Permit CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00326
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 7/20/2006
PARCEL: 2 S 109 DA -09600
SITE ADDRESS: 15228 SW OAK VALLEY TERR ZONING: R -7
SUBDIVISION: SUMMIT RIDGE NO. 2 LOT: 085 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:
REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
LOUIS LEWELLYN Description Date Amount
15228 SW OAK VALLEY TERR
TIGARD, OR 97224 [MECH] Permit Fee 7/20/200E $72.50
[TAX] 8% State Surcha 7/20/200E $5.80
Total $78.30
Phone: 503- 756 -7000
Contractor:
OREGON HEATING + NC INC
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -538 -2953
FAX 503 -537 -2172
Reg #: LIC 125815
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: A 1 Permittee Signature:
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business da\i.
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.
Ju. ,19 06 09:59a MS Rentals, Inc. 503 - 537 -2172 p.1
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Mechanical Permit 1 FOR OFFICE USE ONLY : I Received '. '��
City of Tigard A �/ PermitNo. = v r
Date`i � D d /�
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review .
Other Permit:
Phone: 5 Fax: 503.598 1960 1 / Date/By:
Inspection n Line: JU `_ 1 9 201,,,4, La il Date Ready /3y: .Itiis ® See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: ... Supplemental Information
, .."5"... 7 ? t.. COMMERCLAL FEE* SCHEDULE'- USE CAECiQ;IST._
• Mechanical permit fees* are based on the value of the work
❑ New constnictton NY ' Onion /alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ D ern olition ❑ Other: mechanical materials, equipment, labor, overhead and profit.
Value: $
CATEGORt OF,CONSTRUCTION RESIDENTL4 TE. EQUIPMFN'T r SYS FEES•k
.. .
and 2—family dwelling ❑ Commercial /industrial ❑Accessory building
For special information use checklist.
❑ Multi-family ❑ Master builder ❑ Other: p
Descri tion Qty. Ea. Total
708 : SII"E Ti`(1 ORMATION 'D LOCATIO"L 13 rng/coo 1
$ 5, 2 LA. V r � i 1�/ c res s p showing heat pump
Job site address. ' I'
j �� �G requires i�gplacement} 1 14.00 If `"c
/a} Furnace 100,000 BTU (ducts /vents) 14.00 1
City; State/ZIP: t.1/32� r' 1 17.90
Furnace 100,000+ BTU (ducts/vents)
Suite/bido.i apt. no.: ` Project name: , Gas heat pump 14.00
Cross street/directions to job site:
Duct work 1 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
1 hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended etc. I 10.00 '
Flue /vent for any of above 1 I i 10.00
Subdivision: I Lot no.: • Other. 10.00
•
Tax map /parcel no.: Other fuel appliances
n Water heater 10.00
DS CRLPfI ON t7& V40Rb i ` 10.00
V
Il Gas fireplace
j i t , �A V1 A •f-7 e4 / Flue vent for water heater or gas
J' l LJ Z U 1 r fireplace 10.00
N..,-
b , 4 11 Log lighter (;as) 10.00
•
0 J 0� Q J/ / Wood/pellet stove 10.00
�/� t ' Wood fireplace/insert 1 10.00
r; . Chimney /liner /flux ven >. 1 10.00
". r 1WPERTY: OWNER r.. '' ,..., , 0-1 iTl"`TAANT _ a ..: -,,): Other 1 10.00
Name: i ,(] , ` ` ) �t Environmental exhaust and ventilation
�ti 1/` ICJ �} Range hood/other kitchen
Address: I cJND-� 0,../M l Lf/l equipment 10.00 ,
/) ` ' /� t - 1 / Clothes dryer exbaust ' 10.00 ,
Ciy S atdZIP: f�� " ( r J `� Single -duct exhaust (bathrooms,
Phon e) 7 5 (,j 0 0 I Fax ( ) co ace ts, tY rooms) -.
1 CONTACT PERSON ` c, m lsp meets
toilet co utili. ra ms
., / Attic/ - 1000
_� ' ` � /. . Other. I 10.00 1
Business name _, � ti A / } j 4._ ( l04)� • Fuel piping ,
Contact name: ( ( Jr) y - / `J 55.40 for first four; 51.00 for each additional
Furnace, etc.
r ,
Address: e ,. ► }p .(� y-) f . Gas' heat pump • •
City/State/ZIP: di L " j `' 1 S Wall/suspended/unit heater
Phone. ) Fax::
1111161/ ---1 �1'2 Water heater
a • O. — Fireplace
E-mail: ' Ram
C RACTOR '' . ue
.
..
Barge
/� n • „ i� �� �Dr �(JA;)/- ,,, Clothes dryer (Ras)
A
Business name: 11 ) y� J , (� Other
Address: z i i •- � \ , ' I/ MFCHANIC:AI PEiLh1TT PEES'
( �) ci j '1 f E,---- Subtotal [�
Ciry /State/ZIP: - / - .\
Minittumpermit fee ($ `� �S
Phone: ± X71 _1 4 4 • • - Fax _ - 7 2 Plan review (25% of permit fee)
I CCB hc.: 1 State surcharge (8% of permit fee) 5. () _
TOTAL PERMIT FEE — A'. ,7fV
1 I n ' This permit application expires if a permit is not obtained within I811
Authorized s. ature: - 10-' l Al • , J � � � � ” days after it bas been accepted as completes •
1 . y� M * Fee methodology set by Tri -Co snty Building Indust Service Board
Print name: ,_ S I P � i � I Date: /,ot�
._•__ A Art. .ICI +r r, , nwrna.vwtx\
•
CITY OF TIGARD
v+•r• .d 5 •
BUILDING DIVISION PERMIT #: MEd: 00 003 6
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/20/70Q6
Phone: (503) 639 -4171 'w n�iiw
Inspection Requests (24 Hrs.): (503) 639 -4175 ' ' , t'g -- QS-24,
INSPECTION WORKSHEET FOR DATE: 9/27/2006 TIME: 7 :07AM PAGE: 48
SITE ADDRESS: 15228 SW OAK VALLEY TERR CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE NO. 2 LOT #: 0t35 TYPE OF USE:
PROJECT NAME: LEWELLYN
DESCRIPTION: Installation of A/C unit.
OWNER: LEWELLYN, LOUIS PHONE #: 503-756.7000
CONTRACTOR: OREGON HEATING + NC INC PHONE #: 503 -538 -2953
Inspection Request Scheduled For: Date: 9/27/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 037204 -01 503. 532953 Y
■rre{ dons /Comments /Instructions:
I PASS n PARTIAL APPROVAL n CANCEL I I NO ACCESS
I/1Z CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: r Date: — 2Z off, Phone #: (503) 718-
.
CITY QF TIC.ARD - " r4. -==
BUILDING DIVISION PERMIT #: MEC2000032
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7!00 /2005
Phone: (503) 639 -4171 �m�r itl�o �iitll�j 1 �
Inspection Requests (24 Hrs.): (503) 639 -4175 `__.. /T 7' a2d 6 - 00 3 2-
INSPECTION WORKSHEET FOR DATE: 9/8/2006 TIME: 7 :00AM PAGE: 68
SITE ADDRESS: 15228 SW OAK VALLEY TERR CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE NO. 2 LOT #: 085 TYPE OF USE:
PROJECT NAME: Lt.ELLYN
DESCRIPTION: Installation of NC unit.
OWNER: LE fELLYN, LOUIS PHONE #: 503 - 766 -7000
CONTRACTOR: OREGON HEATING + NC INC PHONE #: 503 - 538 - 2953
Inspection Request Scheduled For: Date: 902006 Pour Time:
1
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 036210 -01 603-538-2953 Y
Corrections /Comments /Instructions:
•
❑ PASS [ I PARTIAL APPROVAL ❑ CANCEL I NO ACCESS
FAI CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector: r Date: `! 8 — G-6 Phone #: (503) 718- -- 41 -4-1-
,
CITY OF TIGARD 4-.. ;›,
BUILDING DIVISION PERMIT #: MEC2006 -00326
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/20/2006
Phone: (503) 639 -4171 / uwm1filopiA
Inspection Requests (24 Hrs.): (503) 639-4175 .� 11. /1/&---00700 6 - 403,2 r
INSPECTION WORKSHEET FOR DATE: 9/5/2006 TIME: 7:03AM PAGE: 40
SITE ADDRESS: 15228 SW OAK VALLEY TERR CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE NO. 2 LOT #: 086 TYPE OF USE:
PROJECT NAME: LEWELLYN
DESCRIPTION: Installation of A/C unit.
OWNER: LELLYN, LOUIS PHONE #: 503-7, -7000
CONTRACTOR: OREGON HEATING + A/C INC PHONE #: 5O3 -536 -2853
Inspection Request Scheduled For: " Date: 9/5/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 036986.01 503 - 536 -2953 Y
Corrections /Comments /Instructions: ��
t J
/Ale ..-
t 'Apr' /
/ 2
4-- =� / = — =
❑ PASS I I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
1 I I FAIL ►2 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
6
Inspector: ( ' V v Date: _ / Phone #: (503) 718- f /3/
uregon 'leaing
Jul,19 06 09:59a MS Rentals, Inc.
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