Permit CITY TIGARD MECHANICAL PERMIT
41.4 DEVELOPMENT SERVICES PERMIT #. MEC2005 -00316
AsH DATE ISSUED: 6/8/2005
1 3125 SW Hall Blvd., Tigard, OR 97223 503-639-4171 PARCEL. 2S104CA - 00100
SITE ADDRESS: 13469 SW ESSEX DR ZONING R -
SUBDIVISION: HILLSHIRE LOT: 001 JURISDICTION: TIG
Project Description. Install 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 a 10000 cfm: GAS OUTLETS
> 10000 cfm:
Owner. FEES
DAVID & LY DRISCOLL Description Date Amount
13469 SW ESSEX DR [iVIECH] Permit Fee 6/8/2005 $72 50
TIGARD, OR 97224 [TAX] 8% State Suichart 6/8/2005 $5 80
Phone: 503 -579 -3053 Total $78.30
Contractor:
ANCTIL SHEET METAL CO
4320 N WILLIAMS REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97217 - 2952
Phone 503 281 - 0752
Reg #: LIC 8897
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 • 2 -23••
/ _ /
Issue By: r� 1..I Permittee Sig a ru e: �r / ! //!� "t '(6
Call 503- 639 -4175 by 7:00 a.m. for inspections that. isiness 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.
.i Mechanical ferr*i'11 l sfiE f1 Is ;: w O IC
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City of HBh 'r,,, eQ 7 /e6 ' AYmi
1 rrNo M S - /�
13125 SW Hall Blsd, Tigard, OR OTr�¢ Olen R (l
I✓ r Review
Phone 503 63 4171 Fax $03 59$ II9 0 7 2OOJ q r� I I. Dige ❑me/rsy, Other Penni:
Inspection Line 503.639,x17$ n`I I(+ Date Pc-day/By Jon Sec Pace 2 for
Internet uww,n,o lard u qus CITY N used /Method• ICO Q . Supplemental information
,
s C OF TIGAKn ` . a
'"U1j 1Jf,T'f - W9RIKr COMMERCIAL IjEE" SCHEDULE - USE CHECKLIST
,�/ Ivlechaacal pernnt fees" are based on the value of the work
0 New catstntcuon I( �,Addrtion /altcrutlon /rcplacemcnt performed, Indicate the . /flue (rounded to the nearest dollar) of all
❑ Demolaton ❑ Other: mechanical matenals equipment, labor, overhead, and prett
CATEGORY OF CONSTRUCTION Value; S
RESIDENTIAL EQUIPMENT / SYSTEMS FEES'
7 4 l- and 2- ta1 dwelling ❑ Commercial/industrial ❑ Accessory building
❑ Multi- Family [] Master builder ❑ Other' For special in�ormanon use checklist _
Description I Qty Ea Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
site adOTGS, c p Air conditioning or heat pump
Job 5
134 !Q 9 _5(.....4) e 5 5 CSC 0 ir (requires she plan showing placement) I 1400
City /State /71P ' I l e q—i - Furnace 100.000 BTU (dues/vents) 14 00
Furnace 100,000+ BTU (duct :veni.) 17.90
Suite/hldg /apt no Project name Gus heat pump 14,00
Cross streebdireetions to job site Duct work 1450
Hydronic hot water system 14 00
-- _ Residential boiler (radiator or
hydronic) 14 00
Unit heaters (fuel -type, not electric),
in -wall, in -dun, suspended, etc, 10 00
Flue/vent for any of above 10 00
Subdivision Lot no • LL Other 10.00
Tax map /parcel no Other fuel appliances
DESCRIPTION OF WORK Water heater 1000 1
Gas fireplace - 10 00
Flue vent for water hcatei or gas
h-----Thr 5 \ -eA4 /\ A-) C. fireplace 1000
Lae lighter (gas) 10 00
Wood /pellet stove 10 00
Wood fireplace/insert 10 00
—^ ' / �-
- ` P ROPERTY OWNER ❑ TENTENANT Chimney /finer /flue /vent • 10 00
' ..~.. ^, ^ Other: 10 - 00
Name, O l t s x 6 Dr:.., c pi (/ Environmental exhaust and ventilation
AtidrG- Range hood /other kitchen
Scar T— , , equipment
_— 1000
City/State/ZIP' Clothes dryer exhaust Ill 60 I
---' _ Single - due; exhaust (bathrooms,
Phone (5 0 , 3 519 a5 Fax ( ) toilet COnlpanments utility rooms) 680
ii APPLICANT CONTACT PERSON Attic /crawlspacb fans • _ 1000
_
Other 7 1 10.00
Business name.
Fuel prying
Contact name ^
L.^ /Ma } J � 55.40 for firm tour; 51,00 for each additional
Address
Fumncc `
Cea heat pump
C m :State/ZIP Wall/suspended /unn heater
Phone. ( Water healer
a ••• i - 0 - a �-4 .LFax 1 ) - a � _n i z� , hireplace i
,-
E-mail' I'rs 'it J/ a A- hC-J1 I) +/cC (ie (oi-'n Range
CONTRACTOR Barbecue _
Business name' A • / , f v� a f r\ - Othcres dryer (Ras)
t • "._
Address
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CITY OF TIGARD
BUILDING DIVISION - PERMIT #
13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED
Phone (503) 639 -4171
Inspection Requests (24 Hrs) (503) 639 -4175 Ala "I JI.
INSPECTION WORKSHEET FOR DATE 03CP f r TIMEL��� !Ll - 5J �!/'t('� PAGE
SITE ADDRESS / 32 � � U) f 5C/ Dr CLASS OF WORK -
SUBDIVISION LOT # TYPE OF USE
PROJECT NAME /
DESCRIPTION lit_
/ —
OWNER Ii.Ve-- )O ri5COn PHONE # 56 7 7 — A J 7 7 C t' 30S3
CONTRACTOR 4f &✓ &Ied.l-riesd PHONE # 503- 6 — o9g2D/
Inspection Request Scheduled For Date: 9- / —QS Pour Time -
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments /Instructions:
aare.9iV'er a n(-I rfa uq)i-i-er w; l/ he hip,
✓�ruot LPL -2tP
C %S'9/
friPAP
� l c U N T 2 10 tirwW MA-Pc
VEPASS U 'ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL / CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector. r Date: C i f / Phone #: (503) 718 -