Permit - -� - -a CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00136
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/12/2007
PARCEL: 1 S125DC -02400
SITE ADDRESS: 07020 SW VENTURA DR ZONING: R -4.5
SUBDIVISION: WASHINGTON SQUARE ESTATES LOT: 027 JURISDICTION: TIG
PROJECT: BROWN
Project Description: Installation of 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:
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
RON BROWN Description Date Amount
7020 SW VENTURA DR
TIGARD, OR 97223 [MECH] Permit Fee 3/12/2007 $72.50
[TAX] 8% State Surcha 3/12/2007 $5.80
Total $78.30
Phone: 503- 201 -1715
Contractor:
A -1 AIR CONDITIONING CO INC
1093 SE 37TH AVE
HILLSBORO, OR 97123 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 645 -5900
FAX 503- 648 -9824
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 1.800.332.2344.
Issued By: J� Permittee Signature: � \jr \Q
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.
Mar 12 07 06:29a Ross McBride (503)648 -9824 p.1
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Mechanical Per r.l o � - __ - - - _ =FOR OFFIC USE ONLY =__: - -- - -
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Ciity of Tigard w ReCef`ed / � !,
b /7 Permit No
I i 125 SW Hall Blvd • Tigard. OR 97223 DattBy' L/l ���d �
Phone 303.639. 1171 Fns. 503 59S 19��1A 200 Plan Review �If Date/By' Other Permit.
Inspection Line 503 639 4175
. -411, Date Readv� Juns 1 lid See Page 2 fur
Internet: w onus \,f/ \otiiiedAlethod: Supplemental Information
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,, OF \VORI. COMMERCIAL FEE` SCHEDULE - USE CHECKLIST
❑ 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
❑ Demolition ❑ Other: mechanical materials, equipment. labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value. S
RESIDENTLAL EQUIPMENT /SYSTEMS FEES"
1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building
Multi-family builder Other.
For special inform ation use checklist.
❑ i lulu far ly ❑ Master bit r ❑ Ot
Description 1 Qty. Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
r• , Air conditioning or heat pump
Job site address:
7O a 0 -s v..,,,, v a " ci 22", A /2, / V E (requires site plan showine placement) / 14.00 i
I City :'State /ZIP: r / G .ea 12-b 9 ? z 2.3 Furnace 100.000 BTU (ducts/vents) I 14.00
Furnace 100.000+ BTU (ducts/.ents) 17.90
Suite /blde./apt- no. f Project name
Gas heat pump 1100
Cross street'directions to job site Duct work 14 00
Hydronic hot water system 14.00
1 Residential boiler (radiator or
( hydronic) I 14.00
1 Unit heaters (fuel -type, not electric).
in -wall. in -duct• suspended. etc. 10.00
Subdivision Lot no.: Flue/vent for any of above 10.00
Other: 10.00
Tax map /parcel no.. Other fuel appliances
DESCRIPTION OF WORK , Water heater 1 10.00 I
Gas fireplace 10.00
/ 1 12_ C L jtjJ> 1 7 1 0 A E--re.. Flue vent for water heater or gas
fireplace 10.00
Log liehter(gas) 10.00
Wood/pellet stove 10.00
I Wood fireplace:insert 10.00
1 B PROPERTY OWNER 1 ❑ TE \At\ C Chitnncytliner /(lueir'ent 10.00
Other: 10.00
Name: P. 4t) .i,1 j' i'ar IA ) Environmental exhaust and ventilation
Address- Range hood/other kitchen
AM !� equipment 10.00
City /State /ZIP: Clothes dryer exhaust 10.00
Single - duct exhaust (bathrooms. i
Phone: (6-03) Z G / _ .' -'-1 1 _.5 ' Fax: ( ) toilet compartments, utility rooms) 6.80 I
g APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 1 10.00
Other: I 10.00
Business name. ,,,t) 1 , t fZ C Q ,A.)D 1 T" I ate.) zA.)6.- _.l.lve - Fuel piping
Contact name: S5.40 for first four: 51.00 for each additional
t Furnace. etc. 1
Address: / C e, 3 S C 3 - 7 - r H 1 r. ∎ r= Gas heat pump
C•rty E , { / L L. 5 i. -z, 0 g _ G Cj - 2 1 a 3 Wall /suspended/unit heater
�D G 3 Y , 76^ d./ Water heater
Phone ('^ ) c Fax t70 ) v z Fireplace
E -mail. . Al2 CO/L3 b 1 i l oti :/v Cr- �v v4 --1703 CG ,L.3 e 1 I {
CONTRACTOR Barbecue I _
Clothes dryer (gas)
Business name At _ 1 1 q jG Other I
Address: MECHANICAL PERMIT FEES`
City /StateiZlP: Subtotal
Minimum permit fee (S72.50) 7 L. 5
Phone: ( 1 Far ( ) Plan review (25% of permit fee) ti , A U
CCB lie. c' / 6 State surcharge (8% of permit fee)
TOTAL PERMIT FEE ,') S. 3 C
This permit application empires Ira permit is not obtained •tithin 180
Authorized signature: p ti _. -74.� (....., 1_,,,,+-.j /�, days after it has been accepted as complete.
Print name Fp 5 3 /`-L G J ? /= 1 c> Date: 3 - j 2 . _ 0 -7 I - Fee methodology set by Tn- Count} Building Industry Sen ice Board
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00130
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/12/2007
Phone: (503) 639 -4171,
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/15/2007 TIME: 7:01AM PAGE: 67
7 Z r"i
SITE ADDRESS: 07020 SW VENTURA DR CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE ESTATES LOT #: 027 TYPE OF USE:
PROJECT NAME: BROWN
DESCRIPTION: Installation of NC unit.
OWNER: BROWN, RON PHONE #: 503201 -1715
CONTRACTOR: A - 1 AIR CONDITIONING CO INC PHONE #: 503 - 645
Inspection Request Scheduled For: Date: 3/15/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 044731 -01 503-293-9331 Y
Corrections /Comments /Instructions:
(VI / ta.� � 66- - St , of/ y
1
PASS - ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL vi LL FOR INSPECTION ❑ ADDITI EES ASSESSED
Inspector: Date: / Phone #: (503) 718 - 2_"
_ _ _ .