Permit U 4 �
CITY OFT I GA R D MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00388
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/24/2008
PARCEL: 2S110AD -07910
SITE ADDRESS: 14855 SW 106TH AVE ZONING: R -12
SUBDIVISION: LANG HILL NO.2 LOT: 71G JURISDICTION: TIG
PROJECT: NIKKARI
Project Description: Installing A/C.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: 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: 0 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
NIKKARI, JANICE M Description Date Amount
14855 SW 106TH
TIGARD, OR 97224 [MECH] Permit Fee 7/24/200E $72.50
[TAX] 12% State Surch 7/24/200E $8.70
Phone: Total $81.20
Contractor:
CLACKAMAS HEATING & COOLING LLC
15115 SE PENNY LEE CT.
CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS
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 OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued B y: Permittee Signature: 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.
Fm:Clackamas Heating & Cooling 18885002912 (15035981960) 00:26 07/24/08GMT -07 Pg 01 -03
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ii r ^ Permit:
Inspoction Lino: 503.639.4I75
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Q New construction ® Addition /altcratitnt/ATllacemen1 ""lance. r permit fees* are based on the value of the work
performed. Imbeatethe value (rounded to the nearest dollar) of ail
Q Demolition 0 Other nrca maierials, equipment, labor, overhead, and profit
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Job site address: 14855 SW 106TH AVE • Air conditioning or heat pump
-tares site r • ■ 'v ., ammera) 1 14.00 1 5.00
City /State/ZIP: TIGARD, OR 97224 Firma =10(1,000 BTU (ducts/vents) 14.00
Suitc/bld .(a t. no.: 1 Fusnact 100,00A+ BTU (dads/vents 17_ 90 __
g p Project name: /
• -- --- _-- . _ _ - _ - J .y1 r' Gas heat pump 14.00
Cross street/directions to job site.: Duct work 111 I0.00
--- -- I - >.. hotwateraystom — 14.00
Reid boiler (radiator or
hydronic) 14.00
` _ 1 hat heaters (fuel - type, not electric),
in -wall, in- dut, suspended, 14.00
Subdivision: I Flue/vent for of above 6 -
of tat_: - - --
-._
_________ _ .. Other: 10.00
Tax map/paree) no.: tlthcr f_Id a
- +i' - ..� -�: J':.i: � tin :. ;a . ' 3 `:i'.: + _ :y�'r _
::�Y�ts;:'. - - Y ragri h Q 10.00
A/C REPLACEMENT G as fireplace --. 10.00
Flue vend for ►rater heater or ,yes
' fireplace 10.00 Ell
1 _ ! es (1) i - 10 -00
I Wood/pellet stove I 10.00
Wood freplaceiuffiet f
Wo 10.00
•_ h: {=_ 1 r, Ilinerf(ktn'vent 10.00
Name: NIKKARI, JANICE Exivietiumental exhaust and vr_atB_^ti^n
Range bood/othor kitchen
Address: 14855 SW 106TH AVE, ,, , tee 10.00
City /State/ZIP: TIGARD, OR 97224 Clothes . - ec exhaust . 10.00
r Single eslamal (batlau n s,
Phone: (503)620 - 0971 Fax: ( ) tee .,, otil rooms 6.80
r :: rtttn 'cast faros III 10_00
Holes: 10.00
Business name: CLACKAMAS HEATING & COOLING LLC — .. - _--
Fuelltiping
Contact name: V LADIMIR MIii7IATS 53.40 tior first four; $1.00 for each additional
Address: 15115 SE PENNY LEE; C T. Furnace etc.
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City / State/ZIP: CLAC_KAMAS, OR 97015 wallrsnspencleeLSmb !eater W _
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Phone: (503) 650 - 4808 Fa : Q ) 588 -2912 Water treater _'_ rm
E -mail: CHCI,LCCCOMCASP.NET I MR
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Business name: CLACKAMAS HEATING & cOOLIt (G LI.0 Clothes ` '� ( )
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Other:
Address: 15115 SE PENNY LEE C'I. * `
City / State/ZIP: CLACKAMAS, OR 97015 Subtotal 14.00
Minimum permit fee ($72.50) 72.50
.Phone: (503) 65I8 — - ( Fem: (88) 500 - 2912 Plan review (25% of permit fee) lie.: 165630 ` j State surcharge arge (12% of permit fee) 8.70
TOTAL PERMIT FEE 81.20
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Authorized signature: ��` ,�- f �' T 4 t h' fin' �a 1e +t fs u M obtained within 150
/ days Alter K hu1 scripted a cnmplMc.
[Print name: VLADIM MIKHATS late. 0 7 / 2 4 1 2 0 0 8 ! • Fee rrrmd4 0 e Y set b y ' I n - C o u n t y Bulhding Industry Service Board
1:tRUildnedhanitc \MLC -P. 'tApp.dm: 0//44107 440 -4617r (11/022'OM/WEB)
Fm:Clackamas Heating & Cooling 18885002912 (15035981960) 00:26 07/24/08GMT -07 Pg 03 -03
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+ ®7/21/2@t58 11: 2t 5133&126725 SEARS PAGE 97107
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC20O8 0O38ti
13125 SW'riall Blvd., Tigard, OR 97223 D ATE ISSUED: 7124/ 2008
Phone: (503) 639 -4171 4" IPE� g1('�
Inspection Requests (24 Hrs.): (503) 639 -4175 'IL
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 14855 SW 106TH AVE CLASS OF WORK:
SUBDIVISION: LANG HILL NO .1 LOT #• 71G TYPE OF USE:
PROJECT NAME: NIKKARI
DESCRIPTION: Installing ABC
OWNER: NIKKARI, JANICE M, PHONE #:
CONTRACTOR: CLACKAMAS HEATING & COOLING LLC PHONE #: 503 - 658-4808
Inspection Request Scheduled For: Date: 7/2W7008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 073384 -01 503-620-0971 N
Corrections /Comments/ Instructions:
°. .•�.Ai /44 .iul Xa4- # s — /7g<9 / ec - r te
I PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
i FAIL r CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
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Inspector: Date: 7 - 2 ,G 0 Phone #: (503) 718- 2