Permit g CITY OF TIGARD MECHANICAL PERMIT
, : - ..
1,11 COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00467
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/27/2007
PARCEL: 2 S 103 C B -01800
SITE ADDRESS: 12260 SW JAMES ST ZONING: R -4.5
SUBDIVISION: WILLAMETTE LOT: 044 JURISDICTION: TIG
PROJECT: DENKER
Project Description: Install 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:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
LES DENKER Description Date Amount
12260 SW JAMES ST
TIGARD, OR 97223 [MECH] Permit Fee 7/27/2007 $72.50
[TAX] 8% State Surcha 7/27/2007 $5.80
Total $78.30
Phone: 503 -590 -1876
Contractor:
TRI COUNTY TEMP CONTROL
13150 S. CLACKAMAS RIVER DR
OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -557 -2220 .
FAX 503 -557 -0919 •
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 ! / 4"/ Permittee Signature: Ii � ��
40 Y P Y
Call 503.639.4175 b 7:00 a.m. for ins ections that business da .
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 -26 -2007 01:51P FROM: TO: 5E135981960 P.1
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a t;--8 M e ianical Permit Application FOR OFFICE USE ONLY
Re EEew
Cit of Tigard s Pemnt No.:
Y g fit 7 rq, dS l"�CC 2 I325 a Blv9722 ( id r Other Permit:
Phone: 503.639.4171 Fax: 503.598.19:0 G tiin; , yry :8 , p tr , 1 n Date/By
Inspection Line: 503.639.4175 ;.
t: www.ci.ti a J U L 2 6 200 . �, Date Ready/By: tuns: El See Paget for
Internet Notifted/Method: -7-7 1 Supplemental Information
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El New construction ' " Addition/alteration /replacement Mechanical permit fees' are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition [❑ Other: mechanical materials, equipment, labor, overhead, and profit.
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1- and 2 -famil dwelling Commercial /industrial ; ' S D [IfAL `E J)RMEN / SYSTEMS FEES"
y g ❑ ❑ Accessory building
Multi- family ❑ Master builder ❑Other: For special information use checklist.
Description Qty. I Ea i Total
t' s: . t ` ",- -.r;�I,g, '',7;fj .:;�+,, . 1'i (VFQ .£� XQN ,W'I : .F' ; ,,,Y ►TI.QN.;,;,, -1 .., Heating/cooting
Job site address:
.. ,- � a , w ?,fin,.r.i.xl : -.. ... " ., G�' .« .0 ... .r f` ^ - Air conditioning or heat pump ` , r:�{ ... .
� ��JJ�� 6��� /�vv { /� yy�,p�, �r� `
lLLlCO �.JV V �W t LLf1J (requires site plan showing placement) 1 14.00
City/State /ZIP: �(Q V 2)
' -' Furnace 100,000 BTU (ducts /vents) 14.00
L�11 Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project 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
Subdivision: Lot no.: Flue /vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
,�.._ `�l• 'ii,r.lfrs "�rl. %a': :a:, cv ^.,., ,� t. 'A. ; st l .7l; ,i r�rn; r'"" W rheater 10.00
' 1 , �� .iu , t.,,.. ate
�""�y�K!! ",. ..���I1�Jt'�f`+{::.�iP. ..¢� `,ikie'.r. i ; �`:.t�rir,!�,��C'�+Fll { „�M1 ?...s.,A(Ii��Y :E ;,i 4�; {;?�# ,
Gas fireplace 10.00
Flue vent for water heater or gas
ne bal I au r co neut or er fireplace 10.00
Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace/insert 10.00
4 r.• • ,' Chimney /liner /flue /vent 10.00
� " ' e'' ( ?- `� • l I`ii 4 • a ii t � ' . ` , ' '' r, ey , l
W� 6, c� lief .<I ._n .a! 4, , r $ w b., �.�•, _ Other 10.00 _
Name: Lto b t Environmental exhaust end ventilation
Address: a Range hood /other kitchen
equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (9:0) • r6 6tP Fax: ( ) toilet compartments, utility rooms) _ 6.80
3,tM`.'Y ? ' .'4 n' FK #{::n 1+ ?iPr t;:d;" ;;2,'! r,.;•• k r,•r. 1 ,,. ;_ 10.00
Ati9,'} ( ��yy O�y�(' P .Pi,.�i �i a� r• t �ry ':;1., Attic /crawlspace fans
',fi�t'4iiv' r' Q{ j.1 , ' :`• K�� 'tir,i;Iti ;, ;' ,q,'∎.., :' .;.'i'a.' F r ; "..!`rii i,t1 y� °' . * ,'r , • F.
p� } �i_) Other: 10.00
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Business name: I n (.CUJI 1� Tall? 0 COI f 1 I I Fuel a ping
Contact name: (�^� /� / ) � Q ry� -Lb 1 V $5.40 for first four; $1.00 for each additional
Address: i' OD (.3 C [ac.kwr aS ►v `-ir N/yI� ct Furnace,
pump
City/State/ZIP: Cr tjOI 1 C_ j ' l C r2. ( 7O'l_G5 Wall /suspended /unit heater
Phone: (firm) P55 L 7 ? �,�j / Fax: ( �/^ C-51.,5 ] Water heater
22.2 D O�) 7 -C /y 1 i �►
Fireplace
E-mail: ,., Range
: , e { 3rr t: ,t l• >tr�`! ^•,• r. �' ,, , :..� : •i': . .K d;t ,' !% , _" °'
"Iftit!'' t' Mi I;?f0' : t� `" `'+ of th`Jr r' e t l i , ,. 14' )
^ *(, ( �}� Y a: t� ii i 4 �. ,,, i 19F " ; )' t ,,, Barbecue
'Jtt:ai ,:�±,1� ��:.,1�� ' � �'b [ ''rr (� ��ff{t''���� '' ` r' "' ,r', r;-
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Business name: ill (tarn/ -den t CO) - "(`�'t; Clothes dryer (gas)
1?)1,r / ` � yy r� Other: _
Address: C50 1) l Ke rvl3 RI v N I vt ; ,`, " ` Y' ,,i,: , e 'r N - „ .k, .,,L.: i,iit i •
City/State/ ZIP: r - ' (' ( i <, .
"' `!' (. Subtotal
Minimum permit fee ($72.50)
Phone: ( `) J� Z22 Fax: (G��ji ��� , "�� I �'1 Plan review (25% of permit fee
CCB tic.: '72 State surcharge (8% of permit fee • x
TOTAL PERMIT FE • .
Authorized signature: �. fa : 2 c r�74`� �� -_ This permit application expires if a permit is not oil in within 180 (
Slf days after It has b een accepted at complete.
Print name: bia j' ,t Oi) Dater 121401 • Fee methodology set by Tri- County Building Industry Service Board
JUL -26 -2007 O1:52P FROM: TO:5O3598196O P.2
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00467
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7127/2007
Phone: (503) 639 -4171 ��gh�iigl�l(
Inspection Requests (24 Hrs.): (503) 639-4175 ! I.
INSPECTION WORKSHEET FOR DATE: 8/1 /2007 TIME: 7:03AM PAGE: 52
SITE ADDRESS: 12260 SW JAMES ST CLASS OF WORK:
SUBDIVISION: WILLAMETTE LOT #: 044 TYPE OF USE:
PROJECT NAME: DENKER
DESCRIPTION: Install a/c unit.
OWNER: DENKER, LES PHONE #: 503 - 5901876
CONTRACTOR: TRI COUNTY TEMP CONTROL PHONE #: 503-557-2220
Inspection Request Scheduled For: Date: 8/1 /2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 • Mechanical final 053150 -01 503 -557 -2220 V
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS
n FAIL n C LL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: Date: S—/--6 Phone #: (503) 718