Permit '• i
CITY OF TIGARD
MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005 -00190
►,L 6' 1 DATE ISSUED: 4/22/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 103AB - 04700
SITE ADDRESS: 11411 SW SHROPE CT ZONING: R - 4.5
SUBDIVISION: WALNUT GLEN LOT: 005 JURISDICTION: TIG
Project Description: Installation of A/C.
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:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
ROE, TRAVIS & AMY Description Date Amount
11411 SW SHROPE CT
TIGARD, OR 97223 [MECH] Permit Fee 4/22/200f. $72.50
[TAX] 8% State Surcha 4/22/200f. $5.80
•
Total $78.30
Phone: 503- 442 -1472
Contractor:
TRI COUNTY TEMP CONTROL '
13150 S. CLACKAMAS RIVER DR
OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS
Phone: 503 -557 -2220
Reg #: LIC 72623
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
•
Issued By: 2 . � , j'J , Permittee Signature: pip
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business d
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
',.Flpi'l 19 05 06:41p
TriCount Temp Cntrol 5035570919 p.1
4
Mechanical Permit AppREGEIVE ID ..
. .
' FOR OFFICE USE ONLY
City of Tigard • Received ,
.‘ A 6 ,
13125 SW Hall Blvd., Tigard, OR 97223 APR 21204111,0 Date/By: _ ... /
Permit No. , 7d/91
Phone: Plan Review li __.■.. .,.._ W
Phone: 503.639.4171 Fax: 503.598.1960
/..1-..e...f..,1 Date/By: Other Permit:
Inspection Line: 503.639.4175 CITY OF TI : ,.:4. Date Ready/By:
Notified/Method
Internet: www.ci.tigard.or.us BUILDING DIY
IBM rup
:
- II '
i7..ic.§diEriutE
0 New construction '$ Addition/alteration/replacement Mechanical permit fees are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
.... . .
Value: $
-..; • ..--,.:.: '!::CATEGORY:': ..T:.:.., ' -. ,.... • - :.,.. E. -
I ;..S.:..::.7 /SYSTEMS. FEES*
Igt 1 and 2 dwelling 0 Commercial/industrial 0 Accessory building
I For special information use checklist.
0 Multi 0 Master builder 0 Other:
Description I Qty. I Ea. 1 Total
79*;:Pi±0 ': Heating/cooling
Job site address: 1144 1 , s w il
61,z) M t Air conditioning or heat pump
(reauires site plan showing placement)
I 14.00
City/State/ZIP: il (4 Furnace 100,000 BTU (duets/vents) 14.00
i Furnace 100.000+ BTU (ducts/vents) I '. 7.90
Suite/bldg./apt. no.: Project name: •
Gas heat pump 14.00
-.
I I
Cross street/directions to job site: . Duct work 14.00
Hydronic hot water system I !4.00
■ Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel-type, not electric),
in-wall, in-duct, suspended. etc. 10.00
Flue/vent for any of above 10.00
Subdivision: I Lot no.:
Other: _ 10.00 i
Tax map/parcel no.: Other fuel appliances
- ..f -:::::'■'.:::...7.;41' t : - .." iFi'' f ' 1 '::■! :: :: . "'S . :..." . :iideiiiiiii6;* . lt;=::i.ii.eiik..,.::..: : !:: . :',. , ..::::Ki:!.9 Water heater 10.00
fil 44; Gas fireplace 10.00
Flue vent for water heater or gas
I ri
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
10.00
'
-.::4,...4 •,r,,.. T-N,,ei, ......-....,4,- ,..,..... ,., ,...,..:;? ,,..... i .. . Chimneyniner/flue/vent
' Other 10.00
Name: 7111V It e) _ c)v,,,, Environmental exhaust and ventilation
Range hood/other kitchen
Address: Sallif_,
equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
Phone: 60) 4.4e441,2- Fax: ( ) Single-duct exhaust (bathrooms,
toilet compartments, utility rooms) 6.80
7 04401,f r‘ Atti c/crawlsnac e fans 10.00
Other: 10.00
Business name: Tn Cati=imp COP Fuel piping
Contact name: ail arte n 55.40 for first four: 51.00 for each additional
Address: OM 6. e[cirkttind Rkirrdpuc) Furnace, etc.
Gas heat pump
City/State/ZIP: c
'rcgon (I tki k_ q 7045 .. Wall/suspended/unit heater I .
Phone: ( .„6) 557•_ 2220 I Fax: : (52) 557-Cfitq Water heater
Fireplace 1
E-mail:
1 Range I
1 40#409 - -01t*P - 1 14 .k r sat" . .7.egi l ii::=4 . .: -. :
Business name: id cow'rf Tory Corrtre1 Clothes dryer (gas)
' Other:
Address: 12)5fJ G tirnas Ri Mr,l)ri trC , :- . =": .., ;: , i:::- . ...•q":. ,, -.4idpA - i , iirdktiiiikiciiii , :iiig* , :.- ..• • .
City/State/ZIP: CI 4i Or011 c crnA5
. Subtotal 1
Phone: (a3) 55 T 27 ? 9 (-) Fax: 003 65-7 -061 lel Minimum perrnit fee (S72.50) !
Plan review (25% of permit fee)
)
CCB lic.: 721 State surcharge (8% of permit f ) 3 , !
TOTAL PERMIT FEE I '
Authorized signature: 1t1)°CX---.
This permit application expires If a permit is not obi d within 1
.2r/2-7- 7 ? r
days after it bas been accepted as complete. -
Print name: s ima_ne ma_50i1 I Date: 1 • Fee methodology set by Tn-County Building Industry Service Board
:: 12/03 440-4617T (I I/02/COM/WEB)
pr= 19 05 06:42p TriCounty Temp Cntrol 5035570919 p.2
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CITY OF TIGARD ..
I BUILDING DIVISION PERMIT #: MEC2005 -00190
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/22/2005
Phone: (503) 639 -4171
At ,ij I
Inspection Requests (24 Hrs.): (503) 639 -4175 .-' !�i 1Y.
INSPECTION WORKSHEET FOR DATE: 4/28/201 , TIME: 7:24AM PAGE: 59
SITE ADDRESS: 11411 SW SHROPE CT CLASS OF WORK:
SUBDIVISION: WALNUT GLEN LOT #: 005 TYPE OF USE:
PROJECT NAME: ROE
DESCRIPTION: Installation of A/C.
OWNER: ROE, TRAVIS & AMY, PHONE #: 503- 442 -1472
CONTRACTOR: TRI COUNTY TEMP CONTROL PHONE #: 503-557-2220
Inspection Request Scheduled For: Date: 4/28/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 005563-01 503 -557 -2220 Y A01
Corrections/Comments/Instructions:
6 1.11 : 5•
PASS MI P. RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I
❑ FAIL VC/ FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: Date: z{28-05 hone #: (503) 718 -
p Date. P ( )
i
'• i
CITY OF TIGARD
MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005 -00190
►,L 6' 1 DATE ISSUED: 4/22/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 103AB - 04700
SITE ADDRESS: 11411 SW SHROPE CT ZONING: R - 4.5
SUBDIVISION: WALNUT GLEN LOT: 005 JURISDICTION: TIG
Project Description: Installation of A/C.
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:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
ROE, TRAVIS & AMY Description Date Amount
11411 SW SHROPE CT
TIGARD, OR 97223 [MECH] Permit Fee 4/22/200f. $72.50
[TAX] 8% State Surcha 4/22/200f. $5.80
•
Total $78.30
Phone: 503- 442 -1472
Contractor:
TRI COUNTY TEMP CONTROL '
13150 S. CLACKAMAS RIVER DR
OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS
Phone: 503 -557 -2220
Reg #: LIC 72623
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: 2 . � , j'J , Permittee Signature: pip
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business d
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.