Permit C ITY - OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00243
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/14/2008
PARCEL: 2S114BD -01200
SITE ADDRESS: 09860 SW RIVERWOOD LN ZONING: R - 4.5
SUBDIVISION: PICKS LANDING NO.2 LOT: 073 JURISDICTION: TIG
PROJECT: TORRENCE
Project Description: Installing A/C.
CLASS OF WORK: ALT 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
STANLEY & EVELYN TORRENCE Description Date Amount
9860 SW RIVERWOOD LANE
TIGARD, OR 97224 [MECH] Permit Fee 5/14/200€ $72.50
[TAX] 12% State Surch 5/14/200€ $8.70
Phone: 503- 684 -2056
Total $81.20
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: / Permittee Signature:
Call 503.6 9.4175 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.
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05/13/2008 13:28 5035572990 A -TEMP HEATING PAGE 02/03
. • - RECEIVE ONLY' ., .
Mechanical Perko it Application FOR OFFICE USE
..,
City of Tigard R,,,,iwo
MAY 13 200E Dra.,n , /3 oe- e Penult NO.! ,,... .,.. e•atE-.....-GOA..(3
^ 131.25 SW Flail Blvd., Tigard, OR 97223
Phone: 503.639.4171 Fax: . 503,598.1960
1 1111
Flan Review
Datc/Py. Other Permit: ..
TIGARD Inspection Line: 503.639.4175 CITY OF TIGAR )t,, Itencly/liy lnnr - El §ec■ Pap 2 for
Internet: www.ligard-ot.gov BUILDING DIVIS • • ificdn'tc'''1: Snrrarmrotal Information
Mechanical permit tees* are based on the value oldie work
0 New construction El Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
El DeinOlition 0 Other '. mechanical materials. equipment, labor. overhead, and profit.
: •• • - : • - : : : . . .. . . . ....,... . , ........ .. .. , ... „. „... .„ . .. :,.,., ., :::.... ‘ • : :::
Value:
: ::::...: ::.: ::.:. itibRY.::::OV:.:t ON,1rRIXTION.'''..:: :':::':::: :..::: .' . , ::: :. ': :.: ....
...: -.....iitSIDE.NTIMAQ.DI S:IENT.:/**04S,:iriES*:
Ei 1- and 2-family dwelling 0 Commercial/industrial CI Accessory building
.For special information use checkhst.
1:1 Multi-family D Master builder 0 Other:
ihscription Qty. .._ Ea. 'fotal
: :;;::: : ::" : : :::•;.::•:•' ::: .. -:: : : ::: •::- • ::• •::: Deating/e
lob site address; 9860 SW RIVIRWOOD LANE Air conditioning or heat pump
(requires site plan shotvitg plowmani) 1 _ 14.00
City/Slate/ZIP: TIGARD 97224 Pumace 100 000 BTU (clacIniyea 14.00
Furnace 100.000 BTU (ducts/vents) 17.90
Suite/bldg./apt. no : Project ionic: TORRENCE ...
_ ,_, . Gas heat pump 1400
Cross streci:/directions to job silt; Duct work 10,00
Itydronic hot water F t Cy jC1 , 14.00
Residential hello' (ra(Iiator or
--..
hydtonic) 14,00
Unit heaters (fhel-typc, not electric),
in-wall. in.duta, suspended. etc. 1 4.00
--- Pluc/vent for any oi' above 6.80
Subdivision: Lot: no.:
Other: L . 00
Tax reap/parcel no.; Other foci a lianecs
RtpT3t/ o"oi Water heater 1000
Oat flreybce 10.00
PUSH/PULL A/C Flue vent For water heater or gas
— ---
.firepliteo 10,00
—
— 1.oet lighter (gas) 10.00
Wood/pellet stove .1.0.00
--
Wood fire lace/insert 10.00
Name: STANLEY TORRENCE Environmental exhaust and ventilation
....
—,
Range hood/oThcr kitchen
Address; 9860 SW REV ERW001) LANE — equipment 10.00
---
City/State/ZIP: TIGARD OREGON 97224 Clothes dryer exhaust 1.0.00
Single-duct exhaust (bathrooms.
Phone: (503)684-2056 Fax; ( ) toilet compartments utility rooms) . . 6,80
:. ;.:::::: '.'': ;'• : .../....,' .. AllicicrawIRPace Vans 10,00
, ....„ . , . ... ,. , . .. ..... .. . „.........„.„.., ..,........,. . . ......,.
other: 10.00
Businoss name: ATEMP IMATINO_ANDSOINZICUISC Fuel plphij
Contact name: 16000 SE Evelyn St. $5.40 for first four; $1.00 for each additional
C1ackama03 — Purnace, etc.
Address: 1Q5A5_0:5,014_ Gas heat pump
City/State/ZIP: Wall/suspended/unit heater ___
Phone: ( ) Fax: : (503) 557-2990 ,,, W1I..7 banter
Fireplace ____ _
E-nia i 1 ;
Range
,- .
___
. .
'......, .....• iI.1 NIIIM.f1,,,,,..
Clothes dryer (gits)
Business name: —
Nrit, v1 "1.V. li 11 I St 1 6, 1 Other:
Address
. . . . . . . . . . . ,. . . .. ..., .. . .,. . .. ....... . , . . .
; ... . . . . .. ............,. .. ........... . Si .... .. ., . . . „ .... . , . it 16000.SE Evelyn
City/State/ZIP: aackarpas, OR 97015 Sti Wirth !.
. _
Phone: ( ) 5opil ) .Mimmum permit fee ($72.50) 72.50
.. Plan review (25% of porn-it fee)
CCB lie.: 71878 State surcharge (12% of permit Fcc) 8,70
- --
, 81
TOTAL PERMIT FEE .20
Aothorized 5i nature: a Pri i
,,,,„ ,......,,,,,„.. c,,,,,,— ..- LI permit in not. nfitninrci within vin
Print name: t ctArk.e , --\--3-t-C--q) Date: 05/13/08
dnyn niler It hms been neeepted as cmnplete,
1:1flailtlinpPerrniisI5IEC-PortnilApp.clut; 01/19/07 , 140- , 16177 ( 11/02/C.0MM/1M)
05/19/2008 13:28 5035572990 A-TEMP HEATING PAGE 03/03
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A-Temp-Heating & Cooling, Inc.
SITE PLAN
Prepared by: Date: /z g
Customer Name:3(2 10.1 Address: qF6D 56) (Inn - p
Customer Phone: 5 .
1.114,c6 c 1 - 72-.2- ( 7
Property Boundary Line
A.) •
•
1/4)
House
•
• .
J ; .
Street
CITY OF TIGARD
BUILDING DIVISION' PERMIT #: MEC2008-00243
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171 Ai ,
,_. : / rolitilil
Inspection Requests (24 Hrs.): (503) 639-4175 5/14/2009
INSPECTION WORKSHEET FOR DATE: 01412008 TIME: 7:03AM PAGE: 34
SITE ADDRESS: CLASS OF WORK:
09860 SW RIVERWOOD LN
SUBDIVISION: PICKS LANDING NO.2 LOT #: 073 TYPE OF USE:
PROJECT NAME: TORRENCE
DESCRIPTION: Installing A/C.
OWNER: TORRENCE, STANLEY & EVELYN PHONE #: 503684-2056
CONTRACTOR: ArTEMP HEATING & COOLING PHONE #: 1
Inspection Request Scheduled For: Date: 84/2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 073476-01 503-6042056 N
Corrections/Comments/Instructions:
a) - . A ,.. A.A , .e ,..- .5 • , , -0.,...e „ . _. ---J *-
...
,..--.
,..-
PASS pi PARTIAL APPROVAL [I CANCEL fl NO ACCESS
I I FAIL pi CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: , .--
/IA Date: 8_ 9- -_,0f5
Phone #: (503) 718- '2410.?■ /
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