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Permit C ITY O ? TI GARD MECHANICAL PERMIT ° • COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00519 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/29/2007 PARCEL: 25111 CA - 04100 SITE ADDRESS: 09760 SW LAKE SIDE DR ZONING: R -7 SUBDIVISION: SUMMERFIELD NO.12 LOT: 661 JURISDICTION: TIG PROJECT: PORTER Project Description: Replace furnace and a/c units. 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: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES PORTER, ROBERT J TRUSTEE Description Date Amount 9760 SW LAKESIDE DR TIGARD, OR 97224 [MECH] Permit Fee 8/29/2007 $72.50 [TAX] 8% State Surcha 8/29/2007 $5.80 Phone: Total $78.30 Contractor: A -TEMP HEATING & COOLING 16000 SE EVELYN ST CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 650 -5014 FAX 503 -557 -2990 Reg #: LIC 71878 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. / ��L / � � f 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. ..• ••). "' .. . . . . .. . . . . ,. • .. ... , ... . . . . . 1 Perini . . . • . .• . 1 Illi O il 14. I 1 Si. ON1.N :;:::•'.• i ! l. _ Mr' . -, i • .:;'"••,:'ty of Tigard . Rcc i)ute"B; d : g vi ta, S L_O P—iviq--: frie 125 SW Hall hIlvd,, Tigard, c* 97223 Pion Review i i Phone: 503.639.4171 Fax: 503.5914-1ie% 2 8 2007 oth.. Perrait: Inspection Line: 503.639.4175 Aftrit ' i...i Data Rcady/By• ; 1 11G ...... Ull see l'ogo 2 fOr Int.erneti www.cLtigard.or.us CITY OF TIGARD . Nwiadtmo,ti.d: i suppte...t.t tatbrmatto. — _ •••• •-• - ,........7-r .. ...• .. . ... :•• EiCULLONG-DIVISiOtl-- , . . - ;:::::::3:::?!•:': i:: .. • ‘. . HrYPE:,011 :WO.12,1ti ....' . ' • . • • • . • ••• COM Ol MERCIAL YEE° S.F(11)1:1.14i - USE Ckc. lyl31:14,ST .. .. - .. 0 NeW construction ,V1 ' ddition/cilteration/replacerrient tvieuitanicat polUiit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all 0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit. . ...,, . .•:::, .! 'si: :•::: :::::::::: • :: .: : ": • ::. . . M EQ r.• SYSTEIVI 1 PAOO61t1&:0;-..47,1c.)P1F1.110:3(..VION.. • •...•.. .• .. :... ' • •••• : :' 9. ' , , , Value; S ' • • . .11,4 ":11,1 :S•14EAS:o...• ' • • • •11 and 2-family dwelling 0 Commercial/industrial 0 Accessory building ilES.110 Aj.. ..„.,_ . . . . For special infelmnation use checklisi. 0 Multi-family 0 Master builder D Other: Description ...„. , I Q [_,P. Total .. ••'. • ';:,•••'....!•:-::: :: : :: • '• - 40)6.:14.1.`f/X• 1100101&11014 .AND LoiDiiiiti.. . HeAdhlg/Sonling • : • • Job site address?? 7.6: 5 LA-4g b a_ Air conditioning or heat pump . i (requires site plan showinOileement) 14.00 1 ._ . L., 't City/State/ZIP: ..-77 ,o.,,__AAA 1 7.;1, Furnace 100,000 BTU (duc ts ts/veri Furnace 100,00013 (dueta/vents) j 00 . r 14. i 17.90, Suite/bldg./apt. no.! I name: . Gs! beat pump _ ..--- .. ...... __ Cross s . treet/directions to job site: Duet work 14.00 . ...- . liydronie hot water system 14.00 Residential boiler (radiator or • hydronle) 14.00 — -- Unit heaters (tiusl-type. not. electric), in-wail, in-duet, reisicncicd, etc. 10 00 _ . Flue/vent for any of above 10.00 Subdivision: i.ol no.: — - ,._ _ Other: 10.00 „. Tax map/parcel O. Other fuel applinnees . . • 1141N • OE WORN • • Water heater 10.00 .,„ _..„ • • ••• GOB fireplace 10 - —.... ---•• . Pine vent tor water heater or gas ..., __--.--- /— Ala P..r,9.0.c. 1 (gas) . - -- Wood/pellet stove 10.00 — ,-.„ „--_ Wood fireplace/insert 10.00 .. . --.- . , -.7:•- . 7 Chrinneylinirraitervent 10 00 :•••'• - - ....;::::': ': ■ !!!:::. 0 4 ."0.441 _. ••• ,.. ,.i.„,.., ' :- :,..] - 0 -7 'VO 07: . • • • • . _ ot 10.00_ — Name: 1 • , ,.._ - oor I. ItsivIronmental yldtanat and ventilation - . .. ... ..... . Range hood/other latulten Addr , equipm9it 10.00 ... -...... City/State/Z1R O hau odles dryer Tcsl. - 10.00. ---_-... _ " --- Single-duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet oo mpartmrnts, utility rooms •.. :-' ' ,....: • ,.:.:. •::-::•1:•' O. •App*ANT .. • • • . .PERSON • •• Athokrawhipaus fans 10.00 Other: SEMI . _...... ._., — Business mime: . A-1:MP;TEATIN.(..' ArN044)01.1N . Fuel piphIg _ - -- - - -- Contact Mille: 1 6..:f g, .`,i. i'. ..'21Y1.• __ $5.40far Brat foutj'IAL....,0 for each oltional .,, — ..- _..... ciackainfo;, OIZ i...01.3 ----- Funnies, etc. . — -- Address: . - --503-660-5014--- _,.,... ..... ___. (Ins heat runp_________, .—_--- City/State/ZIP: Wrill/atuipended/unit heater _. __ Phone'. ( ) - I Fax: - e ts - 2,9:IZ) Water heater ---' _-- .. . .. - -••" Firepliee ,____.-. ________, — F.-truril -.4 . ./ .a- - -dr ' 1 1 _ _ P -..C ....._ _!•.T1,t,__„.,...._____., — . - .,:::...:,:..-7.,:.-:.,...:,.:.,.....-,.:....,,. .. . .... .._.... . „ . . . . . • . CON ACTOR - . . Barb — ecue ...:•••••:':•"!:.;',.". ' •.'•'',' ;.:,•,.L.....„—,.....:_•-_lit__-:_..:—.-...-:.—..... .• - — Clothes dryer (gas ._. ...._ lousiness name: AZEM___PAMAIDICIAND-CnOLINMICN-- _ Other: _. .. — Address: 16000 SE Evelyn PERM _ ,.... .,.. -. Clakania.c0X97015— .. ---.... subtotal • . cit __silasto.5014______.-. _.......,_ . ..,- _...,____... Minimum permit feo ($72.50) ___......—,.. - - Phone: ( ) Fax: ( ) Man review (25% of permit _ fee) -- „----______-- — CCB lie.: - K• 1 t c:' ._ ---7.-- -----.;...-____________ ., V,tatty 3urchOlgt (WV Of PgrratL C40 1) - TOTAL PERMIT FEE i . theriz ■ ;41 $ ' tare: iimplp ._ , i ,,, ' • '111. e(e 2 / OF Thisperinit application expirosT1 a pont is not 0 1 tTii 4.. az • 11.11111.1 days after 1t ham been oceepted as complete. / ( 2/Ed 14=12_17 :20 LIZIEIZ 8 E • 6 ni3 e166ZLSS22S : '0N XUA --... ---. dkaL-1:1: 1.401d .. A-Temp-Heating & Cooling Inc. , • .• • SITE PLAN • Prepared 57c. • Customer Name. . Address : 4 974 , 0 St41.149AW Customer Phone: f PS - 7;j 7 pAgel/.! .97zzy Property Boundary Line N 1 . • • ti er , • • • • • I . • . . ---•••••• --- • - - Street . • • ••• .."" 2/2c1 14clet7:20 LOOE 8 E * OGGELSSMS: "ON XUd d1 WOad , CITY OF TIGARD BUILDING DIVISION ' Aliplk,,i,k PERMIT #: IviEC2007-00519 D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 8. Phone: (503) 639-4171 , :n110141111 Inspection Requests (24 Hrs.): (503) 639-4175 ......_,M. IL. INSPECTION WORKSHEET FOR DATE: 9/14/2007 TIME: 7:00AM PAGE: 55 SITE ADDRESS: 09760 SW LAKE SIDE DR CLASS OF WORK: . . SUBDIVISION: SUIVIIViERFIELD NO.12 LOT #: 661 , TYPE OF USE: PROJECT NAME: PORTER DESCRIPTION: Replace furnace and a/c units. OWNER: PORTER, ROBERT J TRUSTEE, PHONE #: CONTRACTOR: A-TEMP HEATING & COOLING PHONE #: 503-650-5014 Inspection Request Scheduled For: Date: 9/14/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 055535-01 503-341-8815 Y Corrections/Comments/Instructions: • PARTIAL APPROVAL D CANCEL j NO ACCESS 111 FAIL CALL FOR INSPECTION 1 I ADDITIONAL FEES ASSESSED Inspector: ' ' Date: Q — AZ-6 7 Phone #: (503) 718- __7, , , • .