Permit ' l
C ITY OF TIGARD n MECHANICAL PERMIT
•
Aii; DEVELOPMENT SERVICES PERMIT #: MEC2006-00285
DATE ISSUED: 6/23/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2 S 112 C D -12800
SITE ADDRESS: 07706 SW CYPRESS LN ZONING: R -12
SUBDIVISION: HAMBACH GROVE LOT: 026 JURISDICTION: TIG
Project Description: AC install.
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:
ELE 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
DAN COWLEY Description Date Amount
7706 SW CYPRESS
TIGARD, OR 97224 [MECH] Permit Fee 6/23/200E $72.50
[TAX] 8% State Surcha 61231200E $5.80
Total $78.30
Phone: 503- 881 -2807
•
Contractor:
ADVANCED AIR SYSTEMS INC OF WA
PO BOX 61569
VANCOUVER, WA 98666 REQUIRED ITEMS AND REPORTS
Contact #: PRI 360 - 281 -3800
PRI 360- 693 -- 19475577
Reg #: 360 - 696 129343
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: E L A Permittee Signature: (r r Q c c c /t ---
Cal I 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.
06/23/2006 08:05 3606969432 ADVANCED AIR SYSTEMS PAGE 01
Mccjianilcal Permit Application 1 tI13 <)VF l: 4/N1 .1 .
City of Ti e COVE: t Y � N P ermit No. i — II b — c. '1
13125 SW Hall Blvd., Tigard, OR 97 %► { 1 Plan Revie
Phone: 503.639.4171 Fax: 503.598. i 9 a i s , ri. Ot , Permit:
Inspection Line: 503.639.4175 wpKw; I " Date Re
p 3 7f'''( ' '.4-14- ' _ � _1 i ' Ready/By: Ea See Page 2 for
Internet: www.ci.tigard.or.us J UN 2 Date Notified/Method: Supplemental Information
( N T1 a1 � N Co VJ * :EItcL4L FEE .:l aLIL,E. - .A.ist. is
. , { } �� ..
El New construction 1,7k7:- dition/alteration /replacement Mechanical permit fees* are based the value of the work
performed. Indicate the value (rounddee d to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
. . . CATEGORY OF CONSTRUCTION Value: $ a -530 :o • 0 0
and 2-family dwelling Commercial /industrial / SY5TENf3FE)LS *"
y g ❑ ❑Accessory building
Multi-family For special information use checklist.
❑ y ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION . . Heating/cooling
• Air conditioning or heat pump
Job site address: / NU3 C ICY (requires site plan showing placement) l 14.00 _ 14
City / State/ZIP: 11�1tfa�l l ' O`1 Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: P roject name: 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
hydronic) 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: j Lot no.: .
Other: 10.00
Tax map /parcel no.: Other fuel appliances
• DESCRIPTION OF w):.... Water heater 10.00
6 Gas fireplace 10.00
0- f »T'V'\ C � CCD-101:14e74. , R � , n1/1 Q/1 Flue vent for water heater or gas
fir place 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
Chimney/liner /flue/vent
• • OPERTY OWNER I .❑ • TEPNANT Other: 1.0.00
Name: �n C�1� l Environmental exhaust and ventilation 10.00
Address: n Range hood/other kitchen
-�Oo equipment 10,00
City/State/ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (563)%1S y '7 Fax: ( ) toilet compartments, utility rooms) 6.80
APPLICANT ❑ CONTACT PERSON• • Attic /crawlspace fans 10.00
Business name: r Other: 10.00 i
' l` v� Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: p� 67C Lo j FD(t) 1 Furnace, etc.
l Gas heat pump
City /State/ZIP: Ue .„0/l CCD veil' ti A- • q QC'Q Co Wall/suspended/unit heater
Phone: ( -[q()) (9 9 3 f 5'7 Fax: : (3(co) Co ci(s. 91
E-mail: Fireplace
Range
CONTRACTOR Barbecue
Business name: � `. Clothes dryer (gas)
1 Other:
Address: • • . MECHANICAL PERMIT`] FE .
City/ State/ZIP: Subtotal '14.0 0
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) ` 9.,
Plan review (25% of permit fee)
CCB lic.: f 9_Q1 3 4-3 t„/ 1 16 State surcharge (8% of permit fee) c
s JJ
l TOTAL PERMIT FEE '7Z , 3D
Authorized signature: I e f , - �� r This permit application expires if a permit is not obtained within 180
r:J days after it has been accepted as complete.
Print name: ' // MV /�Mitilat Date: i MY j • Fee methodology set by Tri-County Building Industry Service Board
itBuildingTennhtstMEC -PermitApp.doc 12/03 440- 4617T(11/02/COM/WEB)
•
CITY OF TI GAR D MEC2006.00286
BUILDING DIVISION PERMIT #: 6/23/2006
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 ��q�pi 8 �1i
Inspection Requests (24 Hrs.): (503) 639 -4175 .1
712112006 7:01AM 80
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
iv2 /�
07706 SW CYPRESS LN
SITE ADDRESS: HAMBACH GROVE 026 CLASS OF WORK:
SUBDIVISION: COWLEY LOT #: TYPE OF USE:
PROJECT NAME: AC install.
DESCRIPTION:
COWLEY, DAN 603.881 -2807
OWNER: ADVANCED AIR SYSTEMS INC OF WA PHONE #: 360-281-3800
CONTRACTOR: PHONE #:
7/21/2006
Inspection Request Scheduled For: Date: Po . ' •I - .
- '
C 9 # I MEM p dsCr iption 19R9bliedi Sgt 1 757 Message
g (Z,
Corrections /Comments / Instructions:
Ak _ u,/77— t1'to ckt< 1 . 4-& uo S
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-- • P' PARTIAL APPROVAL ❑ CANCEL PI NO ACCESS
TA ' n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C 141 r Date: 7 Zr . Q6 Phone #: (503) 718- E 91(