Permit CITY OF TIGARD
MECHANICAL PERMIT
i� DEVELOPMENT SERVICES PERMIT #: MEC2006 -00223
u�-4-'-° I st;. 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/23/2006
PARCEL: 2S 109DA -06300
SITE ADDRESS: 15032 SW GREENFIELD DR ZONING: R -7
SUBDIVISION: SUMMIT RIDGE LOT: 040 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 NIT
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
DEAUVEAS Description Date Amount
15032 SW GREENFIELD DR
TIGARD, OR 97224 [MECH] Permit Fee 5/23/200E $72.50
[TAX] 8% State Surcha 5/23/200E $5.80
Total $78.30
Phone: 503- 352 -4869
Contractor:
CENTRAL VALLEY AIR
6699 SKYLINE RD S
SALEM, OR 97306 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 932 -8304
Reg #: LIC 127032
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" /c z/ Permittee Signature: c�
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.
FROM : CENTRAL VALLEY A IR FAX NO. :535893429 • May. 22 2006 10: 06PM P2
. ._. ..,
Mechanical Perm t *- 's.i' ; ''' -* 3., - . , :o.i. , 4ertrgip:17"nfrkr.'"0. , Fv,...‘,Ar... ejr1.4Net••• '13 41.7r,
t"' 4. ",?'"1": ' •'. i. VII] " kl'r •*' I +4 p? , , 4 :',I71,15 . 1V101,04 '4'44' ,,,, •"'•ir , ,c c.,
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aty of Tigard „,
13125 SW Hall Blvd., Tigard, Olt 9722NAY 2 3 2005
Mame: 503.639.4171 FilItt 503.398.1960
Phut Review -
4-, ',• •‘, , L1, ,..1„, Dste/ay: Other Permit:
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Inweetion Wm SD3.639A175 i TV 'p' -1'16 2
1 Dare Ready/13y:
0- .2.1. h _ .4 ,Ild _ L._ . 1*,' EN El Sae Piga for
Internet: www.ei.figard.or.us -1 "- - Nodeed/Method; Supplemeetet Information
BUTT,DTIVC I IP , TTqlini\
.0, ,.. , ( . P4,1 v Tic k ■ 1 lirl ?I 11r lit If1.1) p , r , ., pip, ,I,In rArgd4.442 ..1 1;m 4g +,., , , d , i itd,i 4,,,,,,,,,, yi fr i t, li ,0 • , 0 I 1 - ., 1
i Il 1 I I' id ' Oh 1' M i ' . I l l 1 II ' ' . 1
,,, , i 1 .1,, i,, L , ,., .i. ‘ EA th113116 iliag 01.1 , tkaglliy4 040 jth 11 I , • ( t , ra
0 New oonatruotion ArAcidition/alterationireplactement Mechanical permit fees° arc based on the value of the work
performed. indicate the value (rounded to the nearest dollar) of all
1:1 Demolition 0 Other mochenical matorfais 1 1 % oaulpment,
.a...or and profit.
`,11411,1;fr II ",:'n''fo :71.(11,0,111, , Ip , i , l' : Ipu p Value: 8
' 'cl: ,',•11.,.,•t ' 4 l',img‘,■1411.&,11.1:1:4 - , '21411 l • '''' ' ')`•'` ' ' - "' tir14 * • ' ,.,
iii le and 2.finrilly dwelling 0 Commercial/industrial 0 Accessory building i '11,1:,.,ivaLL4i;111,;:le.i941;fl'ALAV If.....1. •
For special information use checklist.
0 MUiti•01111ily 0 Master builder 0 Other
Description Qty. Ea7 Total
,ri4I'' ; ' , '.' i,siiqwl.'` sTrer ' liilawiNTIMIc ' ' ' •
, _
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, !, , „,,',1,,' ' , ,11,,,,,i;;u0;;;t1;,a, ; bri;Iii,„!!'ll catIra idir ; ,, i ', ; . . . .0 + .8 na n d " Caal
/4, -0 -11/
Job site address: . /.5 - o 3 1 .? ,574/ & -,6'r . - A. Air conditioning or heat pump
(nandret_sistiplon showirlitynent) _ __ 1LIZ,,,,,_
City/State/MN 77 : . e - 7 .2 d Pomace 100 4 0 BTU (duets/vents) 14,00 _
— Furnace 100,000+ BTU (duets/vents) 17.90
Suitelbldslapt no,: [ Project name: - at 1-4.0() .----,
Cross atreet/direetions to job sittx It// /Ili h. Duct work 14.00
- ----..-__
' Hyttronto hot water gyStetrl 14.00
Residential boiler (radiator or
11 dronio 14.00
— — Unit heaters (fuel-type, not electric),
• in•wall in•duclouipertded
---- Flue/vent for an of above 10.00
Subdivision: LOt no,:
. ., Other: .. 100 .
tut map/pareel no.: Other fuel appliances _
1 ,
T11 i";' ,,,ril''", 'irl'!," t' lql 4114,11elpliglethsWQ1,16,1114a Water heater 10.00
•';-'' ,, lil'o., ', .'"'" ,If!I M104,`,IA:41A.,ffill'aits'elf14,(11 liti'l■ER , it , t. , r+ , III 0 'I' liMMPIII WIN
Oat fireplace 10.00
O/C= ex-dr-1 .< _ Flue vent for water heater or gas
fireplace 10,00
—.----.....--------- —. Log lighter (gas) 10.00
WoodOellet stove 10,00
—
Wood fireplace/insert 10,00
1
l' : ilif l , i l 1 p y 1 it )t.,:11, C11111111CL/111teetlue/VCIlt • 10.00
--,
'" " ■:, ' ', h •30 p; :1011111111001!,14111111f 0i'!1,1 ,1 ' /14 ihke11, ,,I1 : pi - .,, other. 10.00 — .... • 4ame: ,,,co 4S" Environmental exhaust and vendiation _
Range hoed/other kitchen
Address: X L-7 c2 2, •if 1 211; ( rZa_l_. „AC e.ui tmt 10.00
My/State/ZIP' ' 'Is- n(2 o/e_ • y 7 .„223„y Clothes dryer exhaust
Single-duet exhaust (bathrooms, 10.00
Phone:
(,y ..2 - 869 Fax: ( ) toilet compartments, utility rooms) 6.80
----
0 . , ,, t e ■ , 'r , i, , i■ ;III o ,, , ,, !■VIVOIrni ' . , 1' t ■ 1 :P , ■ linairiN,;,;1;1 Attic/crowlspscc fans _ 10.00
• • •
Other: 1,..0.00
Etusinces name:
. . Fuel piping
__. — .
7:Amtact name: / As t",.---- • 65.49 for first four; $1.00 for each additional -
Address: 6 6, , , i igi. , Furnace, etc.
Gas heat pump
,.„ ---
:3WfiitateaXP: c _./Q . /4„. t ._ 0‘.. 7 3 0 e/ _ Weliistia . ended/unit heater _ - —
-•
Water heater
PhOne: ( ) a/ ..). goo V Fax : ( )
FiMPlace -
`" ""
Proasil; . Rangel
•,, :-• "-, , • •, • ‘.'' T•I rill", ;y''Mitl lelti;ifif:Ir ,' 1 1T l'„V, ,;11',::, Ivor' ; il 1 ,‘; illigg Barbecue
1' 1 ', ' .•ill111.11:ti.A,3,,,,t301 „, ,,, 1 ,„ It •!, f , r titri NO d i , Or , tili I ai 4 i t tit i, , , ........ .....—
Clothes dryer (Ras)
Elltaineal 1 1 6449",kinfi r
04 e, "4,
Other,
kddregg: ev 6 f 7 i t. i A /-* --ivad .5 1, '''' ''s"
Subtotal
.7..ity1Stata/Z1P; „5 • e_ ,...9 azo /..v ---
- - Mini/rum
Thane: ( /103) j Z 51 Pax: (503) S --- 9 /021.._ Plan review (25% of permit fee)
XD Ho.: 0 ,2 773 ,..;! ......_ State surcharge (8% of permit fee) j'%. fa
TOTAL PERMIT FEE
ildinvOrsA ofirnstwis
r ,, -------"d This permit application expires if a parts& is not obtained within la"o
a elo
FROM :CENTRAL VALLEY RIR FAX N0. :5035899429 May. 22 2006 10:06PM P3
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