Permit I ;
CITY TIGARD MECHANICAL PERMIT
1I DEVELOPMENT SERVICES PERMIT #: MEC2006 -00423
°T!il 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/28/2006
PARCEL: 2S103BC -03300
SITE ADDRESS: 12300 SW ALBERTA AVE ZONING: R -4.5
SUBDIVISION: CANOGA PARK LOT: 007 JURISDICTION: TIG
Project Description: AC install.
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:
ELE 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:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
OLIVER, CHARLES A/BETH M Description Date Amount
12300 SW ALBERTA ST
TIGARD, OR 97223 [MECH] Permit Fee 81281200E $72.50
[TAX] 8% State Surcha 8/28/200E $5.80
Total $78.30
Phone: 503 -590 -7095
Contractor:
SUNSET HEATING & COOLING
0607 SW IDAHO
PORTLAND, OR 97239 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 234 -0611
FAX 503- 234 -0439
Reg #: LIC 161085
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: 11 kip Permittee Signature: ,' . Z C.
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business day. _ /0_
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.
Aug 25 06 01:30p p.3
t 1- (i
MLchanical Permit Application FOR 01-1.I( 1: t s1: ()NIA
City of Tigard
Datemy. .r� ! i Permit No ' : ..-t/b -AO
13125 SW Hall Blvd., Tigard. OR 9722 v EIV Plan Review Other Permit:
Phone: 503.639.4171 Fax: 503.598.1 i�,n -Rlr Date/By:.
0YY �® �� I H See Page 2 for
Inspection Line: 503.639.4175 � r ' L. Date Ready/By: Supplemental information
Internet: www.ci.tigard.or.us N OG 2 NotifiedtMcmod:
't
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`� ) "• �` �` j �' ' �~ Mechanical permit fees* are based on the value of the work
❑ New construction ® Ad. ituon/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
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( 1 and 2- family dwelling ❑ Commercial/industrial 0 Accessory building For special information use checklist.
❑ Multi- family ❑ Master builder 0 Other: ' Description I Qty. I Ea. I Total
t at. a ,g� -myg 3 ... ra '{ y, ..7 $ry""r5- ,r :'t ;'� ' Heating/cooling
. tA= - ¢f rlif,g 3 1:4 Z s ' �:i erner:, 4 e3'rr .. 1.. ,,1.., K,su..et. ..x x....ra 4
Air conditioning or heat pump
Job site address: l " ,. � . t `' . ( - ( - �' '..� ' (requires site plan showing placement) ( 14.00 0 "
Furnace 100,000 BTU (ducts/vents) 1 14.00 •t•q
City / State/ZIP: V \ C, jJ�v =a . `� Furnace 100.000+ BTU ( ducts/vents) 17.90
Suite/bldg./apt. no.: I Project name: t,;(, 1 \ j l;,l,- Gas heat pump 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 (fuel -type, not electric).
in -wall, in -duct, suspended, etc. 10.00
Flue/vent for any of above 1 10.00 10
Subdivision: I Lot no.: Other: 10.00
Tax map /parcel no.: Other fuel appliances
;� - •..,; ., * x wr tits- • , ..5, g S,t;' P' tie ` � , Water heater 10.00 i i
-4 ,
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> *�', w< , : 1 "'1+ v ..F scG �'•.:.� ��r:,. . .rw- Gas fireplace 10.00
(„ a a° i• i Flue vent for water heater or gas
1.4 :, C °: fireplace 10.00
C; (:'' : :) .1 `t'\, -? - vk. c_. /L i ; .A'1 Log lighter (gas) 10.00
•
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
fr v ,,..E %
Chimney /liner /flue/vent 10.00
K , z; _. ... firest' “` l em.. u tlxB: , 4 ,y cS0,.,' ".; �;- 7.4
,,; w 4 , e `; ..a . r t ( ; r Y# ' , - ,- f 1 0.00
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r r A ; . 1 4,,... ,
Name: f'�:?(,:.`1 t:. , ,:i ° "L t \ ,. Environmental exhaust and ventilation
Range hood/other kitchen
Address: 1 "f' =;('; -') `,; i r ^ (i =1 . '•. 's'1 equipment 10.00
City /State /ZIP:
� h _ , Clothes dryer exhaust 10.00
t i C, < I t ( ..
Single -duct exhaust (bathrooms,
Phone: (:
< � _?) < ^.ter i { � t • r - -a.:' ; r -, Fax: ( ) toilet compartments. utility rooms) 6.80
t..- -I G
�cc "ef � d Attic%rawlspace fans 10.00
r a , ,"�'„ t �4 n i. - . , 1 r: ;' 1§0. 41 P4 a r1 . ;fftt , ff� ... c.:., i v ~tfi41
„1xiSdPr,<`l S Id; e' v < ',! �,,.. '4, 05m' , . <:<r a 1Mt A � „,a ;, : tit ' ,,... -,ins 10.00
Other:
Business name: Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Furnace, etc. 1 ?`'i 0
Address: G heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone: ( ) l Fax: ( ) Water heater i Fireplace
E -mail: Range
e# :;', ww , , ,':S , v c ' ^A
� 4.. : l. xe 6 ... .: 4 1 " si :'4 ,; ,Q,; J x' sfi2 ; ?A t ' Barbecue
i.�. ei';h 4�.�' � \Yu N;� - j l 1 T". . e
Clothes dryer (gas)
Business name: Sunset Heating and Cooling Other,
Address: 0607 SW Idaho Street x ,� � .,.
. r�w.fs��`:mc_Sa.�Ati�or �,*�r „s�.`:saa: a WO
City /State/ZIP: Portland, OR 97239 Subtotal 5_; L.; (2, .
Minimum permit fee ($72.50) -- 7.2.. S 0
' Phone: (503) 234 -0611 Fax: (503) 234 -0439 Plan review (25% of permit fee)
CCB lie.: 161085 1b o 9 State surcharge (8% of permit fee) j `5;
-Th l TOTAL PERMIT FEE - ( 7r.,....-. .. Th permit application expires if a permit is not obtained within 180
:t ,
Authorized signature: �• � - 1"--t..,, "'� days after it has been accepted complete.
red as corn
gn � , I L,. - _ _..... Y P P
Print name: Shauna D'Ambrosia
Date: r r;I ' r °
", s -' • Fee methodology set by Tri- County Building Industry Service Board
j ' � z�:
i. \auilding\P'+min\MEC- Permit App.doc 12/03 440461Tr (11/02/COM/WEB)
Aug 25 06 01:31p
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NC & H/P
SUNSET Site Plan
Fuel Company
DIRECTION
Name & Address:
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CITY G7ARD •• •
BUILDING DIVISION PERMIT #: MEC2006 -00423
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/20/2006 I
Phone: (503) 639 -4171 lut1t
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/16/2006 TIME: 7 :08AM PAGE: 51
SITE ADDRESS: 12300 SW ALBERTA AVE CLASS OF WORK:
SUBDIVISION: CANOGA PARK LOT #: 0Q7 TYPE OF USE:
PROJECT NAME: OLIVER
DESCRIPTION: Replace furnace, install AC, water heater. Gas to water heater and furnace (2) outlets.
OWNER: OLIVER, CHARLES A/BETH M, PHONE #: 6 590 -7095
CONTRACTOR: SUNSET HEATING & COOLING PHONE #: 503-234-0611
Inspection Request Scheduled For: Date: 10/16/2006 Pour Time: •
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 038219-01 503 -234 -0611 N
Corrections /Comments /Instructions:
- /4 , ?
P - )( r CakP AL S %c.7,,., X is}i
. " PASS n PARTIAL APPROVAL ❑ CANCEL H NO ACCESS
n FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: -/ Date: 7d — /h , Phone #: (503) 718 - .--4-4=S---
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: MEC7006- 011423 •
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/28/2006
Phone: (503) 639 -4171 Pe
Inspection Requests (24 Hrs.): (503) 639-4175 J IL.
INSPECTION WORKSHEET FOR DATE: 9/20/2008 TIME: 7 PAGE: 65
72L s
SITE ADDRESS: 12300 SW ALBERTA AVE CLASS OF WORK:
SUBDIVISION: CANOGA PARK LOT #: 007 TYPE OF USE:
PROJECT NAME: OLIVER
DESCRIPTION: Replace furnace, install AC, water heater. Gas to water heater and furnace (2) outlets.
OWNER: OLIVER, CHARLES A/BETH M, PHONE #: 503 - 590.7095
CONTRACTOR: SUNSET HEATING & COOLING PHONE #: 503-234-0611
Inspection Request Scheduled For: Date: 9/20/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 036629 -01 502-340-611# N
Corrections /Comments /Instructions:
❑ PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
V,LFAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G Date: 7 Z.v ' 0 6 Phone #: (503) 718- Z 94 (
•
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IMF ,.\\, c ,,,
ITY O _ ARD
BUILDING DIVISION PERMIT #: MEC2006- 00423 ,
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/28/2006
Phone: (503) 639 -4171 /alai i f i A,
Inspection Requests (24 Hrs.): (503) 639 -4175 , 1,J 'f .,
INSPECTION WORKSHEET FOR DATE: 9/11/2006 TIME: 7:00AM PAGE: 68
SITE ADDRESS: 12300 SW ALBERTA AVE CLASS OF WORK:
SUBDIVISION: CANOGA PARK LOT #: 007 TYPE OF USE:
• PROJECT NAME: OLIVER
DESCRIPTION: AC install.
OWNER: OLIVER, CHARLES A/BETH M, PHONE #: 503 -590 -7095
CONTRACTOR: SUNSET HEATING & COOLING PHONE #: 503 -234 -0611
Inspection Request Scheduled For: Date: 9/11/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
i , ; 610 Gas line / # s 036287 -01 503-234-0611 N
qg - G ✓L. -0.4cr
orrections /Comments /Instructions:
4�6A -S i-..P, '"'-- - T - msr — 21' Lf rt 16- ✓r rc.
(# iv 5 EL6c72LCA-L- ,= L . 1 A- t- CA 1z
•
r ] PASS I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: //1.- Date: 4 Phone #: (503) 718 - 2-44A bA