Permit ti, ,.,v.��. ', MECHANICAL PERMIT
^ f CITY OF TIGARD
1,. , , , COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00014
` DATE ISSUED: 1/8/2007
Tl` 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S112CB
SITE ADDRESS: 15072 SW KENTON DR ZONING: R -7
SUBDIVISION: ASHFORD OAKS NO. 2 LOT: 100 JURISDICTION: TIG
Project Description: Replace heat pump.
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: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
REPAIR
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: 1 OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
NANCY FRIES Description Date Amount
15072 SW KENTON DR
TIGARD, OR 97224 [MECH] Permit Fee 1/8/2007 $72.50
[TAX] 8% State Surcha 1/8/2007 $5.80
Total $78.30
Phone: 503- 639 -8974
Contractor:
A- ACTION HEATING
18245 SW TV HWY
ALOHA, OR 97006 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 649 -3524
FAX 503 -649 -6095
Reg #: LIC 78369
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: y 7 i t Permittee Signature: 5 P
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.
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1CahOD1° `I w E „ � F1C I : r ∎(��Ll
Mechanical Permit A _ 80 l0 d/
•� t . R eceived .. ) 7 � Permit No m
City of Tigard
Plan Review Pamir SW Hall Blvd., Tigard, OR 97223 �*.c4r.... Ai . . DatelBy:
Phone: 503.639.4171 Fax: 503.598.�9660 - 8 200 �,� t r ': f I 1 d
Inspection Line: 503.639,4175 Date Ready/By: a See Parr 2 for
- ^' " -�" ` Date Re/Method: E See Information
Internet: www.ci.tigard.or.us ( ; j 61 `% ! ; " t i "trtt
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RI iii FP O J ET ""
TYPE OF WORK COMMERCIAL FEE' SCHEDULE - USE CHECKLIST
Mechanical permit fees are based on the value of the work
• ❑ New construction Addit ion /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
Other: mechanical materials, equipment, labor. overhead, and profit.
❑ Demolition Value: $
CATEGORY OF CONSTRUCTION
RESIDENTIAL IAl EQUIPMENT / SYSTEMS FEES
4 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist.
Other:
❑ Multi - family 0 Master builder ❑ Description I Qty. I Ea. I Total
/5-0 yr Heating/cooling d06 SITE INFORMATION AND LOCATION Air conditioning or heat pump
_ �rU �� 14.00
jet ���! . u 1 , J r (requires site plan showing pfacemcutl
Job site ilddrCS$: mo ) /C!!•'[.�" t utnace 100,000 BTU (ducts/vents) 14
City /Slate/7JP: I �� ! A A..., / Q K Funtac :100.000+ BTU (ducts'vents) 17.90
Suite /bldg./apt, no,: J
Project name: Gas heat pump / 14.00 Duct work 14.00
Cross strocl /directions to job rile: liydronic hot water system 14.00
Residential boiler (radiator or 14 0(1
hvdronic) -
Unit heaters (fuel -type. not electric), 10.00
in -wall, in -duct. suspended. etc.
Flue/vent for any of above 10.00
Lot no.: 10.00
Subdivision: Other.
Other fuel appliances
Tax map/parcel nn.: Wafer heater 10.00 1
DESCRIPTION OF WORK Gas fireplace
10.00
k?ili hog Z� 4 CL 4 � , 44/ f=lue vent for water heater or gas
fireplace 10.00
/
` • Log lighter (gas) 10.00
Wood /pellet stove 1 0.00 ,
Wood fireplace /insert 10.00
Chimney/liner/flue/vent 10.00
PROPF.RTI' OWNER ❑TENANT Other: 10.00
T Environmental exhaust and ventilation N
Name: 0.,-1-1/ /' ►�i U •� Range hood/other kitchen
' l j. equipment 10.00
__
Address: 110 ,S' L( K G N iii) // Clothes dryer exhaust 10.00
City' /StstePL1P: -1 �� , e t 2� C _ i / C Single -duel exhaust (bathrooms. 5 toilet compartmcntS, utility' rooms) 6.80 •
L, ci g' C i Fax: ( )
Phone: (� 5 J 7 / y Attic/enrolls r, +:vls1+!�:r fans O.n.t
� �PPt.lcAtv'I ❑ <
_ _ xlly r,u °r PERSON --- -- -- -- _ i 0.00 i
Oilier: - r r t��
;l.nsi �esS name: : i tt cl �a ,c
I A—Action Heating, Inc.
contact name: 55,40 for first fort+': 51.10) for r_^rh. z:1tditi'rtal
Hwy. Pomace_ etc.
18245 S.W. T.V. Hw
Address: Aloha, Oregon 97006 Gas h- eztt ° °"'p
Wall /suspended/unit heater
CitylStatrfl.11': Water heater
Phone: (5D')) (p qq, j S "� Fax:: (�_ c� 5) (O I — fie t� 1 Fireplace
Range I —
E -mail:
CONTRACTOR Barbecue
-roR II
Clothes dryer (Luis) I___--
Business name: Other Action Heating, Inc. NII;CHANIC:AL PERMIT FEES`
At dress: 18245 S.W. T.V. Hwy. sabcntat .
h_____ Cit /State' %11': Aloha, Orego 97006 - Min:munt p rnti( ttti ($72.50) b al
— - Fax: ( /- 60675' .. flan review (25'%ofpermitfix)
( hone: ( �) �p y' _ ;� sulk; surcharge (o% of permit Ice)
< r.>? lit .: 7 g :3 L TOTAL PERMIT FEE •?f3 30
'rh(x pvnnil opplicntion expires if a permit is not obtained within 0111
data • fter it.hasbeen •rrcrntal as cnmr, e
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