Permit CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2004 -00490
c 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/22/2004
PARCEL: 2S 112BC -09600
SITE ADDRESS: 08085 SW VIOLA ST
SUBDIVISION: RAZE MEADOWS ZONING: R -4.5
BLOCK: LOT: 019 JURISDICTION: TIG
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:
Remarks: Install A/C unit.
Owner: FEES
SUMMERS, JAMES B + ALLISON I Description Date Amount
8085 SW VIOLA ST [MECH] Permit Fee 7/22/200 $72.50
TIGARD, OR 97224 [TAX] 8% State Surcharl 7/22/200 $5.80
Phone: Total $78.30
Contractor:
A -TEMP HEATING & COOLING
16000 SE EVELYN ST
CLACKAMAS, OR 97015 REQUIRED INSPECTIONS
Phone: 503 Cooling Unt lnsp
Final Inspection
Reg #: LIC 71878
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.
Issued By: Permittee Signature:
needed (503) 639 -4175 by 7:00 P.M. for inspections eed e d the next bu iess day
JUL -22 -2004 08 29 A TEMP HEATING 5035572990 P.02/03
• FOR OFIICE USE ONLY
Mechanical Term' lleatlon Received Mcc aniwl
I Le_ 7 �7 by�Permit No. :L(../ y po y 9 6
Building
City of Tigard � 10\ Planning Approval
Planni ng g — Permit No.:
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 0. G PQ` , C1 Date/8 ` Permit No.:
Phone: 503 - 639.4171 Fax ,�(01 ---�Q0 Post- Review !And Use -
L h�, dh � �, (1 Date/B Case No.:
Internet: www.ct_tigard.or.uC n�N e .' 1 Contact .turis.: M See Page 2 for
'24 Inspection Request:O 9.4175 Name/Method: Su (mental Information_
•
TYPE OF WORK i COMMERCIAL FEEtiSCHEDULE = USECRECKLJST •. ; •
hipl`'' ew construction 0 Demolition Mechanical permit fees• are based on the total value of the work
r Addition/alteration/reylacement [] Other: performed. Indicate the value (rounded to the nearest dollar) of all
'' ' ' =`'' 'i'''�CATECORY OF CONSTRUCTION mechanical materials, equipment, labor, overhead and profit.
Ki & 2 - Family dwelling Commercial /Industrial Value: S See Page 2 for Fee Schedule
Accessory u ildin Multi -Famll RESIDENTIAL EQUTmMENT /SYSTEMS'Mi SCHED.uLE', •
ry y - - • Description I Qty I Fee(ea.) I Total
u Master Builder Other: aiin cool'.
• . !iz 'i;JOB SITE FORMATION and LOCATION Furnace • add -o air nditionin • I. ' 14.00 14' otc.)
Job site address: D $ ?Ai v l o t Q,9 - _ Gas heat pump 14.00
- Suite #: Bld . /Apt.# Duct work ' • 14.00
Project Name: 5 t vV�,'e Hydronic hot water system 14.00
�'�� . Residential boiler
Cross street/Directions to job site: (for radiator or hydronic system) 14.00
Unit heaters (fuel, not electric)
(in wall, in -duct, suspended, etc.) 14.00
Flue/vent (for any of above) 10.00
Subdivision: r Lot #: Re ;air units '12.15
Other Fuel Ap liances
Tax map /parcel #: Water heater 10.00
;•4"•;',:i.- - '•;' t ...' ,"DESCfIPTION F WORK . ' Gas fireplace - 10.00
_.q{iS j Cr _ - - Flue vent (water heater /gas fireplace) l0.00'
Log iizhter (gas) 10.00
- - Wood/Pellet stove 10.00
• Wood. fireplace/insert • ' , , '10.00
Chimney /liner /flue /vent • 10.00
•PROPER TY'OWNER T ENANT• Other. I J 10.00 •
Environmental Exhaust &. Ventilation
Name: \ ,e, t� �1 Range hood /other kitchen equipment 10.00
Address: 180 e 5,u.) \ Lo_i Clothes dryer exhaust 10.00L
City /State/Z p: 1 l a.T%. be__ ci —,a-..4 Single duct exhaust
Phone: ► F (bathrooms, toilet compartments, ,
APPL CANT: ONTACT PERSON utility rooms) 6.80
.- Name: Attic/crawl dace fans - 10.00
Address: Other: J 10.00
L , _ piping
City /State% ( � ••(55.40 for first at 4 4, , p SL00 each additions!)
Furnace, etc. _ '••
Phone: Fax: Gas heat pump
. " •
E -mail: ' . Wall/suspended/unit heater ••
'i :; ,' ' "3 xi , -. CONTRACTOR • ''' ` Water heater ••
Business Name - ,1 ,. ,cc-j--t, . - . , Firepla "
wore c` oP�yA BB Range a•
Address: S
ty "2to (S - Q
Ci/State /Zi
p���qG.. r f ItZQ� Cl othes dryer (gas) '+
Phone: (pro 9 too-a- I Fax: Sol'7S5ti i Other. ••
CCB Lic. #: c? r`( Total: '
[ L Mechanical Permit Fees!
Authoriz t,► ' t a► t ' �. Subtotal; $
Si ature: - Minimum Permit Fec $72.50 $
(_ _ (- • _, . r Plan Review Fee (25% of Permit Fee) $ ,
(Please print name) State Surcharge (8% of Permit Fee S o
TOTAL PERMIT FEE S i
Notice: This permit application expires If permit is not obtained within •Fee methodology set by TA-County Building Industry eery ce Board.
• 180, days after It has been accepted as complete. "Site plan required for exterior A/C units.
i:\Dsls\Permit Forrns\MeePermitApp.doc 01(03 - .
JUL -22 -2004 08 30 A TEMP HEATING 5035572990 P.03iO3
ATernp Heatin and Heating Cooling
Site Plan
Prepared by : oi. Ualu: 7- -0
Customer Name_Af0-7 Address: 5'0 Fs . ) U/Ol ,S'J
Customer F'llonf zo- ,5 �2 972 `l
Properly Boundary Line
''
Si
•
sired
TOTAL P.03
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date pequested O ' AM PM BUP
Location 8 Suite MEC a` D 6)6 f — De e- { 1 e
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/ : = _ . EL �O4 1 f -O) 4 /6 - 1
Footing 6 / _
Foundation ELC
Ftg Drain Access: D )) ELR
Crawl Drain Y /
Slab - Inspection Notes SIT
Post & Beam —
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing -
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS FAIL
: - - - m
Rough-In Line
C r
Gas Line
Smoke Dampers
.��
° � : T FAIL
Se
Rough -In
UG /Slab
Low Voltage
larm
PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
• SITE ❑ Please call for reinspection RE: Unable to inspect - no access
Fire Supply Line
ADA / ,
Approach/Sidewalk Date Inspect., //� Ext
Other:
Final DO NOT REMOVE this inspection record rom the j site.
PASS PART FAIL