Permit _ y,w
'CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005 -00216
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/5/2005
PARCEL: 2S110BC -06500
SITE ADDRESS: 12345 SW ASPEN RIDGE DR ZONING: R -7
SUBDIVISION: THORNWOOD LOT: 036 JURISDICTION: TIG
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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
FREDYDOON SADIGHI Description Date Amount
12345 SW ASPEN RIDGE DR [MECH] Permit Fee 5/5/2005 $72.50
TIGARD, OR 97224 [TAX] 8% State Surchar€ 5/5/2005 $5.80
Phone: 503- 968 -1234 Total $78.30
Contractor:
OREGON HEATING + A/C INC
PO BOX 397 REQUIRED ITEMS AND REPORTS
DUNDEE, OR 97115
Phone: 503 - 538 - 2953
Reg #: LIC 125815
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 -3 44.
Issued :y: � 4.1.1 Permittee Signatu / ( �y
Call 503 - 639 -4175 by 7:00 a.m. for inspections tha siness 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.
May 05 05 10:26a 503 - 537 -2172 p. 2
{e
M Peemit Ap i I ED I O F USE ONLY
City of Tigard Received t�A �T
5 2005 Permit No.: �(J(J
13125 SW Hall Blvd., Tigard, OR 97223 ►1 AY is
1 Plan Rev
Phone: 503.639.4171 Fax: 503.598.1960 ( Date/By: Other Permit: Inspection Line: 503.639.4175 _ :y' Date Ready /By: I" � a See Page 2 for
Internet: www.ci.tigard.orus CITY OF TIGA'°` Notitied/Method: if 1/ Supplemental Information
BU II DING DIVISION
TYPE .Or•WORK., COMMERCIAL. FEE'°. SCHEDULE —.USE CHECKLIST
Ell New construction 1C[ Addition /alteration,rreplacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORI.OF CONSTRUCTION .: -:: Value:
and 2- family dwelling .RESIDENTIAL EQUIPMENT/ SYSTEMS FEES*
- ❑ CommerciaUindustrial ❑ Accessory building
SI/
Multi- family ID Master builder ID Other: For special information use checklist.
Description Qty. I Ea. Total
• - JOB SITE 'INFORMATION AND LO ATION . Heating/cooling
J J i pump
Job site address: U i I 1.� /. L j r nY Air conditioning or heat p
' 9 P showing ) I `"!
4� 1 ( (requires site Ian showio placement) 14.00
• City /State /ZIP: i � ./�' uzAr r 1 L ('') )1 4 9,: r .) . % , Fumace 100,000 BTU (duccslvents) 14.00
L¢ ` ` — I
Furnace 100,000+ BTU (ducts %vents) 17.90
Suite/bldg. /apt. no.: ', Project name: 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 -duet, suspended, etc. 10.00
Subdivision: Lot no.:
Flue'vent for any of above 10.00
— Other. 10.00
Tax map /parcel no.: Other fuel appliances
..:.. • ;: :.:.c DESCRIPTION OF •V4'ORK .:' Water heate r 10.00 •
IGas fireplace 10.00
V ° n, K11-1-)a: CL y 0 / l7 V Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
y iner flue'ven
:.:. .. mne � � t
R�PERTY .O«'I�.ER ' , , ..` •, ,....,,
10.00
� TENANT. Other: 10.00 -
Name: 4rtt ��r\ 4. L, ' S el i ' 1 vt. Environmental exhaust and ventilation
Address: (C 1 1 f. Range hood other kitchen
/ if
}� equipment 10.00
City/State /ZIP: p L 9 0,�( I 7 Clothes dryer exhaust 10.00
`7 Single -duct exhaust (bathrooms,
Phone: 3, , : - �1 i Id.,,,- Fax: ( ) toilet compartments, utility rooms) 6.80
: :: 11d APPLICANT �
.. • ...
• 'CONTACT PERSO .: Attic /crawlspace fans 1 U 00
Business name ()4t x-A l�t 4, / 1 , ltt�t/ v ! ( /1ln l � n
Contact name' (J Other. 10.00
V Fuel piping
i
f,) �• ^ ! }�, $5.40 for first four; $1.00 Cor each additional
Address: 30, n
Furnace, etc.
Gas heat pump
City/State /Z ,4 U t S 3 U 64 ', `1 S> WalUsuspended( unit heater
Phone( �) �<?-, 9 C 3 F ax :6" ) — 7 Zl --z- Water heater
Fireplace
E- mail: ////
Range
C . a e
ONTR4CTOR .:. ' B rb cue
Business name: ' l i / I , I ' c _ttL q - Clothes diver (gas)
�y `�' Other:
Address: � � � -
1 `�'!. � . .. • MECHANICAL P ER141IT FEES* .. • . - .
Cit /State /ZIP: .�'j J 0 / 0 Y (j 11 I t Su i , al
- Phone:60 0'3 g t t Fax61 J 1 ? 2,1 7 Minimum permit p ermit a A n
�° { i Plan review (25 /o of permit fee) `a1
CCB lie.: 1 < State surcharge (8% of permit fee)
ddd TOTAL PERMIT FEI
Authorized s" t ure: Ll f / y l 1 /� t This permit application expires if a permit is not ob within 180
n y , t jn U 111 "bti days after it has been accepted as complete.
Print name: 1' yy -r - `L ,q/1 �� / !' Date: e" Fee methodology set by Tri- County Building Industry Ser ir,pg“6
iABUildiuglPcrmits 'MEC PermitApp.doc IZ'03 -040 -1617T (11i0 ?1COMM14EB) r l `lL7 i -,/
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CITY OF TIGARD,, ii
BUILDING DIVISION PERMIT #: MEC2005.00216
13125 SW Hall Blvd., Tigard, OR 97223 A DATE ISSUED: 5/5/2005
Phone: (503) 639- 4171��r��rlNuypi�Bl�l���
Inspection Requests (24 Hrs.): (503) 639 -4175 :_
INSPECTION WORKSHEET FOR DATE: 6/21-2005 TIME: 7:11AM PAGE: 66
SITE ADDRESS: 12345 SW ASPEN RIDGE DR CLASS OF WORK:
SUBDIVISION: THORNWOOD LOT #: 036 TYPE OF USE:
PROJECT NAME: SADIGHI
DESCRIPTION: Install a/c unit
OWNER: SADIGHI, FREDYDOON & ERIKA PHONE #: 503-968-1234
CONTRACTOR: OREGON HEATING + NC INC PHONE #: 503 -538 -2953
Inspection Request Scheduled For: Date: 6/20/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 009608 -01 503- 538"2953 Y
Corrections /Comments /Instructions:
& I 7 °.:
PASS / ARTIAL APPROVAL ❑ CANCEL E. NO ACCESS
❑ FAIL C , Z FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: _ Date: v Z 0 ' w Phone #: (503) 718 -
I