Permit CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00231
RI II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/24/2006
PARCEL: 2S 11X8 -17000
SITE ADDRESS: 15110 SW 83RD AVE ZONING: R -7
SUBDIVISION: HAMPTON COURT LOT: 019 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: 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
LAURIE WEYHRAUCH Description Date Amount
15110 SW 83RD AVE
TIGARD, OR 97224 [MECH] Permit Fee 5/24/200E $72.50
[TAX] 8% State Surcha 5/24/200E $5.80
Total $78.30
Phone: 503- 624 -2185
Contractor:
HEAT RELIEF CO
13122 NE DAVID CIR # 800
PORTLAND, OR 97230 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 261 -9915
FAX 503- 261 -9814
Reg #: LIC 122424
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: , £ p o Permittee Signature: z-,2
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business d a).
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.
May 23 2006 3:22PM HEAT RELIEF Heating & Coo 503 261 9814 P.1
r
4echanical Permit A plicatio , 1 O R 0111(1. 1 , , t , I 1 N I -1
:sty of Tigard R r_ D may '-�C o � permit No. \ -^ `G C 6- o'0J3/
1125 SW 1-iall Blvd., Tigard, 0- - Plan Review �Y
lone: 503.639.4171 Fax: 503.598.1960 a. , D�: Other Permit:
Date/By:
spection Line: 503.639.4175 t � �, e_ " �, Dale Ready/By: SS See Pagel for
Rennet: www.ci.tigar'd.or.ua MAY (_: 2006 = Notifiedvbtethod: ✓
r � rT Suppleeaental [atermaloa
] New construction s r., • l iYomalt Ito • a Mechanical permit fees* are based an the value of the work
performed. Indicate the value (rounded to the nearest dollar) of a
] Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
r , Value S
1 - and 2- family dwelling ❑Commercialhndustrial ❑Accessory building laraL
For:pedal information use checklist.
] Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
..,,,:;.ti a,e ,i lrtl ' - ..'.- 1 -.';'.'f 1 , , - ,, .+ , I r Ueatyn coolie
5Y /Q � �. r M. I Air conditioning o heat pump
ob site address. 9 1 4.00
� � � (requires vita plan showing placement) i
:sty /StatdZlP :� a� 1� Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
iuitt/bldg.apt. no.: I Project name: Gas heat pump 14.00
:roes street/directions to job site: Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fltel -type, not electric),
In -wall, in -duct, suspended, etc. 10.00
subdivision: I Lot no.: Flue/vent for any of above 10.00
Other: 10.00
fax map/parcel no.: Other fuel appliances
r fit' `( Water heater 10.00
t Gas fireplace 10.00
- - 11111.1 , __ , _ � - _ - ! Flue vent for water heater or gas
fireplace 10.00
�� ` � Log lighter (Ras) 10.00
(� Wood/pellet stove 10.00
: Wood fireplace /insert 10.00
10.00
� y , : t T l Chitrtneyitiner/fluc/vcnt
,P f; , k . , .. , • , , .. Other: 10.00
Vane: cu Environmental exhaust and ventilat
Flange hood other kitchen
4ddress: equipment 10.00
:ity/StateiZIP: W r Y Clothes dryer exhaust 10.00
y Single -duct exhaust (bathrooms.
Phu . -r % '• ) j Fax: ( ) toilet compartments, utility rooms) 6.80
ter � r'i Attic /crawlspace fans 10.00
''tt p ()then 10.00
Business name:
Ft R.Qtla Fuel piping
Contact name: m crk > ram . $5.40 for first four, 51.00 for each additional
Address: 1312 NE DAVID eAk. St A 240 Gas heat etc.
Gas heat pump
City/State/ZIP: for.:Ha1,d , Q. q1 ?3ta WalVauspended/unit heater
Phone: (5 ) qq i S I Fax: : (5ra ) c? Water heater
Fireplace
E -mail: i • l_ ! r' i S " r / 4A. • al' . Range
1 k rr'% kiaa fhf .,�' , .,,�; f: . ;l . 1 t ■ , t -.1 .. , ' r ' :; ,, I,:. Barbecue
Business name: � g Q- n e - Clothes dryer (gas)
,n/� - /M �/' 11 i , J } . y Other
Address: is 2.2 r-rlitiA.vi 0 ci L $oD City /State/7JP: to AA/ o et.-7a3 Q Subtotal
) ./4 t r elq I5 1 Fax (g ) �(0f -q8/
Minimum permit fee permit fee)
Phone: (t
Y Plan review (25,6 of permit fee)
CCB lic,: t l f1 y State surcharge (8% of permit fee)
TOTAL PERMIT FEE � 2 0
This permit application eicplrea U a permit is not obtain IBC
Authorized signsture
C �} days after It has been accepted as complete.
Print name: fiNacK.. , s c. o Date: J • Fee methodology set by Tri- County Building Industry Service Board
.sw ∎x.linn.v...idMnP.IP ..nth ..r .f.-. ,1M1 - .. .... ... ,.... _.�__.
CITY OF TIGARD _ _
BUILDING DIVISION PERMIT #: MEC2006.00231
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5P24/26606
Phone: (503) 63R -4171 4uliu +� +
Inspection Requests (24 Hrs.): (503) 639 -4175 F'f 11.
INSPECTION WORKSHEET FOR DATE: 9/15/2006 TIME 7 :06AM PAGE: 106
' SITE ADDRESS: 15110 SW 83RD AVE CLASS OF WORK:
SUBDIVISION: HAMPTON COURT LOT #: 019 TYPE OF USE:
PROJECT NAME: WEYHRAUCH
DESCRIPTION: Installation of A/C unit.
OWNER: WEYHRAUCH, LAURIE PHONE #: 503 -624 -2185
CONTRACTOR: HEAT RELIEF CO PHONE #: 503 - 261 -9915
Inspection Request Scheduled For: Date: 9/15/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 036491 -01 503 -261 -9919 Y
Corrections /Comments/ Instructions:
/ ■ / ,' EL 20 S--4Dq 19 A*2ih Cis 2 Of iii
X/C..--/
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:e Date: ci«-4 6 Phone #: (503) 718 - ___2,(41.---
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