Permit ..
, .:
CITY TIGARD MECHANICAL PERMIT
,I +► DEVELOPMENT SERVICES PERMIT #: MEC2005-00481
°111 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/4/2005
PARCEL: 2S110BC -03800
SITE ADDRESS: 12325 SW WINTERVIEW DR ZONING: R -7
SUBDIVISION: THORNWOOD LOT: 009 JURISDICTION: TIG
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
PHAN, STEVEN Description Date • Amount
12325 SW WINTERVIEW DR
TIGARD, OR 97224 [MECH] Permit Fee 8/4/2005 $72.50
[TAX] 8% State Surcha 8/4/2005 $5.80
Total $78.30
Phone: 503- 204 -3390
Contractor:
PREMIER HEATING + AIR COND
PO BOX 86295
PORTLAND, OR 97286 REQUIRED ITEMS AND REPORTS
Phone: 503- 233 -6566
Reg #: LIC 96473
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: 1/ 7Af'/ Permittee Signature: . -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.
AUG -4 -2005 02:12 FROM:P 5032394998 TO:5035981960 P.2
y .ecnanical rerun' .�ppncan C � 0
City of Tigard -�., i' t �l 17E Paz* -
13125 SW Hall Bard, Tigard, OR 97273 0 20 """ °' ° Y ��1` � J� � }�C0 /
Phone: 503.639.4171 Fax: 503.59S 1960 0 Other Ramie
Inspection Liao 503.639.4175 cal, QF T/ �tdsy
Intcmet vrsw.ei.tigatG.orva e � D IIIGD/ Sal li � ` i'� `•'' /Cr I Snow le e� i fa61e11aFa.
If ISIniv
TYPE OP WORK COMMERCIAL FEE SCHEDULE - USE car
I Now oonsttuctiam jAddition/nItennionhvplscsateat Mechanical permit fete' are boned on she vales of the wale
perlbanal D Dcmolititat 0 Other: Indicate the loth= I rona6eG to din moral Geller) of all
mach ] =wills, equipmea; labor, overhead. and profit
CATEGORY OP CONSTRUCTION veh= $
D 1- and 2- fatly t
y dwelling 0 Cacszial/iad,zverial ID Accessory building RESIDENTIAL LQIJIPN3i1NT / SYSTEMS FEW
0 Multi- family 0 Master builder D Oche Per pedal tsf6ntaaflua ,ve checklist
Dascripticoi 1 Qtr. ( Ea. I Tow
JOB SITE INFORMATION AND LOCATION Braffaztrocilizig
Job B i t e a d d r e s s : 12 25 � .1t) Vt " , Air coadi'ioning err beat pump
Onsdres Dittylao *voice elsoorient) I 14.00 I 1+.
Gtr /Star /ZLP: r 72 Putnam 100.000 BTU reismorress4 I 14.E
Suit fb Furnace 100.000* BTU ( ham) 17.90
Suite/bldg./apt. ao.: Project
Om hear pump 1440
Cross street/drectioaa to job eita: Dad atpak 14.00
Radiosie hot wafer system 14.00
Redal boiler Wider or
dome) 14,00
Unit hmtIIS (fuel-type, not eloaric), wa8. talloct, =spaded, stn 10.00
Subdivision; . Lot no.: i'huhent for sap, of abora 10.00
Otltet _
Tax _ 10.00
Otra fluil smoilaneca
- DESCRIPTION OF WORK Wafer heater 10.00 i
I Gas & eplace 10.00
a1 is — Flue veal for water beater or gas
Pawl= 10.00
142 li2(sas) 10.00
Wood/pellet atovo 10.00
Wood fiaephterratsast . 10.00 ,
[PROPERTY OWNER I 0 r81BAlrr l 10.00
omc l 1000
Name: Environmental etratatrse and watp:tlms
Addre3s: i Z 3 z 6 __SW !! n (y ,/ ei , ` .N r' ve Map hoodiaber kitebee 10.130
sty/Sour./ZIP: ----fin of 0 0(7224 Clothes dryer exhaust 10.00
Phone: " J Alt 3 C / 0 L/ Fit' ( ) oalin oaf, milky teas) 8.80
❑ APPLICANT 0 CONTACT PERSON Atldarwlsaace foal 10.00
Business name: Often 10.00
Bad pl tsisA
Contact name S.W.40 for Drat foam SI.00 fa r s additional
ditional
Addnasa: dE.
Cit1r /Stott/ES% Gs beet p
Wsf/enaaeadedntait beater
Phone: ( ) Fax. : ( ) Water heater
Fireplace
E -...( •
e Barbecue
r
Doziness names ' . m i :ISit111 l s `/ a Q dryer (gad
names
0 • I I (L) MECHANICAL 1'F.RMTr ins / �
City/State/LIP: p -n IS < (172g Go Sltbtoral - I - 1 '
Phone; ) - / - I 0 / Par: 23 - `T'"l qI' J M um� ptmr`' fee ($7230) 12,
nee te•lcw (S% ofperndt fee)
CCS lie.: State mainly (lt%ofmorn roe)
TOTAL FPRMTtJSE i •
Aulhcsized signann e• pew *tDt# rrea minis ter s permit y cot enema cam t
. ,` V ears attar it has be .ccepem es maples
Print Game: Data • Fee m.moeo>om' sat M Tri-Cenaaty Bufledles Noy Service Beard
AUG -4 -2005 02:13 FROM:P 5032394998 TO:5035981960 P.3
r
e e L 2 P.O. Box 86295
Portland, Oregon 97286 CCB# 96473
(HEAT /NO AND A//4 CONDIT ION /NO, INC' Ph.: (503) 233 -6566 Fax: (503) 239 -4998
\\I
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.. c■
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: MEC2005 -00481
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/4/2005
Phone: (503) 639 -4171
1 Inspection Requests (24 Hrs.): (503) 639 -4175 1.L.
INSPECTION WORKSHEET FOR DATE: 10/11/2005 TIME: 7:08AM PAGE: 90
SITE ADDRESS: 12325 SW WINTERVIEW DR CLASS OF WORK:
SUBDIVISION: THORNWOOD LOT #: 009 TYPE OF USE:
PROJECT NAME: PHAN
DESCRIPTION: Installation of A/C unit.
OWNER: PHAN, STEVEN, PHONE #: 503 - 2043390
CONTRACTOR: PREMIER HEATING + AIR COND PHONE #: 503-233-6566
Inspection Request Scheduled For: Date: 10/11/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 017902 -01 503 - 233 -6566 N
Corrections /Comments/ Instructions:
• .
7(a PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ,ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/
Inspector: — ` ■Date: c I/ -- .---
Phone #: (503) 718-
1