Permit CITY OF TIGARD 5-- _
l MECHANICAL PERMIT
- COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00268
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/9/2007
PARCEL: 1S133CC-80143
SITE ADDRESS: 14172 SW BARROWS RD 14 -3 - ZONING: R -25
SUBDIVISION: SCHOLLS VILLAGE CONDOMINIUMS LOT: 14 JURISDICTION: TIG
PROJECT: SMITH •
ProjectDescription: Install a/c unit.
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: MF UNIT HEATERS: VENT FANS: .
OCCUPANCY GRP: R1 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:
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FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
PATRICIA SMITH Description Date Amount
14172 SW BARROWS RD
TIGARD, OR 97223 [MECH] Permit Fee 5/9/2007 $72.50.
[TAX] 8% State Surcha 5/9/2007 $5.80
Total $78.30
Phone: 503 -590 -3684
•
Contractor:
ALL FAMILY HEATING & COOLING INC
3606 CHERRY AVE #A
KEIZER, OR 97303 - REQUIRED ITEMS AND REPORTS
Contact #: PRI 1- 503 - 341 -5010
FAX 1 -503- 304 -7118
- Reg #: LIC 171431
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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: p I / /fl . ` : Permittee Signature: Cl h
Call 503.639.4175 by 7:00 a.m. for inspections that business s day.
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.
' May 09 07 01:48p ALL FAMILY HEATING 503-304-7118
p.
05/09/2007 11:55 FAX 50zsenlyou 4111 yr Aaymeur -
a laical Permit Application FOR OFF10E USE ONLY
City of Tigard Received
]: : 1- ,-,--- .,,,, I F -atrar 5 ' a-4- permi,140c2c0--_-_. 0
li...... 13125 SW Hall Blvd., Tigard, OR ; it
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' . ono; 503.639.4171 Fax 503.5 '1960 4!.s.., L g I ;1 uDireitiS: Other Perm
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Inspection Line: 36M75 Bate Rcetty/By: RI See Page 2 flor
- - wen= www.tigard-otgov Y 9 2007 NetifiedlIkilted OM Seppkareatal lafermation
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'1/4 ' 11 - k-$4-iluniliti Mechanical permit fees* are based on the value of the work
0 New construction
gAdditiOuNteraliDn4qp.kee performed. latlicote the value (rotmded to the nearest dollar) of all
0 Demolition Other: -
inn U / 1 j 7 N -i 7 Till FM TnIN mechanical ooterigs, equipment Ialor, overhead, arid profit
f . '' . ' l '• - --:' -• '.- - ;,:-. '' : .. :..tATgootevthe cdanitrti ••• • • .. ... .- ' , . vidwe S .. a)
..,...,4pgpArivApopO* FOTOis:07-5.* ...,:,' •-• .
p Ell - aod 2-family dwelling El Coniznercialfindustrial 0 Accessory building Far special informarion we checkfirt.
• 0 Multi-family 0 Master builder 0 Other Dcecription I Qty. I F.a. I Tool
; AND 1:Oc...ttON.:..-.: •:••..::•:. . :::..: . agatinetocang
Aiv condkionutg or heat pump ce
Job site address:114 I - 1 0 1 :71:_,_:), (? L k CQ, . (moires sire Aga showing placement) , \ 14.00
ciry/State/Z1PrTi inx 6 e _ q - -D a'3 . Furnace 100.000 BTOyeetrIvcati) 14.00
Furnace 100,000+ BTU (destriveets) 17.90
Suite/bldg./apt no.: 3 l Project name: t.-4 i VIA G. heat puny , 14.00
Cross street/directions to job site: Duet work 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel-type, not electric),
in-well. in-d, suspended. etc- 14.00
Flue/veal for say of above 6.80
Subdivision: Lot no.:
Other 10.00 _
Tax map/puma no.: Other Fuel applkaces
..:.:...: : -:. .; ...', .;:_ •-•.::. • l'•', :?."?.. • •.'..:-!•:' • OESpilTITtift .0y ' ':•.- ':. ' *:-.1 • .:'• • :. • : ..::' .•••• • :. Water beater 10.00
Cos fireplace 10.00
1056 V Co .W, Pc ( C-- Flue vent for water hewer or gat I
fireplace 10.00
to lighter (gas) J0.00
Wood/pellet stove , 10.00
Wood reepIncefinscrt 10.00
:i. ---•.:- f.: • [ OfrEitn• .0pNgg.;•: .:,-,.....:::. ; ... '.- • '..., • •:. :,,...,., ti 40 ;... .:. ......: ,, . . CitimneyilisezfflueNent I D.00
. • , , • __ ' - Other /000 i
Name: f4-4-y c, Lek ) A - : EavIresaleatal =beast tad ventilation
- Ramo tood/odus lc:Reheat .
Address; k tk )( AD et.:MMAj c :Th 0-4 equipment 10.00
City/State/ZIP: -1---11, '1 C)'?. Q -3 Clothes dm" =haw 10.00
Single-duct exhaust (batknoms,
Film" ( St . . ci(' ..- s cf.- Lk Fax:( ) toilet cornpartmere3. utility rooms) 6.811
:':: .-::::•...:': ..§.001.:itkit 7 :.;.V .: • :::...': : CrixiNTWCr PERSON : • .:. Agicicrowl,lace faro 10.00
Other 10
Businma Dame: (kl,k T 4,-+ Fuel niirinE
Contact name: t ?
' \ kr 55.40 for first four; $LOO for each steliNtiosal
Furnace. ete.
Acictrss: .51.1; CI cl Ch..c.3011 A Gvc, f-3-e.... A Oat heat pump
City/State/ZIP: V 0 ,,,,‘ 9 tr _ ts,(e c-)72v\-3 Wall/suspeadedhuitt heater
Pt ( 5C 7- , ) al- i 1 - ..Thl 6 Fax (- D - C..4 Se: -1 k \ Wata heater
; Fireple.ce
Einail: Range ,
,
Business :serm P
u K k k .ccvvyi.e ( 4 _1 14(' Cal Yi.(21 Clothes doer:pas)
Other
Addres5 ( nrf p C,po larki- 6 Ul , 1-1re IS. . •
.-.: ;::::?.• :, '. "!.:- '04$011,- ..- .-..- .-,..„•• ..-.
City/Statc/Z.TP: • 1,1 ,e, • • --,
• Subtotal ' j
Potinintomyermtt Dm (S7150) --/
Phone: :.-'` 1 . - S ; C) Fax ( 59 3 4 - li t S Men review (2 of permit fee)
CC B tic.: .k A'-1";\ _
State surcharge (8% of permit fee)
) (istit. TOTAL mama FEE ' •-- I's , ' -
This pemit appliestirteespine it a permit is our *wired witklu 1:.•
Authorized signature: 5 2 . 1 1,1 ) , i tz. dm altar 4 his be accepted as eerepteas
P nam . Gin rX c2r.cAkY7A A - \ 1 Ottle: .- .J - (72 1 • fee weilmeology stt by TrI-Os only BoOding bidasay setticc Dowd
twodi.,stvwesivoiac.-PonavAvv.O. mm07 440.4617r (11 /1711031WWEIII)
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