Permit i.
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C ITY OF TIGARD MECHANICAL PERMIT •
PERMIT #: MEC2006 -00415
• � I'� DEVELOPMENT SERVICES DATE ISSUED: 8/22/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S133DD -05600
SITE ADDRESS: 12753 SW WINTER LAKE DR ZONING: R -4.5
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 3 LOT: 095 JURISDICTION: TIG
Project Description: AC install
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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:
NAT 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: 0 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
GAS OUTLETS:
> 10000 cfm: • •
Owner: FEES
ISAACS, MICHAEL A AND CHERYL A Description Date Amount
12753 SW WINTERLAKE DRIVE
TIGARD, OR 97223 [MECH] Permit Fee 8122/200€ $72.50
[TAX] 8% State Surcha 81221200E $5.80
Total $78.30
Phone: 503- 428 -2626
Contractor:
OREGON HEATING + NC INC
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
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Contact #: PM 503 -538 -2953
FAX 503 -537 -2172
Reg #: LIC 125815
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: _ 44.42! Permittee Signature: D7?�
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.
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Approved plans are required on the job site at the time of each inspection.
Aug 21 - 3 03: 14p MS Rentals, Inc. •
503-537-2172 p . 1
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Mechanical Permit Applica 1- j ' , 0 44 - • - . FOR OFFICE USE ONLY • .
City of Tigard r: • - -
97223
4 11110, , pa :a e IA22 o6 Be Penn cl\42C■a•Cdf ''' 0 0415
13125 SW Hall Blvd., Tigard, OR 6,\ ‘. C■ Plan Reviva/
Phone: 503.639.4171 Fax 503.598 1960 titt-rtyr4f 0 Date/By Other Permit:
Inspection Line 503.639.4175 _41! 0: /I ,--. • Date Ready/By. Jana. El See Page 2 for
Internet: www.citigarlorus 6 \ \ ...,.., .....
1 NotitiediMethod: Supplemental Information
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I - --••' .---,*.- •,. .. 7 -..'.. - ;•--••,..,' '..' , : - I.... 7 : - TEYi'E or WoRk - .;':---, - '. ; ... -- 1, .,'. [.COMI1F_Ii.C1AC3!EE*
Mechanical permit fees* are based on the value of the work
0 New constriction ffakKridition/alterationlreplacement performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment, labor, °set and profit
.: ...- - I '-'- ; ''''', ' ' '-- -'''-- ''•'
CATEGORY Of C ONSTI WCTION k- -'-',:- .-.- --- - '-'-', Value: S
'.•,' ':. • RESIDENtlAt EQUiPkEl■Tt
- and 2-family dwelling 0 Commerciallindustial 0 Accessory building
For special informal use checklist.
0 Multi 0 Master builder 0 Other Description I Qty. I Ea_ I Total
.....,c ,IiiFdpiytyilOtf,Af.pri:bc.,aticii:. :7::: 5 ,.:=I--:.,"::_,:'■,Ll1:r:r.- )1 ea ti ng k o ming
Air conditioning or heat pump
Job site address: / a7 5 - 3 , 1)in-/-19 4 , , . ' .4. (requires site plan showing placement) i 14.00 / 4 /, --
CitylState/ZIP: / " CA_ - 7A9-3 Furnace 100,000 BTU (duets/vents) 14.00
1 Furnace 100,000+ BTU (duets/vents) i 17.90
Suite/bldg./apt no.: Project name: Gus beat pump 14 00
Cross street/directions to job site: Duct work 14 00
Hydronic hot water system 14.00
Residential holler (radiator or
hydronic) I 14.00
Unit beaters (fuel-type, not electic),
in-wall, in-duct, suspended, etc 10.00
Flue/vent for any of above 10.00
Subdivision: I Lot no.:
. Other: 10.00
Tax map/parcel no.: Other fuel appliances
aXC-•"-5"4"-...'n'I.F-lig-0161'3?-17-'51/"..i'iflifeliiii16*,-tig:46Iii4AalifATliKf•j:=,- 10-ifil:W-Oa Water heater 10.00
- ..; •-,=•••••4•.••/V-2.1.nt,--.-. ...,....-..,4,.....-_,....r. ,:•4*.a .., _ N471 .1 itt , Cz 0,-.:-o.', ....-:-,,q .1i; r-+S.1%.
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C.--- Gas fireplace
10.00
Flue vent for water heater or gas
-.1 fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
', -,-, ■ , Chimney/liner/flue/vent I 10.00
; gq?.-Igi",4#.-INW.P:..?%-:-11,441.Wagnit;J:Wii oth
er. I I 10.00 I
Name: /V i C A 4 S ,5 Environmental exhaust and ventilation
Range hood/other kitchen I
Address: // 753 SW G/Ji /7 7 I_ 42.i..e & - equipment 10.00
City/State/ZCP: \ Vie t 4 . 4x j i i5 t 9702,22.3 Clothes dryer exhaust 10.00 .'
Single-duct exhaust (batlrooms,
Phon0/2?) y - .9.6 , Fax: ( ) toilet compartments, utility moms) 6.80
f..,?;'.:::.;.'14::,1,311..?;-;,,t4;;.";_:.:,.z;_r.fi-,-:::,'-,:-...1;i;;g;;:::,=:ji:3‘7:65-i,i/Wercriisigi;.......;'.-- Ame./crawispace fans 10.00
Other I 10.00
Businms name typ TT- \ +I i ,- 1,4___ "-- -4 Fuel piping
Contact name: ' y.s 55.40 for first four; 51.00 for each additional
Address 13$.1tAnfkLa..._ Furnace, etc. I
Gas beat pump
City/State/Z1P: ) 0 0 1, (1 t1S--- Wall/suspended/unit beater
,
Pbone&) ) , ' '....- Fax: : --- 1i---7, Water heater
Fireplace
E-mail. , .
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1 ,- . '' - '''' ; : '.:,'.-: • . TRACTOR Rane
ai;',:-.:* ,3 , :;', Barbecue
Business name: /.^ •
i '411 / i
P ‘--- ' 7Y Clothes dryer (gas)
Other I
Address: ( &V. - y.. Z-a. r) ,.. .:.,.....,-- PERMIT' FEESI5' - ' ." • ''''...
City/State/ZIP: I rl Ai..,1- V- bi il 1 Lc i Subtotal 1 /W ---- i
i Mnimum pernut fee ($72.50) 1 7
Phone: G. k tj g aci,63 1 F- 6 r 0 , 0 i 7
Plan review (25% of permit fee) 0/
CCB he.: ......"
/ \-t i
I State surcharge (8% of permit fee)
TOTAL PERMIT FEE 71 ..
Authorized si attire :1
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This permit application expires if a permit is not obtain with 180
.cm. ;;91-1 . 1 6/2-
. . ,,, )1 ____Ea.r.„..&./ , , •,...... )11‘ days after it has been accepted as complete.
L Print name: „... 7-3011.446/1(1 D.lc. ..._ 47 ./.-/ ell • Fee methodology set by Tr-County Building Industry Service Board
.._ ...— --....—„,-....
9ug 'n6 03:14p MS Rentals, Inc. 503-537-2172 p.3
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006.00415
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/22/2006
Phone: (503) 639 -4171 �+
Inspection Requests (24 Hrs.): (503) 639-4175 : ���� rr- __..
INSPECTION WORKSHEET FOR DATE: 917i15006 TIME: 7:02AM PAGE: 44
SITE ADDRESS: 12753 SWWNTER LAKE DR CLASS OF WORK:
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 3 LOT #: 096 TYPE OF USE:
PROJECT NAME: ISAACS
DESCRIPTION: AC install
OWNER: ISAACS, MICHAEL A AND CHERYL A, PHONE #: 503.428-7626
CONTRACTOR: OREGON HEATING + A/C INC PHONE #: 503 -538 -2953
Inspection Request Scheduled For: Date: 9/21/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Me :---� e
699 Mechanical final 036959 -01 503 - 538.2953 4
Corrections/Comments/Instructions:
t
I1_I 'PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
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Inspector: C14-1P Date: /L/' Phone #: (503) 718- 2Cre