Permit C ITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00193
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/10/2007
PARCEL: 2S 102AB -00502
SITE ADDRESS: 09405 SW CENTER ST ZONING: R -4.5
SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND LOT: 063 JURISDICTION: TIG
PROJECT: WOOD
Project Description: Install a/c
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
GERALD WOOD Description Date Amount
9405 SW CENTER ST
TIGARD, OR 97223 [MECH] Permit Fee 4/10/20W $72.50
[TAX] 8% State Surchar€ 4/10/20W $5.80
Total $78.30
Phone: 503 - 598 - 1249
Contractor: •
EASTSIDE HEATING &AIR CONDITIONING
7200 SW JOHNSON CREEK BLVD
PORTLAND, OR 97206 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 774 - 3281
FAX 503 774 - 3057
Reg #: LIC 3258
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 OU NC by
calling 503.246.6699 or 1.800.332.2344. ---e;j
Issued E( Ul/l Permittee Sign • J� -'`�
Call 503.639.4175 by 7:00 a.m. for inspections t -,. •usiness 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.
Apr 09 07 09:40a Fax Server 503- 774 -3057 p.2
Ni
Mechanical Permit Application = FOR pr111(Fil tit: 0
amity of Tigard ' Y e/ 9 0.7 t V PermitNo.: I'1 gea( (4?-'40 is 3
13125 SW Hall Blvd, Tigard, OR 9722 E I j Y ` plan Review
Phone: 503.639.4171 Fu.'t: 503.598.1 f- ', ,� _ - Date/By: Permit:
Inspection Line 503.634 -4175
APR — 9 20 f 1 By a ® See page 2 for
Internet: www, ci.tigard_or.us Notified/Method: Supplemental Information
,ckTy . - QFTIGARD
r . . .'<t. r ;�.. :',• :,, `F� :'�_' ++IL�b69� .�. " � +. v:.... -. �.l" -: \.i+ \.a�W7L
I Mechanical permit fees* are based on the value of the work
!. ,-
':>.:... ,' � .,. • ..;,....- . "' 1� :`•. " :`' : ,�: ` �. ; . :.:- �w,:. :�_ C011�1�RCIALt�EE ., ?SCHIDIfLE_�;'• . .
❑New construction ` Addition /alteration /replacement
performed Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: I mechanical materials, equipment, labor, overhead, and profit
i t+ Value: $
-
- �,„ . ,
:. t=
�� - -; t CA TEGORY�OG .COIYSIltUCI IONi. ..; ,, �•
RtESID TY�tL i iFkfr4YfEMS FEES° ".::4.
41 1- and 2- family dwelling ❑ CammerciaUindustnal ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea Total
;: , 1 ' - '''' 3OB $fE`cINFORMATION A3 ' ? . -- Tit- ;I "kitin ,
` 0,3 I Air conditioning or heat pump
lob site address: - CI')
Q � s 1A) x. - — . T (rea utter site plan showing placement) 14.00 � �
City/State/ZIP: t d ,ui A ci TZ q � ,:, 2 Furnace 100,000 BTU (duas/vents) 14.00
Furnace 100,000+ BTU (duets/vents) 17.90
Suite/bldg./apt. no.: 1 Project name: (/ 7 2, tJi I Imo)( 7f) 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, suspeuded 10.00
Subdivision: Lot no.: Flue/vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
i .:. s =;; s n-: :t Water heater 10.00 • :.'� � : . - - : D ESCItiP 'R ?Olsi . : >,-: � „•�c�,,;'� : :.° , .
,r rr r Gas fireplace
•
_r'1 CA i I I 0 A - y ri � (`) r'i .l` r Flue vent for water beater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
- ].'ROP ki0 1: _ 4f :.. t,a'FEN : - Ot Chimney/liner/flue/vent 10.00
• ;; '- •' Other: _ 10.00
Name: ( > ' % I A (A ( * 3 - 0 Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 10.00
City/State/ZIP: Clothes dryer exhaust - 10.00
• Single -duct exhaust (bathrooms,
Phone: (5,,) - D q - _ ( Li q Fax: ( ) toilet compartments, utility rooms) - 6.80
' 1" : : ` : -v ;; rr' i Attic /crawlsnace fans 10.00
''�„ '''- ''APPLICANP'��; :' ' .. �,, :' _. � °COI!ITAT�PEB.SON'.,._�;�z;: `; •
Other: 10.00
Business name
�ie:\P r 7 Q + 11 - Fuel piping
Contact name: 4,, n A V\ SSA0 for first four: S1-00 for each additional
Address: Furnace, etc.
Gas heat pump
City /State/ZIP: Wail/suspended/unit heater
t i t _ (,_.)„_S ( S . 0 ) 7 - 7 , Fax: : -7 • -Saf.7 7 Water heater .
Fireplace
E- tans. .1en ,_ra.� P ect_S-t 'i ctQ he(� -t rtq . 6 _ r-r7 Range .
':f ';^ '6. . , :: '; :CONmACTOK; ': �`- . , ... - . • ' ' °`..' "� .. `., r Barbecue .
Clothes dryer (gas)
Business name
( r l S i r 1 A P P (:c1- r 4\-I)- Cl Y O ther:
Address: -7 -.." V') U . S - i C Crr, or: KR et '
City/State/ZIP: l�c, r -4-I 0 .t'7 r* (") 2 q 74-0(0 Subtotal
f Minimum permit fee ($72.50) - 7,9 .
Phone: (e O2) -7-7 L(! A? & ! I Fax: (5-) 2)) 7 L( -30 1 7 Plan review (25% of permit fee)
CCB lie.: , �S- State surcharge (8% of permit fee) s S ..
TOTAL PERMIT FEE - 7 )-. 2 c
Authorized sl ature' / This permit application expires if a permit isnot obtained within ISO
i(/tL f . iYt.•� I ,,'' days after it ban been accepted as tom plete.
I Print name: P /74 i? ____s-c, J.r m T A- late: l - ) ( 1 • Fee methodology set by Tri-C or aunty Baitding industry Seni Bond
i :Vtuildin&Term ieiLIAT_C- Pomitapp.doe 1 MU 440-16 1 IT (t 1/02Icowwen)
INSTALLATION ADDRESS: ? el U5 s---) ('___ ''7 2-2— 3
PROPERTY LINE
Lo 'V
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15 \t,-)
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(5
FRONT
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coX a>
PROPERTY LINE
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(X = OUTSIDE UNIT)
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007-00193
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/10/2007
Phone: (503) 639 -4171 Ag
Inspection Requests (24 Hrs.): (503) 639 -4175 �
INSPECTION WORKSHEET FOR DATE: 4/13/2007 TIME: 7:00AM PAGE: 65
SITE ADDRESS: 09405 SW CENTER ST CLASS OF WORK:
SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND LOT #: 063 TYPE OF USE:
PROJECT NAME: WOOD
DESCRIPTION: IntitaII a/c
OWNER: WOOD, GERALD PHONE #: 503-5984249
CONTRACTOR: EASTSIDE HEATING & AIR CONDITIONING PHONE #: 503 774 - 3281
Inspection Request Scheduled For: Date: 4/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 046377 -01 503- 774 -3281 Y
Corrections /Comments /Instructions:
EL C - ,2, , r/44- ,4.,4 /' - Go S ys'
I PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
3--a
Inspector: f Date: � 7 Phone #: (503) 718 - �