Permit t
'v CITY OF T I GA al MECHANICAL PERMIT
�'- ... COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00301
j4 ,„„„"
, ^r DATE ISSUED: 5/24/2007
, IT[ 4 RD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S114BB-19200
SITE ADDRESS: 10252 SW ELISE CT ZONING: R -7
SUBDIVISION: RIVERVIEW ESTATES LOT: 038 JURISDICTION: TIG
PROJECT: SCHUMACHER
Project Description: Heat pump install.
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:
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
SCHUMACHER, THOMAS M Description Date Amount
10252 SW ELISE CT
TIGARD, OR 97224 [MECH] Permit Fee 5/24/2007 $72.50
[TAX] 8% State Surcha 5/24/2007 $5.80
Total $78.30
Phone: 503 - 539 -4176
Contractor:
FOUR SEASONS HEATING & A/C INC.
1005 INDUSTRIAL PARKWAY
NEWBERG, OR 97132 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -538 -1950
FAX 503 -538 -0165
Reg #: LIC 97152
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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: Permittee Signature: ' 11
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.
May 24 07:59a M l l m Lamb 50353
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� p i si I� E, _� .'. i7 d� l (� i�� ' "Ir i p f;, CE U S ,O TIL ' , P r t M
Mechanical Permit A i�tlt �i� L W *,, �l� ,
City of Tigard p Permit •/ /„ •'' :.'
13125 SW Nall Blvd., Tigard, OR 97223 MAY 2 4. 20 f Plan Rcvict
Phone: 503.639.417 Fax: 503 - 598.196() 4 r1 Date/Ry: Other Permit:
4175
39
0
Inspection Line: 53.6. •' I�tlr,, Da Read lns: 0 Sec Pace 2 for
p �'kk. r� ° 1 + i. l y 3 y
du
Internet: www.ci.ligard.nr.us ` 6 . 1 U 1' b 1t� 1 it Notified /Method: Supplemental Information
TYPE " OF WORK - ' COMMERCIAL FEE* SCHEDULE - USE CHECK] •
0 New construction 5Kddition /alteration /replacement Mechanical permit fees` are basal on the value of the v r,rl
performed. Indicate the value (rounded to the neared drilia/
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead- and pn,l
CATEGORY OF CONSTRUCTION Value. 5
RESIDENTIAL EQUIPMENT / SYSTEMS F! E '
�I and 2- iainily dwelling 0 Comrnercial /industrial 0 Accessory building .--•
For special information use checklist_
❑ Multi - family 0 Master builder 0 Other. Description Oty. I Ea. ('
JOB SITE INFORMATION AND LOCATION Heating/cooling _
Air conditioning nr heat pump
-lob silo address: 1 p a.'a . �t 15 P C___A_ P showing _
(requires sile plan placement) ` 14.(1(1
Pity /State /7l P: -{ A A w Ct,/L2 !j Furnace 100,000 BTU (duclswcnu) NM Furnace 100,000+ BTU (ducts vcnis) 17.90 ,I
Suite /bldg. /apt. no.: Project name: Gas heat pump I) �I t _
Cross street/directions to job site: Duct work 14.(1(1
Hydronic hot water system 14.00
Residential holler (radiator or
hydronic) 14 00 -
Unit heaters (fuel -type. not cltxtric),
in -wall, in -duct, suspended, etc. 1 10.00
Ftue/vcnt.fnr any of above J 10.00
Subdivision: Lot no.: Other: l Sh.!)
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Watcr heater i o • On
• Gas fireplace I0.00
• Ma IVIM u (o Q P LA. reA Mb. Flue vent for water heater or gas
fireplace i 0110 1
t.og lighter (gas) i(1/)t)
Wood /pellet stove 10.00
Wood fireplace /insert . 10.00
�ROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 10.00
Other: ; 10.0!(
Name: C 4_ r� .vti•-• r.-- Environmental exhaust and ventilation
l t Range hood /other kitchen
Address: 1 --___'5 — c \ 1 .. equipment 10.00
City/Slate/ZIP: __r<
2) t , 4— Clothes dryer exhaust
� - �� Single -duct exhaust (bathrooms.
Phone:0 c., r 4 , - t Fax: ( ) toilet cotnpanlnelns, utility rooms) 0.1(1I
u 1 -, PPLUCANT 0 CONTACT PERSON Attic /crawlspace fans 1(1)1
Other: 10.00 let-
Business nante:F t t. a `� ?m. �S , �� ` �q Fuel piping
Contact name: -1,--..._. v..,tr16-c-1 55.40 for first four; 51.00 for cacti additional
Furnace, etc.
Address: ` OOS ! . _ � ' '. _' 'Ilb__ .,. _ • .
Gas beet pump
Citv /Slate /ZIP: • \ _ - A. - � _ �' —
Wall /suspended/unit heater —.
Phonc� ) �7�'S - \� , Fax: r � f � _ t Z J to water heater
i`C� J `� Fireplace I
1
E -mail: Range I
CONTRACTOR Barbecue I
■ Clothes dryer (gas)
Business name. wiz, 10_ II _ 1 t .All A! A S ' Other: 1
Address: \ A-\ 1) e-� _ _. • • 111)?......_ . I MECHANICAL. PERMIT FEES°
City /State /ZI - r Subtotal
•
tea �� Minimum pennit fee (572.50)
Phone: 5b3) 313 - \ € D x Q3) ��- " +. O k (p Plan review (25% of permit kc1
CCB Iic_: "1 1 eZ Stale surcharge (8% of feti:
- TOTAL PERMIT FEE!? v 4 3
This permit application expires ifa permit is not obtained .ithl
Authorized signatur - days after it has been accepted as complete.
Print rani 1 Date: �=a7 " Pee methodology '.et by 'Uri County Building Industn Scn,cc 0
■ ll,,lj , I'erndrs ME('- VermitApp.tlac 17 (0 .1.1016173 (11•07•COM.w1i11)
Ma 24A07 07:59a Malcolm Lamb 5035380165 p • 3
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