Permit i
A t OF TIGARD MECHANICAL PERMIT
-,, DEVELOPMENT SERVICES PERMIT #: MEC2005 -00440
'' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 7/21/2005
PARCEL: 2S 109AB -05300
SITE ADDRESS: 14297 SW 133RD AVE ZONING: R -7
SUBDIVISION: THREE MOUNTAINS ESTATES LOT: 046 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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
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
BERG, DAVID AND KATHLEEN M Description Date Amount
14297 SW 133RD AVE
TIGARD, OR 97224 [MECH] Permit Fee 7/21/200E $72.50
[TAX] 8% State Surcha 7/21/200E. $5.80
Total $78.30
Phone: 503- 793 -2362
Contractor:
JEFFS HEATING + COOLING
9415 SW LEHMAN
PORTLAND, OR 97223 REQUIRED ITEMS AND REPORTS
Phone: 503- 246 -6420
Reg #: LIC 00099132
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: , 7) f(2..e Permittee Signature: _ j . 0 , pk)
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.
•
,
i
0' 7/20/2005 14:11 FAX 5035981880 CITY OF TIGARD X001
, f echanical Permit Application rt IR (11-1 I. I 'I; i ! \ l.v
of Tigard plan Review
C E IV ED A Y P a,ndtivv.: ; yyo
31 SW HalBlvd., Tigard, OPP� 6�
`hone: 503.639.4171 Pa,r: 503.598.1960 IletdB • k
. Oth r Pee
aspcclioa Line: 50).639.4175 _ _
sl.1 • •J pats Ready/ay: hake ill $s4 Pagel tar
nternet: www.ti.tigMd.or.us JUL 2 1 2005 N°6Fc41"dto4 - (r S.pptemaneml t., form ation
'I •_�: .ttY .,?,: -emu,, e , . A. J . 1'•' ,1• ', ,. J`2.1 " ;:, . , a : • F ; .l t .rt ! , ,ere -es_ ...,• �..a F •sYa:., -css� `• • :' •' '..- i �. , I ' • � W , • �h� :''' - A ., t • • • • , Y Y '• • .1- : / ''•••• iF�i 1+ '. , . a; ie `:' "i a ds w wb , ; rtoxtS � u�u r:s . �s ,� , , • ] Nev. construction •
; ` ..'' F',.� tt :" re b p n - ,' are based on th va ditto work
per$s.ttod Indicate tbo value (rounded la the nearest dollar) of all
O Demolition 0 Other: roocbanker materials, equipment, labor overhm • and • ofit
'ltl:- ':h�.t�t r• T, ',r� .•. . i`� Value:S ; 41 de ' •
� -a
f$ 1- and 2- family dwelling 0 Commercial/industrial ❑ Accessory building For special information rte checklist.
0 Multi - Gamily 0 Master builder - 0 Other: Description f Qty. 1 Ea_ I Total
'('•. '. p ,1 1 :`.`-^` "i - °. :'_9 YY: •.. 1 '., :. .,- " . Asktoe,610e ceE�l:: =. ., 'i`i Heidi: OOhn .
l�� f2 a Air conditioning or Beat pump lob site address: /
I�297 S 133 Orgasm I
14.00 /
City)State/ZLP: T G,A1ZD ' O� 972 -2-Li Furnace 100,000 BTU(isetelwntt) 14.00
Putnam 100.000+ BTU (deea/vema) 17 - 90
Suitefbldg, /apt. no.; I Project llama: Gas heat pum0 14.00
Cross street/directions to job site: 114/1 P ` 65 A-600 Duct work 14.00
Hvdroeie hot water system 14.00
73 U)- /14-1 iv RID Residential boiler (utiatur or •
hermle) 14.00
vats llama (firet•typo, rot a eea ic),
in wau,.ia -duet, suspended_ etc. 10.00
I Lot no.: _ Flu, vent for any of above - 10.00
Subdivision:
Other: 10.00
Tax map /parcel no,: Other feel sppllaeces
i,, ,.. • ; i ;' . `• tyt :�:W.: ?t: ;: '�''6 Ii Wales heater 10.00
! _ / ` AST: e ) a_ , 1` , O ■t'E � n„ for weber heater or gas l0.ttl
6rcplacc 10.00
Log lighter (gas) 10.00
Wood/Dello stove 10.00
Wood Sreplace/l \eat 10.00 ,
.�' ftoa , N <,:. r.: ••'i; <'. c •, Chimney/liner/flue/vent 10.00
Odttx _ tu.o0
Name: OA 1/r.- � . Eeviro\eeeetal eabadat sag ventilation •
Addreas: I4a q 7 S W !33 3 i nvent erlrilohen 10.00
C rcyfSiatuZW: - 71. ‘1.1 972.24 , n ° mamma 10.00
Single exhaust (bathrooms,
Phone: Qs) - 7 3 2362 Fax: ( ) toilet cwnpart rnants, utility room?) 6.80
r.i,''',:dt` ' r ?4wi( , .5.,•r• 0 * 7; ,l
- '';. At6d farm crawlspace fa 10.00
13u m
sinees nae: ' (. T Cl Other: _ 10.00
Fuel Mollie
C o n t a c t name: iJ e,Fir 1 < L 4 5 " , A. d
SS.411 for Brat four; S1.00 for caci adltiaoa
Address: $- 5 S T'D'/ sue. ,
Ga s beat pump
City/State/ZIP: 1,06S $01., 1.1... CC, g706 d wellhiospcttdcd/uait
Phone: (SD-17 y6 as Fax :: ( • 7 3g -70 Water hooter .
Fireplace
G -maE: Mange
., ,,. �v. 0 r err.,. .. • t: • •r:•: '.t °,*tt Barbecue i.: .. '+' ^ *"4;.1 11,, +:'k:M:Y ,t. s..N <•'' .g X74. : ify;r.:< '
Business name; 5 ry [' A s 4 r P` 1 CA y : Clothes drye (
Other:
Address: '! .71 :1 ``, '• • ..,.'(' ,,;..
City /State/ZIP: Subtotal -
Miaimu it fee (572.50) 7.Z
Phone. i i Fax:
( ) I ( ) Plan review (2S %ofpermit fee) f
CCB tic.: 9 913 �, .•e- S - y B'7 state eureharge (596 of permit fie)
TOTAL PERMIT FEE ,
Audi olizedsipjtalure: �1� it
' n o . perm a p l l a m a p b e a t i o n spire, it a l l a � es not notate vivite 1i
line sfterk has bees wok peed asesmplae.
Print dame: a viz 11 Date: .." r • Fes methodology set byT i-CotmtyEpilt $ng Industry 3etWeeBoard
:Naar niONnnwwwelc- tb,,.it,br aou'tu• • • to IlaVCOtivwaA) . �
' d O L B E - G S S - E D S sat i t \ Jes 2u-t daa'poog 'N'S _
WHE0 : 6 SOD T O i nC •
Jul 21 2005 9: 03RM S. K. Bookkeeping Services 503-557-3870 p .3 ,
i I F . _ 1 1 i
1 j I I I 'L [ I , 1: I i 1 i 1 1 i I 1 L 1 L 1 1 1 1 I___i________
i ' i i i I I : i
. 1 I , , - 1 , : t 1 i 1 I 1 • , • , I , ,
. i .
, ,. i A :___ ; _,__.., L_____i_ i • i 4___ I • 1_ _I
I 1 1
, I i 1 • ilI;
• ' ' ; ' • ' _I _
1 ------------- r -- '
I : , 1 :
I f __ _.., i 1
_. _i___! _I_ ! J_ ; _i_ i _I ___.____+__ _ _ _ _. _
„ . • I I 1 i i 1 ■ ■
1 1 _, 1 i I ; I - . ! ' V ■ 44 . i
• .1. i—.-..-.1--L—___I-.---4-----i-.__L--- -- -- - H .--- -- - --,---- -.
-
- i : . I -- I ■ i ; I
.__
- .----- -
j L 1
1 ' I ---L. ...,..
1 j r • ' '---
I • : ; i
-- ' •
1 , 1 ■ 1
I I i - L 14 1 -LODi_ 1
1 1 1 i
— -I J L _I_ -- I L i 101°.
, , , . 1 _
1 !
_ 1 1 _1 i / i .
1 1 1 i
1 i 1 .
, __.t._ ,
___ ., ,
I ;ll ,:lill,
A L , _1 1 Ii. L. _L. 1 I i I ±J. 1
._
____I L i __ It!Ill
1_ Li _I I_ i
-_ - ■ ,
i 1 C3- 4 i
. 1 1 : 1 11111! ! . ,.. --- 1 - 1:' -
1 i 1 I___ .1._ : : ._1_
---'
I 1 1 I 1 1 1 , — I 1 _ lii______..____ .1__ .s.__. ._ _ 1___ . Lt___L. _.
:1i'll i ;;-,_
1 I11 111
. I
- ._, 1_ i_ _L .1.. . I _ I _I_
1 ■ !
1. i 1 i ---1
! i I 1 I I I 1
_______I________I
; _1_ .!_____1_ 1 -,
; .----1 [ 1 ! . , I T-- —
I i i 1 i 1
._i _ ; . _,. _i_. _J.
1
;; 1; ;
• , , , , ,
1 1 _!_.
, . .
: - - -2----
i_ I___ [ .i __L. _i L
_.;._ 1.____ _4
----
f I_ __, _ , .:1. , I .. --4- ' -'. ' -
, , 1
: , . 1
—.-
, 1 1
, . .
, I
I •
--1- ' • t I
"
i ,
: __.1. _ __I
! ! I 1 i
1
J_ _L_ _ I
---
i
l i i 1
1 1 : ! • 1 1 '
1
._L.:.. -__ : _:. • _ _ __, __f_ . ___
■
._L_
- 1 1 __
i
1 1 I I 1
1 11111i1 ,
1 1 !
— 1 ---1-----J ---1.--- --.4-- .-- 1
1 ' i 1 I I
I 1 I I 1 I 1 :
1
,11 __Ili! ' I
. i [ - T
_1 . 1 1 : • --,
1 ' I 1 • 1 1 .!
_I._ 1. . _L .1_____ : I i
I 1 -
' I—
1 ---- 1
ii 11:' IIIIII
;
I
4___ _l__ 4. . _____; _1_ L__ _+. __L. _i_ 1 ____L____..1. _,. — 4 1
1 i 1 I
ow : L L- 1 1 , ; ,
I i i ___,_,..___,__._,_
. ---1
_ .. i 1 1 1 __' 1
___.1. - -j
1 I 1 1 - i .
__I ; - ' ---' - 1 - —11 7 --71 i I :
1 ! ,
! ! __.1 .L__ .1. __,_ 1 _L_ J I.
----; 1 1 , ■ 1 — • • i
iiIIII i I 1 L 1 -
: . _ ' _L__
; ; , — T
IIII
r 1
I :
1 — ' - 1 . I .
f , ,
! 1 I
• 1 ! 1 1____I 1 _I _
— --- -- 1 1
-- 1--- 1 ---
. , , ;
___ _1 _ ._
1 1 1 I • . i ■
1.___ i _ 1 __J L. J. I I _[. 1 _
1 I ,
I
, , 14 1 , : i , 1 !
i
4m......rownwomm■s =1 !
1 1 1 I 1 1
L . 1 ---.--,t-----,----L-1.-- -- _. _ _I_ 1 — --_--..— . —1---L.--1— — - —
. r ----
11 11 11 .11
..
;
' i -I — 1 . . '
1 1 i I i - ;111
_
I __I 1 4 4 I 1 .1___ ■ . _L_____.1 _'4. .. 4 —i - —44 . ' .
i - I . i I 1 .1 , 1 i ' ., If _ ;;,
•