Permit C ITY OF TIGARD MECHANICAL PERMIT
X 01, DEVELOPMENT SERVICES PERMIT #: MEC2006 - 10021
DATE ISSUED: 3/9/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S135CD-13200
SITE ADDRESS: 09635 SW PIHAS ST ZONING: R - 4.5
SUBDIVISION: GREENBURG PINES LOT: 003 JURISDICTION: TIG
Project Description: 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: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
ROBERT MUSANTE Description Date Amount
9635 SW PIHAS ST
TIGARD, OR 97223 [MECH] Permit Fee 4/1/2006 $72.50
[TAX] 8% State Surcha 4/1/2006 $5.80
Total $78.30
Phone: 971- 235 -0450
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: 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 AIR FAX NO. :5035899429 Mar. 09 2006 10:44AM P1
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City of Tigard
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13125 SW Hall ewe„ Tigard, OR o7az3 MAR 9 2006 �� - Pam* No � X � as - � e� I ,--.
Phone: 103,639,4171 Pax: 503.598.1960 Tian Review
Inspection Line: 503.639.4175 . : i l[ Plan
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Internet: www.ei.ligaM,or.ue ` ° NottRodadethod: ® See Pega2tbr
yl i Py 8appremeatal Information
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C] New construction ,C /alter tion/replgeement Mechanical peittit fees* are based on the value of the work
perlbttned. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition 0 Other
mechanical materials equipmen5 Tabor, overhead, and profit.
't'k :l 91 . I : I, h1 u ,.t. 1 ilia i , ,";111,1''''',`, n rpl° t IIt,lw ��� Value. $
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4 1- and 2- tinnily dwelling 0 Commercial/industrial 0 Accessory building ,c .1 . 5 , I ` r� "' r , •', . t , ' fats.
❑ Multi- family ❑ Master builder 0 Other: For special hllormat on Wee checkllsr,
n r 1 ',, t „,,, 1l !R.I., 111y q111, r ,1 T. rnl ,•p I� nt J • Deseription a Total
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Jar site address: 9 6 35 ISM/ /0/ Air conditioning or heat pump
ireneites site elan showing t? utman° i 14.00 / 4, ”
City /State/ZIP :... 4z. ✓r,,/ pre 97020? 3 Furnace 100,000 BTU idvetewent„) 14.00
Suite/bldg. /a pt na,: Project : Irumai a t00,000+ BT (duets/vents) , 17.90
- ... _.
,�,..._ 14.00
Cross eireet/direetions to Job Atte: 1"QP - ray Duet work 14.00
A y � 7 : - 1 4 � _..._
j_ydronte hot water system 14,00
Residential boiler (radiator or
hydronin) 14,00
- ----- Unit heaters (fuel -type, not electric),
in-wall, induct, euspended etc. 10.00
Subdivlaion: Lot no.: • — Plea/vent far any of above 10.00
- - — Other: 10,00
fax mtip /parcc no.: Other titel appliances
1 1t ✓ s � t 1 111 11 i 4 III t7 1 1t , ,l 1111r' I '.1 i..v t 1 1r�1;7 II 1l � !Ii f, I I +i,I 7 i r - �7�
A K'�. , ',1 , I I t - i 1Illl r!Ir I I tl 1 +1 I `o , I 1 I t1, + � 1 1 l'i'l i1 1E 111ddyj 1tP 1igL,(�1�,,p1�J11�'Ii 1 r/r Ater hearer 10.00 . u . 'a. I, J,,..l11 }!},.I h IU 1 +10: d�.1t,a1ti�JtLw i1 � u!! ,., 1P�P• 1.�G �aLlulry 1 f 6 l � � 1 11 II MJi f1 ,l�tdl.fii7.lf1, 11., - -
l 3es fi replace 10.00
c...,_ • • ` 67A--'' Plue vent for water heater or gas
fireplace 10.00
Log lighter (Rae 10,00
Wood/pellet stove 10.00
Wood flr ,place/insert 10.00 -
° „ c rt,y . +: 1 1 ” ,I • ,r. , l�i1,, ,y i.: l llinI ? fi i. R ii v `i 't 1 . t i t, rhirillk i gt li, 14'' ll'nt 1'r I C __0Y/hiter/flue/vent 10.00
.. 1 � �.. ,I, Other:
ms: _
ra 10,00
/ ts4(.t. -t? '2A Envlronlinental exhaust end ventilation
lddress: y., 3. j (,1 eA t S equipment 1 0,00
ltty/s�tellzzlp: .. �; . ,� J a . 9 7 0? $ Clothes dryer oxltat,si ._ 10.00
Single -duct exhaust (bathrooms,
tame: ( 'i 7) �3 0 #,I 0 Pax: ( ) toilet compartments, a ) 6.110
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S`"� .. 4 ;.1 �.1 ' � 1} . R, I rr t � r :1v � '�111��i� � � .. , 1 , � 1 Ll h i„��. Ill�f�'.'ahlti AttIC/CraW t�lta �� 10.00
luainesa name: Off: 10.00
-- Fuel aipintt _. ---
kettle: nemo: i t i"x jKco s'3 $9.40 for first four; $1.00 far each additional
ddteae: � Im 2.J - Furnace. eta.
�
ity/9tate/ZIP: Oes heat pony
Wall/atvended/unit heater
hone: ( ) Pax:: ( ) Water heate _ ,
mail: Fireplace -l._ .... --
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ikll: 1
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ttableaa name: C�,,,,�k / f/a ii y elothea dryer (gas)
�i other
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ity/Stetet/ZIP: 4`/76/:. -• / ,3 O & Subtetai
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2 L Minimum permit toe ($72.50) ?.),..„;:
honor J ) ',3' -- ;AN' Pax: ( 5 T 9 % Plan review (154b of permit fen)
CB lie.: /c, � a .: r.
" � St ate suroherge (8�r6 of permit f ee) � i�
TOTAL PERMIT FEE , a b
Thit
Uthotiged signature: 4 - � - permit apt>lfleation s n lac
p spires If a perteli h not obtained within
_ days ate, It Au been 'meow as complete.
lint name: --- 77... > _ - 6%'t'�/) /,--r f/ 1 pate: ?h l� 1 ' Pee methodology set by T>i•County Building Industry Service BO*rd
FROM :CENTRAL VALLEY AIR FAX NO. :5035899429 Mar. 09 2006 10:45AM P3
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