Permit Ahr, CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00434
°-1I1 DATE ISSUED: 9/6/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2510400-05500
SITE ADDRESS. 13557 SW ESSEX DR ZONING: R -7
SUBDIVISION' HILLSHIRE ESTATES NO 3 LOT: 163 JURISDICTION: TIG
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: REPAIR UNITS
FIRE DAMPERS? 30 - 50 HP: WOODSTOVES.
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS.
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm
Owner FEES
SOTTO ZARAGOZA Description Date Amount
13557 SW ESSEX DR
TIGARD, OR 97223 [MECH] Permit Fee 9/6/2006 $72 50
[TAX] 8% State Surcha 9/6/2006 $5 80
Total $78.30
Phone 503 -524 -4433
Contractor:
HEAT RELIEF CO
13122 NE DAVID CI R # 800
PORTLAND, OR 97230 REQUIRED ITEMS AND REPORTS
Contact #. PRI 503- 261 -9915
FAX 503- 261 -9814
Reg #: LIC 122424
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 1277,TZ i Permittee Signature' pp, pj.r�,,
Call 503- 639 -4175 by 7'00 a m for inspections that business day i
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.
or_ rtzu (PI fl<r:ISI tr '
Received ,�tt,,tt 6 ��/�J(�\''//
iity W Tigard [p i1 1006 DaDate/BY 9 n 4. It Boma N o : Mr , / � J44 / OV,
1125 SW Halt B Tigard, OR 97223 s`!
Plan Review
lone. 501 619 4171 Fax 503595 19b0 p.v/aYV oche. Permit
spectral, Line, 503 619 4175 , y ) ty@ .4.1,11.- �I_, /
www n tigard or us V' - - -• Non R d/Metho hm/ l) I 65 See Peet 1 for
�Y, � � t /� �--,•� Z I - Nd � Supplemental Information
tic. \' / J
h i,t
New construction 'r": ddttioo/alteration/ replacement Mechanical permit fees* arc based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of a
Demohtton 0 Other: mechanical materials,
equipment, labor, overhead, and profit
(`5{, le. ,... , ..,... ' ' 1 I i - ]hy: Value S
4,1 and 2 - fat my dwelling 0 Commercial/industrial ❑ Accessorybuilding << . +Sa'
D Multi family ❑ Master builder ❑ Other: I For special information on use checklist
��(,, Description 1 Qty I Ea I Total
r:';Mltif4tiyA t^ y ... Heating/cooling
ob address. Air conditioning or heat pump
b st
`, 1 AA/ - ! (requires ant plan ahow,na Plseamant) / 1400
:iiy/StatelZlP. IT 0 11 CIA 4' En 1 Furnace 100,000 BTU (ducts/vents) 14,00
:utte/blds /apt. no.; J I'Project name: Furnace 100,000+ BTU (ductelvmes) 17 90
Gas heat pump 14 00
:toss street/directions to job sate: Duct work 14.00
iHydronic hot water system 14 00
Residential boiler (radiator or
hydronic) 14 -00
Unit heaters (fuel -type, not steeple),
In -wall, (n -duct, suspended, eta. 11300
iubdivhsion Lot no,:
Flue/vent fanny of above 10.00
Other: 10.00
fax map /parcel no.• Other and appliances
W 'r .1 iti,' i' ; Water heater 1000
1 , e ,, , �t� I Goa titeplace 10 00
.�!' 1 6 i/ r..' 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
- •r;)+t `'• I ChintnevAirterlave /vent 10 00
1000
Vamr • 11
t (' Ti 2,1 tJ 7 , /�� Environmental exhaust and ventilation
kddress• lX/�� Fi � `-i1 J* Range hood/other kitchen
+Jr�t/ 51 1.1 r ({v fy r'r Ty I , equipment 1000
:My/State/ZIP. -1- d I 3 sf !—�3 Clothes dryer exhaust 1000
�� Single -duct exhaust (bathrooms,
Phone
�_ ) ix Fax ( ) toilet compartments, utility rooms) 6.80
ryyr i h Attic /crawlace fens 10
s 1000
R ale {Z '` � , p
Business name: tt QA+ R O 10.00
Fad piping
Contact name mark De„..cat..exCTSC o p S5.40 for Urn four; $1.00 for each additional
Address. ,3 NC b4VtD 1 Suit: AZOa Furnace, etc.
Cny/StatdZIP tias heat pump
Pa cA , OK 911 Wall/suspended / unit heater
Phone (5153 ) au-aq �5 I Fax , ( fig ) .2 C. ( _dvary Water heater
E -mail, 7 Fireplace MA Aka • A
LL .�$$ ��//[[ Range
- ?:YA4 , . �, f _ t _ , ' , t 1! /,r ' Barbecue
Business name FKA+ 2t_ 11 ee 9 Clothes diver (gas)
Address: Other
City/State/ZIP' start• OR t l)30 ... t � , � Subtot
Phone. (' ) .4,C— -i'1 i5 '• I Fax: (43z ). _drvy Mtnimum permit fee (572 50)
C / Pian renew (25% of puma fa)
CCB hc.: y sat ail
� � State surcharge OM of perms fee)
' / TOTAL PERMIT FEE
Authorized signature: This permit application expires If a permit h not obtained within 1st dita — �d.e���La �� daya after It has been stapled at camping.
Print name V _ ' . - a co Date: Arl in) • Fee methodology set by Tri.County Budding Industry Service Board
.,n,a.,- .,p- ..,,.,,,acre. r....w•,,..n,. vim. .... -. —. _- ,- -.• - --
a - d fIBS T9Z cos 003 'g 24tzeaH 33Ii3?i 1HBH WHLT:TT 900 2 90 daS
CITY OF TIGARD -
BUILDING DIVISION PERMIT # MEC2006.00434
13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED- 9/02006
Phone (503) 639 -4171 f
Inspection Requests (24 Hrs )• (503) 639 -4175 ^' a ,
INSPECTION WORKSHEET FOR DATE 9!13/2006 TIME 7.02AM PAGE 50
SITE ADDRESS 13557 SW ESSEX DR CLASS OF WORK
SUBDIVISION HILLSHIRE ESTATES NO. 3 LOT # 163 TYPE OF USE
PROJECT NAME ZARAGOZA
DESCRIPTION. Installation of NC unit.
OWNER ZARAGOZA, SOTTO PHONE # 503-524.4433
CONTRACTOR. HEAT RELIEF CO PHONE # 503 261-9915
Inspection Request Scheduled For. Date 9/13/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 036428 -01 503-261-9916 Y
Corrections/Comments/Instructions
4:4 -L ...-1 o . ' . i 'L if , — 6 ' 472' _,.. G. al l /Pr--
PASS ❑ PARTIAL APPROVAL CANCEL I NO ACCESS
n FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED �5�
Inspector: /�i Date: 9 7.9 — � Phone #: (503) 718- / z rt''c---/