Permit CITY OF TIGARD
MECHANICAL PERMIT
� � DEVELOP MENT SERVICES PERMIT #: MEC2006 - 00373
°�I I I 13125 SW Hall Blvd., Tigard, OR 97223 503 -639 -4171 DATE ISSUED: - 8/4/2006
PARCEL: 1 S134CB -04600
SITE ADDRESS: 12310 SW NORTH DAKOTA ST ZONING: R -7
SUBDIVISION: ANTON PARK LOT: 008 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:
FURN > =100K BTU: <= 10000 cfm:
OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
CLAIRE LLOYD Description Date Amount
12310 SW NORTH DAKOTA
TIGARD, OR 97223 [MECH] Permit Fee 8/4/2006 $72.50
[TAX] 8% State Surcha 8/4/2006 $5.80
Total $78.30
Phone: 503 -590 -1023
Contractor:
SUNSET HEATING & COOLING
0607 SW IDAHO
PORTLAND, OR 97239 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 234 -0611
FAX 503- 234 -0439
Reg #: LIC 161085
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: Afir =,�.� Permittee Signature: , Qf
• 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.
'Aug 04 06 11:47a p.2
Mechanical Permit A t ! r„ 1 n;
1.01? ()fl lc I: I tit: t1\I,1
City of Tigard 0 .L-,\. R_ -_ , cd
13125 SW Hall Blvd., Tigard, OR 972'13 Date/BY' E ` knit N.' e ' //06 ∎� 7 l ■ Phone: 503.639.4171 Fax: 503.598.1960 Plan Review �/
p � ;
AO � Date/By:
Permit:
Inspection Line: 503.639.4175 ®L� 2 '
Internet: www.ci.tigard -onus AUG Date ReadyBy: tau: ® Page 2 for
Notified/Method: Supplemental Information
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❑ New construction ®Alt '. Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition 0 Other:
mechanical materials, equipment, labor, overhead, and profit.
'-S 'a al "fi } f_ 4`. ac J ' �r i vr ..s x I v, �a Value:
N ts�c .;.%:wn. ^aFti:1' r- +.,, ✓•r.,.mx .;r a ,..o�.>...n. r�,.uk� `1J .ii� �� t1,,� ,.r �:
C°, fr1 ~y y;I`i. ��^I : y Y �i' y4t n.'''vp r, •
1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ii,_'" t ..- s ..L-'. . '- "-' : '''' . _;' '' -'^ 4 -'
For specusl information use checklist.
❑ Multi - family ❑ Master builder 0 Other
�r?�34: a i I 7 x .. , Description I Qty. I Ea. t Total
� � � , �a �'�, , y' , '� : Heating/cooling
I a+ 7 s- , L b,Lit -tri.- Air conditioning or heat pump
Job site address:
(requires site plan showing placement) 1 14.00 !Li
City /State/ZIP: 1- i• c -) (41a-493 Furnace 100,000 BTU (duets/vents) 14.00
Suite/bldg. /apt. no.: I Project name: Furnace 100,000+ BTU (ducts/vents) 17.90
Lie, 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
U nit heaters (fuel -type, not electric),
i n -wall, in -duct, suspended, etc. 1 0.00
Subdivision: Lot no.: Flue/vent for any of above 10.00
Tax map /parcel no.: Other. 10.00
Sri x' r 3 :y° ,yi ^ rc•w ...;',"b Other fuel appliances
. ` , l e ': - � i. ii 4 1 :.� W"4 r. 2/ x*' i r- Water ' "c . •n ,1,-,.....041 • w ^ � , s4a-w_ : „, ?' er heater 10.00
:
i vi} /' { 4 _,Le tut C---- Gas fireplace 10.00
Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
4X k QP , ` r� 'v> r�,n F x. Chimney/liner/flue/vent 10.00
t r : ,i ::..r.,aia� itr" , :; Othe
Name: rr 10.00
. �iv, ('S lk- Environmental exhaust and ventilation
Address: . ` 1 �'v Range hood/other kitchen
P7 [ o '. t' 0 1 . ;UL equipment 10.00
City /State/ZIP: Y') 0-7 ?_.7 Clothes dryer exhaust 10.00
Phone: (��;(?j) c E t LJ l? : Fax: ( ) Single -duct exhaust (bathrooms,
hoe: =±r;'2.1 �, �� ,�. M �' :�, 5�v ". ,w� � "r, �� , �� _ toilet compartments, utility rooms) 6.80
_ A , a " off Atticicra
�" ;�u,.. �: \ � ' ° wlspace fans 1 0.00
a'
Business name: Other. 10.00
Contact name:
Fuel piping
55.40 for first four; 51.00 for each additional
Address: Furnace, etc.
City / State/ZIP: Gas heat pump
Wall/suspended/unit heater
Phone: ( ) I Fax: : ( ) Water heater
E -mail: Fireplace
_ tP Range
�g W 4 2rs�'.,' 1 71 , 3 .. "� �„ , . c ' p Barbecue
Ff %� :3c>r'!k rID L ...,�d.'!;s< :�aS �+ 'cx,.e�� � � ' a F ��a,. � "; ' q +� u 3
Business name: Sunset Heating and Cooling _ Clothes dryer (gas)
Address: 0607 SW Idaho Street Other.
City / State/ZIP: Portland. OR 972397 atis xir- "° :. "_" `"5rc
Subtotal 10 --
Phone: (503)234 -0611 I Fax: (503) 234 -0439 Minimum permit fee ($72.50) 12. 'S
CCB lie.: 161085 Plan review (25% of permit fee)
State surcharge (8% of permit fee)
h ..t f TOTAL PERMIT FEE IS-3(:
Authorized signature: l�C This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Shauna D'Ar rosia I Date:'/ y p i I • Fee methodology sct by Tri -County Building Industry Service Board
i WuitdingtPermits \MEC- PermilApp.doe 12/03
4404617T (1 troveoM/WEB)
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A/C & /
Sunset Site Plan
HEAT :RG.3, COOING
iZ.5 C"
Name: LL, , C.itkt e
5
Address: �z ��n ¶t tvi.or4. • �gKo�t
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HOUSE
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•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006- 00:373
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/4 /2006
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/29/2006 TIME: 7 :06AM PAGE: 78
SITE ADDRESS: 12310 SW NORTH DAKOTA ST CLASS OF WORK:
SUBDIVISION: ANTON PARK LOT #: 008 TYPE OF USE:
PROJECT NAME: LLOYD
DESCRIPTION: Installation of A/C unit. ADDED 9/5/06: Replace furnace.
OWNER: LLOYD, CLAIRE PHONE #: 503. 590.1023
CONTRACTOR: SUNSET HEATING & COOLING PHONE #: 503. 234 -0611
Inspection Request Scheduled For: Date: 9/29/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 037256 -01 603 -234 -0611 N
Corrections /Comments /Instructions:
KPASS
❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
_
Inspector: 11 Date: q(9 bl Phone #: (503) 718