Permit CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2004 -00528
" III 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/6/2004
PARCEL: 2S 104CA -01300
SITE ADDRESS 13197 SW ESSEX DR
SUBDIVISION: HILLSHIRE ZONING: R -7
BLOCK: LOT: 013 JURISDICTION: TIG
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: CLO DRYERS:
FURN < 100K BTU. AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
> 10000 cfm. GAS OUTLETS:
Remarks: Installation of new A/C unit
Owner: FEES
NOLAND, RICHARD W + MARGARET J Description Date Amount
3108 LYMAN LN SE [MECH] Pei nut Fee 8/6/2004 $72 50
SALEM, OR 97302 [TAX] 8% State Surchart 8/6/2004 $5 80
Total $78.30
Phone.
Contractor:
COMFORT MECHANICAL INC
17936 SE DIVISION STREET
PORTLAND, OR 97236 REQUIRED INSPECTIONS
Phone: 503 - 761 - 1500 Cooling Unt Insp
Final Inspection
Reg #: LIC 79558
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore Specialty Codes
and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION Oregon law
requires you to follow rules adopted in the Oregon Utility Notification Center Those rules are set forth in OAR
952- 001 -0010 through OAR 952 - 001 -0100 You may obtain copies of these rules or direct questions to OUNC by calling
(503)246 -6699
Issued By: I Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next busm ss day
Mechanical Permit AMR:I:LE v ED F OR O USE ONLY
Receive
City W 3 Ha l , Tigard, OR 97223 AUG U 5 ,�Q Date/By� i - Permit No t\� . aaV -00 512,
13125 SW ll Blvd
Phone 503 639 4171 Fax 503 598 1960 w r DateBeview Oilier Permit
Inspection Line 503 639 4175 0 F TIC :i 1! y
CITY Date Ready/By Supplemental See Pent Inr
Internet www cl Ogard or US DI 1 ,.. D ate Ready/B El Se Pag Information
'rK',el' •Ci ra'xa+'s`:If .`:'.€c ri' + T. YP OP\ i*,: igs„`: so. 44` 7:, �k' �°', t, �•ii4d "`$` ",144:trc''pT.: iCOIVIMFrR.0 IAI:e> FEE•= SCFIEDUL'E''r- .USE!CHECKLIST
Mechanical permit fees' are based on the value of the work
❑ New construction Addition/alteration/replacement performed Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other mechanical matenals, equipment, labor, overhead, and profit
'^° icr;; " „ ":y%„ ;;',� "gj` '<; €:+uCA'T EGORY'. ,Ofi:CONSIRUCTIONe - ,:4 ' 1 " ;alit•!.:`';' :i Value $
{ I- and 2-family dwelling ❑ Commercial/industrial ❑Accessory building i`.•i ,RES EQUIPMENT' /'SYSTEMS.FEES*
❑ Multi- farruly [] Master builder ❑ Other For special information use checklist
Description Qty Ea Total
r 1,11;„1,t/S„":':144,: N JOBySITE • piNFORMAI1ON0ANDiLOCATION 5 'ay�E: i,, 1 :I;,r
�' • ��;ci`r4w� =r4_ Heating/cooling
Job site address 13 (x 1 S (J C CGpt - -rs, Air condmomg or heat P Ump
Gr.t -e - .7C � s (requires sue plan showing placement) 1. 14 00 'Limo
City /State/ZIP -- • , a Furnace 100,000 BTU (ducts/vents) 14 00
r� Furnace 100,000 +BTU (ducts /vent„) _ 17 90
Su lte/bldg /apt no Project name ')P,1 Lj Gas heat pump 14 00
Cross street/directions to job site Duct work 14 00
Hydronlc hot water system 14 00
Residential boiler (radiator or
/_CG /$f_ hydronlc) 1400
J(J J J -AS Unit heaters (fuel -type, not electnc),
in -wall, in -duct, 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 ,
1,: ,:7 " 4 p'i §,44h„ ;M r"' y:;ew „ •'w14 zF t rp*a r�� • e Water heater 10 00
gam' - .; a,, ,� -:.. •4':S_, �ll.: �f ri'. r.< � kYORK? 4':." P a ' k >`�;.;4.,j' « "+;aAr4;T�9.. ,.52 "y "y�i(.
Gas tireplace _ 10 00
Flue vent for water heater or gas
-}�' tireplace _ 10 00
1 n 5 a c - nal t ) C_ Log lighter (gas) _ 10 00
Wood /pellet stove 10 00
Wood fireplace/msert
M asv, , r 1.1100.;11c- - w -- Chimney/liner/flue/vent
41 ' 41 ,'x: "ii PERTY IER : 1 , p % y i 1t _1100
10 10 00 00
t _ . 3, ` . ti rn ;`Sari''4.1, ,"r?,, a?ses r-,--- EANI m.. � -1 .9a Other 10 00
Name Peter 'PP. rrs Environmental exhaust and ventilation
1 1 Range hood /other kitchen
Address i; VV-1 5'( • ) s?sey 'Dr e equipment 1000
IP T _ l
City/State /ZIP c\-72-2-3 _Clothes dryer exhaust 10 00
Single -duct exhaust (bathrooms,
Phone v - l / �' I v
3 ) 52 � 31 Fax ( ) toilet compartments, utility rooms) 6 80
:' i - M%y t `' Y•Ir jr i _v $ r'�e r - - -i. - „
��f:zt�,.or,•'�;s:�.i +'���s -, PP.�.(:AN'!',p „•�; , ,,,,-,� jyl n; Er1, ��, "CpNT3:CtT3;�ERSON,,r= :i•(,,,,t Attic /crawlspace fans L000
Business name Other 10 00
Fuel piping
Contact name $5.40 for first four, $1.00 for each additional
Address Furnace, etc
Gas heat pump
City/State /ZIP Wall/suspended/unit heater
Phone ( ) Fax ( ) Water heater
E-mail Fireplace
Range
.?t ' t v's 5 = K 3,� s a.P ydm s r
a`ud' ?�}y',.,,.. » �`.�+` r '.a q ��t iS - w,; »J ih$CON CTOR :R',✓R. "Y43, ;.' x'S z?. sr #'i,�•. J , � i'dis};�r Barbecue
_ , �3Y..f:G? Y;: T iRAr;;t« �, < w. 3 i fir., ,;'�?.i1Z �..�; .t� +i1 �
Business name en -c ..r# rner, h� n 1 CC �} I ( flc i Other Clothes dryer (gas)
1,Q% / 11 �� - f Y D x Other
Address I tO .7F TIuI .s(r'Yl v,i... t -
FT; . J -
iFz•` 't CH FEES *' ' , .
City /State /ZIP - Pay - 4'{ (. el 41 23 C ubtotal (!F
10 Minimum permit fee ($72 50) . 12 .50
Phone, (az 1c _ 1 500 Fax S —I X02 ? TI - 5 /7 r Y / Plan review (25% of permit fee)
1 CCB he p 5G J C:J State su Q .•.•i� ++ -IL
(8% of permit fee) 5 .R,-, 1 _l i TOTAL PERMIT FEE -7A ,30
Authorized Signature
Thu a Ilnanan expires If [s a permit not obtained within 130 • �l(,, // p ermit days after It has been accepted as complete
Print name r� 'iv' , I .. ,w Date g 1, • ' Fee methodology set by Tn - County Building Industry Service Board
a'
i \Building \ Permits \MEC- PemuiApp doe 12/03 440 - 4617T (I IIO2 /coM/WEB)
LOT LINE:
FIRST NAME: /61-6 LAST NAME: 1 ��� */
ADDRE ' y,� /� /� Z
SS: / 3
INSTALLATION ADDRESS: E.i t� TY T/C J STATE: G/ ZZIP: 9T 2/-b3 / ' 7 / [ / /
! 3 � y 7 ESJ E1C � (�-70 STATE: 1772-
PROPERTY LINE
t: f:
I �
j I
� I
FT: FT:
FRONT
FT:
PROPERTY LINE
X = OUTSIDE UNIT
Comfort Alwhi ic4Inc.
27936 StDiiaiakn St.
Portland 02 97236
PJI: 503- 781-1600
Mar 03 05 01:55p COMFORT MECHANICAL, INC. 503- 762 -5394 p.4
j -rby 2-40D
LOT LINE:
FIRST NAME: �TE LAST NAME: 6,Z G/ y,,, /�
j~ADDRESS':�� 3 -7 S ! ESJ ex � �,((/�TY: T �' / J ST.iTE: ZIP: 97- "7„--2.3 L..
INSTALLATION ADDRESS: `3 G 7 m s / K 7 ^ STATE. O�
PROPERTY LINE
FT:
I �
Ss -
I i
� I {
I I
FT: FT:
/ ✓/
FRONT
1
FT:
PROPERTY LINE
X = OUTSIDE UNIT
0 IC
Ac-005
Comfort afedia 4 Inc.
179.36LKDivision St.
Portlan4'O3 97836
P/1 503- 7811600
CITY OF TIGARD rn C. C.
BUILDING DIVISION PERMIT # �—t20 /i _ 005 - s
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED T
Phone' (503) 639 -4171 >'
Inspection Requests (24 Hrs.) (503) 639 -4175 c l
INSPECTION WORKSHEET FOR DATE 3 - 7 TIME. /') M PAGE
SITE ADDRESS 1 I ! D 7 £�dr-( kQ&J / T CLASS OF WORK
SUBDIVISION LOT # TYPE OF USE
PROJECT NAME
DESCRIPTION.
OWNER PHONE #.
CONTRACTOR K PHONE # 96 _ / 5
Inspection Request Scheduled For: Date. Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections/Comments/Instructions
VY1 L)14...c-c W0-ck t'-g- Et_ 7/ 2 q7
PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
I I FAIL [4 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector Date: 3 W—tir Phone # (503) 718-