Permit C TV
I 1 1 O F t'I CARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00328
'' I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 7/20/2006
PARCEL: 2S 110AA -03200
SITE ADDRESS: 14060 SW 105TH AVE B ZONING: R -12
SUBDIVISION: EMMERT'S WEST ONE LOT: 004 JURISDICTION: TIG
Project Description: Installation of heat pump.
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: 0 OTHER UNITS:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
TRAVIS DAGGETT Description Date Amount
14060 SW 105TH AVE #8
TIGARD, OR 97224 [MECH] Permit Fee 7/20/200E $72.50
[TAX] 8% State Surcha 7/20/200€ $5.80
Total $78.30
Phone: 503- 467 -9708
Contractor:
SHAMBURG HEATING LLC
PO BOX 829
TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 692 -5563
FAX 503- 691 -6855
Reg #: LIC 126881
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: 7Y , �� Permittee Signature: Qr\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.
Jul 0 503-691-6855 p . 1 . 06 09:25a Scott Shamburc
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echalernuitA4Eit c.a ki _!?to 4,-"' 1 V ._. FOR OFFICE LSE ONLY
City of Tigard , A .....d d –
Dam* -........... k 1 Permit No. 'I c -- , 0 • 0
1312S SW Hall 131..11., Tigard, OR 5722..3
Plan Reeiese
Other Penni!:
Photte: 503.639.4171 Fax; S03.598.1960
Inspection Line: S03.639.4175 j uL 20 200
Internet: w rrL
ww.ciligaor. us
PronfiediMethest ISM rappl n
,. , , , : :.. ,. '':', foM46** ic-er . tr) -'' - " • ''' '.." -' :COiiiittiticil4 4E PS:U .
Mechanical permit fees" are based on the value of the work
0 New construction , r 41 : e idle , lion/rep facemcat
, . .
potbrined. Indicate the value (rounded to the nearest dollar) of all
0 Demolition a ll • er
mechanical materials, equipastot. labor, overhead, sad pita
....el*ExaR7KAAercp" : .„.: • , - - - : . - : ..I:- • ::',. ,-,-,:: s . , .... V iluc S ..
... ...ROIDET;iFIAL• Ok/BiltiElV"il:sorEtoirgt5w.,...:.7.:•:
121 2-ftanily dwelling 0 Comtnercilltinctestrial 0 Accessory building
Forspreird M emersion zue checklist
ii] Multi 0 Master builder 0 Other
Dencription I Qty. 1 P.a. 1 Total
JO silt. ifzEtcgtntormit.AM) ifixAerrott
Job site address; ifs/0 , ' - /O5 4 . e-.6 Air conditienaing or tzar pump
keine its plan shoreing' pleocesece) i I coo
Star e r 2 Z P : - 7 ) / 7 . 2 : - 9 t P . : : . P 9/ F u n t a i r e 190.00D BTU (ductsivans) 14.00
%mace /0(000+ fdressianus) 1730 . ,.
SuitabldgiaPt • ap-: Project name
Gm heat purap 14.00
Cross steer/directions lgrjOb Silt:
Duet work 14.00
lidionic hot water system 14.00
itenidential boiler (radiator or
hydzonic) 14.00
i u n cu w 't si h i eine . rs not c),
10.00 .
Flue/vent for tars of above 10.00
Subdivision:
Lot a./37
Other: 10.00
Tax man/parcel no.:
Otter feel appliances
---
. • : • .:!.-: -: ' .:": ::- 1. ..-, :,BESCIt.011 ON Ot:P/ORIC :: .... ...: :... :. ! .. : 1 ' • ' : Warm heater 10.00
10.00
111BINSUMI,Z(. e ijr; FI t foc water heater or gas
fiteplace 10.00
Log righter (gas) 10.00
Wood/mil= move 10.00
Wood fireplace/insert 10.00
, .-: . ",. '::.. ' --.. Ifik7i*Epiry,.,:0•4 - . •-:!:;:•: i ;., . ,,..'. : - ,. . , ".. .. i 0: t ilivAi i i ; ..... -: . .: ..: ... : CbintneyAinerinneivenT 10.00 .
t00o
ji --,..
Environateatal exhaust and ventilatio .
n
Address: ;4 „.., / 22 . 3—,m ‘ s . :z Raage heed/other kitchen
-• ,. mot 10.00
City/State/ZZP: ---7-,-64- "i •, 2-2-V Clothes dryer =liana 10.00
Singte-di exhaust (hathrooms,
Phone; ( ) gii - P.,,P' Fax: ( )
toilet coninarenents, utility rooms) 6.80
. , - . ..• . , . • . 2 ... .
• ' - • ' la APPLTCANT " - - : ' ... ':...• :: `,'"i21-9N**A uti
c pp ' .. : : . Atrickilur - cef8716 moo
Business
Other:
Hue
nartse:
}roe .1 , .
Contact name:
55.40 for Ent four; 51.00 for =eh additional !
Address:
Forme, etc.
Gas heat pump
City/State/ZIP:
wallistemendettlinit beater
Phone: ( ) I Fax: ; ( ) Water heater
Fireplace
E -mail:
•
Ran:
: . ' ' .: • ' .* -'1 .: ' - : , ,•,;:!' .....: . j's : ... : tblifftAtrIttli ... • : '• '..• ' . : :" - • , . '. • i : .... , Barbecue 11 .11111111111 -
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Business name: 0
...i . iil A * • - fi. . • .1 ' E.-1-.C_. Clothes • r • as 1111111
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Address Address: /0 'OX g ...-
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City/Ste/ZIP.. _ ,
.9 706,- MOMOMOMMOMMOIMMIEMt9MiMCWO
Phone: 0 ) .., / - -.3 — Milian= permit fee (572.50 Masa •
CCB lic.: j
' sii=1111EMIllaniamigc MA ofnerwit fee) .__ ______Mlinall
ill
TOTAL P.CRIKIT FEE •W_;'
Authorized sip:clone.: ..„ ....
rata peen* application =Oro (fa pared io not elacitaect within 180
days alter it eat bens accepted as Parmelee. '
FEZZZLIOr_ ar "7 hGe." Dace: ejiW7 ;7--- / I, • Fee Pehadolow se by Tel Bailees indway Seek. notial
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P. 3
503-891-8855
Scott Shamburg
Jul 20 06 09:28a
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SHAMBURG HEATING, LLC
•
Heating • Air Conditioning
Fireplace Specialist •
2397-5 SW Boones Ferry Road
Tualatin, OR 97062
692-5563
CCB 126881 Relax it's Rfteern :
www.sfu-Arnt;urgheating.com 1 s
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......._ ...______ _........._.... .. .. .:__.
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1 -
CITY OF TtGARD ,. .,..,
BUILDING DIVISION . • - PERMIT #: IvIFC2006-00328
13125 SW Hall 'Blvd., Tigard, OR 97223
A 1 A DATE ISSUED: 7/20/2006
Phone: (503) 639-4171
Inspection Requests Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 811/7006 TIME: 7:02AM PAGE: 57
SITE ADDRESS: 14060 SW 105TH AVE B CLASS OF WORK:
SUBDIVISION: EMMFRT'S WEST ONE LOT #: 004 TYPE OF USE:
PROJECT NAME: DAGGETT
DESCRIPTION: Installation of heat pump.
OWNER: DAGGETT, TRAVIS PHONE #: 503-467-970B
CONTRACTOR: SHAMBURG HEATING LLC PHONE #: 503-692-5563
Inspection Request Scheduled For: Date: 0/1/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 034150-01 503-692-5563 Y
Corrections /Comments/ Instructions:
'43 ZZCA774 G€4,t,ve,"-- L .-# - 76162 , — ` -
•
PARTIAL APPROVAL 0 CANCEL i ---- 1 NO ACCESS
I FAIL I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
./
Inspector: , Date: '' (7 Phone #: (503) 718