Permit "
CIT OF TIGARD MECHANICAL PERMIT
410 DEVELOPMENT SERVICES PERMIT #: MEC2006 -00305
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 7/7/2006
PARCEL: 25111 BA -00115
SITE ADDRESS: 14152 SW 97TH AVE ZONING: R -4.5
SUBDIVISION: TIGARDVILLE HEIGHTS LOT: 028 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:
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:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
EDWARD GUERRERO Description Date Amount
14152 SW 97TH AVE
TIGARD, OR 97224 [MECH] Permit Fee 7/7/2006 $72.50
[TAX] 8% State Surcha 7/7/2006 $5.80
Total $78.30
Phone: 503 -522 -7847
Contractor:
TRI COUNTY TEMP CONTROL
13150 S. CLACKAMAS RIVER DR
OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 557 -2220
FAX 503 -557 -0919
Reg #: LIC 72623
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: ki A ir Ar .Permittee Signature: �y7 a-13124: -
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 : , FAX NO. : 5035570919 Jul. 06 2006 1@:33M P1
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Mechanical Permit Lkil ',,i r FOR OFFICE 1.141f. ONLY
_
City of Tigrd Received ,./....._ 6 , 1r
1 Pr
Dateray, / o ' ,./l_.eron No.N6C -L
13125 SW Hall a
Blvd., Tigard, OR 97223
Phone: 503.639.4171 Fax: 503.598.1960 JUL 0 6 2006 .i
. , i?,....1-40'iiiiis Plan Review
Other Permit
Date/By:
Inspection Line: 503.639.4175 .—
..t.tio. ," Date Ready/By: Jurir.: ja ri3 Ste Page 2 for
Internet: www.ci.tigard,or.us . ---.
CITY U_!- 11.6A.,.b Notified/lytethod: Supplemental InforMation
.............
IlliAbiltiOkiUlitr,t cliaiiiiaaVi
---
El New construction Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
pertbrmed, Indicate the value (rounded to the nearest dollar) of all
El Demolition El Other: mechanical materials, equkrocnt, labor, oy5rhead,.und profit.
• 71 "••tk/.;-' 0 As'..• , :t 4 ;10,n4yord'ittli''' 4 41 1 ; 1 = 6 "1-, .. .. . a,.y- • ....;::;;r...:•,!:'''%:•‘•±41.' ' 7 ' 14 ....T:' , '• .44'. ii.). ' ..:. . • ; .".',.. '. 1. ..` ..
:, '''Itir , k . ' " , '...'1,if 0 :: INVALUEdit*.CAtr vist§1442)01 Ow v4,':''c'ti :.*:..". •••1:',Irf,.:.z:Mi:.;,t,;i.., .. Value: $ •
'
.,:,..- .,,,,V ,M4...: . KEN. , t SYSTTIY15..FEES
,&,1- and 2-family dwelling 0 Commercial/induritrial 0 Accessory budding
For ,speeial infbrrnation use checklist.
0 Muiti-lamil y 1=1 Master builder CI Other: .
Description [ Qty. [ Ea, I Total
ativi'. Ok;00;06:ii4ite...: "..:' l acattavcoot1r3 . - ---
Job site address: ( -. 0 .4A-N At e . Air conditioning or heat pump
._ .1,_ . . ■ equirvi site plan showing placement) 1 14,00
cit A i ,Ad lip ' I
? -.." Li Furnace 100,000 BTU (duels/vents) 14.00
- • '-"" ' " --- Furnace 100 000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no Project name: .
Gas heat . Lill • 14.00
---
Cross street/directions to job site: Duct work -- 14.00
--- ..... .... - .-. .. .—.....- .... .---__—
,....— . ..... ,....- .....
—
Hydronic hot water system 14.00
—. --... Residential boiler (radiator or
hydronic) 14.00
Unit heaters (el-type, not electric),
in in-duct, suSp etc. 10.00
. ............
Flue/vent for an of above 10.00
Subdivision: Lot no.: -- ..._-_. -.„. ,....... , Other: 10.00
--„--
Tax map/parcel no.: Other fuel appliances _
1 •:.;',[41;•,;..41):14.'li•,':,e r ip';'l . rtlIA,A:615 1 §it;'^ ' .''''' `;',i'"; '4 watcr heater 10.00 '
I 'l..1,V;l;t0..40::l•'sn.,•:!61,A.Y. : cr...e .,,..„)... • • • .. — „.1..Ador.h. ! )..za.1,1 .......:.: t:,,.. • • Gus fireplace
- !C,A ' A i ,' A C_
ANIA Flue vent fur water heater or gaq.". 10.00
fireplace 10.00
---- . Log lighter (gas) 1000
Wood/pellet :nye l0.00
---......„....., ...., ... .. _____ —
Wood first:ice/insert 10.00
••• :7 i
....171+7. :;• !.;! Chimney/liner/flue/vent 10.00
''''''' .•'' ' Eli '`Otili - -
' . -1... ,..., ....,,,,i; ..,,,■• .. othe 10,00
Name: a l / 0 Environmental exhaust and yentila ton
-------
__________ ... ...... .... ... .
Range hood/other kitchen
Address:
- _ _ _ _ ___ __ _ _ __ equipment - - --- ----- -10,00-
— — ._____.
City/State/ZIP: Clothes dryer exhaust 10,00
...--,...
Single exhaust (hathroornSi
Phone: (9 Fax: ( ) .tuilet corrartmeaLs, tittlx 6.80
•
I ' W '•!?P l i:Oqiegr•ff i g t :014 . ; Oh .. 64N . 4•' . '•'?" l!''':!`f;Fa k4i/.1 f Y ...... ,.. — 10.00
Sl'l:''ll'Atti:; .ii....! .t4 ;••,,', '' t -ri.I.P.,.... ,7,:'... • "'
Other; 10.00
Business name: Tn ccWthJJLflp�I tto L Fuel pipin
Contact name: 85.40 fur first four; S1.00 for each additional
.- -
Address: 0 1 O 0 . ( River LVA.r.) Furnace4ste...
Gas heat pump
C /S /MP'
1 a11/suspe
ty tate . ... w nded/unit heater
CITCCI(1 . - Cr .6 1 04 •
Pho _Water heater
.
ne: (f.5a;...5) 57- —2220 Fax: : (62) . _ . 5,.5 . 7 - U1 q ..... ___,.... „ ......._.....
............. Fireplace
E-mail: Range
i:loymoimmirmanritigaggE ipti,i-„,.. El arbectie
1 4 gl.k, i 'it;1 L , k 'IlL - 1 ,_ - • . , r ,,, 4 ' „If:, • •,-.' ;:• • • ...::=L:k:
Business name; .Tr COW L cny Corrtrol Clothes dryer (gas)
Other: -
Addre.ss: ...,...tN0 g. 2 pC.KarnA5 e 4kgbrirc
city/State/ZIP: C?? n a 1 0 _ (
Q ... - ..., _..„.... ...,......_ ... subtotal i 14, Cu
Phone: ( ) E5E) - 2 22c F., ( - cy-) 6,51-6(1113 ',Ahura., ,,,,-rnh, , tee (S72.50)
Plan review (25 of permit fee)
. _ -- -
CCB tic.: r2t 23 state surcharge (8% of permit fee) IIMI a
. - . ._ _ _ ........., . - . . _
.' ___. TOTAL PERMIT FEE iiiit o
Authorized ignature:
.h,a..71e n7aac This pertnit application e;pireg ii a pe IS net obtained within ISO
s - •
days after It has been accepted as complete.
[ Print name: tial'"? ma,36 il pawl ----&----- — 1 . Fee methodology set by Tri-Cutituy Building Industry Servitc Board
____
. FROM. : FAX NO. :5035570919 Jul. 06 2006 10:34AM P2
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CITY OF TIGARD .. / IP- I (FIT pc-A.z
,. . .
BUILDING DIVISION PERMIT #: MEC2006-00305
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 717
Phone: (503) 639-4171 11*41 Pilli t
Inspection Requests (24 Hrs.): (503) 639-4175 A- d..
6 50
INSPECTION WORKSHEET FOR DATE: 7/12/200 TIME: 7 .° 5 AM PAGE:
SITE ADDRESS: 14152 SW 97TH AVE
- CLASS OF WORK:
SUBDIVISION: TIGARDVILLE HEIGHTS LOT #: 028 TYPE OF USE:
PROJECT NAME: GUERRERO
DESCRIPTION: Installation of NC unit.
OWNER: GUERRERO, EDWARD PHONE #: 503-522-7847
CONTRACTOR: TRI COUNTY TEMP CONTROL PHONE #: 503-557-2220
Inspection Request Scheduled For: Date: 7/12/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 032949-01 503-557-2220 Y
Corrections /Comments/ Instructions:
$ .7 o7 ,5
41111/MMINOMIF
1./..-__A•i* ori: tar- i•
DI PASS 111 PARTIAL APPROVAL 1:11 CANCEL 7 NO ACCESS
, I FAIL III CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: , ,
9944/ Date: / 2 46 Phone #: (503) 718- -270-)G0