Permit N CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00360
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/19/2007
PARCEL: 2S 110AD -06500
SITE ADDRESS: 10570 SW DEL MONTE DR ZONING: R -12
SUBDIVISION: LANG HILL NO.2 LOT: 057 JURISDICTION: TIG
PROJECT: SHERON
Project Description: installation of 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:
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: WOODSTYERS:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
LINDA SHERON Description Date Amount
10570 SW DEL MONTE ST
TIGARD, OR 97224 [MECH] Permit Fee 6/19/2007 $72.50
[TAX] 8% State Surcha 6/19/2007 $5.80
Total $78.30
Phone: 503- 314 -8519
Contractor:
FOUR SEASONS HEATING & A/C INC.
1005 INDUSTRIAL PARKWAY
NEWBERG, OR 97132 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -538 -1950
FAX 503 -538 -0165
Reg #: LIC 97152
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 B / / Permittee Signature: , 3 P 1,phca On
Call 503.639.4175 .y 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.
Jun 18 07 01:08p Malcolm Lamb 5035380165 p.3
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Mechanical Permit Application • FOR OFFIC USE oNl l
City of Tigard Dale, Received fiy, 1l -SLI3
Permit Nu M �7,a -6031c40 13135 SW {call Blvd., Tigard, OR 97223 REcav,..,, RECE . Platt Review Other Permit
Phone: 503.639.4 171 Fax: 503.598.1960 , ,44 /►. Dale /sly.
Inspection Line: 503_639.4175 -- /1 Date Readyr(ly: Fur H Sec Page 2 for
Internet' www.ci.tigard.ocus JUN 1 8 J Nulified /Method: Supplemental Information
Cr" r ' GARD
TV .O ,.t „ tat, ! . is COMMERCIAL FEE* SCHEDULE - USE CHECKS
, -
�' ' t Mechanical permit fees are hosed on the value of the v.ort:
❑ New construction Addition /alteration /replacement performed Indicate the value (rounded to the nearest dollars
❑ Demolition 0 Other: mechanical materials, equipment, labor, overhead, and pt , (i
Value: S
CATEGORY OF CONSTRUCTION
RESIDENTIAL EQUIPMENT / SYSTEMS IS'
old 2- family dwelling ❑Commercial /industrial 0 Accessory building
For special information use dwells,
❑ Multi - family ❑ Master builder ❑ Other: Dcscnption I Qty I Ea. 1 1
JOB SITE INFORMATION AND LOCATION Heating/cooling
Q
44 ��
Air conditioning or heat pump
Job site address: C J , ---- (requires site plait e pla shnwiur; placement) I 14.(}(}
City /State /ZIP : - \--- � e_ r 7 � Furnace 1110,000 BTU (dttets :eetns) 14.1)0 Fumace 100.000+ BTU (ducts.vents) 17 9(1
Suite /bldg. /apt. no.: Project name: Gas heat pump 14 (dt
Cross street /directions to job site: Duct work I 14.[)))
liydronic hot water system ■ 14 0(1
Residential boiler (radiator or
hydromc) 1-1 (it
Unit heater (fuel -type, not electric),
in -wall, in -duct, suspended, etc i()_Ur,
Flue/vcnt,for any of above 10.0(1
Subdivision: I Lot no.: Other: 1000
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water hinter , 10(0}
---.. f ".• • Gas fireplace 10.00
1 ���Q-\ 1 ,C-'1/4---C-1, "r"--' \ ! Flue vent for water heater or gas i
Fireplace 10-1111 I
Log lighter(gas) 111111)
Wood/pellet stove 10.11(1
Wood fireplace /insert 10.(1(1
•
ROPERTY OWNER ❑ TENANT Chimney /liner /Rue /vent 10.09
Other: 10.00
Name: \____.:,.• sc` .,c9,,,_ 4.--:: j\--,.. 4 a fy_D--..- Environmental exhaust and ventilation
Range hood /other kitchen
Address: 1 i S --) - j . --c ' '- equipment 1() 00 1 -
Ctty /State /ZIP: ^ i •C '-1 •_� -r� Clothes dryer exhaust I 10 00
�� ' t ` Single -duct exhaust (bathrooms,
phone: (�b3� - l ^ ‹ e: 3't, Fax: ( ) toilet compartments, utility rooms) r,.8(1
- APPLICANT } ❑ CONTACT PERSON Attic /crawlspace fans 10 01) I
Business name- \ \
Other: 10 (111
LJ\ SL 1Q-- -- �P_/"k ��Y� � \� ,, et-i0 Fuel piping
Contact name: .t�� vw\ i„r $5.40 for first four; $1.0(1 for each additional
Address: - Furnace, etc.
I. . _ __\__ L ` �.ta:. —e. , A - • _ Gas heat pump I _
City /State/ZIP: 1- -- r 1 ' � Walllsuspendeti / unithealer
one: Fax:. Water heater
Ph
>�` -1 S� 2J '5' % -c > t O 5 Fireplace
k -mail: Range
CONTRACTOR Barbecue - I
Business name :c. , ��,_ 1 ��,_� 5 �,!� �
n Clothesdryer(gas)
ter:
Address: , .gyp - - "_t�i � r.�S =-A----....1.1 �� 4 s k h4ECHANICAL PERMIT FEES
City /State/ZIP: N , •.�L �J`., v 9 •_ 1 , Subtotal
_ = Minimum permit fee (572.511) '2 50
Phone: D1.---;),5-1.---;),5---b, : v _ .0 - a. —I V 1 b Plan review (25 %of penult fee)
CCU 1ic.: Z 1 ,—�� State surcharge (8% of penntt fee) `7 .'61)
TOTAL PERMIT FEE I
--.
,- This permit application expires if a permit is not obtained "ilhi
Authorized signature: „\„,.--..,__,„_s.. a.,`1t ��
,rr days After it has been accepted as complete.
Print name` Date: . fee ntethoduingy set by TEL-County Building Industry Scr.,,, 11, all, i Ihiildin ('ere cs SIFT- PeruulApp Jae 12 0 -0.10 -441 11 1 , ( 2 2 COM Whit )
Jun 18 07 01:08p Malcolm Lamb 5035380165 p.4
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CITY. OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007- 00360
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6//01
Phone: (503) 639 -4171 �g*��ivd��d4pulIi ��
Inspection Requests (24 Hrs.): (503) 639 -4175c !+ =-__..
INSPECTION WORKSHEET FOR DATE: 8/16/2007 TIME: 7:00AM PAGE: 65
SITE ADDRESS: 10570 SW DEL MONTE DR CLASS OF WORK:
SUBDIVISION: LANG HILL NO.2 LOT #: 057 TYPE OF USE:
PROJECT NAME: SHERON
DESCRIPTION: installation of a/c unit.
OWNER: SHERON, LINDA PHONE #: 503. 314 -8519
CONTRACTOR: FOUR SEASONS HEATING & NC INC. PHONE #:. 503-538-1950
Inspection Request Scheduled For: Date: 8/16/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 053917 -01 503- 314 -8519 N
Corrections /Comments /Instructions:
f'''- .\\
f
K PASS ❑ PARTIAL APPROVAL CANCEL U NO ACCESS
I I FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: R Date: b707 0 Phone #: (503) 718 -
f `