Permit •
CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00115
°1l 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 2/23/2006
PARCEL: 2S112CC-18400
SITE ADDRESS: 15975 SW AVON PL ZONING: R -12
SUBDIVISION: DURHAM OAKS LOT: 020 JURISDICTION: TIG
Project Description: Add 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:
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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:
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
BRIAN CAIN Description Date Amount
15975 SW AVON PL
TIGARD, OR 97224 [MECH] Permit Fee 2/23/200E $72.50
[TAX] 8% State Surcha 2/23/200E $5.80
Total $78.30
Phone: 503- 367 -7861
Contractor:
OREGON HEATING + A/C INC
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -538 -2953
FAX 503 -537 -2172
Reg #: LIC 125815
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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: ��,r f�j� Permittee Signature: s.-12..
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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.
Feb 22 06 12:08p MS Rentals, Inc. 503-537-2172 P.3
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Mechanical Permit • I . 111 Li . 1 . S FOR OFFICE USE ONLY • • •
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Cit of Tigard E I Received
Datelay: - V 6, /....1.-- PermitNo\NNC7)06 -:00/4c
13125 SW Hall Blvd., Tigard, OR 97223 D
Plan Review
Phone: 503.639.4171 Fax: 503.598.19 Other Penuit:
Inspection Line: 503.639.4175 PI Datc!By: EB 2 2006 _all
.-- .....1.. Date Ready/By: kris: 2 See Page 2. for
Internet: www.ci.tigard.or.us I Notified/Method: ,./1 I ( Supplement:11 Information
CITY OF TIGARD
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Mechanical permit fees* are based on the value of the work
0 New construction Pelditionialtera.tion/replacement performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
•,.'."'', :)-?-.."•*:;::.LAJE61-jii.i'45iEs::ClilSfRi..7&•I*164.: .-:,.::'..:','•,,-,:.......::•..::±•::....
:: ,-Trii:.' Value: S
••• ..•
DIV- and 2-family dwelling 0 Commercial/industrial 0 Accessory building
For special For use checklist
0 Multi-family D Master builder 0 Other:
Description Qty. Ea. I Total
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Job site address: ( S9 15 no e---- Air conditioning , r heat pump
placement) ft I t 11
k 14.00
City/State/ZIP: -. ° q n -t-i 14.00
;
Furnace 100,000 BTU (ducts/vents) ;
Furnace 100,000+ BTU (du:tsivents) 17.90
Suite/bldg./apt. no.: Project name: , Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydronic hot water system 14.00 s .
Residential boiler (radiator or I .
hydronic) 14.00
• Unit heaters (fuel-type, not electric),
in-wall, in-duct, suspended, etc. 10.00
I
Flue/vent for any of above 10.00
Subdivision: I Lot no.: Other. I 10.00
Tax map/parcel no.: Other fuel appliances
. Water heater I 1000 I
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.. .et (Li rAm dA_+? cryl (q . Gas fireplace
Flent for water heater or gas 10.00
, fireplace 10.00
' Log lighter (gas) 10.00
Wood/pellet stove I 10.00
' Wood freplace/insert 10.00
10.00
i'''Iii•::•.s:'-: ',...., ....PTXT-A a - Other 10.00
_
Name: . I
Environmental exhaust and ventilation
Address: i i e- ; 31/6 i 1 -- Range ho th
od/oer Idtchen
' equipment 1 10.00
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City/State/ZIT: c A,-t ch,-----el ° I 1 1 d-2-ti Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Pho9) - 3 ) 3 0 - -7, ---) gz, / Fax: ( ) toilet compartments, utility rooms) 6.80
:::;••':•:•••''.. ....'•'I;O:/.if,4<0.PL-IGA*.::::..:i.1:';.,::::':/;.1::..fi':'.:J...;•i..'.a.'':'CO O
rrfiA'rlati.0 AllicicrawisPace fans 10.00
1 1 .
Other. I 10.00
Business name I !
, .-•/ I i q 4 ,41 O
...-411. ' Fuel piping
Contact name: ' Artn-e3 $5.40 for first four; $1.00 fur each additional .
z,
Address: C..) Furnace. etc.
V bt) fi,... ,4.k: -_- ...
Gas heat pump
City/State/ZIP: A)li / Attu_ (,) 01, ( t 1 L s _Wall/suspended/unit heater
,)- I i
Ph°rie --- 5S d■ 1:11- I Fax: & s3 Water heater
-7 zi -. -2,
Fireplace ,
E-mail: ; Range
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Business name: LA, , ., ,y) t,..„,_La 4- (jA, L Clothes dryer (gas) Ayk zil s ,
Other I
Address: „ _C),
NrEci-LOricid:i'iiiivrT:Fits!''''-';''''';';'','"'-2:;:si-
i C I 011 1 (AS . Subtotal
City/State/ZIP: k„
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Minimum permit fee (S72.50)
Phone; (a3 ?a V ai./11,53 Fa-x9 t 2 2 Plan review (25% of permit fee)
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CCB lic.: ).,.., i
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State surcharge (8% of permit fee)
/ L 6,,ke
TOTAL PERMIT FEE
This permit application expires if a permit is ElOt obtained within 180
Authorized s' attire: ' 6'10% . Ljr)6.19,0-4L__ . .. clays lfter it has been accepted as complete.
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Print name: i YI,..*.e,, r_ a tA ! Date: .9) 2 D I 6 1 . Fee methodology set by Tri-County Building Industry Set-rice Board
.. . . . . .- -- 2411-C.517T 0 tio2/coMwEs)
Feb 22 06 12:08p MS Rentals, Inc. 503 - 537 -2172 p.2
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CITY OF TIGARD nt2 -C,
BUILDING DIVISION PERMIT #: ZOO 6-00 / / , ___--
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 i ititll� i6l �i��' Via 9 -ai/U`
Inspection Requests (24 Hrs.): (503) 639 -4175 °`:_..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: l C 9 - 7 s /W 1Y1 I (0L CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3- 2. 9 -61 Pour Time:
Code # Inspection Description Confirm # Contact # Message , 3 6, --- - 7 e6 / 6
6 gq nfue cA, F Eef-i-oteit)
Corrections /Comments /Instructions:
A S — J/
4' 4 • _ 7s
6 ..44.4 /6t z. D;L. •
6 4, a
[PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: d1 Date: 7 Phone #: (503) 718- 2--
18- 7 a6
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