Permit CITY ° TI CARD MECHANICAL PERMIT
• - COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00326
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/8/2007
PARCEL: 2S104CB -07000
SITE ADDRESS: 13125 SW CREEKSHIRE DR ZONING: R -7
SUBDIVISION: HILLSHIRE HOLLOW LOT: 023 JURISDICTION: TIG
PROJECT: BRADFORD
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:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
LARISSA BRADFORD Description Date Amount
13125 SW CREEKSHIRE
PORTLAND, OR 97225 [MECH] Permit Fee 6/8/2007 $72.50
[TAX] 8% State Surcha 6/8/2007 $5.80
Total $78.30
Phone: 503 -347 -6034
Contractor:
OREGON HEATING & AC
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -538 -2953
FAX 503 -537 -2172
Reg #: LIC 172126
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: id ���Z Permittee Signature: Ste_ (�/.'! (/177
Call 503.639.4175 by 7:00 a.m. for inspections that busine §s 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 07 07 04:31p Oregon Heating & FI /C 503 - 537 -2172 p.1
M Permit Applic • t' f j I FOR OFFICE USE ONLY
City of Tigard S' Date.B y 0 Permit No.: J 2004 _ W 32(0
N _ U 13125 SW Halt Blvd., Tigard, OF 9#;'a - /
Plan Review Other Permit:
JUN
' D
Phone: 503.639.4171 Fax: 503.593.1960 U 8. 2001 Date/By:
Inspection Line: 503 Jura: El See Page 2 for
TIGARD Date Ready By:
Internet: www.tigard or.gov Notified /Method: Supplemental Information
TYPE of ' 1 i JARI
p {�
IN C! DI'[�tirTSIO' COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ New construction ® Additi ttlt�r D acement it) Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
RESIDENTIAL EQUIPMENT I SYSTEMS FEES*
® 1 - and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
0 Multi - family ❑ Master builder ❑ Other:
Description I Qty. I Ea. Total
• JOB SITE INFORMATION AND LOCATION • Beating/cooling
Air conditioning or heat pump ++
Job site address: \\ C 5 r 1k) c` ee - 11 f' N (requires site plan showing placement) t 14.00 ■00
City/State/ZIP: ' nl a r' d i l , Furnace 100,000 BTU (ductsivents) 14.00
Fumace 100,000+ BTU (ducts /vents) 17.90
Suite /bldg. /apt. no.: 1 Project name: `bmac-0,( --8, Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
ltydronic) 14.00
Unit heaters (fuel - type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Flue/vent for any of above 10.00
Subdivision: Lot no.: Other. 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION. OF WORK Water heater 10.00 •
/ Gas fireplace 10.00
HVAC-
}'\S.k C .1 i Arc_ 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
. PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 10.00
Other: 10.00
Name: I o r,C sc 8 ri d.r 3 • r d Environmental exhaust and ventilation
Address: 1 ,Z \ S5 ` ry C' Qe ks h�1 re
equipment hood /other kitchen
� equipment 10.00
City/State /ZIP: per.I-in " 6 q -a ,5 Clothes dryer exhaust 10.00
Phone: l Single -duct exhaust (bathrooms,
( )) t � � ( 3L Fa ( ) toilet compartments, utility moms) 6.80
® APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name: Oregon Heating & A/C Fuel t mg
Pp
Contact name: a '- \\e $5.40 for first four; $1.00 for each additional
Address: PO BOX 297 Furnace, etc.
Gas heat pump
City /State /ZIP: Dundee OR 97115 Wallisuspended/unit heater
Phone: (503) 538 -2953 Fax: : (503) 537 -2172 Water heater
Fireplace
E -mail:
Range • •
CONTRACTOR • • � Barbecue
• Business name: Oregon Heating & A/C Clothes dryer (gas)
Other.
Address: PO BOX 397 MECHANICAL PERMIT FEES*
City /State /ZIP: Dundee OR 97115 Subtotal
Minimum permit fec (S72.50) 7 - 0 .50
Phone: (503) 538 -2953 l Fax: (503) 537 -2172 Plan review (25% of permit fee)
CCB lie.: 172126 State surcharge (8% of permit fee) j .$ O
(4_, TOTAL PERMIT FEE , , J�
Authorized signature: �L`�� • T his permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: haSht3t€ . byh.et- Date: - 7--07 ' Fee methodology set by Tri -County Building Industry Service Board
[:• Building \Permits\MEC- PermitApp.dac 0406/06 440.4617T(II102 %COMIWEB)
Jun 07 07 04:31p Oregon Heating & AlC 503 - 537 -2172 p.2
•
1st flr
N Oftc
Main Floor
•
10
lb '�
Garage
Sv_D C2�te.S H l,R 1)Q t vo4 -
Job #: Oregon Heating & Air Conditioning... Scale: 1 : 63
Performed for: Page 1
Larissa Bradford PO Box 397 / 992 Highway 99 W Right -Suite Residential
13125 SW Creekside Drive Dundee, OR 97115 6.0.101 RSR39325
Portland, OR 97224 • Phone: 503- 538 -2953 Fax: 503- 537 -2172 2007- May -31 12:10:05
Phone: 503 - 590 -2538 tarry@oregonheating.com C:\My Documents \Wrightsoft HVA...
•
• CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00326
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/8/2007
Phone: (503) 639 -4171 Altb
i,lb v Inspection Requests (24 Hrs.): (503) 639 -4175 ��!
INSPECTION WORKSHEET FOR DATE: 6/26/2007 TIME: 7 :00AM PAGE: 57
SITE ADDRESS: 13125 SW CREEKSHIRE DR CLASS OF WORK:
SUBDIVISION: HILLSHIRE HOLLOW LOT #: 023 TYPE OF USE:
PROJECT NAME: BRADFORD
DESCRIPTION: Install a/c unit.
OWNER: BRADFORD, LARISSA PHONE #: 603- 347 -6034
CONTRACTOR: OREGON HEATING & AC PHONE #: 503.538 -2953
Inspection Request Scheduled For: Date: 6/26/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 050923 -01 503 - 538 -2953 Y
Corrections /Comments /Instructions: V\
. / . e , . / -#.
ASS PARTIAL APPROVAL n CANCEL NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: filpy-e) D ate: /
2 I Phone #: (503) 718- 2 1 -