Permit .1 CITY OF-TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00123
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/11/2008
PARCEL: 2S109DD - 08200
SITE ADDRESS: 12867 SW DA VINCI ST ZONING: R -
SUBDIVISION: BELLA VISTA LOT: 012 JURISDICTION: TIG
PROJECT: MONDAY
Project Description: Installing A/C.
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:
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
RICHARD & ROMANA MONDAY Description Date Amount
12867 SW DA VINCI ST
TIGARD, OR 97224 [MECH] Permit Fee 3/11/200E $72.50
[TAX] 12% State Surch 3/11/200E $8.70
Phone: 503- 889 -6057
Total $81.20
Contractor:
FOUR SEASONS HEATING & A/C INC.
1005 INDUSTRIAL PARKWAY
NEWBERG, OR 97132 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -538 -1950
FAX 503 -538 -0165
Reg #: LIC 97152
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: i/ � Permittee Signature: SPA Z.
Call 503.639.4175 by 7:00 a.m. for inspections that busin ss�
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
. „
Me‘hanieal Permit •
I• ■1 01
City rd
of Tip t ADDlicalit'CEIVED
-- aft 3 // dr 77
1 , 13125 SW Hail Blvd., Tigard, OR 97223 Plan Review
11 Phone: 503,639.4171 Fax: 503.598.196MAR 1 1 2008 Date/By: Other Permit:
Inspection Line: 503.639.4175
Date Ready/By: hill ti, see Page 2 for
Internet: www.tigard-ongov CITY OF TIGARD Nonfied/Mothed: Supplemeatal Information
____ BUILDING DIVISluig
'I'm o wOU L. ',7 • `f■ .7 :: . : ' , :c RCPgr M SCHEDULE , USE rutECKLigi '
[]New construction Additiontalteraton/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition El Other: mechanical materials, equipment, labor, overhead, and profit
CATRGO12* OF COPiSiiIISTION . :: .. ' ..;(;;: ::::: . Value: S .. _. .
* E;
SIDENTIAL (1 / SYSICFM$ PEES*
;67and 2 dwelling 0 Commercial/industrial , ' 0 Accessory building .
For special Wormation use checklist'.
El Multi 0 Master builder 0 Othcr: ' ,. 1 Description j Qty. Ea. 1 Total • JOB SITE ORI4ATIOPI Afillik:204010if:]:.,,•:•:.? :':. .. ... Heating/cooling
Ahq,o ,4001s.mor heat pump
' Job site addivw/A,' 77ell_, v l'ik.c. i 31- "Farm= sito plan abowum Om:m=0 1 14.00 1 1-
City/State/ZIP: 7 t.\ a.A_.4 I 0 e q 1 ,..a.4.i • _Furnace 100.000 BTU (ducts/vents) 14.00
Furnace 100.000+ BTU (duets/vents) 17.90
SuiteibldgJapt. no.: \ - 1 1 Project name: IA A
V V • 0 det y Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic hot water system 14,00
Residential boiler (radiator or
h &rink ) 14.00
- . Unit heaters (fuel-type, not electric),
• in-wall, in-duct, suspended, etc. 14.00
Subdivision' no
Flue/vent forany of above 6.80
Lot .:
Other: 10.00 .
Tax map/parcel no.: Other fuel appliances
11 *SCRIPIrig i i 0.:1# i ::: 4.c., :•.: .;, :: :. . , . , y,:::•" :. area heater 10.00
■ . Gas fireplace 10.00
et, 1 (t- c__ ma if i o-A31-.<, 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
10.00
7 0 ' . : ;. : • .:: : ::: '..' .. .4.Ar-5. 7EFVfr,: '..' ..r other: 10.00
Name: ° ji ho i d f mid Ct Re44 Environmental exhaust and ventilation
Range hood/other kitchen
Address: 1 ,),\ 8 . 1. , i 5 ' P.V-f. ) S equipment 10.00
City/State/ZIP: T1" c,15_,A,...d q -) --,)-• clothes dryer =haus' 10.00
• -- Single-duct exhaust (bathrooms,
Phone: (53) • Z • - Fax: ( ) toilet compartments., utility rooms) 6.50
; ....: . ,,, ,,, . :. '...4:.. : .: .... .....: '.. cArs irl •" s', - ' :';ii :7; , - Atdderawispace fans 10.00
Other: 10.00
Business name: . Fuel piping
Contacteinie HEA TiNG for first four: 51.00 for each ddiliona
..
Address: ---ANBAIII ' runlet:le, CAC.
1,1, ■ p "1 : . . A A i Gas heat pump
City/State/ZIP: EWBERG, OR 97132 _ Wall/suspaided/unit heater _
pho±n!_ . 1_15_0 - ___ Fax: :(503 (5 8:61 Water hotter -
Fireplace
E-mail: Range
IccOrliACVOP. 'A;: 4 I : " 1, Barbecue
Clothes dryer (ps)
Busin etilLimu ..am,.._k_.1..natri other:
Ad
FOUR
• .
‘17 :7071 F" 1 , I-1 11111 ::: :: '..' : ,1 MECIEOTICAL: FEES
Cit3r/StatealP: i 15 INDUSTRIAL NOW - 6 Subtotal /44, 0 0
Minimum permit [be ($72.50)
Ph oiw:7 .---"EwBERGIT° 9 10 ? ) Plan review (2554 of permit fee)
CCB lie.: q - 1 5';'-• State surcharge (12% of permit fee) - F.47 0
TOTAL PERMIT FEE
This permit applicedon expires it a permit Is not obtained within I :7
Authorized signature: Iiif ; .,,
days after it has been accepted as complete.
f
Print name: La._
Date: -0.- . Fee methodology sot by Td-County Building Industry Service Baud
' N.-v-2 101,11‘..111.1
1;suileadOem4AMEC.ParmitApp4x 01/19/07 440.46175 (11/02/COMMED)
1700/Z002 XV d 170 : 81 bLOZ/Ll/E0
,
,
o
° FoUR R EASO NS H
- AND AIR ccNDmoNING, INC. IV -.
° 1005 INDUSTRIAL P1(WY
NEWBERG, OR 97132 A/C HEAT PUMP—UNIT SITE PLAN -
FEET TO BACK OF PROPERTY LINE •JJ 4 * E
- 7`
C� . . , S
- : . .
1
FEET TO SIDE PROPERTY LINE 7
H .
• FEET TO FRONT PROPERTY LINE 7'
, . F ----------------II---- ADpRElss: a 847 36t) tfA v Iry d 1 L,Alv 776ko
co ivy- gg3
PLEASE REFAX i42PLICATI ?N TITH SITE PLAN
o -
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CITY OF TIGARD
.
BUILDING DIVISION • PERMIT #: MEC2008.00123
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/11/2008
Phone: (503) 639-4171 ,........ all t
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 3/14/2008 TIME: 7:00AM PAGE: 53
SITE ADDRESS: 12867 SW DA VINCI SF CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 012 TYPE OF USE:
PROJECT NAME: MONDAY
DESCRIPTION: Installing NC.
OWNER: MONDAY, RICHARD & ROMANA PHONE #: 503
CONTRACTOR: FOUR SEASONS HEATING & NC INC. PHONE #: 503-538-1960
Inspection Request Scheduled For: Date: 3/1412008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
695 Min. inspection 066623-01 503-997-6442 Y
rokia
Corrections/Comments/Instructions:
il/t, P /119
fl PASS 0 PARTIAL APPROVAL 0 CANCEL NO ACCESS
VFAIL r4,„ L 7 R INSPECTION
0 ADDITIONAL FEES ASSESSED
I ...,
rl ''
Inspector: Date: * Phone #: (503) 718-
' .i'
CITY OF TIGARD ML-e-,
BUILDING DIVISION ' I . PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:l>5—Z�Z 3
Phone: (503) 639 -4171 a 414l,
Inspection Requests (24 Hrs.): (503) 639 -4175 P'/.'.
by
INSPECTION WORKSHEET FOR DATE: 3/ 2 TIME: /0 PAGE:
SITE ADDRESS: ,. ?f '7 at. t � j CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: l = 1(1 in 4 PHONE #:
CONTRACTOR: PHONE #:
/D
Inspection Request Scheduled For: Date: Ql C/ Ti e: / o ' Code # Inspection Descript'on Confirm # Contact # Message /
k4 ercid, Av
Corrections /Comments/ Instructions:
N 1 1:4 4 4
A 1A o ._ AI.. '' Z.-
PARTIAL APPROVAL ❑ CANCEL El NO ACCESS
FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: — Date: 3 ZQ 69 Phone #: (503) 718-