Permit C ITY OF TIGARD MECHANICAL PERMIT
PERMIT #: MEC2005 -00366
DEVELOPMENT SERVICES DATE ISSUED: 6/21/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
-PARCEL: 1 S133DB -10800
SITE ADDRESS: 11339 SW PLUM TERR C -9 ZONING: R -25
SUBDIVISION: SCHOLLS FERRY ROAD TOWNHOMES LOT: 034 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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
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
DOYLE, MICHAEL & JUDITH Description Date Amount
11339 SW PLUM TERR
TIGARD, OR 97223 [MECH] Permit Fee 6/21/200f. $72.50
[TAX] 8% State Surcha 6/21/200f. $5.80
Total $78.30
Phone: 503 -521 -8162
Contractor:
CARSON OIL COMPANY INC
3125 NW 35TH
PO BOX 10948 REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97296 -0948
Phone: 503- 224 -8516
Reg #: LIC 8388
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: AA E��- 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.
•
Jun ,?0 05 10:27p CRRSON OIL CO 503 2242456 P -3
•
r
. Mechanical Application
A Datereceived: : -. 4 9---,5- - Permit 6L2 4963.- _a 1 j- ' City of Tigard . ress: 13125 EC E I V L) Project/appL no.: 101. -- Expire date: • Gg►36 6
. City a gard
Address: SW Hall Blvd, rg ard, OR 97223 Date issued: By: I Receipt no.:
Phone: (503) 639 -4171
• Fax: (503) 598 -1960 ' ��� 2 1 �Q Case file no.: Paymenttype:
• Land use approval: ciTv nF TIGARD Building permit no.:. - 71( r -
a
TYPE OF P 'R111T
u • O 1 & 2 family dwelling or accessory Cl Conimercial/industria Cl Multi family • Cl Tenant improvement
'`': ' - -' ¶; Cl New construction . . Cl Addition/alteration/replacement' Cl Other: •
.1013 SITE lNFOl MMATION C(.1;1111ERCIAL VAI_(iATlON SCHEDULE
Job address: / /.. U i i S / , ,Q /n'i /.3'/2 r.. R, 'C: . Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: I Suite no.: value of all mechanical materials, equipment, labor, overhead,
Tax map/tax lot/account no.: profit. Value $ -
Lot Block: I Subdivision: *See checklist for important application information and
Project name: 0 c''/ . jurisdiction's fee schedule for residential permit fee. - • .
,�:=: City/county: i qued t /� IZIP: ) Q, I & 2 FAMILY DWELLING PERMIT FIX: SCIIEDU1.E
1 1 ' tIC:11_ /IN (Sl7RIAL E Q lil '1 . .
Descrip an location of work on premises: 4i24) 44C...„) AND CO. 1, l L1 D (1 1 . II_h� 1 SCI IEDL I,E
:; : . _ia. i C [. "�' *Z f /1,[r ?? lira• ) 77 ' d • Fee(ea.) Total
r, K=' Res. Res.
, s: :Est. date of completion/inspection: Qh• y y
` ; Tet improvement or change of use: S AC:
: n an m
.�,. Air handling unit • CFM
r!�s;�. . Is existing space heated or conditioned es D No Air wndi6ouin site lam
J . i:: Is existing space instil Yes O No Alteration of existing HVAC system
Bocomprors
risiness name: ,('.x 0/ 1.-. •HP Toes BTU/H
Stateboiler / pemt
i • ";A ddress: 3 / . / �/L A / 1 O v / M c1& Fur/smoke dampers/duct smoke detectors '
. `.'.City; "P'Q�jTL -,R ivrf� State a zip: 071 . eat . • (site • Inn _, u ;�)
,4-L: i r • 3 ? • a�f � f y! -mail ' Including ductwork /vent liner O Yes O N
�; CCB no.: 3 Install /replace/relocateheaters- suspended,
i-' •l4 7�
x - � � ,,.GSty /met lic. no. . wall, or floor mounted . '
1 ; 'Maine (plimaa print): A ---A — C r e•• . . Vent for ... fiance other than furnace
:. q ,: ('oNT:1CI P1' :RSON
_ • Absorptionunits BTU/H
aun=ts HP
V; M aims:. • • • Fnv(ron exhaust and vent - !nation: .-
. e„�C9ty; • _ • .. . I State: ZIP: . . App1iancevcnt • .,
,• done: • Fax: E-mail: . Dryerexhanst
Hoods, Type U IlIres. klrchen/hazmat
_y 'ir. hood fire suppression system
•
• ter: farng •!?i ' / eel. 1,,f,0) / � O '4L '
'.. Exhaust fan with single duct (bath fans) • • • 3' r , Mailing address: • / '3 � r - i zi, . . - • • k - r • Exhaust . ..: f r o m heatin .. or AC - .. • • •
City:•: -' ...... • � Tf! 7IP: • Type:: LPG NG Oil •
: : ; ti . • . ..: a t e ..;. ax:. e 4 • In a r tto over ' ou eta .
. °j• ENG1NLLlt ' , - piping(schematicrequired . •
:' N umberofontlets
`- t?• . A di'e:5s: • - ap or meat:
' � Deoorativo6rcplace
:. : Clty .r': .. S •.__� , i nsert - type . -
' i`el?fione:. l : • " • Cr�OArj _ : , .• . , • , . '7' etstove
:;fi ' f4plicaat's signature." �aa ko r _r am •
' 1. Name (print): -
ya';-;.•,;-"."- � �� I r-� - • _
:, Permit fee $
•�. RR a en juetsdiedaes sceept ma cards. prase can jurisdiction for more Infocmailo • Notice: This permit application Minim fee $ '7.-2 3�'
4,? l' O MasteiCerd
43 2.
^ / / expires if a permit is not obtained Plan review (at t ` 4 $ 1
h` :;, Expires within 180 days after it hay been State smrhar (84b) $ v
-. i;; , • • z , Nnme . .. shown m credit care aocePted as oamptete .TOTAL $
A-1.... isi=31:•.::. Cadaelder sigma= Amami , �00
4404617 (6VCOM)
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Doyle Residence
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11339 SW Plum Rerrace
- OVER 10' 1A Tigard, OR, 97332
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CITY OF TIGARD , = ._
BUILDING DIVISION l,
PERMIT #: MEC2005 -00366
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/21 /2006
Phone: (503) 639 -4171 �i� d4r41 I
Inspection Requests (24 Hrs.): (503) 639 -4175 "+� "'IL
/S
INSPECTION WORKSHEET FOR DATE: 6/29/2005 TIME: 7:08A PAGE: 85
SITE ADDRESS: 11339 SW PLUM TERR C-9 CLASS OF WORK:
SUBDIVISION: SCHOLLS FERRY ROAD TOWNHOMES LOT #: 034 TYPE OF USE:
PROJECT NAME: DOYLE
DESCRIPTION: Installation of NC unit.
OWNER: DOYLE, MICHAEL & JUDITH, PHONE #: 603 -621 -8162
CONTRACTOR: CARSON OIL COMPANY INC PHONE #: 603 -224 -8516
Inspection Request Scheduled For: Date: 6/29/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 010377 -01 603-224 -8600 Y
Corrections /Comments /Instructions:� �`— `
0 - C X61' 7bO0 'C u c...JL__
prL
ef.A".,;ge__,Aip .4 6.7L e.vlse_., --- ie w ..---C .
[PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
4 Inspector: Date: LP/20 Phone #: (503) 718-