Permit 13993 S`'! Benchview Terrce
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CITY TIGARD MECHANICAL PERMIT
i DEVELOPMENT SERVICES PERMIT #: MEC2006 -00168
DATE ISSUED: 4/25/2006
ffi --yj 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 104CD -05500
SITE ADDRESS: 13993 SW BENCHVIEW TERR ZONING: R -7
SUBDIVISION: HILLSHIRE ESTATES LOT: 055 JURISDICTION: TIG
Project Description: Replace condensing 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: WOODSTOVES:
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
JERRY HUDSON Description Date Amount
13993 SW BENCHVIEW TERR
TIGARD, OR 97223 [MECH] Permit Fee 4/25/200E $72.50
[TAX] 8% State Surcha 4/25/200E $5.80
Total $78.30
Phone: 503- 705 -9188
Contractor:
SUPER SERVICE MECHANICAL
2403 SE MONROE ST # E
MILWAUKIE, OR 97222 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 659 -2937
FAX 503- 654 -1931
Reg #: LIC 90093
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: 1 Permittee Signature: (z
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business daa..
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.
Daniel P. Jennings 503- 654 -1931 p.1
�
k Mechanical Per'nnit Application— � fir;, '�.:,' " �� s�
City of Tigard A . Received 4/ �� Uczo Permit M lG C.o?GK d_oi cs,
13125 SW !tall Blvd., Tigard, OR 97223 won Kaview
Phone: 503,6:39.4171 Fax: 503.59x.1960 pI /I •+ a t t I , 1).vdti Other Perron:
Inspection Line: 503.639.4175 R . 7 20 '1IN 1 I y
PC ` ; . 1 !.,, Date Rmnly /Ity; tutu: la Kee nice 2 for
Internet: www.Ci.ti4�td,or.us Nnoticd/Muthod: _ J ,3 Supplemental Information
CITY OF TIGARD .�
i,:ilf.4)1 14kVISION COMMFRCIAI. EKE* SCHEDULE - USECHECKl,ISI
❑ New construction (� AddilioNalteration ircplat:t:ntent Mechanical Permit fees' are based on the virtue of the work
pertormcd. Indicate the value (rounded to the nearest dollar) of all
❑ 1)cntolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
• C'ATEGORV OF C'ONSTRU(T1ON alue. $
EXj I- and 2- family dwelling ❑ Commercial /industrial ID building IU SIDS N:TIAL EQUIPMENT / SYSTEMS FEES* For information use c:he kli..t,
❑ Multi - family ❑ Master builder ❑ ()ther: Descriptitm (?ty. l a
. Tutal
JO8 Sfl'i•: INFORMATION ANT) LOCATION Heating/cooling+ _
'Terrace Au conditioning Mao or Dual pump
Joh site address: 13993 SW Benchview
T (mmrR• plan xhowiaRp4tcct!tctti) I 14,00
City /StattJZIP: Tigard. OR 97223
Furnace 100 000 BTU (ducts/vents) 14.00
- furnace 100,000+ BTU `tnerJvenis) 17.90
Suitc/bldg, /upt. no.: ( Project name: -. ..
_ ... (las heat (rump _ 14.00
Cross street/directions to job site: _ Duct work 14.00
Hydrnntc hot water system 14.00
Residential boiler (radiator or
- - hydronie) 14.00
_ Unit healers (fuel-type, not clearic),
in -wall, in- dud,su_ pcndcd. ctc. _ -� 10.00
i l Lot no.: Flue/vont for any of above 10.00
Subdivision: Other: 10.(x)
Tax map/parcel no.: _. - .._..__ Oncer fuel appliances .
Di:SC.'RIM OF WORK ... Water heater _ 10.00
Gas firepla a -- 10.00
Push pull on Condensing unit Flue vent for water heater or gas
- k. ,
lire tact, 111.(x)
-- - - - -- . - --- - Log lighter (gas) 10.00
Wood/p�Iltx dove - 10.00
Wood fireplace/insert , 10.00
( himney / line► /tludvrnt .. - 10.00
® PROPERTY OWNER 1 ❑ TFNAN'[' (hiller 1000
Nance: Hudson - ri Environmental exhaust and ventilation
Addn�„: 13993 SW ilcuchview Terrace q pc hood/other kitchen
equipment 10.00
City/State/ZIP: 'Tigard. OR 97223 (lixhos dryer exhaust .. 10.00
- Single -duet exhaust (bathrooms,
Phone; (503)705 -9188 Fax: ( ) toiler compartments utility rooms) 6.x0
• ® APPLICANT ❑ CONTACT PEILSON Altn/crawlspacc fans 10.00 -
- - Other: 10,110
Business name: Super Service Mechanical
..— Fuel piping —
Contact name: Daniel P. Jennings SS_4O for lint four; 51.00 for each additional
Address: 2403 SE Monroe St. Suite E Furnace, etc.
__. _ ,_. . (.iaa heat pub -- „ - _
City /Stite /ZiP: M:Iw &ukic, OR 97222 WalVsusptindcc1/tmit heater _
Phone: (503) 659 -2937 [- Water heater
ax:: (503) 654 -1931 -- -
_ Fireplace E-mail: -mail: dannaomi(u)COmeast.net Range
CONTRACTOR r Barb to .- __
- - -
f�usinrvs name: SAme Clothes dryer (pas -
_ _ _. Other:
Addre - ,s: MECHANICAL PERMIT FEES'
City /State/ZIP: -..__T - _ Subtotal
— -- Minimum permrt fee ($72.50) - 72. 5 L
Phone: ) Fax: ( ) c
( _ _ • . _ _ - Plat r�wi�h, (25% of permit fee) _�
CC13 tic,: 90093 ) State surcharge (8'Y• of permit fee) J.; cTC
TOTAL PERMIT 14:1.: ? ��s 0
/ ��
This ys u
permit applrt if a permit i., not obtained within 180
Authorized Signature: ��(( ���ff /�� / dr otter er it t h beep Dees Sooeptcd an compilers
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