Permit C ITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00218
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/1/2008
PARCEL: 1S125DD-01700
SITE ADDRESS: 06730 SW VENTURA PL ZONING: R-4.5
SUBDIVISION: WASHINGTON SQUARE ESTATES LOT: 037 JURISDICTION: TIG
PROJECT: ANDREWS
Project Description: Installing A/C and gas piping to furnace.
CLASS OF WORK: ALT 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: REPAIR UNITS:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
GARY & PHYLLIS ANDREWS Description Date Amount
6730 SW VENTURA PLACE
TIGARD, OR 97223 [MECH] Permit Fee 5/1/2008 $72.50
[TAX] 12% State Surch 5/1/2008 $8.70
Phone: 503- 977 -1645
Total $81.20
Contractor:
HEAT RELIEF CO
13122 NE DAVID CIR # 800
PORTLAND, OR 97230 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -261 -9915
FAX 503- 261 -9814
Reg #: LIC 122424
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.
"Waft
Issued By: /l�i � - ermittee Signature:
dir
Call 50 . 75 by 7:00 a.m. for inspections that busines . y.
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.
04/30/2008 WED 8:54 FAX 5032619184 Z 001 /003
Mechanical Permit Applic n FOR OFFICE USE ONLY '
City of Tigard r � Received
11.1 0 ° 13125 SW Hall Blvd -, Tigard, OR 97223 AP 3 r. alXIMI'lliiiiikliffif (-r
C Phone: 503.639.4171 Fax: 50 tkai, : ! � Plan Review Other Pemit.
T I GARD Inspection line: 503.639.4175 -IfM Inn E - Date/By
t Ready/13y: Jul.' P1 Se Page 2 for
Internet: www.tigard- or.gov o f Nouhed/Method Supplemental Information
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Mechanical permit fees* are based on the value of the work
❑ New construction ® Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other:
mechanical materials, equipment, labor, overhead, and profit.
- ° - tr ir „ e ,: ^=, , . o �'� • Value: $
❑ I- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ��� '
® Multi- family ❑ Master builder ❑ Other. Fo special information Qty.
Description I use checklist.
Multi-family ,,.�- _� u e I Ea. I Total
��37 t :�"l eB`.LT SE. ••� .. ? t 4 OL b ', For
on c
, ....._ � ,_.._ : - ..... :_._ „�..;.,� Heating/cooling
Job site address: (0' 30 &J3 VD f Tt�� { Air conditioning or heat pump / 14.00 /' r
`p l� (requires site plan showing placement) e �
City/State/ZIP: ?Oyalbelot Off- q f y ? Furnace 100,000 BTU (ducts/vents) 14.00
1 UJ
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: Project name: _ r1i101 S G�p(J 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 no.: Flue/vent for any of above 10.00
Other 10.00
Tax map /parcel no.: _ Other fuel appliances
::= '- i l�e ii j 1 (e) � F - Water heater 10.00
1 Gas fireplace 10.00
INitl `3 V 3 •k1C ` • A- G1as fo Flue vent for water heater or gas
2 -6 fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
Chi
°' t r J <. rye' x" "��s =r '� - fi r ,�, mney/liner /Fue/vent 10.00
L c err 5 o > Af i t .._ -i t t-_ ?- 6 .. , ._ r '
,,„_ .,_ .. __.w.a_ ,, - -. �,,K _. � - - r. 1.e � � �... other: • 10.00
Name raj S ) G art/ Environmental exhaust and ventilation
Address: �Su/rn :P a Q a Range hood/other kitchen
��I equipment 10.00
City/ State/ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms, '
Phone: 18 ) q i 7.- /l Fax: ( -) toilet compartments, utility rooms) 6.80
'i +i - t Mtr t x 7 r, A ' Attic/crawlspacc fans 10.00
Business name: HEAT RELIEF Other: 10.00
Fuel piping
Contact name: MARK DEFRANCISCO $5.40 for first four; $1.00 for each additional
Address: 13122 NE DAVID CIR DR # 800 Furnace, etc. I - 5.tH)
Gas heat pump
City/ State/ZIP: PORTLAND, OR 97230 Wall/suspended/unit heater
Phone: (503) 261 -9915 l Fax: : (503) 261 -9814 Water heater
Fireplace •
E-mail: Range
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F- it * -. _ � .6_ --. .- -" -a•-- Win--° - r a z j ea R,.x .. .itac- a .t� i. ` :> - , ,. • ' Barbee clothe d
G=' Clothes dryer (gas)
Business name: HEAT RELIEF Other:
Address: 13122 NE DAVID CIR DR # 800 4 -. • ' e7re .; •
City / State/ZIP: PORTLAND, OR 97230 Subtotal , +��,
Minimum permit fee ($72.50) 2. �r
Phone: (503) 261 -9915 Fax: (503) 261 -9814 Plan review (25% of permit fee) - ,
CCB lie.: 122424 ^ State surcharge (12% of permit fee) 4
` TOTAL PERMIT FEE gl , 1
This permit application expires if a permit is not obtained within I : i
Authorized signature: /� /� ��- days after it has been accepted as complete.
Print name: MARK DEFRANCISCO ' Date: 1 - F ` 7� i_J f l �,(J�/
r • Fee methodology set by Tri -County Building Industry Service Board
I.\Buird.ng\Pmntits\MEC- PermitApp doc 04 /06/06 440.46 7T(I I /02/COM/WEB)
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A/C-HEAT PUMP -- -UNIT SITE PLAN
O .1s,v7 FEET TO BACK OF PROPERTY LINE W 4 E
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F 1 5
FEET TO SIDE PROPERTY LINE
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FEET TO FRONT PROPERTY LINE
ADDRESS: G Su) f
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PLEASE REFAX APPLICA1 ION1 WITH SITE PLAN
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2008 -00216
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5//120013
Phone: (503) 639 -4171 1 1 l 1
Inspection Requests (24 Hrs.): (503) 639 -4175 ^_
INSPECTION WORKSHEET FOR DATE: 5/15/2008 TIME: 7:00AM PAGE: 64
SITE ADDRESS: 06730 SW VENTURA Pl. CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE ESTATES LOT #: 037 TYPE OF USE:
PROJECT NAME: ANDREWS
DESCRIPTION: Installing A/C d gas pipin o furnace.
OWNER: ANDREWS, GARY & PHYLLIS PHONE #: 603- 977 -1645
CONTRACTOR: HEAT RELIEF CO PHONE #: 503 261 - 9915
Inspection Request Scheduled For: Date: 5/15/2008 Pour Time:
O fri
Code # Inspection Description Confirm # Contact # Mes- age .00
i
699 Mechanical final 0698981 503977 -1645 Y 1 /
_ O
Corrections /Comments /Instructions: ! j�
aL5 ' (--, 7../_. Cc.,. -s i. s o.F' �� - --y7z -- s. -,—/
F PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: i ' Date: S –lG '-?.- Phone #: (503) 718 - 4z-c_J
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC200 8-00218
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1/20118
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ' .�' IL.
INSPECTION WORKSHEET FOR DATE: 5/12/2008 TIME: 7:01AM PAGE: 35
SITE ADDRESS: 06730 SW VENTURA PL CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE ESTATES LOT #: 037 TYPE OF USE:
PROJECT NAME: ANDREWS
DESCRIPTION: Installing A/C and gas piping to furnace:
OWNER: ANDREWS, GARY 8, PHYLLIS PHONE #: 503.977 -1645
CONTRACTOR: HEAT RELIEF CO PHONE #: 503 -261 -9915
Inspection Request Scheduled For: Date: 5/1712008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 069655-01 503 - 977 -1645 Y
/ Corrections /Comments/ Instructions:
t 1 / � - - r e e P v . O . 5 R7 T - - S 9 . — ..I'Z 7 z -
7 z--
7t 4- A. , : /h _, [, : - S /toz 6
❑ PA 111 PARTIAL APPROVAL El CANCEL El NO ACCESS
- F AIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 5 / _ Phone #: (503) 718- al -44,-