Permit CITY OF TIGARD MECHANICAL PERMIT
11,1 COMMUNITY DEVELOPMENT Permit #: MEC2012 -00215
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/02/2012
Parcel: 2S104BB12100
Jurisdiction: Tigard
Site address: 13902 SW WALNUT CREEK WAY
Project: Shafquat Subdivision: WALNUT CREEK Lot: 38
Project Description: Install A/C. Unit must meet minimum 5' rear and side yard setbacks.
Contractor: ' OREGON HEATING & AIR CONDITIONING Owner: SHAFQAT, MUHAMMAD U
PO BOX 241 13902 SW WALNUT CREEK WAY
DUNDEE, OR 97115 TIGARD, OR 97223
PHONE: 503 - 691 -9699
PHONE: 503 - 235 -6293
FAX: 503 - 691 -8556
FEES
Specifics: Description Date Amount
Air Conditioning 05/02/2012 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 05/02/2012 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 05/02/2012 $43.25
Occupancy Grp:
Stories:
Fuel •
Fuel Types:
•
Gas Pressure:
Total $100.80
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. /
issued By: Permittee Signature: nG / (f - 7OA
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
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.
04/26/2012 18:07 503 - 691 -8556 OREGON HEATING PAGE 01/03
Mechanical Permit Application . RECEIVE -1 FOR (OFFICE t3SE ON1.,Y
City of Tigard
te 2 42' i'r_ • . 't No.' Et. , /, -d0.2 /S
13125 SW H dI Blvd., 7igaxd, OR 97223 APR 2 6 2012 Plan Review Other Permit
P hone: 503.639.4171 Fax: 503.598.1960 Pare/By:
T i !1 ,. D Ins Line: 503.639.4175 CITY OF TIGAR 1 Die R see rage 2 for
Internet www.tigard•or.gov i , �••.••ed/Metho4 Supplements1Information
BUILDING DIVISI 0 •
• 'lypE or WORK :: . : MERCIALIEE' SCHEDULE..- .nsECHEcicus '
• Mechanical permit fees* are based on the value of the work
❑ New construction Addition/alteration/replacement performed. Indicate the value (rounded to the seared dollar) of all
❑ Demolition ' ❑ Other mechanical materials, equipment, labor, overhead. and profit _
CATEGORY' .OF: , CONS17ltU FEESC .
Value:
' xx1�5IDErrnu ►i•�QijlsP lHO�rr%sYST7i?1►as.
g l - and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building For special informaricm use checklist.
❑ Multi - family ❑ Master builder 0 Other: Description fQty. I Ea I Total
• :TOR SIl•E,.INFORMATION AND LOCATION • . . ' , Ilea ; cooli . :
/ Air Conditioning
Job site address: 1 e, 1 -14k 0. SW Nr W (requires site plan showing placem 4 6,75 ent? I 7 �r
City/State/ZIP: i 2 Furnace 100,000 BTU (duets/vea, 46.75
TJl'►/�. Furor= 100 000+ BTU (daoW 54.91
Suite/bldgfapt no.: Project name: S4a>n qt Heat . •I . 61.06
Cross street/directions to job site Duct work 2332
HHydronic hot water system 23.32
Residential boiler (radiator or
23.32
Unit
hydronic)
heaters (fuel -type, not electric),
in-wall in-du. s , • -• etc. 46.75
— Flue/vent for any of above 2332
Subdivision: Lot no.: Other 23.32
Tax map/parcel no.:
Other fuel appli ances
- ■
bF�CTtI1fTiCEN :OF;w7>taIc . . , •: ;. -; ` Water heater 2332
Gas fire
ju Rr A/� 3339
Ll r . Flue vent for water heater or gas
L , lace - 23.32
Lo:1i; .tcr 23.32
Wood/pellet stove 3339
Wood fireplace/ insert 23.32
I • last /tlue/vent 23.32
. PROPERTY OWNER •:., . - : '1 • .. • Other: 23.
Nam /�/� c*�aM � e: I Environmental exhaust and veullatton
� ^ �t�� r ° r Range hood/other Idtchen
Address: 119 S6✓ m/hy e•. . meat 33.39
City/State/Z>P: 17 4,4 OOP ?1� 2 .? ClSingle-duct t exhmaust 3339
(bathrooms.
Phor►e: . 2,j','- C.,2 Fax ( ) toilet compartrnents , utility rooms) 23.32
:':'`: APPLICANT.. ❑':CONTACT'PER$ON
Mk/crawls • ace fans 7132
Other: _ 2132
Business name: Or m }7h) ,B Fuel pitut
Contact name: za Ga // ' $14.15 for first four; 54.03 for each additional
Furnace, etc.
Address: / . Q J/✓ / /MO Ore Gas heat . , ,
City /State/ZIP: 7"" f ., h pg • Wal/suspetded/unitheater • ,
Mlle; Water heater
� e: (�') 6 Q /- 99 Fax: ) Fir • lace
E-mail: Ran:, •
: 1;O1 1 jTRACT0 t Barbeue
Clothes •
Business name: Or, en ijPatr tatter- 1;; -
/
Address: Le di - � — 1nC>►N1CAI.JeRnnT.I+&1Eti* '
city /state/ZIP: Subtotal jr.
Minimum permit fee ($90.00) gp, o0
1, Phone: ( ) / Fax ( ) Plat review (25% permit fee) •
„((// / CCB Iic.: j 6 ✓ State surcharge (12% of permit fee) /
(00 �" TOTAL PERMIT FEE / 0
Ibis permit app@eation embus if a permit is not obtained w itt�uo 186
Authorized srgne3urc: drys after it has been accepted ae complete. .
` 'Date. yy�� 4—.1 • Fee methodology set by 'h - Coanty Bolding brduftry Series Board
I Print name: c"7 !i I i_. HA,..... � /' —'fir•
04/26/2012 18:07 503 - 691 -8556 OREGON HEATING PAGE 02/03
First Floor
10
10 in ♦�
10
®.1sa 121154cr► - 1204 -0020
0
C First Floor
C
Garage
• cfm
•
Jurisdiction Tigard
SW Walnut CreeK Way
N
Job #: Oregon Heating & NC Scale: 118" = 1'0°
Performed for Page 2
Muhammad Shafgat 19300 SW 118th Ave Right - see Resident
13902 SW Walnut Creek Way Tualatin, OR 97082 6.0.108 RSR39325
Tigard, OR 97223 Phone: 503-891-9699 Fax 503- 691 -8556 2012,Rp 20A1.13
Phone: 213- 235 -8293 llotmc%b6�FoldarR rRedaet�onsltmc ..