Permit •:) CITY OF TIGARD MECHANICAL PERMIT
�j DEVELOPMENT SERVICES PERMIT #: MEC2006 -00392
G=--� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/10/2006
PARCEL: 1 S 134AD -02300
SITE ADDRESS: 11357 SW IRONWOOD LP ZONING: R -4.5
SUBDIVISION: ENGLEWOOD LOT: 063 JURISDICTION: TIG
Project Description: AC and furnace.
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:
NAT 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: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
ANDERSEN, DANIEL M + LORRI ANN Description Date Amount
11357 SW IRONWOOD LP
TIGARD, OR 97223 [MECH] Permit Fee 81101200E $72.50
[TAX] 8% State Surcha 81101200E $5.80
Total $78.30
Phone: 503 -590 -0265
Contractor:
AAA HEATING & COOLING
2915 NE MLK JR BLVD
PORTLAND, OR 97212 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 284 -2173
FAX 503- 284 -1552
Reg #: LIC 222
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: �,� G 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.
FPO 08/09/2006 12:04 #194 P.002/003
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City of Tigard AU G 9 2006 tteeeevea 70& g j 178te/By Permit No.: �f o 4,
13125 SW Hall Blvd., Tigard, OR 97223 Plan Ire 1
Phone: 503.639.4171 Fax: 5035 IB 98.1960 Y OF TIGAR Davy, other Permit:
Inspection Line: 503.639.4175 BUILDI G DiVt r _ : ' 4-11
U --. .� Gate Ready/By: lur¢/ 0 See rage z tar
Internet: www•ci.tigard.or.us Notifted/Meihod: r Supplemental Worn :Minn
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction KAdd iti onIalterati onfrep lawman performed. Indicate the value (rounded 10 the newtrest dollar) oral
❑ Demolition Other: mechanicai materials, equipment, labor, overhead. and profit.
CATEGORY OF CONSTRUCTION Value: $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
L 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist_
❑ Multi- family ❑ Master builder 0 Other: Description I Qty. I Ea- 1 Total
JOB SITE INFORMATION AND LOCATION Heatinglcaollnp,
Job site address: 35 i SW abet -k.,JPDCC I Air conditioning o r heat pump y (�
i (requires she plan showing.place:m= J 14.00 1 T
City /State/ZIP: Tl1( 6.24 �1 ti Furnace 100,000 BTU (ducts/vents) 14.00 l
J ` Furnace 100,000+ BTU (ductc/vents) 17.90
Suite/bldg apt. no.: I Project name: 1�1 j\ f .c Gas heat p 14.00
Cross street/directions to job site: %A ti S C.-2., 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 1 t 0.00 1 Q
Subdivision: I Lot no.: pthen 10.00
Tax map/parcel no.: Other feel appliances
- ., 1
' DESCRIPTION.: OF WORI(- • Water heater 10.00
_ \Silk f S -(� Flu fireplace vent 10.00
p � ,t.., � Flue vent for water heats' or gas
fireplace 10.00 ,_
(x < � tL 1 L 1L � lighter Ws) 10 -0
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
Chimney/liner/flue/vent 10.00
PROPERTY I 0 TENANT Other: 10.00
Name: \)Ct� ` r \ {\ V\C,�AX/ w 1>c , t.. y7 Environmental exhaust and ventilation
Address: `i '3�Fj 1 ,N.„ 7 _� ( ^ .. Doh � Range equipment kitchen
10.00
City/StateZIP: -1-1 C3 CL Z (79-- Q (� - - li 7- ;2, dryer exhaust 10.00
ss
Single-duct exhaust (bathrooms,
Phone: (PAP)) � j gD (i'Z1pS Fax: ( ) toilet compartments, utility rooms) 6.80
.- . . _ n . APYLIlCANT_... , 0 CONTACT PERSON _ Attic/crawlspace fans . 10.00
Other. 10.00 _
Business name: Fuel piping
Contact name: $5.40 for first four, $1.00 for each additional
Furnace, etc.
Address: Gas heat pump
City/State/ZIP: Wal /suspended unit heater
Phone: ( ) I Fax:: ( ) _ Water heater
Fireplace
E -mail: Range
.';,.., ,
. .:. . : • . • .• :.:,... -. . Barbecue
�.� Clothes dryer(gas)
Business name: �ad» - iq f ` a``l''l70, Other
Address: P" / ! �,'� V� .. MECHANICAL PERMIT FEES*
City /State/ZIP: /emu 467. 4' me. 17 .Z I Subtotal 34.
Minimum permit fee ($7230)
Phone: (5a3) ' d ■r l Fax: (5 Z � / 5 p Plan review (25% of permit fee) • CCB lie.: State surcharge (8% of permit fee) 5. g1)
' TOTAL PERMIT FEE
f' Y e �� �, /�J 1&. This permit apputadoa expires if a permit is not obtained within it
Authorized Signature: WWO �'" d ays after it bas been accepted as complete-
d Print name: V k (j` -lJNe iatL t.,4 la l Date: g--s m ` Fee methodology set by Teti- County Building industry Service Board
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:AAA HEATING & COouNG, INC. • . , • re4.4-'‘b 11
, . 2915 NE MUCEL BLVD. cosecorli*"""
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PORTLAND OR 97212
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' ' OUSTOM INFORMATION
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'NAME t. \All\ ri,EXS/A. ' . ' • . .
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ADDRESS . • . • .
3 A Skii- 7 crywk) 6124 lore .
• - IIMIA OP- co 2.2-3 • PLEASE &WAX APPIXAVON WITH Sall MAN.
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CITY OF:TIGARD
BUILDING DIVISION
PERMIT #: MEC2006-00392
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8110/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 ,r41.1w "
INSPECTION WORKSHEET FOR DATE: 9/21/2006 TIME: 7:02AM PAGE: 66
SITE ADDRESS: 11 SW IRONWOOD LP CLASS OF WORK:
SUBDIVISION: ENGLEWOOD LOT #: 063 TYPE OF USE:
PROJECT NAME: ANDERSON
DESCRIPTION: AC and furnace.
OWNER: ANDERSEN, DANIEL M + LORRI ANN, PHONE #: 603-590-0265
CONTRACTOR: AAA HEATING & COOLING PHONE #: 503-284-2173
Inspection Request Scheduled For: Date: 9/21/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 036913-01 503.284-2173 Y
Corrections/Comments/Instructions:
0 6 I eA L LA-I_ i Ad_4ftt-
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PARTIAL APPROVAL [7 CANCEL I NO ACCESS
0 FAIL ,....2. i fLL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
.........,-
Inspector: Date: (7----7:/-- Phone #: (503) 718-