Permit CITY TIGARD MECHANICAL PERMIT
�� DEVELOPMENT SERVICES PERMIT #: MEC2005 -00443
��'I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 7/22/2005
PARCEL: 2S 104BA -11200
SITE ADDRESS: 13581 SW LIDEN DR ZONING: R -12
SUBDIVISION: CASTLE HILL NO. 3 LOT: 142 JURISDICTION: TIG
Project Description: AC install.
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:
ELE 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:
FURN > =100K BTU: < =10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
MIKE SHEPPARD Description Date Amount
13581 SW LIDEN DR [MECH] Permit Fee 7/22/200f. $72.50
TIGARD, OR 97223 [TAX] 8% State Surchar€ 7/22/200f. $5.80
Phone: 503 430 - 0181 Total $78.30
Contractor:
A -TEMP HEATING & COOLING
16000 SE EVELYN ST REQUIRED ITEMS AND REPORTS
CLACKAMAS, OR 97015
Phone: 503 650 - 9602
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: I � ; .�� , / .� Permittee Signature: �� ( (7,-117 /-
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.
F47't]I4 :1=1-TEMP FAX NO. : 5035572990 Jul. 21 2005 12:54PM P2/3
Palk .
h(1R OFFICE lltil? ONLY
Mechanical Permit A lication Raccived•7 t�
City of Tigard RECEIVE DateJAYt r Permit Nn L - e . _
13125 SW hall Blvd., 'I`igard.OR 9 72 PlanRevi Other Perm
Phone: 503.639,4171 Fax: 503.59S.1960 'r <vm r I. Dat�y:
inspection l..ine: 503.639,4175 { Date Ready/By. t71 See Page 2 for
Internet www.ci.ligard.ilr.US
JUL' L ' 2 1 20 ~- Notified/Method: SupptementalInformation
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p [h., , I.Bt. t „ Mechanical permit fees* arc based on the value of the work
❑ Ncw constru P. d • Iteration/replacement perlbrmed, Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
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' a-1 — and 2- family dwelling ❑ Commercial /industrial ❑ tY
For speclal Information use checklist. -
❑ Multi - family 17 builder 0 Description �: 1 F. a_ 1 Total
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Job sitc uddress: 6 Js l crW I / VL l'ir (requires site plea or be g placement) ' 14,00 1 - 1 .
City /Statc/ZiP: ` UN. ( G� a �3 Furnace 100,000 BTU (ducts/vea1$) 14.00 _—
( �' / Furnace 100,000+ BTBTU (duets/vents) 17.90
Suitc/hldgdapt. 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
hZdronic) 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
r rs nm ..x q u,rt', : ,`, u ;asltvr;:r;lzsC;"r gr] i1
�S , ( ts } li 8 t {y ; �3: ' il{ t} n 1'I Water heater 1000 � ,
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f� ,rur2�ifl'I,b�l r t� l,,. f 3 1;1.. Gas fireplace 10.00
• Flue vent for water heater or gas
f)teplace 10
Lo g lighter ne 10,0
Wood/pellet stove 10.00 ..-_
Wood fireplace/Insert 10.00 -
Chimp !liner /tlu ./vent 10.00
r, a '11 ltl'a,,: rd,1PIB' . ; .- ,y Ly i 'tn+ i f•' , :111"'” mj t 117at•;: ;:iT',Cnir l,a^ L.WFSr: -�' (u�'�:`•,y�i}7,11 1 i c e r 'h1'I Ly' - '
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Name: o k_ ; r 1 Environmental exhaust and vcntilalion r ._
Range hood/other kitchen
Address: t �l / 0 iI equipment 10.00
• .0 I Z Clothes dryer exhaust 10.00
City/State/ZIP: _ Single -duct exhaust (bathrooms.
toilet co partments, utility rooms) 6.80
Phone: i`�1�) f - • 'Fax: ( ) °
� � � V , r.• , ` •np, ;rfF`''Mrysow. YL1rlu rv':,(1:r: Y ,•1g' {� IH Attic/crawls aCC fans I t).0t)
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fa
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��y , 1, ,h.�r. JZ]tG! d, a n , IASu..rt:ft, a' {1 :1•. Ghlr,rid,,:.r1A,2i.,r . lm',4, Other: _
Business name: {/•1\- ./...1C V , Fuel plpin(t _,
Contact name: . $5.40
ame: $5.40 for Brat four; $1.00 for each additional
Address: ��
1 puma" etc,
I J (las heat tamp
-
City/State/LIP: MAV W Wall/sugrendcd/unit heater ..
Water heater
Phone: ( ) Pte' : ( ) pi Jrince _
E -mail: / �) lf 7 �R '+' ;rf)1 ) C ]+ ' , 7 J {p Rang e
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i "b'���°�3i6'i" ��tl , t�1t 1 Vt Clothes dryer (gas)
i
Business name: E 1A.. I Vim' 1(..C. '�) C Other
_ _ r 11{ eft � Ih 7( 1 t 1 1 n 1 4ir1II. 1 � ] t }r
Address: ll-poc,' .. { " - 1 `5 \. i 1 r4 ' r ' 1 „ r 1 : „L11:�, n p ;,4s �� 127 � o , 0141, 4, il '� � ,, 1 ii
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� ` J- _ Subtotal
City/Stnte/7.1P�� (,t- ,[�I l!V `m - C L _ r� -o L� Minimum permit fee (577,50) -1 --
Phony ( ) (Q� �) (O d I Fax: 603 55 rt _0.1(9, O Plan review (25% of permit fee) --- CCD lie.: `
fl 1(:?.1.1.4:i State surcharge (S% of�►elmit fee)
TOTAL PERMI•f FRC - W
,
'f bla permit application expires if a permit is not ohtuiaed within t8n
Authorized si _, attire: days after it has been accepted as complete.
Print name:
� I I :111111 Date: • Fee methodology set by Tri-Counry Building Industry Service Board
• •.. •• .. _,n.— .,..,r.a:r- twntNAr,e M° 1710}
449 -4617 t (1 Im7/coMlwea)
: A-TEMP FAX NO. :53557299@ Jul. 21 2005 12 : 55PM P3/3
. ■
Heating ating and Cooling
Site Plan
Prepared 6yL____ DaloLZ/Zik5
• --
Customer Name_;Siv A ddress:.13.i/ 51
Customer Phone.
.Propct ty Boundnry
Howc
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sireo
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MEC2005 -00443
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 7/22/2005
Phone: (503) 639 -4171 ta� y
Inspection Requests (24 Hrs.): (503) 639 -4175 `'I L
INSPECTION WORKSHEET FOR DATE: 9/9/2005 TIME: 7:07AM PAGE: 76
SITE ADDRESS: 13581 SW LIDEN DR CLASS OF WORK:
SUBDIVISION: CASTLE HILL NO. 3 LOT #: 142 TYPE OF USE:
PROJECT NAME: SHEPPARD
DESCRIPTION: SAC install. '
OWNER: SHEPPARD, MIKE PHONE #: 503-430-0181
CONTRACTOR: A -TEMP HEATING & COOLING PHONE #: 503 - 6509602
Inspection Request Scheduled For: Date: 9/9/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 015255 -01 503-430-0181 ( Y 7M sZ %J
Corrections /Comments/ Instructions:
tii! &Iel_ Lee, (r2 S'y®co
4 5 o 4 -0-t
A _ A /6 _____ i 2 ,_/_=_m e /V
1 F INP
(PASS U 'ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL N, ,. LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
9 ' C
Inspector: Date: S #: (503) 718-