Permit C ITY OF TIGARD MECHANICAL PERMIT
yl DEVELOPMENT SERVICES PERMIT #: MEC2006 -00391
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/10/2006
PARCEL: 2S 112CC -11900
SITE ADDRESS: 15662 SW 82ND AVE ZONING: R -12
SUBDIVISION: LANGTREE ESTATES LOT: 051 JURISDICTION: TIG
Project Description: Install a/c.
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
JUDY DAVISON Description Date Amount
15662 SW 82ND AVE
TIGARD, OR 97224 [MECH] Permit Fee 8/10/200E $72.50
[TAX] 8% State Surcha 8/10/200E $5.80
Total $78.30
Phone: 503- 670 -0851
Contractor:
ADVANCED HEATING & AIR COND
5825 SE FOSTER
PORTLAND, OR 97206 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 774 -0161
FAX 503- 774 -4391
Reg #: LIC 98573
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: it e
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.
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Mechanical Permit Annlica o�l (� ( � Q / r'OR C)FFICt t I,( 0:\ I V
Tigard ixkl " 106 ,=3-1: v a 0 (i� r L L ,_ C)(X�,��PT/
City of Ti t P Na.:
13123 SW Hate Blvd., Tigard, OR 47223
Phone 503.619.4171 Fat: 303.3911.1960 Odra Penn) e
Impend= Lino 303.639.4175 l N , .. J a C Ir
interact
aw.tGislyd.or ua V N. °l' 1 - - " 1?m itad sabo { id pl eeee t for , .
T Nod�sO/M�Wed: 1 9�ykameW Lfirm2Noa
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: •'N:(.. r _ F .:t;� . 5'�•� ,o . . :�' :diL iji:7 i `. ,.:
. )' Y =t,' . `i . .11 . 1. :'Y`■.:�i , : 4 #ArCkair'?T. .
' New construction ❑ Addition/alteration/replacement
permit fee' are bawd on the value of the work
Demolition ❑ Other: performed. tadicate the value (rounded to the nearest dollar) of all
mechanical mataiale, equipment. labor, overhead, and profit
�'�r' JS a' ' 'f: 111 „ 11 1 r r. a ''- E- n: • r . ;i,. - .....,,Y , �
d.at..c -- • Vatue:
h ;E rc j,>,- c•i:iti: j . >V:'i :.g,:!"• rr.,, =•,�. eI• •
It l - and 2- yd ❑ ComtasiaUmdustrial ❑'Acca aorybuilding #N : <;�i ">ri Q>;7><¢ Dr1Gt p t SB :
For Amok) ) lnfomtahon use chackltn.
❑ Muhl family ❑ Master builder . ❑•Oster:
• ;...,.. � � _ Description 1 Qty. 1 Bt. ,y rani
V . -,. '''a •'i .7 . . VC .tRa�7�fpo,!►CLYi2i ' .' '. r+•4 ,` a I::'=:'.5.: , '".r: - . , Heart '
Job sine addre�ts: j.J 1. � J Li) ,f17 AV a • wit eoadiriotling to heat pump 1
(tegrdlee Li k Nan alumina! tam
placer) 14.00
CltyiState ZIP: fly0..d. .0e 971..z f . Furnace 100,000 STU (dannve n) • 14.00
Furnace 100,000+ BTU (see tai refs) i 7.90
SuiWbldgIgt -Lo.: I Prujectneme: GIs hen pump 14.00
Coss sea ee ldireetions to job site Duct work • _ 14.00
Hydronie hot water system 14.00
Residential boiler (radiator or
_ hydronlc) " 14.00" •
Unit healers (fuel -type, not electric),
le.wall, to -duet, suspended, etc. 1040
Subdivision: 1 : Flue/van for any of above 10.
l Other 10.00
for nt • • Other fuel appliance
a _ •��n' �`I Water hater 10.00
Gas emplace • 10.00
Flue vent for water heater or gas
p /4 fireplace _ 10.00 -
11 fireplace
lighter Om) 10.00
• Wood/pellet stove • 10.00
}� } ,3 i Wood drepleedh scrc 10.00 •
1 `= + I' ° t z �it Zt ilail Chlrratey/linetlflu lvettt to.o0
Other. 10 :00
Name:- 0 "r
s r Environmental ashanat and ventilation
Andress: fa s y � .5 : a'' = E Range hood/other kitchen
equipment 10.00
..• le ' ; or 972z aothty dryer exhaust 10.00 i
mot LSO j) . .B, - s - ) Fslc ( ) Sing duct exbeust (bathrooms,
, loner compertznela. utility rooms) 6.80 _
. .'It WM :t1$tyi { r'.��s�a�.�t� r,�l''{!d �� Anit%rawls ace fans 10.00
. , l Other. 10.00
. /ii i Lei 1 Fuel piping
Comet �' i 55.40 for !lust four. $1.00 for each additional •
Address: „ / - sr Furnace, etc. 1
• Gas heat pump
/S>te/ZiP /r ■ i '
_ WahVausytndedAfait heater
Phone: Y%:,. a. i - Fax:: CC, - A Watcrhater •
Fireplace
Range ■
kTl■!p7rk7
f a t " Barbecue
Clothes dryer (gas) •
1 at r1' Other:
awstet z1P: errtiavid, t f.702614
. Subtotal /441
Minimum permit fee (S72.50)
Pbonc �3) 77 1/4 / I Fart: L3) 77 y 3}/ Phan review (25% of pemdt fee) 72.s'+d
CCB lit.:
State surcharge (Sri, of permit fee) 5: Po
/ TOTAL PERMIT FEE 7 p J T U
Authorized Signature: s - nut permit appliradiu empires if a permit in net el aloud within 180 '
th
days after It hat bees accepted as consi dete,
Prim nmme:$ 4A p AtGr..._ Date -.0(e ' Fee methodology set by Tri Coutay Bidldiub Indasay Sec -wee Board
iNskst Qie�
evpp.daG tun) aaa.da 77 i1 WWOalCO■Nw2e) .
2' d IGEi' -GGE0S 9141 11:13H U33WUAUB WUT0t6 9002 60 2nd
CITY OF TIGARD
BUILDING DIVISION A PERMIT #: MEC200G -00391
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 811 � rgi u
017.,006
Phone: (503) 639 -4171 444' ., ,111 .‘ t\
Inspection Requests (24 Hrs.): (503) 639 -4175 s
INSPECTION WORKSHEET FOR DATE: 8/22/2006 TIME: 7:03AM PAGE: 57
SITE ADDRESS: 15662 SW 82ND AVE CLASS OF WORK:
SUBDIVISION: LANGTREE ESTATES LOT #: 051 TYPE OF USE:
PROJECT NAME: DAVISON
DESCRIPTION: Install aic.
OWNER: DAVISON, JUDY PHONE #: 603-670-0851
CONTRACTOR: ADVANCED HEATING & AIR COND PHONE #: 503-714-0161
Inspection Request Scheduled For: Date: 8/22/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 035343 -02 503 - 7740161 Y
Corrections /Comments /Instructions:
•
VLPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G/4 -1P Date: 61 2Z • 0 4 Phone #: (503) 718- 1
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A/C -HEAT PUMP -- -UNIT SITE PLAN . .
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