Permit CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00238
' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/25/2006
PARCEL: 2S112CC -13300
SITE ADDRESS: 08493 SW BONAVENTURE LN ZONING: R -12
SUBDIVISION: TANIA PARK LOT: 008 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:
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
KRIS SCHULTZ Description Date Amount
8493 SW BONAVENTURE LN
TIGARD, OR 97224 [MECH] Permit Fee 5/25/200E $72.50
[TAX] 8% State Surcha 5/25/200E $5.80
Total $78.30
Phone: 621 -8602
Contractor:
0
OREGON HEATING + NC INC
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -538 -2953
FAX 503 -537 -2172
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 - 332 -2344.
, Issued By: ��� Permittee Signature: `(�
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.
May 25 06 01: 06p MS Rentals, Inc. 503-537-2172 P.2
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Mechanical Permit Application . .
• FOR OFFICE USE ONLY ' . . . . . • .
City of Tigard 'RECEIVED
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Received e ' ,. - 2-d 7 . ) 6_ , p.it Ni .-- ._•11
13125 SW Hall Blvd., Tigard,. OR 97223 1 '
Plan Review
Phone: 503.639.4171 Fax. 503.598.1960 200 DateBy: Other Permit:
Inspection Line: 503.639.4175 ' th t .1
MAY 2 5 4 : t
Date Ready/By: luris: i t E See Page 2 for
CITY OF TIGARD
Internet: www.ci.tigard.or.us NotifieelMetbod: lrl Supplemental Information
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. :::?...- . ; . .rifE . . OF • b12.1K ..,: v. :' :: : t.' .,.1: ::..".:....- Coi4ItRcI..'r.gt,, .c
Mechanical permit fees* are based on the value of the work
El New construction ri2Kdditiont
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $
... " El building .E0. 3..PMEBNT LS ,
`
1 .;,;',.,
- and 2-family dwelling Commercial/industrial 0 Accessory building
For special information use checklist.
0 Multi-family 0 Master builder E Other: 1 Description 1 Qty. I Ea. Total
.. .':,Iii,i';':.- : ":„'"-; .: ,.i: : ::.f.,: : :,,V , ...: r i i' -: : • : : : ,.. 4 : 0..i4 r i*:; I .E. 4 *O . I ''. tP; elP4'i
wergarmika a v 1, i ,,re__ Y Air conditionin&siAeat pump
Job site address:
, ireautres sue plan showing placement) / 14.00 H
C it y /State/ZIP: ja-4,'TJ 6 / 7 ) ti-i.' Furnace 100,000 BTU (duels/vents) 14.00 _
Furnace 100,000+ BTU (ducts/vents) 17.90 1
Suitribldelapt. no.: J Project name: !
I Gas heat pump i 14.00
Cross streetidirections to job site: .. Duct work 14.00
' Hydronic hot water system 14.00
Residential boiler (radiator or
•
I hydronic) 14.00
I Unit heaters (fuel-type, not electric), I
in-wall, in-duct, suspended, etc. I 10.00 1
i
Flue/vent for any of above 10.00
Subdivision: I Lot no.:
Other 10.00
Tax map/parcel no.: Other fuel appliances
. 3jik . k. : Tiiiiid . it,& . ':• : iX?diiik'.:?':il:t : iri;::: - :'J- - l' ! . -, i'.';::;-:.i, Water heater I 10.00
.. \ CI - 0
)/11 J h.au AL-Y Ail 61/Ch lfh CK, . Gas fireplace
Flue vent for water heater or gas i 10.00 1 t
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
. Wood fireplace/insert 10.00
-- .., Chimaey/linerlEue/vent 10.00 j
J::;; 0
, _ • ... 10.00
Name: a ,
NA. .44 re_ Environmental exhaust and ventilation
A a , tA/z.- Range hooch/other kitchen
Address:
equipment
10.00
City/State/ZIP: (. (' ATFOFF OFE1111.1.111111111 Clothes dryer exhaust 10.00
_. It' J it A
Single-duct exhaust (bathrooms, I ,
Phone. 1 a 1.---,) , , tna Fax: ( ) toilet compartments, utility moms) 6.80
...., f . / ,-..-' v . .....
A".//1!.-Li00.T,i..M'!.::::%.N1....l::. ',.F::::',?;•if;•:..'-::::::It-'.,.'.n;i:03-gt:.i;:.0i,-.AR.§.-6-141,,,Y,:!;4A14..; I Artickrawlsoace fans 10.0C
Other 10.00 1
Business name 0 /-0 .. i a t i 4_, '--- ,
..J Fuel piping
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Contact name: J/_\ os-i-,...e.:, 55.40 for first four; 51.00 for each additional
ri
Address: eB4y--) . Furnace. etc.
! Gas heat pump
City/State/ZIP: ( 131 k
_ ‘1,rilLs-- I Wall/suspended/unit heater
Phone. . 1
_ JO ) 6 giv. _ Fax: : ' ) 7
-- 7 -/--,/ -+IZ- Water heater
-- Fireplace
E-mail: t Range
A 1 -
Bu.siness name: . ,f g ! '') . i t I --- r ' 11))(1.,4 : Clothes d.rier (gas)
I ,-, I
------- Other
Address: %.' : n . ...,. : . 7 ,..,-,,. MECIECTit'OCAI.P.PERMIT FLES
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1 4 n I L ,.....__ , . Subtotal . . ,.... . . . , ..
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' City/State/ZIP: i ,
,r) - Minimum permit fee (S72.50) .
Phone: . : 2 . ; Fax ' - . 7 2/ l7 2_,.
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41,p4
- .... _ Plan review (25% of permit fee)
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CCB lie.: . r 26 t. . , State surcharge (8% of permit fee) ,.
TOTAL PERMIT FEE
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Authorized s' iature: , ° ) *. I . .1 - tr44W
6 0 c, This permit application if a permit not obt within 180
,
Print name ''''\,y1, ILA A ( 3- 3 - 1 . ? .4 a . P P
Date: . ic * Fee methodology set by Tri-County Building Industry Service Board
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CONTR ACTOR HEAT PUMP — UNIT SITE PLAN. DIRECTI N
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CUSTOMER INFORMA'T'ION
NAME: (f,1 SCI,v if L 1.d- ("
ADDRESS: C , L o 7 Svc s
6tfy c 't 1. • -13
PLEASE FAX APPLICATION WITH SITE PLAN
CITY OF TIGARD (
BUILDING DIVISION , PERMIT #:2647 2-3
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 .0„,11 4110't .
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: act- '73 6_,A/a..-veki OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
/ � Z5 i `
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Inspection Re uest Scheduled For: Date: a - 0 0 Pour Time: � � �
Code # InspectiT Description Confirm # Contact # Message
? Pl--"--A 5 2, g — , -S --- 3
Corrections /Comments /Instructions: (o ,3 I ' go O,2_-
PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
I I FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: C6 Phone #: (503) 718- 0 `T/