Permit C ITY O F4tI'ARD MECHANICAL PERMIT
COMMUNITY 6EVELOPMENT PERMIT #: MEC2007 -00220
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/20/2007
PARCEL: 1S134AB-01400
SITE ADDRESS: 11337 SW IRONWOOD LP ZONING: R -4.5
SUBDIVISION: ENGLEWOOD ' LOT: 071 JURISDICTION: TIG
PROJECT: SMITH
Project Description: Installation of a Kenmore 13 series 2 ton NC unit.
CLASS OF WORK: ALT 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:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
DEREK SMITH Description Date Amount
11337 SW IRONWOOD LP
TIGARD, OR 97223 [MECH] Permit Fee 4/20/2007 $72.50
[TAX] 8% State Surcha 4/20/2007 $5.80
Total $78.30
Phone: 503 -590 -9604
Contractor:
HEAT RELIEF CO
13122 NE DAVID CIR # 800
PORTLAND, OR 97230 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 261 -9915
FAX 503- 261 -9814
Reg #: LIC 122424
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 ` / Jjy, t 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.
Apr 20 2007 1:50PM HEAT RELIEF Heating & Coo 503 261 9814 p.2
J .
Ze tl '. �l Permit At) r 1tm of 11t 1. t„,t i1 i.1.-
1t of Tigard Received
a Pedt IVs_: MEG2oe - e�o2Z0
1125 S Blvd., Tigard. OR 97223 Plan R rn
Review
cvit:w
Ionc: 503.639.4171 Fax: 503.598.196Q APR 2 0 2007 ',.- ,_'!J . I DsWB y Other Permit:
; .
spection Line: 503.639.4175 ,. • i . Date Ready/By: 1wia: 53 See Page 2 for
Bernet: www.ci.tigard.or.us CITY OF TIGAR I Notified/Method: Supplemental larornistton
B. I it a 1
1 11 + 1' - t r fiA
] New construction ti: Addition /alteration/replacement 1Weehan permit fees* are based on the value of the work
] Demolition Other: performed. indicate the value (rounded to the nearest dollar) of a
mechanical materials, equipment, labor, overhead, and profit
� ° • 1 + 1 ' 104,4, ; v. )6' tt r , . . , ; ' I • . . - , , : : , , ! : i „ . . : . , . . . . , , V a l ue: S
' l - and 2 - family dwelling 0 Commercial /industrial 0 Accessary building
] Multi- family 0 Master builder Far special information use checklist.
❑ Other: Description [ Qty. , Ea. i Tocal • i mN ' ' „ r .!• 1 . '' ' l r 1.; " . Beating/cooling
ob site address: 113 3 x_ ' J 4 ,_ 0 ,..., ,,& o L P Air e rrs s pl s ot tteatpump
en
(requires site plan showing , 14.00
:iry/State/ZIP: ,� a t. Oa. G 3 Furnace 100,000 BTU(duets/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
iuitelbldg./apt. no.: I Project name: Gas heat pump 14,00
:ross street/directions to job site: Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hvdronic) 14.00
Unit heaters (f11e1 -type, not electric),
in -wa11, in -duct, suspended, etc. 10.00
Flue/vent for any of above 10.00
;ubdi vision: Lot no.: Other: 10.00
fax map /parcel no.: Other fuel appliances
, ,10 6.14 , ¢ : i _ 5 1 Water heater 1 0.00
tm } J .
10.00
{� ^ Csaa ilreplage
I h c 4 I 1 K..X� r"....0,--€ 1 3 Seer' s? ` -ars Flue vent far water heater or gas
/� r fireplace 14.00
Log ihter (gas) 10,00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
3 Chirrtneyllirter /tlue/vent 10.00
°.k `. . 1 _! , Other: 10.00
'jams: - 1).e.1 -- i - S k •` 4-4-1 Environmental exhaust and ventilation
address: • I f 3 3 S L.....1 ' 7 . r - 04--) ' JUD ci Coo P Range hood/other kitchen
equipment 10.00
:ity /StatelZWP: - 7.,ct, . (jam 9 -+. g g ? chutes dryer exhaust 10.00
O Single -duct exhaust (bathrooms,
Phone: ( 513) S►rt o - 9(o Ott Fax: ( ) toilet compartments, utility rooms _ 6.80
.1l L
st:t Attic /crawlspace fans 10.00
( Other: 10.00
Business name: � e.AsT Eel I co Fuel piping
Contact name: ! " &rk. De. FrA Aacc. a p $S.40 for first four; Si.00 for each additional
Address: 13122 !fit a D ion JI.tl1 f 7l / t /� . s 4.[ )C) Furnace, etc. -
! / K Gas heat pump .
City /Stale/ZIP: Par-1 G -7a30 Wall/suspended/unit �1 , { sp ended/unit healer
Phone: (9N ) a,(.j qq i 5 I Fax:: (5/3 ) d-Ge' _q8/4 Water heater
Fireplace
E -mail 64 .4 sc..! . r- - r S •-' fm!! ♦• - .....6 : Range
<: 4:. t!J aVs3'Cp.,. ..:a * ! J :. .... .Ak:.,:..:i Bar
Business name: A,)r ae_5, el- Clothes dryer (gas)
�y
Other:
Address: 151 22 b w c c, e.. ra- -two i
City /State/ZIP: R Ad/ Ok 4.733 0 Subtotal
Phone: (S) .1‘,...... yq 5 I Fax: (y$ ) . t-qv � Minimum permit fee (572.50) 7e2 . s
/ J Plan review (25% of permit fee)
CCB tic.; I a� (f,Li / _ State surcharge (8% of permit fee) ,7 6'6
f TOTAL PERMIT FEE -- 4-g. 70
Authorized signature: 4' - ' This permit application tapir= lfapermit Is tau at sated within Is(
Al. L... . / %I/ days after it has been accepted as Complete.
Print name: li , - _p - ..la_� : Date: Gj a 6 • Fee methodology set by 7Yi- County Building Indosrry Service Beard
Apr 20 2007 1:50PM HEAT RELIEF Heating & Coo 503 261 9814 p.3
04/20/2?07 11:55 5036126725 , SEARS PAGE 06/07
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• _ A/C-HEAT PUMP -:-UNIT NIT K C E PLAN
FEET TO BACK O' PR.O'ERTy.LINE . , C
•
. • i : . - FRoN
FEET TO SIDE
I � 1: PROPERTY LINE
l• r ,.
! .• . ... ,
•
FEET TO FRONT PROPERTY LJI‘M
ADDRESS, 33
PLEASE FAX APPL1CATI N Tall SITE P L % •
•
CITY OF TIGARD
BUILDINGDIVISION � PERMIT #: MEC2007-00220
13125 SW Hall Blvd., Tigard, OR 972231 DATE ISSUED: 4/2012007
Phone: (503) 639 -4171 - / , �ll i� I � l '
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/1/12007 TIME: 7:01AM PAGE: 115
SITE ADDRESS: 11337 SW IRONWOOD LP CLASS OF WORK:
SUBDIVISION: ENGLEWOOD LOT #: 071 TYPE OF USE:
PROJECT NAME: SMITH
DESCRIPTION: Installation of a Kenmore 13 series 2 ton A/C unit.
OWNER: SMITH, DEREK PHONE #: 503- 590.9604
CONTRACTOR: HEAT RELIEF CO PHONE #: 503-261-9915
Inspection Request Scheduled For: Date: 5/11/2007 Pour Time: .
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 048006 -01 503- 599 -96(4 N
Corrections /Comments /Instructions:
sC,pitI� .- 7 ,A,46 -5 - G -Zt.,BG t -,e .., -- �G_..
ASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
• Inspector: Date: S = - / /—v 2 Phone #: (503) 718 - 1- 44-41V