Permit /- --
CITY TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00239
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/27/2007
PARCEL: 2S109DB -04300
SITE ADDRESS: 13063 SW SUMMIT RIDGE ST ZONING: R -7
SUBDIVISION: SUMMIT RIDGE NO. 3 LOT: 122 JURISDICTION: TIG
PROJECT: DUONG
Project Description: AC INSTALL
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:
ELE 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
WO
GAS PRESSURE: 50 + HP: CL DSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS LO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
LEON DUONG Description Date Amount
13050 SW SUMMIT RIDGE CT
TIGARD, 97 97224 [MECH] Permit Fee 4/27/2007 $72.50
[TAX] 8% State Surcha 4/27/2007 $5.80
Total $78.30
Phone: 503- 860 -7440
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
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: Q. Permittee Signature: f
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.
APR -2f:. 004 08:05A FROM: TO:5035981960 P.1
Mechanical Permit l ' . FOR OFFICE USE ONLY
J �i
City of Tigard V CC1V0d '
Perri* N.
� . i • dD..
13125 SW Hall Blvd., Tigard, OR 972�QP R 2 6 2007 Date/By: " f , Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 4 .,ry • � D
Line: Other Pertait:
Inspection ne: 503.639.4175 CITY OF TIGARD Y .Il� • I I 1 Date Ready/By: Awl. ® See Page 2 for
Internet: www.ci.tigard.or.us BUILDII 1G DIVISION Notified/Method: Supplemental Information
i r� `.t � �yy 417 I 9{M' °.. * 4 (1 � !F? t,'. i lgi `" y � MAST'
+'`�FM ..f" . ::��IIJC 11 . 1' �: +� 2!al'' Q •.� ' �.: " ' Y ., . . .':U'� . 11+.qi "Yc• ,�a'.� ;!fe'�Y•+' __� �4C�+�•F'�.1 :�'��il
,m Mechanical permit fees* are based on the value of the work
❑ New construction N Additi In/alteration/re performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition • Other: mechanical materials, equipment, labor, overhead, and profit.
[�r ( I.'RTON}G q�bP � ?E fd,'ir? s •; Value: S ((J( �}� p��
3U 1' . nw W1 1 , a)J el l tir
A ! .11‘0 1. 1, ,...., F.htri M1..% 4,1, ,lie J• • 1 r. till. n..y � .,.. .. /. J!JN1y S':iI S
X 1- and 2- family dwelling ❑ Co cial/industrial ❑ Accessory building t' " � ' � `
For special information use checklist.
❑ Multi-family ❑ Mastel builder 0 Other: Description I Qty. I Ea. I Total
i ..: ±l 'a_ �y e`,L' ""..b e y t O +:,o`� v.:! s:., . , ".
4 i ' i.'Z..,.tim.Jr, °�=.,. r.. - s" ' �, � � � � +••,,,,.,.: .. , .. Beating/cooling
site address: 13b
/� ` Air conditioning or heat pump
" I� r ( (requires sue plan showing placement) 1 14.00
n 14.00
r
City /State/ZIP: - riA I ' 4 Furnace 100,000 BTU (ducts/vents)
Suite/bldg./apt- no.: vvv Project name: Furnace 100,000+ BTU (ducts/vents) 17.90
Gas heat pump , 14.00
Cross street/directions to job site: Duct work 14.00 •
• Hydronic hot water system 14.00
Residential boiler (radiator or
• hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00 .
- Subdivision I Lot Flue/vent for any of above 10.00
I Other: 10.00 ;
Tax map /parcel no.: Other fuel appliances
;, : . ;1' • '' '-a:- '�,, 1 'Ili:4 0N: i;' 66 ip 17 ill f LE{.p.,k:.U,. !'.. ;r. i T;:' Water heater 10.00 '
Gas fireplace 10.00
Flue vent for water heater or gas
I rrjill ti P4G fireplace 10.00
V Log lighter (gas) 10.00
- Wood/pellet stove 10.00 _
Wood fireplace/insert 10.00
�"p , w. E ". Chimney/liner /flue/vent 10.00
`.k'_s f l s �a Y OP*itr: !' 1-3 °'x'51 st,�/M .•FP. , � it.,- `I`.V . .: ;0"'�s _'�1,a` Other. 10.00
Name: Pon • a Environmental exhaust and ventilation
Address. � ; Range hood/other kitchen
equipment 10.00
Ciry /State/ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: Mt) CA(40111 • Fax: ( ) toilet compartments, utility rooms) 6.80 .
--- p "" , Attic/crawl ace fans 10.00 _
Business name: 1�1 /'^I' 1.�1W ` I V y�-� I _ CO 1 Fuel
Tr 1 T _ • CO • J Other piping
Contact name: QQ // 1 55 ;40 for first four; $1.00 for each additiona
Address: la I Do V CIQC }/ lv / � �/ � � -Y Furnace, etc.
Gas heat pump
City/State/ZIP: c n CI -N e (, q70.4.5 Wall/suspended/unit heater
D /
Phone: (
) 557- I Fax:: (543) 557 l Water
he ater
E -mail: c Range
f: r . ! i �� - '_. nT � s {7,'{� ,'f '1 ,�+`: �c ky,..{�(iy.,].• : 74 r t. ',� " 'I�. ilVI P'4 VJ' .
,-�: � `7 • :..?'w Jrj�IF�:. CO tt e ° Ali n7._•3_ "si.`,,�,1: ;yd 4v ", ,:e.1..+'t,1 • . , fry 3:£•. Barbecue ..
Business name: Tri CO i Co r troI Clothes dryer (gas)
(�',/� (1 Other: _
Address: � C 1 �sJl! � • 1.1 I ► t V `-+ �� 'i r ii�4 i' '' ` r . - . , � s J a ,. . , •
Ciry /State/ZIP: . 7 Subtotal
��
or on
o
55 -` Minimum permit fee (572.50)
Phone: () ��1� Fes: ( ) �5 7 lq Plan review (25% of pemtit fe
CCB lic.: 72'60 State surcharge (8% of permit fee I V s b (f fl
TOTAL PERMIT FE
„ ) �`^' '
/� � A This permit applleadon expires It a permit Is not rib ned within
Authorized signature: days after It has been accepted as corn ere.
Print name: Q N(a�6r l I Date: 4 1251o1 I • Fee methodology set by Tri-County Building Industry a Board
1. 11:4: 14:1.040....a,.i►mr'.o.,.,a,•..,. t.. t1m1 440461T111i,o2,03MAVEBI
€A I
•
4. ' CONTRACTOR NC -HEAT PUMP UNIT SITE PLAN_
,
I l/ ` Direct -l-�o n w r ce} T O BACK PROPCRTYLINE m
c I 2C 7C ^-, .
xi
o
TS . • a
• fccT .
• TO SIDE PROPERTY LINE .
•
'FCei ro � ?roIeriy Live
'T`
Q
4' , TO STREET
-I
0
o
m
w
CUSTOMER )NFORMA N co
LWfl NAME ' •
o
ADDRESS
r
490 •
13.tm I PLEASE REFAX APPLICATION WITH SITE PLAN.
..::. /: I a N
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00239
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/27/2007
Phone: (503) 639 -4171 �..�tt yy l�l
Inspection Requests (24 Hrs.): (503) 639 -4175 !� F:_..
INSPECTION WORKSHEET FOR DATE: 5/9/2007 TIME: 7:00AM PAGE: 52
SITE ADDRESS: 13063 SW SUMMIT RIDGE ST CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE NO. 3 LOT #: 122 TYPE OF USE:
PROJECT NAME: DUONG
DESCRIPTION: AC INSTALL
OWNER: DUONG, LEON PHONE #: 503.860 -7140
CONTRACTOR: TRI COUNTY TEMP CONTROL PHONE #: 503- 557 -2220
Inspection Request Scheduled For: Date: 5/9/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 047926 -01 503 -557 -2220 Y
Corrections /Comments /Instructions:
1
( 9 >I
1.
. PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CA L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718 - ,2 (16