Permit . CITY OF TIGARD
MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00218
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/20/2007
PARCEL: 2 S 10 5 D D - 0 7600
SITE ADDRESS: 13815 SW SANDRIDGE DR ZONING: R - 7
SUBDIVISION: COSTIUC PART/MLP2001 LOT: 003 JURISDICTION: TIG
PROJECT: GROSS - _
Project Description: Replace NC
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERSICOMPRESSORS 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: WOODSTOERS:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1
GAS OUTLETS:
> 10000 cfm:
- Owner: FEES
MICHAEL GROSS Description Date Amount
13815 SW SANDRIDGE DR.
TIGARD, OR 97223 [MECH] Permit Fee 4/20/2007 $72.50
[TAX] 8% State Surcha 4/20/2007 $5.80
Total $78.30
Phone: 503 -524 -3303
Contractor:
TRI COUNTY TEMP CONTROL
13150 S. CLACKAMAS RIVER DR
OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -557 -2220
FAX 503 -557 -0919
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Reg #: LIC 72623
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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
issu9nce, 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: Z.64#677 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.
FROM :5035570919 FAX NO. :5035570919 Apr. 20 2007 08:24AM P1
• 1Vi eca� al Pe
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it of Tigard Received FOR OF'r1Ci[ 1;.1')_: ONi.V `,
13125 SW Hall Blvd., Tigard, OR 9 1 1 2 n � � i U / 1]ate/Byi Per No.; — 0022
Phone: 503.639.4171 Fax: 503.5W.19 Plan Routes/ —��/
Inspection Line: 503.639,4175
CITY Of TiGARD 4. „,,`' ,�''':���'I Ready/Br
« omen Permit t
Internet: www.c;.tigard -,us See Page 2 for
BUILDING DIVISION Notified/Method:
Supplemental Information
y ,
, A�1.�:1'y y 58:t1s! L '� iP” r.a rl .�y� .. �. ?= }x•i " ,..,�. •. . _
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:.,h' :.' - ,1,:..J�; ,+f :f .ail ,+, :0x.,,i., t " .
o New construction 1 ■ i Addition/alteration/replacement Mechanical permit fees* are bused• on the value of the work
❑ Demolition ❑ Other: performed, Indicate the value (rounded to the nearest dollar) of all
}c 4-.3„. :: „ ; �yy,� • .. y �� ; mechanical materials, equipment, labor, overhead, and profit.
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� ' 4f'�FJFI' 3tj -
' s �.;,,,:,:ty1
/' l and 2-family .egia ...3:.∎ii ; ; '- "e va,; : Value:
dwelling ❑ Commercial/industrial tal/industnal Other: g �� �`f F1''; . ..• . '•,.'
emit d ❑ Master builder n - �. � For special n a � /: : i�i S 'kEMS; t?T1;S+
y wellin C [] Accessory building •• >� • •,:.; .
" • Multi info rmation "..rcc checklist.
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�� 5i tt� 1 �1' n .. , .. Description
:'4' i mk�. 1.q"-7-1.5rr. a q0-' '. . m ";i° '1' �l „'.: }, a Qty Ga. 1 Total
_.
W ...� ., 0- * :- 'o i:f• o I d : .. Heat
Job site address: Air conditioning o r heat pump
• - I i•� alL• �J _ titre site • Ian showin : • lnceme,n 111 14.00 C A
City/State /2fl - ® 411P Mea - Furnace 100,000 BTU (ducavvental 14.00
Suite/bldg. /apt. no Project name: Furnace 100.000+ BTU (ducts/vents) 17.90
- Gas heat pump 14
Cross street/directions to job site: Duct work 14.00
,. Hydronic hot water system 14.00
— Residential boiler (radiator or
• h dronic 14.00
Unit hearers (fuel -type, not electric),
in -wall, in -duct, su • ndcd, etc, 10.00
Subdivision Lot no.: �. Flue/vent for any of above 10.00
Tax map /parcel no.:
Other: 10.00 .
Other fuel appliances
.4 �Yk'�` . '� :ws n�lU,;lJh}4+f �� �,n - ! air: .. �, ..� 4:�:w' t;'�•e�
, ;: : ',M..:;° . t .. + .. �y sS 0,00* ,IOliN: <1�, a t” . - ; :` i i,., ... "'• •rr " yl ' Water heater 0.00 , —
MI i � Gas f • lace 10.00 •
• Flue vent for water heater or gas
. fire. lace 10.00 •
�'• ____ Lo: li: ter _ : ; 10.00_
Wei , 'end stove 10.00
Wood I"i " 'lace/insert 10.00
" :-, v' I :: 1 . . ; a !‘1.. ti a r1,; i • . , : • :.�!::,�,' ChimneyChimney/liner/flue/vent 10.00
t P 1 .,. :•h '��i . e1 . . iJ` " tl '� R ••.,. S ` ^%)l�I'�'I e i :" c' ✓'' �•
�� ±;r� -.145.4..4... N �. ∎•. ,.,;J;:Ir¢,3 Other 10.00
Name: 1 . C
4LA-e , l E nvironmental exhaust and ventilation
Address: Rrfftge hood/other kitchen —
e • Ili . meat 1
00 Clothes d` cr exhaust _ 10.00
y - �"'" 3ingt exhaust (bathrooms,
Phone: ' •
hs'�i�� Fax: ( ) toilet co eo .. �- artmenta, trill rooms �� 6.80
, A. i� � " . : . r �ir� "i G j # . � rjs; i ,�� Att1C /Crawls ace fans 10.00
fr
Other:
1 rl C A , . IQ • CO it . l er: 10.00
._ ,
Business name:
Ttud pipinst __
Contact name: k a 11 nn 7045 Wa . $5.40 for first four; $1.00 for each additional
Address: 131a0 6.0.0.( lay N v r Uri l . Furnace. etc.
...... ~
heat � trp
City/Stat
�C; e/ n ZIP: C - / �''� heat
heater
Phone: (:J6) 557-: ` Fax:: ��Jt.
����m J5� 7 n Wa Water heater
E mail Fireplace �-
,, : �6.; J,,�; 4. . li` M ` A p t t; c, e t �C". ��_ hi < + � Barbecue Eli:
Business name: Tn � T L Corot p • Clothes • cr :as
Address: t 1 "JV (• ah!h h/l/� 3 �� 1 U • ; Other^ ��>r� t i �cn�
CirylState/ZtP q Qr oo 08 l�
Phone: ( r, t:� r, �.
Subtotal
55y-222‘) I per 6r �/7 .� V"6 1 Minimum permit fee ($72.50) 1 2
:J „
�� Plan review (25% of permit fee)
CCB lie.: - 7(•✓Sll 2 r. State surcharge (8% of permit fee) - 2 -
d TOTAL, PERMIT FEE CO
�•C�
AuthariZed Signatsignature: a �
Thu permit application expires it a permit is not obtains it� n �61i
� days serer it has been accepted se complete.
AAA
,304 name: ), • / I NII�Q4 Data:: al,iiDS • Pee methodology set by I'd- County Building Industry Service Board
FROM :5035570919 FAX NO. :5035570919 Apr. 20 2007 08:25AM P2
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CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MEC2007-00218
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2W 007
Phone: (503) 639 -4171 ig, Il
Inspection Requests (24 Hrs.): (503) 639 -4175 F_ _..
INSPECTION WORKSHEET FOR DATE: 5/1/2007 TIME: 7:00AM PAGE: 42
SITE ADDRESS: 13815 SW SANDRIDGE DR CLASS OF WORK:
SUBDIVISION: COSTIUC PART /MLP2001 -00005 LOT #: 003 TYPE OF USE:
PROJECT NAME: GROSS
DESCRIPTION: Replace NC
OWNER: GROSS, MICHAEL PHONE #: 5 503- 524 -3303
CONTRACTOR: TRI COUNTY TEMP CONTROL PHONE #: 503 -557 -2220
Inspection Request Scheduled For: . Date: 5/1 /2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 047404 -01 503- 657 -2220 N
Corrections /Comments /Instructions:
- C%7?2.( /!4 -L // A.G ]4-( . C L, -,•=v.) 4 A/•
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL 0 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: �-1 - Z Phone #: (503) 718-