Permit ''''\, '
4 CITY OF TIGARD MECHANICAL PERMIT
. �4, DEVELOPMENT SERVICES PERMIT #: MEC2005 -00438
241 `� 1 3125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 7/21/2005
PARCEL: 2 S 109 D A -0 5800
SITE ADDRESS: 15148 SW GREENFIELD DR ZONING: R -7
SUBDIVISION: SUMMIT RIDGE LOT: 035 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:
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:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
LI, MICHAEL Description Date Amount
15148 SW GREENFIELD DR
TIGARD, OR 97224 [MECH] Permit Fee 7/21/200f. $72.50
[TAX] 8% State Surcha 7/21/200E $5.80
Total $78.30
Phone: 503- 601 -01790
Contractor:
TRI COUNTY TEMP CONTROL
13150 S. CLACKAMAS RIVER DR
OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS
Phone: 503 -557 -2220
Reg #: LIC 72623
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: _ i j_e_ Permittee Signature: _ -t_, P \ 0,0
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 18 05 11: 42p Tr i Count Temp 5035570919 p.1
,.,„..._
. \ • . (..
lechanicai Permit Al*AtirEM MUVED -- .-• • :
City of Tigard 1 D a t e l eY: 7 ;2-1 7 p(T U IPennitN° . \Ef„.20650(-/3
13125 S' Hall Blvd., Tigard, OR 97223
' Plzn Revie.v
Phone: 503.639.4171 -RIX: 503 JUL 20 2005 .4-mo Date;By I Other ?errnit:
inspection Line: 503.639.4175 I AI'' ''f ' l It' Date Ready/By: hum El See Page' for
• Internet: www.ci.tigard.or.us CITY OF TIGAR .' NotifiediNfethod: 1 --0( Supplemental Information
BUILDING DIVIAION
. .-,..----. , -,....---- , -7;,- .IlT ypg ol...: • • :.: : :- - :1= 7 , , '-'1' • • - .'.: '. ' . •
New construction Addition/alteration/replacement ! Mechanical permit fees* are based on the value of the work
0
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition Other: ' mechanical materials, equipment, labor, overhead, and profit.
‘.
1: : •; 7 ;":...: .Ff :I' s: •-• '-':.• ' .•`;;7'..:'''•'-t... erE:ofiti::bie(M , - .' ''-: ' . -. Value: $
. . '. :- .:: SYSTEMS. FEES*
A
I- and 2-family dwelling E] CommerciaVindustrial E Accessory building
For special information use checklist.
n Muiri-farnily 0 Master builder 0 Other:
I Description Qty. Ea. tots!
• • - - •--.• . - ....,--. - 'SOB . - SH.E^ INFORMA.TrON AND L OCATIO N - ' ..'.. ' • -- - ' - ' • - ' - • -
Job site address: 1514 f 6 v q eterfki or 4 , n \ r e Air conditioning or heat purnp
(requires site plan showing placement) 1
•
14.00
City/State/ZIP: Tigard ctigg Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90 1
Suite/bldg./apt. no.: Project name: •
Gas neat pump 1 14.00 !
Cross sheet/directions to job site: 1 Duct work 1 14.00 '
!
Hydron ic hot water ,s,er...1 1 14.00
i 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 I 10.00
Subdivision: Lot no.:
s
Other: 1 10.00
Tax map/parcel no.:
Other fuel appliances
t•:,..- -.r_n.:: ::::-,,": --,.,:;:'' Water heater i 10.00
' Gas fireplace 10.00
i n/blit AIC 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
Chimney/liner/flue/vent 10.00
;,-,;•,:i•;:,.;.„,:.:.:,,J, -..:.( q...M: -- •P V Y1. 1 ,g 1- ...•?il':"..:-.Z . ;."11 . :!!:_'•.:''' , ,,.- 7 .6;":•-T: [3 . , : - 7TNAINT,..,..: _, ::•-:':'.;:.; Other: 10.00
Name: MICi Li Environmental exhaust and ventilation
• Range hood/other kitchen
Address: 6dint,
eauipment 10.00
City/State/CIE': , Clothes dryer exhaust 10.00 ,
Single-duct exhaust (bathrooms, '
Phone: (ebb) 6a-temp Fax: ( ) toilet compartments, utility rooms) _ 6.80
';' NI ; ••
:;,,:. Attic/crawlspace fans 10.00
Other: 10.00 - Business name: in Calnt./ TC171/D Co I Fuel piping
Contact name: 1:::11 CVIC gagoh ' 55.40 for first four; $1.00 for each additional
;
Furnace, etc. I
Address: i ' 0 5 elackamaS Ri ■drir LW UC) Gas heat pump 1
City/State/ZIP: C
'' re-gC/ 1 a N c R . 7045 Wall/suspended/unit heater
Phone: (50) 057.- )290 Fax: : (52 ) 557__Niq Water heater
Fireplace
E-mail:
Range
' :;', - •.it;t4 - W - 4".,.. 1 . g.LiT . -',. : ,.. - :- - ,A •'. 1 '. ' ;. - ‘ :,'::'.Z;qV . 00) 1 4 . ief.OR . t.;:':::,: - •"::i . •,:.....: , ::•:.:1i: '..••:: Barbecue
Business name' - Fri Ccan Teirip --- dryer (gas)
Other:
Address: F)1S0 • 1.tCK41 mcm(1$ RI kict --- tr i V .:; - •-:i:. - .;:i - io - cti. , a:4c.tii. t i - ,iirk.s.:;:',; , :... , . - :.. • -
Cit olfool•-i 0 4 i ek_ C1 subtotal
Phone: (513) _C 972 ( Fax: Ej0 557 --oct it! . Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB tic.: 71 2 .... State surcharge (8% of permit fee)
TOTAL PERMIT FE v
a 0-C
-kuthori si ature This perm ti
it application exp if a permit is not obta ed within I
.gi: -ce 7 g67 L.
days after it has been accepted as complete.
Print name .Nan....e kila3(i r) Date.(' I - Fee methodology set by Tri-County Building industry Service Bout'.
i: \ BuildingTermits \MEC-FtrrnitApp.doc 11'03 4 ( I 1/02/COMAVE13)
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CITY OF TI.GARD ,.
BUILDING DIVISION PERMIT #: MEC2005-00439
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/21/2005
Phone: (503) 639 -4171 .�mirt�q�u1p�VG'�I'
Inspection Requests (24 Hrs.): (503) 639 -4175 ...�.:, • U.
INSPECTION WORKSHEET FOR DATE: 8/12/2005 TIME: 7 : 06AM PAGE: 63
SITE ADDRESS: 15148 SW GREENFIELD DR CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE LOT #: 035 TYPE OF USE:
PROJECT NAME: LI
DESCRIPTION: Installation of NC unit.
OWNER: LI, MICHAEL, PHONE #: 503- 601 - 01790
CONTRACTOR: TRI COUNTY TEMP CONTROL PHONE #: 503..557 -2220
Inspection Request Scheduled For: Date: 8/12/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 013453 -01 503 -657 -2220 Y
Corrections/Comments/Instructions:
`moo _ P. ;___ < -,i 1..., - ,' �___
2 S‘ 6
1 I PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL n ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 8 L--- -e.3-Phone #: (503) 718-