Permit 7111 CITY OF TI G A R D MECHANICAL PERMIT
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COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00365
TIGARD DATE ISSUED: 7/15/2008
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S135AA -07600
SITE ADDRESS: 10290 SW 90TH AVE ZONING: R - 4.5
SUBDIVISION: FINEVIEW FARM LOT: 002 JURISDICTION: TIG
PROJECT: EICK
Project Description: Installation of a /c.
CLASS OF WORK: ALT 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
LINDSEY EICK Description Date Amount
10290 SW 90TH AVE
TIGARD, OR 97224 [MECH] Permit Fee 7/15/200E $72.50
[TAX] 12% State Surchar 7/15/200E $8.70
Phone: 503- 704 -2858
Total $81.20
Contractor:
CLACKAMAS HEATING & COOLING LLC
PENNY LEE
CLACKAMAS, O OR 97015 5 REQUIRED ITEMS AND REPORTS
CLAC
Contact #: PRI 503- 658 -4808
FAX 888 -500 -2912
Reg #: LIC 165630
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 OU NC by
calling 503.246.6699 or 1.800.332.2344.
Issued B j / ' /le / / Permittee Si na , - - dr-X c— t __. /
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.
Jul 14 08 11:41p Clackamas Heating &Cooling 18885002912 p.1
Mechanical Permit Application FOR OFFICE USE. ONLY
City of Tigard
Rece 16 ie• r - , Pernetlro.: /ie 0 906 - - - 00 34
1 11 R 13125 SW lire Blvd, Tigard. OR 47 CEO P lan Rev
R Phone: 503.639.4171 Fax 503.598.1 1 j lJ By: Olher Permit.
T I G A is U Inspection Line: 503.639.4175 Date Reedy/By: tuns: 21 SoePage 2 for
Imetnet www.tigard JUL 15 Z00% Notified/Method: SupplementalIntbrmation
•
• . f ., ,0f Vf/' 11 a C7OWdrniCT114 1/W ;3CHEd►I t P 1 .
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New construction la Addition/Mgt , t 1- c1. A 7 ' I • Mechanical p emit fees* are based on the value of the work
performed Indicate the value (reminded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment labor. overhead. and profit.
;: n . ‘- .:esersootWitgr CONSTRUCTION - Va1ue4 $
® 1- and 2- family dwelling ❑ Commercial/industrial El Accessory building >t;+
Forapeclal nforma i n firm E T ! 5It 1s l3FLsB
tion use check
hecklist
❑ Multi- family ❑ Master builder El Other. Description 1 Q- 1 Ea. 1 Total
ti { i Ol AFK ANTI . . . Heatrisskoo1In
Job site address: 10290 SW 90TH AVE Air conditioning o heat pump
Irequ¢es ate plan sboarm, placement) 1 14.00 14.00
City /State/ZIP: TIGARD, OR 97223 Furnace 100,000 t fU(duet / 14.00 .
Furnace 100,000+ ECU (duastvents) 17.90
SuiteibldgJapt. no.: 1 Project name: mass heat pip 14.00
Cross street/directions to job site: . Ductwork 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel - type, not electric),
in-wall, in-duct, suspended, etc. 14.00
........... - -. 1 Dugout for any of above 6.80
Tax map/parcel no.: . Other fad applbcaces
a r Water heater 10.00
'
$ O7f
Gas fireplace
A/C ADD Flue vent For water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood +pellet stove 10.00
Wood Fireplace/insert 10.00
} _ Chimneyllinet /f]ne /vent 10.00
11► t4 ItR4 1 FllTt)t1ut1` : ... Other: I 10.00 ,
Name: EICK, LINDSEY Environmental eshaast and ventilation
Address: 10290 SW 90Th AVE Range hood /other kitchen
equipment 10.00 ,
CityiState/ZIP: TIGARD, OR 97223 Clothes dryer exhaust 10.00 •
Single - duct exhaust (bathrooms,
Phone: (503)704 -2858 Fax: ( ) toilet compartments, utility rooms) 6.80
O Al I:I tT ' : C} . : t1►1f tie. >l" C Attla'crawlspace fans 10.00
•r; .�.,.
I ...., i Other. 10.00
Business name: CLACKAMAS HEATING & COOLING LLC
Fuel piping
Contact name: VLADIMIR MIKHATS $5.40 for that four; $1.00 for each addletoaal .
Furnace, etc.
Address: 15115 SE PENNY LEE CT. Gas heal pump
City/State/ZIP: CLACKAMAS, OR 97015 Wall/suspended/unit heater
Phone: (503) 6584808 c Fax: : (888) 500 -2912 Water heater ,
Fireplace .
E -mail: CHCLI.0 @COMCAST.NET Range •
r - Barbecue
it t, < �Ilt�� - :,: .1'.'-',".*: • -.. - - ..
Business name: CLACKAMAS HEATING & cOOLING LLC Clothes dry erSte) -
Other. _
Address: 15115 SE PENNY LEE CT. M EC1IA3lIChL.- PER*TrAI 1
City/State/ZIP: CLACKAMAS, OR 97015 Suhtolat 14.00
Phone: (503) 658-4808 a Fax: (888)500 -2912 I u + permit fce ($72.50) 72.50
I Plan review (25% of permit fee)
CCB lie.: 165630 j State surcharge (12% of permit fee) _ 8.70
TOIALPERNi1T FEE 81.20 ,
Authorized signature: �/�
".....-------- , This permitappia�iue aspires it • permit is eat obtained within 180
B ` / t,,,, / " days after it has been accepted as complete.
Ptint name: V LADI116 TvIIKIIATS. Date: 07/14/2008 • Foe metbodo bey or by Tri- Couity Building Industry Service Board
LiIIaild ngrPermitslMHC -Pemnt 1pp,.doc 0149i07 440-4617T avoucomiwEe)
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: W 0009-00366
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 /I,9200tt
Phone: (503) 639 -4171 /4 4h�yp�tlplP��li�
Inspection Requests (24 Hrs.): (503) 639 -4175 ,_.,,t0- __..
INSPECTION WORKSHEET FOR DATE: 7/23/2008 TIME: 1:0 ?AM PAGE: 69
SITE ADDRESS: 10290 SW 90TH AVE CLASS OF WORK:
SUBDIVISION: FINEVIEW FARM LOT #: 002 TYPE OF USE:
PROJECT NAME: LICK
DESCRIPTION: Installation of a/c.
OWNER: LICK, LINDSEY PHONE #: 503 - 70428%
CONTRACTOR: CLACKAMAS HEATING & COOLING LLC PHONE #: 50a650-4808
Inspection Request Scheduled For: Date: 7/23/2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 07295601 503 7042860 N
Corrections /Comments/ Instructions:
6 45e- ' r, - k01
I I PASS El PARTIAL APPROVAL El CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 23I`' \y Os Phone #: (503) 718- )4623