Permit rr „ CITY OF TIGARD MECHANICAL PERMIT
' COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00390
(TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/3/2007
PARCEL: 1S134DB-11600
SITE ADDRESS: 11053 SW BRENDEN LN ZONING: R -4.5
SUBDIVISION: DAKOTA GLEN LOT: 018 JURISDICTION: TIG
PROJECT: TRUONG
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:
ELE 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
PETER THRUONG Description Date Amount
11053 SW BRENDEN
TIGARD, OR 97223 [MECH] Permit Fee 7/3/2007 $72.50
[TAX] 8% State Surcha 7/3/2007 $5.80
Total $78.30
Phone: 503- 317 -5678
Contractor: •
SKY HEATING & AIR CONDITIONING
1635 SE NEHALEM
PORTLAND, OR 97202 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 235 -9083
FAX 503- 235 -0454
Reg #: LIC 50244
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: dthit 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.
0.7e,03i: "2007 08:32 5032350454 SKY HEATING PAGE 01
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Mechanical Permi 11 ca
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Receive ] Q
City of Tigard D y ate/B ',y 0, r, Permit Noll � O ! 27
13125 S W Hall Blvd., Tigard, OR 9 0 3 ZOO I Plan R' w pchcr Permit: Phone. 503.639.4171 Fax: 503, 598,1960 � / , ;,marl,, Mi l , Date/By
Inspection Line; 503.6 39.4i 75 n + 1
CITY OF T IGP D ...4 •� I D ale Ready/Byi ,� Ea See Page 2 for
Internet: www.ci.tigard,or.u9 • BUILDING DIVISION - Notificd/Mcthod; _ Supplemental Information
l � :4: r' is :. : ; ::r: ,, d � �' K1CaJl+9 . 4:):4'1 P0.. ')1E0c sT
Mechanical permit fres* are based on the value of the work
0 New construction
on/alteration/replacement performed, Indicate the value (rounded to the nearest dollar) of all
ID Demolition I Other: mechanical materials, equipment, labor, overhead, and profit.
. Value
CATEGORY.. OF CO SIR>(?C�"IO1+LR:.,M:...:;; .; 1.::(''? : : :, '�1 NT l 81' MS FEIEB
.:'IkESCDENT11illt'Et2 Li
gj and 2- family dwelling 0 Commercial /industrial ❑ Accessory building For special Information we checklist.
Multi- family ❑Master builder ❑Other: Description Qty. Ea. Total
J108' SITE': 1< NFOR !►iA'�'Tlbi`t`':..at i ' ,, ; ' .•'::.: Heating/Cooling _
-. .
/ j — Air conditioning or heat Dump
Job site address: t ( oning Air con iti plan o r heat IM MP 14,00
City /State/ZIP: --- + , '� - Furnace 100,000 BTU (dutWvenns) 14,00
Fumiace 100,000+ $TUsducta/vents) _ 1
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 1.4,00 _
Residential boiler (radiator or
— hydronic) 14.00
_ - Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Flue /vent far any of above 10,00
Subdivision: I Lot no.. Other; 1 0.00
Tax map /parcel no.: • Other fuel appliances
. .DEsCklitUOICop% !Q ' ;.. '. ,' ' Water heater 10.00
Gas fireplace 10
�r Flue vent for water heater or gas
fireplace - 10.00
Log lighter (gas) , 10.00
Wood pellet stave 10.00
Wood fire,lacc/insert 10.00
Chimney/liner /flue/vent 10.00
ROPERTY':OWNER' ., - .; ;`',. Othe 4
"`Q. ,..�;. r 10,0
Name: I V , : �Y DY1 a Environmental exhaust and ventilation
- �J Range hood/other kitchen
Address: e.0 .meat 10.00
City /State/ZIP; Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) 3 I 7-Sep -7 Fax: ( ) toilet compartments, utility rooms) 6.80
' APPLICANT -- 0 r.CoNTACr PERSON : ': Attic /crawlspace fans 10.00
Other: 10.00
Business name: J e � I Fue piping _ _
Contact name: . SS.40 for first four; $1.00 for each additional
Furnace, etc,
Address: Gas heat pump _ _ -
City /Stare/ZIP; Wall/suspended/unit heater
Water heater
_
Phone: ( ) Fax' - ( ) Fireplace —
E-mail: Range
. Ca C['OR;�;,W-,; .1, ;.i. ;:r!-�,,:'.., . :r:- .. .. 'rr'. Barbecue
Clothes der (gas)
Business name: Other,
Address ■ .fv 4 . 04 ... ?, 1►3EC8hi1!7x(7: F EES
City /State/ZIP: + q,'7 au - Subtotal i�
tai > t Minimum pemtit fee ($72.50) _
Phone; ( ) m 6s—cop n„ , Fax: ( ) t:�3�� L y Plan review (25% of permit fee)
CCB lie.: 0 ...2._ 4 oZ O ' state surcharge (8% of permit fee)
TOTAL PERMIT FEE '7 ,�
• _ 7b.a permit appumNon expirtss if a permit is net obtained within ISO
Authoriyed signature: ' days after It has twee accepted a, complete.
I Pig,/ ',in,- ,....1 e j' a Ir
(t Z note - e - 7-7 ' F oe methodology set by Tri- County Building Industry Service Bond
07/0342007 08 :32 5032350454 SKY HEATING PAGE 03
HOME LAYOUT /SITE PLAN
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STREET
r .,
CITY (F TIGARD
BUILDING DIVISION PERMIT #: MEC2007-00390
13125 S1`,1 Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/3/2i07
Phone: (503) 639 -4171 411 00
Inspection Requests (24 Hrs.): (503) 639 -4175 Asir 'f L.
INSPECTION WORKSHEET FOR DATE: 7/23/2007 TIME: 7 :06AM PAGE: 36
SITE ADDRESS: 11053 SW BRENDEN LN CLASS OF WORK:
SUBDIVISION: DAKOTA GLEN LOT #: 01B TYPE OF USE:
PROJECT NAME: TRUONG
. DESCRIPTION: AC install.
OWNER: THRUONG, PETER PHONE #: 503- 317 -5678
CONTRACTOR: SKY HEATING & AIR CONDITIONING PHONE #: 503.235 -9083
Inspection Request Scheduled For: Date: 7f23/2g07 Pour Time:
Code # Inspection Description - Confirm # Contact # Message
699 Mechanical final 052497 -01 503-317-5678 N
Corrections /Comments/ Instructions:
. s . I-ILI ' . ..sr; - e G " ° a . 6 Qt/ <: - c.1 .
P ASS n PARTIAL APPROVAL I I CANCEL I NO ACCESS
n FAIL I I CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector: Date: 23 Q� Phone #: 503 718 - Z."-K-101‘ �
P )