Permit CITY OF TIGARD MECHANICAL PERMIT
'''1 COMMUNITY DEVELOPMENT Permit #: MEC2009 -00416
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/12/2009
Parcel: 1S126DC91211
Jurisdiction: Tigard
Site address: 9328 SW CORAL ST
Subdivision: Lot: 0
Project:
Project Description: Installation of A/C. Unit must meet 3' minimum rear and side yard setbacks.
Owner: FEES
KHAWAJA, M SAMI Description Date Amount
5308 SOUTHWOOD DR
LAKE OSWEGO, OR 97035 Air Conditioning or Heat Pump 08/12/2009 $14.00
12% State Surcharge - Mechanical 08/12/2009 $8.70
PHONE: 503-624-9582 Minimum Fee Adjustment - Mechanical 08/12/2009 $58.50
Contractor:
AMERICAN CONTRACTING
7855 SW OLESON RD
PORTLAND, OR 97223
PHONE: 503 - 407 -8538
FAX: 503- 244 -9556
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressue:
Total $81.20
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. /� //�� L.
Issued By: _l O "7/, C � % i i� Permittee Signature: e�}T Off/
Call 503.639.4175 by 7:00 a.m. for an inspection 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.
Aug 10 09 12:31p American Cantrading, Inc 503- 244 -9556 p.2
' ]Mechanical Perm Application E+C I \ED roil c iic'E (Itil'..t) \'1.1'
City of Ti�Ird ,
;,: h Irak Pcm.i1 N0, • 6 "� dr
i " 131^ i SW I Intl 1111'11 . Ti 47223 AUG 1 0 2009
= o hone: :11116:19.4171 Fox: 503.59,) 4611 Bfflifill1111111111111 Qtlser l'cnuii:
p
htbr on oti Lin; 5U:l.G3U 1175 CITY OF TIGARD b
TIGARD h w4vk',Ilvurd -of ov UatcItcady /fly: ,gt
BUILDING DIVISION: " "i Mcllial Supplemental lnrormgtian
New c nnsiruCiiOlt ALEtlilltm, aIteraliun� rl.pl
COMMERCIAL FEE* SCHEDULE USE CHECKLIST
❑ i at utncnl Mechanical permit fees' era based on the valUC of lI1C wont
performed. lndicittc the value (roundad to the ocarcq dnlltr) olidl
❑ Demolllipn ❑ Other: - mochunical mircrislh, equiprInc. liihur, overhead, Ind prof(
•
CATEGORY OF C.`ONSTRUCTION Value $
_ RESIDENTIAL EQUIPMENT ( SYS'"fEMS FEES*
XI -and 2- family dwelling: ❑ Commercialiindustriul ❑ Accw,sory ti oil ding - ----- - - - - -- —
hrrr .yvciul inlurtnufiun use chacktuI.
❑ Multi- 6tn'il)' ❑ v1 ;i. orbuilllir ❑ Oilier:
Description - Qty. Ii, Iu[al
JOB SITE INFORMATION AND LOCATION I Icsrtint'frnnlioe
City /Stated /.I Cam/ Fii I
al r
address I e, T'f P um
Job site seiSnru I 1.1,(1(1 1 j pi.
' llduch. /rcota) 14.00
( � furnace 100,00 13I'1l (rtuci :events 17.y
,uitc /bldg, /opt, no I'rojuct narnc: t ��� � '
CL - '�! _ Gat heat rump Ia,0o
Csuss slrel /dirrul !viol, sil : Duel work 10,00
fint,, - t h'dronic hot water ,ystcm 14,00
____4 L ._ _ _ Kcdjdentiul hailer (ratliulttr or
hydroniCl 14,110
- Unit heaters (0.101-type, net electric),
in -wall. in -duce. sos> sled, cte. 14.1111
Flue /vent fur any of above 6.R0
Subdivision: r� I .ut cur.: Other: I10,00 I'ax map /parcel no : .4 S qq .- -I 2(00 (9 0- 1 _ Olher fuel appli.inci' ...._
d /� DESCRIPTION OF WORK 1,Vutcr licttier 10,00 _
n
*"ra 4- r / I, G cf.: lire l iar ' _... 10 00
— I' loo vent nt for water heater or gas
tireLlacc 10.00
-- ._...._.. _. LoR Ij plc r (gas) 10.00
Wimtlipellci sine I n on
Wood Prepluce /insert 10.00
CI! intncv(liner llttclvcnt 1 11.011
k=1, PROPERTY OWNER ❑ TENANT Other 10_00
Name: Ellviruntiivflul eshsrasl sand yenlilxliun _
Range hood /other kitchen
ladre■ti; c ui meat — _ 111.01)
City /Slato/JIP: Clothes dryer eshau;i � 10,00
Single -duel exhaust 16alh
Phone: (.50 ) (,,eat-1- C i S $)-- Pax: ( ) toilet comparL ieuL,, utility moms) 1).750
❑ APPLICANT 0 CONTACT PERSON Alticicrstwlcpacc tan; 10.00 —
13u:ine.as lane, (1thcr 10.00
13 e- 1111 _!. d& - �IiLt�. C ,_ „P:1151 » pLng
Contact narttc �{IC SS.4(I for firs.' )'our; } Lb0 for r'noh utlditi
- ^XJ�� Lt� a a Perna c. etc. Address. .-
Gas heal pinup
CilyISlate;ZIP: to e , ,.° Q Z 2 Wall /suspended /unit heater - -- , •
l'hnnc:�6 '7 L{ 0 - j l-ax:: ( 1 — Water healer -
is -mutl; l Fireplace
— - -- Runge , ,
CONTEA(:'I'OR Narhecuc __ _
Rosiness name: -
li - t 101004 dryer' e;) - ' ----- ,
Atltlress: ? LJ �� ``l � ' fr y - _ - -- -- - MECHANICAL PERMIT FEES* -- -
Ci ty /slate/ZIP: ,, d - e - 7 ? 3 Subtotal _ - -
Minimum permit fee ($72 50) ?a • O
J `L v �` rJ -�V ' � q - y ---- / 65,6 - - -- plan rcvim(2i ^,:.of permit lee)
CCC5lie (% V l to /6 Slate surcharge °b. or' rum i1 Ioe) t S.70
O � TOTAI.PERIMITIiI'J' .?
Authorized sip,nutur ,:
- 'Phis permit application expires if s IKr i+not Zak' et! w IH(I
_ — cloys 81fr'If hay 0010Anriiii �Ia CnmplCtC,
I'riutIcunc G , iii" 6� - �, / Date: /6 e? • lcc�uciLud,,I;," , l,v fry- County Build] in IluCusiry Service Hctrrti
t.`.lfaildic i\nnitntelEc -I'u tit 0' /l nio ICJ f` 4W9 - +o: 77 (11102 /co7sl/wllIil
Aug 10 09 12:31p American Contracting, Inc 503-244 -9556 p.3
IntcrMap Page 1 oC2
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Parcel Report for Taxlot: 1S126DC91211 i )
Site Address: 9328 SW CORAL ST. TrGARD OR, 97223 CO
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Additional Information for Taxlot 151.260C91211 -- f .
Sub_ Reports: p{ircr'l SLinnnn iry •
Districts Overlay fnnfnrmntinn
Atisq.ggrnn?i & T,Ix,it oil ]nlormalion
5can,necc Tax M
Perm i,S &_Projects
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littp://washims.co.washington.or.us/interrnap/theDetails.cfm 8/ 1 0/2009