Permit CI TY OF TIGARD MECHANICAL PERMIT
i� DEVELOPMENT SERVICES PERMIT #: MEC2005 - 00473
. � �! 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/3/2005
PARCEL: 2S 114AD -02600
SITE ADDRESS: 08876 SW WAVERLY DR ZONING: R -
SUBDIVISION: WAVERLY ESTATES LOT: 025 JURISDICTION: TIG
Project Description: Install 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: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
SCHWEITZER,BRENDA LEE Description Date Amount
8876 SW WAVERLY DR [MECH] Permit Fee 8/3/2005 $72.50
TIGARD, OR 97224 [TAX] 8% State Surchar€ 8/3/2005 $5.80
Phone: 503- 819 -1097 Total $78.30
Contractor:
A -1 AIR CONDITIONING CO INC
2038 NW ALOCLEK DR # 225 REQUIRED ITEMS AND REPORTS
HILLSBORO, OR 97124
Phone: 503 645 - 5900
Reg #: LIC 62102
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 -3 .
Iss ed By: k .04 / Permittee Signat � „� /' ; 1
Call 503 - 639 -4175 by 7:00 a.m. for inspections that bum:- s 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.
Aug 01 05 01:46p Denise (503)648 -3983 p.1
Mechanical Permit t E FOR' OFFICEUSE.ONLY City of Tigard V R-, ; Received 61 0S .4„ i. )th permit No. Vte...o41.1c'DD 75
1 3125 SW Hall Blvd.. Tigard, OR 97223 Plan Res Phone" 503.639 41 Fax 503 598.19 60 I G 2005 Other Petite
Date: Ry
Inspection Line. 503 639 4175 _{J Ali I Date Ready-"By: Jenn-
e See Page _fur
Internet. 'vww ci tigard or us t`oti ied:Method: ,a, Supplemental information
CITY OF TIIGARD
Bi44''E WOR I COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ New construction ] Addition /alteration/replacement Mechanical permit fees* are based on the value of the work
perlormed. indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other mechanical materials. equipment. labor, overhead, and profit
CATEGORY OF CONSTRUCTION L Value S
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
® I - and 2- family dwelling ❑ Commercial/Industrial ❑ Accessory building
For special urfOrmation use checklist
❑ Multi- family ❑ Master builder ❑ Other
Description I Qly I Ea i Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Air conditioning or heat pump
Job site address.
8876 SW Waverly Dr. l (requires site plan sl:ossinp placement) 1 14 00 14.0C
Ti City/State/ZIP gard, OR 97224
Cit y I Furnace 100.000 BTU fducls.ents) 14.00
Furnace (00,000'- BTU (duct,vents) 17 90
Suite /bldg /apt. no . 1 Project name:
Gas heat pump 14 00
i
Cross streetidtrections 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
Flue /vent for any of above f 10.00
Subdivision: I Lot no .
Other I 1(1.00
Tax map /parcel no : Other fuel appliances
DESCRIPTION OF WORK Water heater I 10.1)0
Gas fireplace i 10 00
Install central air conditioning Flue vent for water heater or gas
fireplace I i 10 00
Log lighter (gas) i 10.00
Wood /pellet stove I 10.00
. Wood fireplacc :insert 10.00
ChinulcyainertFlue yen[ 10 00 I
® PROPERTY OWNER I ❑ TENANT I
Other 10 00
Name- Brenda Schweitzer Environmental exhaust and ventilation
8 876 SW Waverly Dr. I equipment 10 \ ddrrss- �t equipment _ 10110
I Cif.• "State /ZlP Tigard, OR 97224 I Clothes dryer exhaust 10.00 I
Single -duct exhaust (bathrooms.
Phone ( 503) 819.1097 Fax. ( ) toilet compartments. utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Atticicraw fans 10.00
Other 10.00 _
Business name.
Fuel ['wing
Contact name. 55.40 for first four: S1.0O fur each additional
Furnace. etc.
Address.
Gas heat pump
City :State:ZIP : Wall/suspended /unit heater I ,
Phone ( ) Fax 1 ) Water heater I
Fireplace
E -mail: Range � I
l _ 1
CONTRACTOR Barbecue
Clothes dryer (teas)
Business name- A -1 Air Heating & Cooling
Other
Address 2038 NW Al ocl ek Dr. #225 1 MECHANICAL PERMIT FEES`
I City/State/ZIP Hillsboro, OR 97124 Subtotal _ 14.00
Minimum permit fee (S72.50) 72.50
Phone' ( 503) 645 -5900 Fax I 503) 645 -5900 Plan review (2.5 of permit fee)
CCB lie 62102 State surcharge (8% of permit feel 5.80
TOTAL PERMIT FEE 78.90
h/'( This permit application expires if a permit is not uhiaincd suthtu 150
Authorized signa iC ,i�ti� da after it has been accepted as complete.
Print name Denise McBride ; Date" 8/1/05 • pee mcthoJuiogy sett:). rn- County Building ind,isi-y Sc t i -.oe Bn.ird
Aug 01 05 01:47p Denise (503)648 -3983 p.2
i
NIP
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8874 sW WAVim.AI.Y DA.
- AR CITY OF D
BUILDING DIVISION PERMIT #: MEG2005 00473
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/3/2005
Phone: (503) 639 -4171 ill
Inspection Requests (24 Hrs.): (503) 639 -4175 �� ... ` mama
INSPECTION WORKSHEET FOR DATE: 9/23/2005 TIME: 7:07AM PAGE: 91
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: 08876 SW WAVERLY DR LOT #: TYPE OF USE:
PROJECT NAME: WAVERLY ESTATES 025
DESCRIPTION: SCHWEITZER
Install a/c unit.
OWNER: SCHWEITZER, BRENDA LEE, PHONE #: 503 - 819.1097
CONTRACTOR: A -1 AIR CONDITIONING CO INC PHONE # : 503 - 645.5900
Inspection Request Scheduled For: Date: 9/23/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 016366-02 503-819-1097 N
Corrections /Comments /Instructions:
€_ iL/ir .. t • , r t �..5 '7 • ---cc- • L est
s/�--
'ASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 9 Phone #: (503) 718-