ::,i;!;;;;;;....,. - - .: t 1 . E;:r.,.:'':;,'•-;•i';'00TR*Ciolt.:. :: : j • • • - •:. : - • - : : : Barbecue ._
Business name: Climate Control Clothes dryer (gas)
Other:
Address: 16500 SW 72 Ave
' ' • :: . '. ki0
City/State/Z1P: Portland, OR 97224 Subtotal 7— `i • c '‘' )
Minimum permit fee ($72.50)
Phone: (503) 453-4822 Fax: (503) 968-7224
Plan review (25% of permit fee)
CCB lie.: 62196
State surcharge (8% of permit fee) S.
TOTAL PERMIT FEE 1 '6 .3 0
Authorized signature: al i , This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Amy Griffith Dale: 03/31/04 ] * Fee methodology set by Tri-County Building indusiry Service Board
i:\Building\PermitAMEC-PerrnttApp.doc 12/03 44(1-4517T/11 /111/ITILIAVI:Ikl
.Mar. =31 04 10:49a climate control 503 968 7224 p.2
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CITY OF TIGARD 24 -Hour
BUILDING Inspection Life: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
F BUP
Received Date Requested 0 AM PM BUP
Location ' i.1J •. ° Suite MEC07/ C ( 44 /(o �--
Contact Person '.2 / Ph ( ) �,�3 ����— PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC 0?0 a q - Oo / 7
Footing ELC
Foundation Access: 0,0 M So ELR
Ftg Drain
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath /Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm -
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final "��FAIL
Post & Beam
Ga s Line 2742--
Gas Line -�
Smoke Dampers
ti BART FAIL
Service �.
Rough -In 1
UG/Slab
Low Voltage
Fire Alarm
Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
l'AS PART FAIL
SI - Please call or reinspection RE: Li Unable to inspect - no access
Fire Supply Line
ADA e d I �u/ - C1 �yZf l l% 7il/
Approach /Sidewalk Date I nspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL