Permit C ITY OF TIGARD MECHANICAL PERMIT
�� DEVELOPMENT SERVICES PERMIT #: MEC2006 - 00312
I DATE ISSUED: 7/11/2006
i ° — ` 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1 S 134AC -02617
SITE ADDRESS: 11245 SW WILLOW WOOD CT ZONING: R - 4.5
SUBDIVISION: ENGLEWOOD NO.3 LOT: 174 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
ALEC CHALMERS Description Date Amount
11245 SW WILLOW WOOD CT
TIGARD, OR 97223 [MECH] Permit Fee 7/11/200E $72.50
[TAX] 8% State Surcha 7/11/200E $5.80
Total $78.30
Phone: 503 - 590 -8477
Contractor:
A -1 AIR CONDITIONING CO INC
2038 NW ALOCLEK DR # 225
HILLSBORO, OR 97124 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 645 -5900
FAX 503- 648 -9824
Reg #: LIC 62102
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
•
Issued By ` __ • _ . — _ Z_ Permittee Signature: (l) 4)-1,
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
F .
FROM :A -1 AIR FAX NO. :5032572607 Jul. 11 2006 07:14AM P1
eechanical Permit Application �, ;full. t ' 1 FTC F If (1_� 1 _i'‘.4-'1.-, '' -V :r
City of Tigard Received / A' 11 12:11)R
l;bvd, Tigard, OR r. Data/13y: Lz ..
13 125 SW Hail -G 1 Plan Review Other permit: y. Phone: 503.639.4171 Fax 503.59: 6 F i e,o l c r , Dated3
Inspection Line: 503.639.4175 , 1 1 _ 10u' ..� J Date Ready/Sy; INIE
14 Sec page 2 for
Internet: www.ci.ligard.or.us U� l+ .
Notified/Method: Supplemeentallntarmation
d.orus \- r� •
� . �utwt } 53. :sS y5' , :�r••ra� � „ r : `•�; Kt :' 4l l .L � - T% CID
.Iry r: r #SS {1 a, n'::L ' t x�Cn t � " I+�. N' } :�;.�ati �l � :u' � -,.vxr
� qg 3 : se r -. r {o,!.rax� v m K' 7 +r
.0 ,,,,ii`Sbt1$S r r+ t; 3 5 t -.•;c c ',I 1 , - 1 ti r [ uhr`. P 1 v,F et e k :S 1 n n g ia . it . 4;0 1 4 .
r?' r:Frl�4rrFr`••:F�i }t %�� „tr�; �� ,�� >::: s s3:r��:a:i�:.:e 3� ;si: x u tu•.: a - � +w. + • , + �� �,,''St, r: ':: t tt ustiit.> r� b': �x�� iu`.,<..: �' al.: caS✓• ? aw��ra y '�ts`'�
New construction N Addition/alteration/replacement Mechanical permit fees• are based on the value of the work
performed. Indic:az the value (rounded to the =area dollar) of all
❑ Demolition (] Other mechanical materials, equipment. labor. overhead, and profit.
r v,
:/ -V'.4Y".:57.4% . T ,!• rr^ Ypr7yh=w rgr T'. . 'tr -/! IV ri r Value' $
G;C: ? Ct'C[i�?+C•7 <Cr,.,, .��)Yr r:l: �::ii y,, .t2 x �a� �W "!J{'f, A�kri �.iI2 •y' �,!. i s s• ''S1 ' 4r ttt$ ! $r� '�l�r � � i r
! 2,212 % r::.:5).. r : :i:: ltiafSYl✓ l,V . ,.f, :......01ti aZilit ' r.. 13" • ''"' ed�!� AIdrC•. u"k1`7:.v4 1 '1)rG l 741 r rn 1,,;,i
® 1' and 2- funnily dwelling El Commercial/industrial ❑ Accessory building r , a r r? f f,I t' " , : ti..s r -2ct� $ '
'ran r r AT: al ' sigst J fU 55a�u9 iiisbiS 5'ttk �i. * i,
❑ Multi - family ❑ Master builder 0 Other. For special tsrforrnatiorr use checklist. t ���y�•• ��� _ Description 1 Qty. 1 Ea. t Total
,j77 � $ ,;;, 5.:4PSv=.'4. ` . !, !'.. ,. , i , . •� Y r 7rxa ! 11� r'' ) )% 4 4 toolJn
� 't"2''r i ?'r'v't'F ••t:$$ • : !.' • } , }k�5. }, �,, ( t lC ut�._.e._��
t ?,' ' r r Sn f ?r ; y ' ti ... : r, y - s f 4 r 51'8 p }:- ) :).., + „ < ,,�� L
,,.F ,'r L•lrlr rlfra•Fi ! . ;l�wi .r, .. .. X15 u)vtisiriti�.ly .it:. �••'
roe willow wood et. Aar conditioning or hest pump
Job site address: 11245
_ ('° quhes plan showir�gptooea�eot� 1 14.00 14 _
City /Stan/ /3Y: t;.ir d OR 97223 Irumacc 100.000 i3TU (duasrvao��} , 14.00
Suitt Jbldg,!apt no_: - I Project name: Furnace 100.000+ 13T U ( ducta/vcnta) 17.90
. Gas (teat pump 14.00
Cross street/directions to job site: Ductwork 14.00
- ydronic hot water system 14.00
_ Resid�ial boiler (radiator or
hydronic) _ 14.00
. Unit heaters (fuel-type, not electric),
in- wan.in•duct set�Cndcd, etc. 10.00
S for any of above 10.00
Subdivision: 1 Lot no.:
Other 10.00 1
Tax map/parcel no.: Other duet appliances
+c :c :< 10.00
ZW:i i' % '.4t4 �s" v ` : ri :.. • S s ;• : " v � - ', t 1 r ' { 7 ' 3' 4 4 .. "� 'r r Water - cr
i.YiriM . S. s .:... .) s Gas < ...: ce 10.00
Install Air oonditionmg Flue vend. for water beater or gas
wePtace 10.00
- Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
ytar Cc c: • r n i r ». yi KS $��$y \ Kt KC .4: S IY�t ^.: Chimoey/line tudvent 1 10.00 r .C-Ce :3 , . : � ..',,'rt".•• v $ '� } t �y.{;... y ,.Si K Other J r
y: ":a'at ,5; ; "3i� ��� �la �iyl f�tf�r�� ..�1P!���� 1O - QOJ
Name: Alec Chalmers Environmental exhaust and ventilation
Range hood/other kitchen
Address: 11245 sw Willow wood CL
10.00
City /state ZIP: t*gard OR 97223
Clothes dryer exhaust 10.00
Siagleduct etdiauat (bathrooms,
P h o n e : (9 75 S (O - S I 77 Fee ( ) toilet compartments. utility rooms) 1111 6.80
} n! $+ tr ` 'C4z " attt: • Attic/ .. aCe faoa 10.00
. 4 4 Cr.. ''' '' T t ? S > '.1-4°65W.' SC tfS .11 ' w" a ab' a u w t` . r Ki
S , $.r tS <$ :. !1;17.z.,75.,.,-r.-:..e � d ;- » } ... lw � w; r s ytTSt?c2..U$r Si >,,:: 1
if`: Fr :...: i.:a„ y 1 t ,ar a le i.. 0.00
Business name: Fuel Lu•::_:
Contact name: �� . 1 Eg $5.40 for � four fou $1.00 for each additional
- - ✓`� Furnace, etc. _ L -
Address: _ oas hest pump
City/State/ZIP: Wall/caycnded/unit heater
Water heater
Phone: ( ) Fsxc : ( )
Ft .lace
E-mail: Range _
II
$,
5z.'4 : : 3 »ys>: �. � a ,: y f tl 8� 7���� 1 : , ,, tu*' ¢'' . • .,' ,r }KW ' +t y , J. SS�l 13arbeeue _
;i:M; t LIV*),..,..MiV ; .,... k, Oe., . CSe?i_.? ..-0 .61 ffi- IfimC' •' ,r S. 1 �SkY;'➢ix.e. { S..
� _ ' . r c ; Clothes direr (gas)
Business , yil
O uter
�p 75 J,',°�" qt ^ , !rvotocovcrtM5;5a } it "77:kr> 01.41 N? +15
Address: jt $ ,A)1 �� �Q� Yt: "" #2 W.ifl igKr,;'s )',q, 1v:h,,F �,.fr;:,:� )fa-...11,., '
1 � l7� i . , A.. 4 ..'.rU {eC . » :lr.•tnk irS�::uar�YyKr j:lrrui: ! at�lc'F.1 }S'¢. it .e, �
City/StatcJZIP: t `) is loom et 7/7 4 Subtotal
Minimum permit fee (572.50) 7 2 - S - 6
Phone: ($b3 ) I,tf 5 - S gu t Fax: (5D3) ZS 7 - 2 (v 07 Plan review (as' /• of permit fee)
CCB tic.: ( ! D Z State surcharge (VA of permit fee) 5. ti 0
. TOTAL PERMIT FEE 7 0 -30
/ fl ' This permit app&mtion expires its permit is not obtained within 180
Authorized signature: (fig ) drys after it has been accepted as complete
Print name: DO u s{ n L.¢ e4 r I ( 5 Gate: �,/�0 Q'Co • Fee methodology set by Tri -Covnw Building loamy Service Board
r 1RUildincrTe�uilMFt :- P�tAPP. <10e 12103 4An.uil7r(11%04lCOM/<N6B)
FROM A -1 AIR FAX NO. :5032572607 Jul. 11 2006 07:15AM P2
4 r fi /
Air Conditioning Site Plan
•
•
g3. I
•
L.J0044 C-f-
Job Address
•
•
•