Permit CITY OF TIGARD
MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00050
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/30/2008
PARCEL: 2S103BB -10100
SITE ADDRESS: 12155 SW KATHERINE ST ZONING: R -4.5
SUBDIVISION: YE OLDE WINDMILL LOT: 022 JURISDICTION: TIG
PROJECT: TRINH
Project Description: Heat pump and furnace installation
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:
ELE 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS: 0
FURN > =100K BTU: <= 10000 cfm:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
PHU TRINH Description Date Amount
12155 SW KATHERINE ST
TIGARD, OR 97223 [MECH] Permit Fee 1/30/200E $72.50
[TAX] 12% State Surch 1/30/200E $8.70
Phone: 503- 686 -4979
Total $81.20
Contractor:
OREGON HEATING & AC
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -538 -2953
FAX 503 -537 -2172
Reg #: LIC 172126
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: ���f' /� Permittee Signature: _ S ‘a
Call 03.639.4175 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.
Jan 29 08 01:37p Oregon Heating 8( R/C 503 - 537 -2172 p.1
Me Permit Applicati FOR OFFICE USE ONLY
City CI}� Tigard R ECEIVE 'I •eceived U U� 0 ` ' / Permit i fo.: /� P
17
13125 SW Ball Blvd., Tigard, OR 97223 Date/By: Plan Review , ' I [/ U
Phone: 503.639.4171 Fax: 503.598.1960 JAN 2 9 2008 Date; By: Other Permit.
TIGARD Inspection Line: 503.639.4175 Date Ready/By:
Juris: E] See Page 2 for
Internet: www.tigard- or.gov CITY OF T1GAR Notifitd/Method: Supplemental Information
of 466ht ),ING oivIsi
7 yp COMMERCIAL F EE* SCHEDULE =USE CHECKLIST.
El New Constructionddition /alterationireplacement 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.
.. . . a
. ue.
CATEGORY OF, CONSTRUCTION ' • V l $
' •' RESIDENTIAL EQUIPMENT /SYSTEMS EEO'', • :'
54 and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other. Description Qty. I Ea. I Total
JOB; SITE INFORMATION AND LOCATION • '' Heating/cooling i
Job site address: I a) 5 5 6),-) r `�� � INS c- �- Air conditioning
(requires ste pl or heat pump
(-t w/ ► (requires site plan showing_placems_l 1 14.00 NO
City/State /ZIP: I t f - p_iO 0 )-3 Furnace 100,000 BTU (ducts/vents) l 14.00 f t . 6O
( ,....)44._ Furnace 100.000+ BTU (ducts /vents) 17.90
Suite/bidg. /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
Flue /vent for any of above 10.00
Subdivision: Lot no.:
Other: 10.00
Tax map /parcel no.: Other fuel appliances
: , DESCRIRTiON- OF NNrORIC - • .., heater �uu�� 10.00 vA,Gt.
i��
. .: • Water fireplace I •
Gas I rep ace 10 00
H 01 i iirnip - • Furet4 - Ne '_ Flue vent for water heater or gas
fireplace 10.00
Log lighter (eas) - 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
Clutnney/liner /flue /vent 10.00
4 'PROPERTY. OWNER • :, ❑ TENANT :.:' ('' . Other. 10.00
Name: •TR 7/ �.� P&L, Environmental exhaust and ventilation
-c__ Range hood/other kitchen
Address: �� �lIK 0 i s 14 ' 1 �A. CD iii . . equipment 10,00
City/State /ZIP: �f v ,_ 7 . t- /` ' • 3 Clothes dryer exhaust 10.00
n / 7 7t '7Z Single -duct exhaust (bathrooms,
Phone: (,,p0 ) & y& G"' 79 Fax: ( ) toilet compartments, utility rooms) 6.80
PPLICANI' • . ; '' 1 ❑ CONTACT PERSON, is craw p ce fans tt sa
' Other: 10.00
Business name: d �L - ( /1 A N I G ' f c_- Fuet tin,
P - P� g
Contact name. OA jL„ /Y)/ j, ? i $5.40 for first four; $1.00 for each additional
Address: P.O Furnace, etc.
_ Gas heat pump
CityiState /ZIP: di /4 0E8 OR 9 `w/.b Wall/suspended/unitheater
Phone:, () 5 G 2 / Fax: : (b(2-3 fir- 3 7,. J 7 Water heater
S T .J Fireplace
E-mail r�; ! ° C'r cC i l �/�..
Cwt . C' ! � C1 i � „ 1 Range
. CONTICTOR Barbecue
Clothes dryer (gas)
Business name: S -- o & 2) V Other.
Address: - _ . MECHANICAL PERMIT FEES* : •: • : . '
City/State /ZIP: Subtotal 01-1". .
Minimum permit fee (S72.50) - 7.,2,' D
Phone. ( ) Fax: ( ) -
Plan review (25% of pemut fee)
CCB lie.: 1 7, . J, ji,z6 State surcharge (12% of permit fee) r 70
TOTAL PERMIT FEE / , 2 Q
Authorized signature: �C1 " �t'1��
Th per mit application expires if a permit is not obtained within LSO
f j ' (lays after it has been accepted as complete.
Print name: -t , o , - Date: J0 L/ eg ` Fee methodology set by Tri -County Building Industry Service Board
l :" Building , Pennits'iteMEC- PermitAppdoc 04106/0 440 4617T(111021C01VIWEB)
Jan 29 08 02: 09p Oregon Heating & A/C 503 - 537 -2172 p.1
Level 1
1
Room1
garage
I S � '� ' r l i^ e-.
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Job #: Randy Beers Scale: 1 : 118
Performed for: Page 2
Trinh Right -Suite Residential
6.0.79 RSR28586
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7 C: \Documents and Settings\sales...
CITY OF TIGARD .. _
BUILDING DIVISION
PERMIT #: mEc2008.00050
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/3a
Phone: (503) 639-4171 /4474941TIs
Inspection Requests (24 Hrs.): (503) 639-4175 ..,,--1,4 '- '-....
INSPECTION WORKSHEET FOR DATE: 2/14/2008 TIME: 7:01AM PAGE: 10
SITE ADDRESS: 12155 SW KATHERINE ST CLASS OF WORK:
SUBDIVISION: YE OWE WINDMILL LOT #: 022 TYPE OF USE:
PROJECT NAME: TRINH
DESCRIPTION: Heat pump and furnace installation
OWNER: TRINH, PHU PHONE #: 503
CONTRACTOR: ORFGON HEATING & AC PHONE #: 503-538-2953
Inspection Request Scheduled For: Date: 2/14/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 065035.01 503 ¥
Corrections /Comments/ Instructions:
t.1) - ./ , ., _ . - - ti.-- , „ --,..- 1. i <c) : 6 - Co if--Ce.., -
", L.4,. p
,-
.//
PASS fl PARTIAL APPROVAL 7 CANCEL 7 NO ACCESS
FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: \ Date: ._ —1 4-- Phone #: (503) 718-
y 1
CITY OPTIGARD
BUILDING DIVISION PERMIT #: 11F(; t'1Q8 0118 0
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/30/2008
Phone: (503) 639 -4171 l ll'l
Inspection Requests (24 Hrs.): (503) 639 -4175 ��' W
- -- INSPECTION WORKSHEET FOR DATE: 217/2008 TIME: 7:03AM PAGE: 27
SITE ADDRESS: 12155 SW KATHERINE ST CLASS OF WORK:
SUBDIVISION: YE OWE WINDMILL LOT #: 022 TYPE OF USE:
PROJECT NAME: TRINH
DESCRIPTION: Heat pump and furnace installation p 1 1� `4S
OWNER: TRINH, PHU PHONE #: 503 -686 -4979
CONTRACTOR: OREGON HEATING & AC PHONE #: 503-538-2953
Inspection Request Scheduled For: Date: 211/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
Ep9.9 Mechanical final 064682 -01 ,013. 538.29x3 Y
Corrections /Comments /Instructions:
r
_111)__In e.--Onli hi/f-S II Or\ a. • •PA , dg: , ,
.
a . . 0E- .0 lido .a •A;? * . _4/1 e. .
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z Ex- e h eat [
[rtp
ert. of C3rre and (e-N, d -
PASS PARTIAL APPROVAL n CANCEL _ ri NO ACCESS
y FAIL , n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: /ti) Date: a‘i , ocB Phone #: (503) 718- •'.1