Permit I •
1, . F CITY OF TIGARD MECHANICAL PERMIT
''� ° ` COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00394
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/5/2007
PARCEL: 1 S134AC -02634
SITE ADDRESS: 11075 SW COTTONWOOD LN ZONING: R -4.5
SUBDIVISION: ENGLEWOOD NO.3 LOT: 191 JURISDICTION: TIG
PROJECT: TRUNE
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:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
DENNIS & TARA TRUN E Description Date Amount
11075 SW COTTONWOOD LN
TIGARD, OR 97223 [MECH] Permit Fee 7/5/2007 $72.50
[TAX] 8% State Surchar€ 7/5/2007 $5.80
Total $78.30
Phone: 503 -590 -5272
Contractor:
R C HEATING & AIR CONDITIONING
2345 SE 143RD. AVE.
PORTLAND, OR 97233 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 760 -5940
FAX 503- 760 -9514
Reg #: LIC 123660
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.
Issued
C 4 _ !' 0 __0 Permittee Signat • /v J`�(rari
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.
JUL -05 - 07 07:50 AM ROD. CARSON/R. C. HTG&A./C 5037609514 P.0
.y City of Tigard a : ,-_,,_ .... � CM Received
Dale/By: 7 go7 4 y* permit Nu.: WW ?, A
.' R. 13125 SW 11411131vd., Tigard. OR 9722111 ®� 2007 Plan Review
Phone: 503.639.4171 Fax: 503.S9g,l is DetrlDy: Other Permit.
., i Inspection Line: 503,639.4175 r Date head !n
Internet: www.tipArd- or.gov C O , � ipv IGA D y Y 7 fit SeePage2fgr
�(dILLY�1Vta° DIVISION 15� ®� Notifac(t/Method: - r //l, Sup meehl laformattuu
- tr iV Vt 1,k!
' 'I YPE, OF COMMERCIAL FEE* SCHEDUX.E I15
-
❑ New ennetruction 121 Add ition /ult.crati on/rep Imminent Mechanical permit fees* arc based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
Demolition D C) lien; mechanical materials, equipment, lahvr, overhead, andpmfit_
: 7; : CATEGORY OF CONSTRUCTION Value:
RESIDENTIAL EQUOMENI / SYST11
®I- and 2- family dwelling 0 (;ommercial /industrial ❑ Acessory building
Multi li - toms I Few' Veelo/ information reve tie.x:4/lsl.
y U M aster builder' ❑ Other:
Few'
_._..___.. Description Qty. t :a, Total
JOB SITE INI'()RMATION AND LOCATION - Heating/cooling
lob site addles,. 11075 SW Cottonwood Lane Air conditioning or heat pump
- _._ . _ . (requires site plan showing placement) 1 14.00 14,00
City /StatcPLIP: Tigard, OR 97223 Furnace l00.000 BTU tducte/vcnts) 14.00
- -- - _ --- --..._.._.._ -- I➢umsarc 1(10,0001 BTU (ducts/venta) 17.90
Suite/bldg./apt. no.: Project name:
-- ...... _.. Gm heat pump 14.00
Cross StrceUdirections toy*, site: Duct work 11.40
- l Iyd,u. 1 t wrticr system, 14.00
_ Residential boiler (radiator or •
hydranie) 14.00
- • - -- Unit heaters (fuel -type, not eleolrie)-
in - wall, in - due, sta.: eot etc. 10.00
- - - -•- •. - .. __ --- Flue/vent fir any of above 10.00
Stihdivi.Nion: - I Lot no.:
- - - ..--- Other: _ 10.00
Tax map /parcel nn.: Other fuel appliances
; : :: .. :4 .1 t. :.:4 i IIM:$('RUP'1'1ON OF WORK Water healer 10.00
Install Central A /(' System
.. — (ins tireplaCc 10.00 ,
. ..... ..... ... Flue vent for water heater of gac
fireplace _ 10.00
- ...._......... - - -- - -.... ... _ .._...__ _ _ . ....--- Log lighter (gas)
n_ Wood /pellet stove 10.09
Wood fireplace /insert 10.00
�. 1 - Chianncy/lincr /flurlvcnl 10,00
r3`.,' . a PROPERTY OWNER ......... ❑TENANT
- --- . -.- - -- Other: 10.!x1
Name: Dennis & 'Vara Trune Environmental exhaust and vetttilatIon
Address: 11075 SW Cottonwood Lane Range huod/Othar kitchen
-..._ . equipment 10.00
City/State/ZIP; Tigard, OR 97223 Clothes dryoa exhaust 10.00
.. . . . ..... .. .. -- - • . Single -duct exhaust (bathrooms.
Phone: (503)590 -5272 Fax; ( ) toilet compartments, utility rooms) 6.80
i =' i ,t. 'r . •.. APPLICANT „tly ❑ CONTACT PI:RS()N Atticicratolspacc fans 10.00
()Oct: 10.00 , .
Business name: R.C. fleeting & Air Conditioning, Ins.
__ ..... - . - . _. - Fuel piping -
Contact munc: Roll & /or Kelly Carson X 55_40 for first four; 51.00 for each additional
A rurnuee, ute,
Address 2343 SE 143' Ave. -
_... -
this lies, pump ....
City/Stare/ZIP: Portland, OR 97233 Wa11 /suspcnded/unit hentcr ...__..
Phone: (503) 760 I fax :: (503) 760 -9514 Water heater
Fireplace
_,.�.
E-mail: reltcalin>;(a)comeaat.net
Range
e:,:,-,1100.... 1 - ___......... CONTRACTOR li h
Business name: R.C. Heating & Air ('ondflioning, Ine. .t lollies dryer (gas)
- --° - — - ......_ (Mies.
Address: 2345 SE 143r1 ., Ave. * MECHA[YI
(:Ail: PERNlfI7' >f !ii::'�� '"
City /Stuto/ZIP; Purlland, OR 97233 - -- Subtotal
.; .!
Phone: (503) 760 594(1 I Fax: (503) 760 - 9,14 _._- � 'rN Minimum permit fee (572.50) 92_50
- - - Plan review (25% of permit fee)
CCfl lie.: 12,V000 State surcharge (R".(, of permit fee)
_._... _.- ..- ........ -• TOTAL PERMIT FEE
Authorized signature: 2k / (hz4)41 I / d Thu permit application expires If a permlt 1a not obfaiocd witlsle r96'
►. -M _._ nays otter It his 1).0 accepted as complete.
l l� t) a'R e. r, " &I, e1.1•60 II�� I .._........,..... ...� T �. .. ., ,,:.. '..:..
0770-37200 7
JuL-05 07 :51 All ROD. cAnaow/m'c'HrG&A~c 5037609514 P. 02
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-2:
CITY OF TIGAR.D.
`' BUILDING DIVISION PERMIT #: MEC2007- 00394
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/5/2007
Phone: (503) 639 -4171 A 4i�y��i
Inspection Requests (24 Hrs.): (503) 639 -4175 LW
INSPECTION WORKSHEET FOR DATE: 7/27/2007 TIME: 7:03AM PAGE: 49
SITE ADDRESS: 11076 SW COTTONWOOD LN CLASS OF WORK:
SUBDIVISION: ENGLEWOOD NO.3 LOT #: 191 TYPE OF USE:
PROJECT NAME: TRUNE
DESCRIPTION: Install a/c.
OWNER: TRUNE, DENNIS & TARA PHONE #: 503 -630 -5272
CONTRACTOR: R C HEATING & AIR CONDITIONING PHONE #: 503-760 -5940
Inspection Request Scheduled For: - Date: 7/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 052896 -01 503 - 760 -5940 Y
Corrections /Comments /Instructions:
I PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
'
Inspector: r Date: 7 07 Phone #: (503) 718 - _--.�