Permit _ _ • „
III CITY TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00469
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/30/2007
PARCEL: 2S 109AA -01600
SITE ADDRESS: 14378 SW 130TH AVE ZONING: R -7
SUBDIVISION: WOODFORD ESTATES LOT: 004 JURISDICTION: TIG
PROJECT: MCCALLISTER
Project Description: Install 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:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
CORT MCCALLISTER Description Date Amount
14378 SW 130TH
TIGARD, OR 97224 [MECH] Permit Fee 7/30/200i $72.50
[TAX] 8% State Surcha 7/30/200i $5.80
Total $78.30
Phone: 503- 830 -2343
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: i f` / Permittee Signature: A // atm me Call 503.639.4175 by 7:00 a.m. for inspections tha usiness da .
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. :503557a319 Jul. 27 2007 11: 091 P2
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Mechanical Permit Aptoltea ' o. ..., N d L N..ir FOR OFFICE USE ONLY
City of Tigard Received 3 9_ tiO ' ;
er - 03 - '
131.25 SW Hall Div& Tigard, OR 97223 JUL 27 200 0 s ..
I " t No HEC20
* DateEly: 7
Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 ,. ' k - alti011ic Date/By; c.)ther Permit:
Inspection Line; 503,639,4175
. ( (11' I i . kk ''" --. Date Ready/By' 11....11jr„ HI see Page 2. for
Internet: .www.ci,tigard.omis
DIVISION Notified/Method:
- 6.__ suppleinental Information
I 9
I I LSr.
.':i . , .::! 111 .1 1 •4t1;0], n1 V4*:::' 1 6 , :li l i7,-;71 :7 1i1i n.: 11':in : : . .; . .. - l'ii : i.....i n : ..'.'"' F iiiiiil'i '11
;4.,,;,, .... :.'... ;....!.e.. '''',.:.i. 1 4 1 i - ' 1 .'li '..• ..' ,.. i .'' '', ''''' n ''' ' 1 • n " • " n '•; ' n ':''' ' ' ' ' n n n .
el permit fees ar based Or th value of t
" e asei e lu ile work
El New construction Addition/alteration/replacement
Mechanical
perfo•roed. Indicate the value. (rounded to the nearest dollar) of all
El Demolition 0 Other: mechanical materiAls, equipment, labor, overhead, and profit. •
1 ;4 .P:•:.
i..i:; .. Value: S
, !. , •••,...i , ::..1,:.......,...,..x.1!Q.:4....:;:r.... , ,.. , ..: , ,,,. ..1.• •-i... .. '..•••.••• • ••••':.'•-•• ••••-•‘')::"'•••••-'''• : : : ,:„..114:04,ii,a*V11 . kki fiSY.O*NIS.i.1111Es"
gl_ and 2-family dwelling 0 Conunerciallindustrial El Accessory building *
for special Infbrniation ti.sa allecklisi.
0 Multi-family 111 master builder E] Other: , ..
Description Qty. Ea _ j Total
_ ........_.......
F. 76 .. ;:;.;;;;:!.. .; :: -1 y....... Ilea ti 11 g/e001 n g
Job site address: • Air conditioning or heat pump A
A A . 0 I _Irequirea .site plan allowing plabenlent) 1 1 4.00 I I L U O
Ciity/StateiZT1IA1 .4 0 J2 - 4 ? /t4 Furnace 100,000 131 (tlR:ivol,14;) 14.00 .
_____ .....
Furnace . 10q,q(10+ B'Ut.1 (ductaiven 1'i.90
Suite/bldg./apt. no.: LP roject name: •
_ Gas heat lairs) 14.00
_ _............. .......... .....
Cross street/directions to job site: Duct work 14.00
._..
..-•-•..... ..- ..... ' --.......------------
Hydronie hot water koeni 14.00
. Residential hnilcr (radiator or
hydronie) 14.00 .
.. ,.. Unit heaters (fuel-type, not electric),
in sigi . etc. 10.00
Flue/vent for any of above 10.00
Subdivision: 1 Lot no.:
Other: 10.00
_......._____
Tax map/parcel no.: Other fuel appliances -,.....---
ih r11:1!;i11,..0,:qi.,11%i41kA1CAP4 1 ;;.,Vgiu di „„.',.,PR51 . i...;': ''..., ';.; :./.',. ;,.;.!:.', ;.-■ .; I.:,;.' ,1-.: q.:;0:„i....,..Aps.L '
Gas fireplace 10.00
A ..__(:_,, Flue vent for water heater Or gilt -... .. ____ ....
fireplace 10.00
Log (gas) 10.00
-- -----
Wood/pellet stove 10.00
„,. _
......_. ... ... .. .
Wood fireplace/insert 10.00
i ,wAl•,).110•47. ,.4, i.:••,-i .. ::::.;..:,•„,, •,,.1,, Chimn_tglinerillue/vent 10.00
iI
t2 •''•' 7.k 'Tv-Pati`ll ' :' l .''' '":•••
''''. :AILCI.IALtnAL,' .-;'. • .,•,.,:.. ,...'+'•■ . '' ■ l' ..,, Other: 10.00
Narne: -- 4 ITV e. ,kA -'1<-'r- Environmental exhaust and ventilation __.......__. .........
Range hood/other kitchen
Address: equipment 10.00
City/State/ZIP! Clothes dryer exhau8t 10.00
_.. Single-duct exhaust (bathrooms,
Phone: 4?)g -)!;ax: ( ) toilet compartments, utility roOmS) 6.R0
I 4 4 04 4 TETiTA., 47!, •:■ :■17 .:", ..;Ci ',r;(6i4/14u1,44C46W,": .r,i.R Attic/ctawlspace fans 10.00
Nik'4,1'...i:•.L 4.1101 i.:T1 h ..-:., .i.' ';:!: n ti,i7
'
Other; 1000
Business name: Tr, cc Tc..Tylp (nisiti--0 Ot Fuelpl ping
, _ ,
Contact name: $5,40 for first four; $1.00 for each additiona
_,...-. , ‘ .. urnace, etc,
Address: (•'? I Pip (. • e L Rj Crt J Gas heat pump - . "' •
...
le ...
CitY/StatUZEP: IC ) 1 C i -1-q c k_ (.. ..: • :_)
"' { "ffyi ' w,01/51.15 heater
E 2 12c) . -
1, a, : ( F jo .c5 i-aliq ...Water heater
"•
....... Fireplace
E-mail: Range
4 1rflNPA4*W.Y1 1 P4;PY ., '•, ' Is . ';4'3zi:!.;IZZ'i*e'edie, l ''':IV,'!: ' ' : : ' i`. , :j::j!,:••Nili'I:t: .. .••:.' ; ::';•.:. :4:''.'''•: .: Barbecue
0 Clothc,9 dryer (gas)
Business name: Ill Ca ti ki CI) Lp (CI t (1 j
, .___
Ad dress i 1 i t -. t. -
2 )(c3C , r) (Iry Kil r r i ._ - I' ,
l 1 (" rigl. 15740,0'0) ' _......
,. . -
City/State/ZIT': Oi't (1(..:31 ( v (... ( a , (...) Subtotal
Phone: (. ) f : 7 51 -- 2_72C) 6: )C b ) 7 " (<
I F. - . . ., -
Plan review (25% of permit fee)
CCR lie .: - 721:0 of per
7' S tate surcha rge (/c/0 permit fee) I ....
__..,. ',... YU)
. . ............. _ .........._
________
/ TOTA.1_, Ph1g1vOT FEE
.._ __ .... .. ..........__
, y ? /7 - ?(LO c
Authorized signature: 4, • • • - ' . This permit appitention expires if s permit k not obtained Within lad
- days after it has been accepted as complete.
.. i
Print name: 1)//2/ it)(a, 1 Dat.,--7 4 )_.--71 77 1 . Fee nielliodialogy Net by Ti-County Building Industry Service Beard
JUL-30 -2007 09:07A FROM: TO 5035981960 P.3
,i 07:51 FAX 5035981960 CITY OF 111 AKU
FROM :5035570919 FRX NO. :5035570919 Jul. 27 2007 11:09AM P3
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CITY OF TIGARD , r' ' i �
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BUILDING DIVISION Q � d-' PERMIT #: MEC2007 -00469
13125 SW Hall Blvd., Tigard, OR 97223 L r1 DATE ISSUED: 7/30/2007
Phone: (503) 639 -4171 0p fi b 1" k a 1 t
Inspection Requests (24 Hrs.): (503) 639 -4175 0` °='l l..
INSPECTION WORKSHEET FOR DATE: 8/9/2007 TIME: 7:00AM PAGE: 58
SITE ADDRESS: 14378 SW 130TH AVE CLASS OF WORK:
SUBDIVISION: WOODFORD ESTATES LOT #: 004 TYPE OF USE:
PROJECT NAME: MCCALLISl ER
DESCRIPTION: Install a/c unit.
OWNER: MCCALLISTER, CART PHONE #: 503-830 -2343
CONTRACTOR: tiVIMIXTEREIMPRTONTROL PHONE #: 503 -557- 2220
Inspection Request Scheduled For: Date: 8/9/2007 Pour Time:
Code # Inspection Description Confirm # _ Contact # Message
699 Mechanical final 053671 -01 503557 -2220 V
P ill\
Corrections/Comments/Instructions:
gP 1177
p eY
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0
to oblivN IN(1/0-(9-n.St, 14.6
PASS ❑ PARTIAL APPROVAL ❑ CANCEL (I4 NO ACCESS
FAIL f1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
1 -6 7 Inspector: Date. Phone #: (503) 718 -