Permit 11 CITY OF TIGARD MECHANICAL PERMIT
-' COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00244
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/15/2008
PARCEL: 1S136CA-90222
SITE ADDRESS: 10900 SW 76TH PL 22 ZONING: R -25
SUBDIVISION: TIGARD WOODS CONDOMINIUMS LOT: 022 JURISDICTION: TIG
PROJECT: ORI
Project Description: Installation of A/C. NC unit cannot be placed within the required setbacks.
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:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS
CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
JEFF ORI Description Date Amount
10900 SW 76TH PL 22
TIGARD, OR 97223 [MECH] Permit Fee 5/15/200E $72.50
[TAX] 12% State Surch 5/15/200E $8.70
Total $81.20
Phone: 503- 403 -4477
Contractor:
OREGON HEATING & AC
PO BOX 241
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -538 -2953
FAX 503 -537 -2172
Reg #: LIC 172126
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By:/ /e Permittee Signature: 0A/ ePPG /e- 770/\/
Call 503.639.4175 by 7:00 a.m. for inspections that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
• 05/14/2008 13:30 503 - 691- 85E CEIVED OREGON HEATING PAGE 02/04
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`? City MAY 142008 Received . ," t
' • . `J g Date/8 IS 0 f ¶ .,flit No.: firc oo f DO�/
1114
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
` CCII
Phone: 503.639.4171 fax: 503.598.1960 CITY OFTIGARD Oth +_r Permit:
-• Dare /Fy.
TI A 'D' Inspection Line: 503.639.4175 BUILDING DIVISIO 1' Date Ready /y: Jtti : El See Page 2 for
,•::.. lntemet: www.tigard- or,gOv Notified/Method: Supplemental information
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,
.. � r , � ,' : - , 'f k�'f7 . "vY ,..:: , O?V(ivtF .$L', ° S USA G 4C'1C,):.15'Z'
— am .,-
N tcc :iamcal permit fees" are based on the value of the work.
Li New construction Addition /alteration /replacement performed. Indicate the value (rounded to the Nearest dollar) of all
0 Demolition D Other: mechanical materials. equipment, labor. overhead, and profit.
r Value: S
... -, . : ; CATtGORY'�O�' NSI'RTJCT'IO
w RES1DET' I•IAL EQitxrMtNT iS$YS'TE S >�)i •:
XI 1- and 2- family dwelling U Commercial. /industrial [] Accessory building
For special information use checklist
[I ivlulti- fatnily ❑ Master builder [] Other: Description Qty. i Ea. Total I
t' r YJD$ STYE TN1(712iiXATION ANA' LOCATTO i z kJ(cating/coP
Air conditioning or heat pump
_ Job site address: i 0 0 pQ 'S 1 1 e, m p - (requires the plan showing placement) 1 1 14.00 I ere)
City/State/ZIP: A- 0 -, 61 7 ') 3j furnace 100,000 BTU (ducts /vents) 1 14.00
Furnace 100,000+ BTU (ducts/vents) 17,90
Suite/bldg./apt no.: 2 2 Project name: org - ( 1
! _
Gas heat pump_ 14.00
Cross street/directions to job site: Duet wortc 1 14.00
j_ hot water system 14.00
Residential boiler (radiator or .
—` hydronic) • 14.00
— Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc, 10.00
Subdivision: Lot no : Flue/vent for any of above 10.00
— Oilier. 10.00
Tax map /parcel no.: Other fuel aepllances
d ^4 ;a ltd > 1 d ! IP , r r � rc �l ' t , r n . � , :l'i4,t
f l iW N n /e 11 �in f /1•': -. Water heater 10.00
rt1 �� 4i77�,�' �!a���j':�} SF�12�I`iQI�l,�i�' �� Yrtk�T�n�F: ��� ;���:� lace -- 10.00 - �.., - -
7F ) is le} '. 11 .1 v l H, i.c. ?, -'I l,. t.. —.. 4 �,
+ Gasflrep . „ _,,,�
_ 5 f � I L-' OP L 'f,O -, ___ ,Flue vent or water healer or gas
freplace I0.00
Log Lighter (gas) 10.00
Wood /pellet stove r 10,00
_ Wood freplace/itisert i 10.00
i , (t +, , i t r, w `,w r a r.. , } i, wr rt1 x 4 ,x t , 1 r "ay Chimney /linettEue/vent 10.00 • Cr ; _, la 1' #lt' ',3� � s�yh 11/ 1 ,l? >ia1J r a '`�.,I1 �t °l , ;Ir dr �,E . Oilier. 10 -00
y a ,tliC, �..
Name: fa g, ) Environmental exhaust and ventilation
( ®C 6 0 s t..0 —7 C G � 1 Range hood other kitchen
Address:
L e•ui.mertt 1 10.00
City /State/ZIP: T 0 A- f el 7 -2 7� - Clothes dryer exhaust 10.00
{ Single-duct exhaust (bathrooms,
Phone: (5 L03 _44-1 7 .Fait. ( ) toilet compartments, ujlity rooms) 6.10
e, ;; ti , 7571 r u . ;; • ' Attic /ctawlspace fans 10 "00
! I ? 5; ,I P Y I. I x y y } �r ��RI.,�L'/Y�,/i 1 1_ .�., Il. :'� 4liT PE1t�bN a i :
Other. 10 .
Business name: C1� T�IJ1�1 - 1, (`► -1-: . . A.� J Fuel I.1n -
Contact name; Q L __ 55 -40 for first four s 1.00 for each additional
Address: '- �l _
, � ( Furnace, etc.
Gas heat pump
City /State/ZIP: (A 0 T 0 `7 ( __.,..,-..,., WalUsus•coded/unit heater .._,
(� .3) 53 g 2 ° L -_ 3 ,..5--7 -2 (� water Heater
Phone: Fax::( Z
F MI
Email: Range
lM', .0 m Barbecue ,_
13usittess name Clothes dryer xas
Other:
Address: ; A'I)+C1B11MC :til P 1ZNf1]( F1?liS "t ;; <c i;
City/State /ZIP: Subtotal _
Minimum permit fee (572,50) IA LS
Phone: ( ) Fax: ( )
„�� flan :evtew (2i, ofpeithitfee) _
CCB lit,: 1, ''7 g, ( (2 State surcharge (12 %ofpermit fee) �' 7 D
r - TOTAL PERMIT FEE _21 , ..
, Tbin permit AVplleatioo. expire. if .2 permit is not obtained within 180
Authorized sigtaitire :/ days after it h1g been accepted as cOm Plete.
•
Print name: .tJ I f) 1( E LAS Date: 51 14 .....03 . Fec methodology set by Tri- Covnty Pudding Industry Service Board
I adidiaa\PeamitiVIC- PesitArm.rtoi, nann /0, 440-tf t7T(11/02/C0W'?4a)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: Ia1EC2t108 00244
1 13125 SW Hall Blvd., / Tigard, OR 97223 DATE ISSUED: 5/1Ed200f3
Phone: (503) 639 -4171 iiiNp4uup.
Inspection Requests (24 Hrs.): (503) 639 -4175 A- r�' �..
INSPECTION WORKSHEET FOR DATE: 6/4/2008 TIME: 7 :01AM PAGE: 32
SITE ADDRESS: 10900 SW 76TH P1. 22 CLASS OF WORK:
SUBDIVISION: TIGARD WOODS CONDOMINIUMS LOT #: 022 TYPE OF USE:
PROJECT NAME: ORI
DESCRIPTION: Installation of ANC. NC unit cannot be placed within the required setback
OWNER: ORI, JEFF PHONE #: 503 - 403 -4477
CONTRACTOR: OREGON HEATING & AC PHONE #: 503-538-2953
Inspection Request Scheduled For: Date: 614/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 070811 -01 503 - 536 -2953 Y
Corrections /Comments /Instructions:
C - e - ii2. O9 - �1- -t 1 I.J!
PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: y14 Date: �----ifI Phone #: (503) 718 - '2./ •
^ 05/14/2008 13:30 503-691-8556 OREGON HEATING PAGE 03/04
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