Permit 1
CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005 -00361
I II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/20/2005
PARCEL: 2 S 114 BA -0 5300
SITE ADDRESS: 09900 SW KENT CT ZONING: R -4.5
SUBDIVISION: PICKS LANDING NO.2 LOT: 087 JURISDICTION: TIG
Project Description: Installation of 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
MASTERS, ROBERT M AND Description Date Amount
MARILYN J
9900 SW KENT COURT [MECH] Permit Fee 6/20/200E $72.50
TIGARD, OR 97223 [TAX] 8% State Surcha 6/20/200E $5.80
Phone: Total $78.30
Contractor:
BEN'S HEATING & AC
PO BOX 80607
PORTLAND, OR 97280 .REQUIRED ITEMS AND REPORTS
Phone: 503- 233 -1779
Reg #: LIC 64597
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Issued By: �(_ f� Permittee Signature: -Z c.g,
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business day.
This permit card shall be kept in a_ conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
JUN -20 -2005 07 :45 AM BENS HEATING 503 651 3345 P.01
IVY chanical Pe armi A licatil n FOR 0E1'0 'E Ilsil ON1,1
City of Tigard f1 Received . — d O.' Permit N o. G , a0 3 6 I •
C! .. • 92 3 , A��� Dete/B
Nen Review
Phone: 50 Fail d T59 I .19V0 /a',,,- . +i,,,:. i r Date/B Other Permit,
13125 SW Hall Blvd., Ti;
Tnapeetion Line: 503,639,4175 A � 11, I. 1-2., � Ai Date Ready/BY! 0 s see Po8
tempt: www,ci.tigard.or,us j J 2 0 20 05 Notified/Method: Supplements' information
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0 New construction Bus V du .1•)llll{teratkOn/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value rounded to the nearest dollar) of all
E Demolition ❑ Other: mechanical materials, equipment, labor, overhhea., and profit, _,
•c,: r ^ar III :n' ". : "s.o;:J, ',• !r,i „s:. a .,,,. h ...r. fi ='Ti9 41-r, :r i v$r'1' Value: $ M'
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1- and 2- family dwelling 0 Commercial /industrial 0 Accessory building for special lnjormatiort use checklist.
Multi family ❑ Master builder ❑ Other: Description { Qty, a. Total
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Sob site address: j 11 Air conditioning or heat pump (requires site plan showing placement) 14 -00 ,
City/State/ZIP: At * (' a a Furnace 100,000 BTU (duots/vents) 1 4.00
Furnace 100,000+ BTU (duns vent! 17.90
Suite/bldg./apt. no.: Project name: Gas hca�ump 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, suependeeetc, - 10.00
Subdivision: Lot no.: Flue/vont for any of above 10,00
•
Other: 10,00 _ .
Tax map /parcel no_: Other fuel appliances
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'"' -Iij" 'Vl ; 10.00
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` Gas fireplace , 10.00
BA Flue vent for water heater or gas
fireplace _ 1.0.00
Log lighter (gas) 10.00 .
Wood /pellet stove _ 10.00
Wood fireplace /insert 10.00
"s' :'c n, ^,n.:, ;r' ', . , c4 t, ro'a ;t,p +s1y;�'L!fid 'S:'' .” Chimney /liner /flue/vent 10.00
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Name: g /, a Environmental exhaust and ventilation
Address: ° ° 1 , - flange hood /other kitchen
. A .. . A equipment 10.00
City /State/Z1I): 4r1q .' . A. ,0 f 4 acs, Clothes dryer_exhauat 10.00
Phone: .4/ 11 I x,39•• , i Fax: ( ) toilet compartments, ( u ty rooms) 6.80
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���5� other; _ _ 10.00' 1
��. , w� Fuel piping
Contact name: at MIIMNIIIIIMI1 55.40 for first four. $1.00 for each additional 1
Address: Furnace, etc,
. - Gas heat pump _
City/State/ZIP: Wall/suspended/unit heater
Phone:0 C) 3 �3, �etgo x:: ( ) Fireplace ter heater • .
1
E-mail: Range
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Clothes dryer (gas)
Business name: aG• 1 & t ► • i Other
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Address: < I II I1IIaI a�,JS4,✓Y "1! I,r
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City/State/ZIP: eh , i * '. CO Subtotal
Minimum permit fee ($72.50)
.- ..:Phone: ( G93 ) Fax: ( ) Plan review (25 % of permit fee)
t s State surcharge (8% of permit fee)
_ — I TOTAL PERMIT FEE
1 This permit application expires if a permit is not obtained within 130
Authorized signature: � days after it has been accepted as complete.
Print Warne: di TRM Date: 4 OIL • Fee methodology set by Ti - County Building Industry Service Board
i. \RilittlinoN Pa ,ni,AMHC._PermltAon. • • a 12/03 44o ee 17? (11 /O2 /COM/W13$)
PnJ v� c ru'.i .-
CITY OF TIGARD TrA Z r'`
BUILDING DIVISION PERMIT #: MEC2005 X0361
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/20/2005
Phone: (503) 639 -4171 v A,A tp' I"
Inspection Requests (24 Hrs.): (503) 639 -4175 j ..
INSPECTION WORKSHEET FOR DATE: 8/19/2005 TIME: 7:07AM PAGE: 93
SITE ADDRESS: 09900 SW KENT CT CLASS OF WORK:
SUBDIVISION: PICKS LANDING NO.2 LOT #: 087 TYPE OF USE:
PROJECT NAME: MASTERS
DESCRIPTION: installation of NC unit.
OWNER: MASTERS, ROBERT M AND, PHONE #:
CONTRACTOR: BEN'S HEATING & AC PHONE #: 503 -233 -1779
Inspection Request Scheduled For: Date: 8/19/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 013855 - 01 503233-1779 N
Corrections /Comments /Instructions: VeAki q' (21-76
(:/
�1 , PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
I FAIL ❑ CALL FOR INSPECTION _ ❑ ADDITIONAL FEES ASSESSED
Inspector: sai Da te :� ( ` Phone #: (503) 718 -