Permit C ITY OF TIGARD MECHANICAL PERMIT
PERMIT #: MEC2005 -00267
� I�� DEVELOPMENT SERVICES DATE ISSUED: 5/24/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 25111 AA -08700
SITE ADDRESS: 08930 SW GREENSPARK LN ZONING: R -4.5
SUBDIVISION: GREENSWARD PARK NO. 3 LOT: 071 JURISDICTION: TIG
Project Description: Installation of A/C unit.
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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
AMOS, SUSAN Description Date Amount
8930 SW GREENSPARK LN
TIGARD, OR 97224 [MECH] Permit Fee 5/24/200E $72.50
[TAX] 8% State Surcha 5/24/200f. $5.80
Total $78.30
Phone: 503- 639 -1038
Contractor:
A -TEMP HEATING & COOLING
16000 SE EVELYN ST
CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS •
Phone: 503- 650 -9602
Reg #: LIC 71878
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: "/� Permittee Signature:
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.
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FROM :A -TEMP FAX N0. :5035572990 May. 23 2005 11:23AM P2
Mechanical Permit 1 • t FOR of IW l I1SI ONI,V
City of Tigard v ® D e tiey yaJ - nArxaitrta _ D �,
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review other Permit:
Inspection Line: 503.639.4175 +' ti
Phone: 503.639,4171 Fax: 503,598.1960 MAY 9 9 /L� *' i;'� in i 1 \ Date/By:
i °i 1 2005 , !!!i `, Date ItetdyBy: lurk: 0 See Pagc 2 for
I Supplemental Information
Internet: www,ci,tigard,or,us CITY OF TIGARD Notified/Method: 1(� j
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Mechanical permit foes' are on the value of the work
0 New construction m ddition /alterationlreplacoment performed. Indicate the value (rounded to the neatest dollar) of all
❑ Demolition 0 Other: mechanical materials a ui,mcnt labor overhead and rofit,
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:- and 2- family dwelling [1 Commercial /industrial 0 Accessory building For special 1riformutlon use checklist.
❑ Multi- family ❑ Master builder 0 Othe : Descrip Qry. Ea, Total
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Job site address: i, ° �• L� t.:: :: •tan showing placement) 14,00 •
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- 11 C) C I ' - 1 02:_:) f. Fumat:e 100,000 BTU (ducts/vents) 14.00 _
City /Statc/ZIP: _ l Furnace 100 0004- BTU ducts/vents 17.90
Project name: j Otis heat pump 14.00
Suite/bldg. /apt. no.: p p
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Ductwork IA,00 _
Cross street/directions to job site: :• H dronic hot water s stem 14.00 „^
Residential holler (radiator or
hydtonlc) _ 14.00
- Unit heaters (fuel -typo, not electric),
, "' in -wall in -duct sus ,ended etc, 10.00
Flue/vent for an of above 10.00
Subdivision: Lot no.: -
Other: 1111111 10.00
Tax
map/parcel no.: Other fuel appliances -•
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... r 10,00
),,•,+ „• �A yd / •r..,:.c.A,'.'•,d ;,N :`rA O tt.: ,' "av�k-o, ; yr + aril `d A'. �r V,Ir S�+ t / n (?ttl f ir 4 �`'d Yi�,ryniyttllgift} Water heater
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Flue vent for water heater or gas
`►_ Jul �.. fireplace 10.00
Lo_ li:hter as 10.00
Wood/ alter stove 10.00
- Wood fire ,lace/insert 10,00
�, r , Gr . ,, ^ ter, r:,t l , , I v r tea tt A N�Yy Vtk �.kp• !1 1n „ ' +tt D'
Chimn /liner /flue/vont 10.00
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C a.e..,at.' ro,�� „ ,�t, §. {, �.1� u c C .dht � � - --
/ E nvironmental exhaust and ventilation --
!� `� Range hood /other kitchen
Address: CaO ' j Lt A c' :I/ 71L equipment _ 10,00
�`` ! Clothes d et exhaust _ 10,00
CitylStato/ZJP= r j Singlo -duct exhaust (bathrooms,
t.,1 t tie Fax: ( ) toilet compartments, utility rooms) 6,80
• Phone: ( ) 1
"i r %s � {s yY 'I m^ w u" e6t, �r. wh ^, SCp x {„ I d f (` td" t (TMN 2 G t L S IMr ` � l +(. Wr'`�nYn ' j(�I i crawls One fans 10 00 _
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Business name: -- \ 4 ip .1 . '. 41 •`C 1, - Fuel piping
Contact name: $5.40 for first four $1.00 for each additional
n Furnace, etc. -
Address: / - Gas Itcasump Wall /sus , cnded/unit heater ^ EMI
� CitylStatelZlP: �� ' r `
Water heater r Phone: ( ) Fes ' ( ) Fireplace
E -mail: r1 �5'+ ' p ( y a Ran e
` Jay ",a ". ti:! :+ 5 ;R r , i . r' , t �,Rt� 1AI� Y ;vl /lS ii'Y ?' }i!d1�1 d ?iOl Barbecue --
V S,Fi :'tif k M Pt ;a:GR ?� wn!t l + °,3t s:cif 1 1;1_,:1, .�.+.itr S. ,1.. 7 r:,m '.1^ wYxnrirl�7,t Clothes d er _as
Business nine: ; ,.Q -yy\, • •� " • 4 t - 1, ' - e .. i� Other
re _ n t1 t c .. , q:,, + p1;sV z efa y t , t R ,v,p ,s
Address: l .0 J t�- tC.'CJt- lm `. ;�;iP. s r,r k w�?;� F. iir.4r,i4rk'+ . i °',.... 1�.Aifi,�isa�aili �,,ut ∎zQa? E� 3Di! `1�,IR� 1
City /Statc/ZIPL Subtotal _
� 0 (/y _�j 1•_ dL `J s ivti nimum permit fee ($72.
Phone: ( (O60 (a C -a- Fax: j � ,- 0 Plan review (25 ^le of permit fco) (j�
l q 1 State surcharge (8% of permit fbo) L, . • b t
col tic.: p .. T OT AL PERMIT FEE i i. 1. ' l / This permit application expires if a permit tit not obtained within 180
,Authorized si$rtat : ,�,.l�
te z'''z V days after It has been accepted as corn
Pee methodology set by Tri- COUnty Building industry Service Board ■
Print name; � � �, l �� a - - Date: En � .�
.... ,,,_- ,,.-- :..0 ter .o- ...a,snn Win 440.4617T(11/02/COM/WRg)
FF2OM :A-TEMP FAX NO. :5835572990 May. 23 2005 11:24AM P3
Az.Tenip Heating and 1..:looling
site, Pian
Prepared by:
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CITY OF TIGARD
BUILDING DIVISION' , PERMIT #: MEC200S -00267
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/24/2005
Phone: (503) 639 - 4171 in �%NNp��yu�jN,1 I1Il
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Inspection Requests (24 Hrs.): (503) 639 -4175 �'
INSPECTION WORKSHEET FOR DATE: 7/19/2005 TIME: 7:07AM PAGE: 61
SITE ADDRESS: 08930 SW GREENSPARK LN CLASS OF WORK:
SUBDIVISION: GREENSWARD PARK NO. 3 LOT #: 071 TYPE OF USE:
PROJECT NAME: AMOS
DESCRIPTION: Installation of NC unit.
OWNER: AMOS, SUSAN, PHONE #: 503 - 639-1038
CONTRACTOR: A -TEMP HEATING & COOLING PHONE #: 503-650-9602
Inspection Request Scheduled For: Date: 7/1812005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 011595 -01 503- 650 -5014 N
Corrections /Comments / Instructions:
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!A - ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
(l FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
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Inspector: Date: Phone #: (503) 718-