Permit , 0 e
CITY TIGARD MECHANICAL PERMIT
AL DEVELOPMENT SERVICES PERMIT #: MEC2006 -00453
�� I- ' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/25/2006
PARCEL: 2S114BA -12600
SITE ADDRESS: 16365 SW COPPER CREEK DR ZONING: R -7
SUBDIVISION: COPPER CREEK STAGE 3 LOT: 091 JURISDICTION: TIG
Project Description: Install heat pump and furnace.
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:
ELE 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: < =10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
KIM ALAN SCOTT Description Date Amount
15365 SW COPPER CREEK DR [MECH] Permit Fee 9/25/200E $72.50
TIGARD, OR 97224 [TAX] 8% State SurcharE 91251200E $5.80
Phone: 503 - 598 - 9787 Total $78.30
Contractor:
A -TEMP HEATING & COOLING
16000 SE EVELYN ST REQUIRED ITEMS AND REPORTS
CLACKAMAS, OR 97015
Contact #: PRI 503 650 - 5014
FAX 503 - 557 - 2990
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
or 1- 800 - 332 -2344.
Issued , .(.G(GicL4i4J2J.) Permittee Signature: A
Call 503-639 -4175 by 7:00 a.m. for inspections that Ines 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.
FROM :R-TEMP FAX NO. :5035572990 Sep. 25 2006 09:25AM P2
!■ -
Mechanical Permit AntilicatiOn ' ,.: ', i!.- : :,
-- , 101? OH I( I: 1 () I. 1
, . A
City of Tigard ,-)
Dtila 7 of 5_e *v P—""-tieeice6
13125 SW Hall Blvd.. Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax 503.598.1960 sEp 25 inn 1 ..‘".i ' I . Datell3y• Other llama:
Inspection Line: .503.639.4175 L u tj . r .-.4.1- 4-! age Ready/By: - , Ea seelPage Z for
Internet: www.cl.tigard.or.us Notified/Method: / Ci I Supplemental Infbrreation
:!.....27.77:r2:::,:nmn.m.,:t..........!.: •• • ,. • :, 4 ..ViefiriRplifitiiik17 TY irn.',•:" " • • .. • . ." , •.: !,•••.•::. -efiii)igntiiiiiii. ieagairra..
Mechanical permit feaso aro based on value
0 New construction `Fi • . 'tion/alteratiOnireplacement of the
performed. indicate thc value (rounded to the nearest d wrk ollar) of
El Demolition II Other: modianioal material& equipment, labor, overhead, and profit
Value: $
v: "' " ' - . . • • - - -.. - - - . " " • . " " " " " " . . 41011101
e and 2
t
- -family dwelling El Co mmercial/industrial 0 Accessory building
Multi-family El Master builder 0 Other. - ." ,..
riamiption For *octal' ireorntatiOrt MN Chita
:1St
T Qty. I EL I Tote
---1:? .0i l.... : ..7 . HcatIng/cooling /* - - .---
,.T.,17 " • • '
Job sift address:/ .6 (gi ce LW _ Air conditioning matt
(requires siteilew sh 1 stemma) I 14,00 /
City/State/ZIP: ■71Z,- /We 0 q7, CI Furnace 100,000 MU (essukent) 1... 14.00 j
Rama 100,000+ BTU (ductsivents) 17.90
• Suito/bIdgJapt. no.: — IProjeet name: (. Om heat pump ..
14.00
_
•
Cross strort/dircclions to job alto: . Duet work . 14.00
Bydronio het wattv evil= 14.07)
Residetial boiler (radiator or
" .
hydronic) 14.00
Unit heaters (fizel-type, not electric),
jrnall; in-duet, suspended. etc. 10.00
: .( 4.4. F/ucr/vent for any of above 10.00
Subdivision: I Lot no.:
— — Other. 10.00
Tax map/parcel no.: Other fuel applbutess.
;4:;:, i;i':;.:t.: ::: :4 ::: : .... ....;: .:• . :.... : . : •
aterW hea1 J 10.00
. . ' Gm fireplace 10.00
/4/ Z- AIM ) A 14 Flue vent for water heater ar gm
firVia" 10.00
IAA Wader (Rae) • 10.00
Wood/pellet stove 10.00
Wood lace/in102O
Chimney/liner/flue/vent 10.00
:: : 1 : , . : .... 7 ..... . :. :01 1 01i: : : ::....:: . ;' :'.•.; .. ' other .
10.00
Name: .0 ' ie-i A- i /4.)
Environmental exhaust and ventilation
Range hood/other kitchen
Addreas: /6, 6, 5 4 C c e . ip 4— equipment 10.00
City/State/ZIP: er/6--Ag a Aa c' - 7? - ? - (-/ Clothes dryer exhaust
ilingtuduet exhaust (batinoorns, 10.00
Phono: (627') 5 jt . q 7 $9 Fax: ( ) toilet eumparlinents, utility rooms) 6.80
,1 :- ,..: ' • . -. . " " ".. -..":;... -.:' •! :045Eittg:;:kika78 '. : : ; AllintoraWb 00
Msco fitns 10.
......, .. . . ...
Other; 10.00
Business name: Fad piping
I nc.
OmInct name A TEN& H & C oo li ng, $5.40 for that Slur; $1110 fbr each addltbmal
160no sE Evelyn st
Pomace, elm
Address: Clackamas, OR 97015 - Oas heat pump
City/Stato/ZIP: -7 650 -5014 . . wall/supponded/unit heater
Water heater
Phone: ( )
Dix: : ( )
• Fireplace
rie•umul: . //•< . 4 ii -t/AL4- - cz 7 / . .___ Range
j etmiAkitiiiii. " - ' • • . • • • -: .: ... . .. • ., I3srbecue
Business name: X- .1 IMP' Heating & Cooling, inc. Clothes dryer (gas)
-I 64440 SE Evelyn at Other: •
... .. . . ,.. .
Address: .... ... .. ...:. MEG:130 . -
C.111thaalaxvOR-9-7045- .. :
• - Subtotal l b
City/State/ZIP: (603) 650-5014 • minimum permit foo ($7x.so) .
Phone: ( ) I Fax 55 TP • Plan review (25% of permit flua) ..
CCB lie.: ligig- • . State surcharge (113410f C. Pallg i f
TOTAL PE
RMIT E
mil permit application expire' Ira perratt to not oblpimul th13,11
Authorized signature )yt eirk, days after it lute been aecepterl as complete. -
• ... .. . . . . ... • .-. • - .. .. • . . .. • . ,
.. . .
FROM :A -TEMP FAX NO. :5035572990 Sep. 25 2006 09:26AM P3
\ ti .. I .
A -Temp Heating & Cooling, Inc.
SITE PLAN
Prepared by: `7 y R401/750(4 Date: 9%d /04
Customer Name: a/Qed SCOtt Address: /4 345 a tG k
Customer Phone: 5o3 -5P - 9 ' 94ZeR 9 72z
Property Boundary Line NW
Tip % G
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House
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Street