Permit -
•
CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005-00427
° I I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 7/15/2005
Aall" PARCEL: 2S 102CD -04100
SITE ADDRESS: 13795 SW COWLES CT ZONING: R -4.5
SUBDIVISION: LYNZ COURT LOT: 002 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
GRAVES, MICHAEL Description Date Amount
13795 SW COWLES CT
TIGARD, OR 97223 [MECH] Permit Fee 7/15/200f. $72.50
[TAX] 8% State Surcha 7/15/200: $5.80
Total $78.30
Phone: 503 -518 -8888
Contractor:
TRI COUNTY TEMP CONTROL
13150 S. CLACKAMAS RIVER DR
OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS
Phone: 503 -557 -2220
Reg #: LIC 72623
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: St-e.., C4
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business aay.
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.
3.u1 13 05 04: 07p Tr i Count Temp 5035570919 p. 1
Nle Permit Application' • FORTIFFICETISEONtl?" -- ' --- ..-----',-
, Received ei , -- ----
City of Tigard
97:1 Da-BY / /f -) ICI- Permit No.\\-ea,20o5 -00v 7
13:2:: SW Hail Blvd., Tigard, OR
?hone: 503.639.4:71 Fax: 503.593.1960 Plan Review
Other Pertait:
inspection Line: 503.639.4175 r , .. o ith DateiBy: .
Internet: www,ci.tigard.or.us JUL 1 b 200f- - AL Date Reacwil3y:
Notified/Method: Saris: El See Page 2 for
116 t Siipplemental Information I
es rry nP TIGABU
! ..- - • : . --..-• ,.. 7.--r? _r ;,::-- z./.;.i,•& . ..,.,..oz7n;: - ,---..• --::::. -..,,,,,.,• :i• COMMERCIAL.. - SCFIEDULE .- =. I USEiCF1ECKLIST
I 0 New construction Addition/aIteration/replacement Mechanical permit fees are based on the value of the work
perforrned. Indicate the value (rounded to the nearest dollar) of all
i D Demolition Other:
mechanical materials, equipment, labor, overhead, and profit
I I II-I I i'.. ?-,., It .- I I I• I'..II:IiI.•::::I,I I•CA#ORIy::•Ctki II:i, III. 1 : -:...i .:J-;;7;*;:;1 ..., Value: $
1- and 2-family dwelling 0 CommerciaUindustrial 0 Accessory building
Multi-family E] Master builder El Other: : _:..,:,:'0*.ODSTIE4,.EQ.i.JIPISIENTISYSTEMS FEES*
For special information use checklist.
. Description I Qty. Ea. 1 Total
'' -.•• I . -. " • ... I :.: - '-.I; .. -I..,'. ` .6" .iLi I .Sii - .0 : LN I FOitiViLkiiQi u-I AINii) I hobdio14 '-..-:.'' ... r-- :..: ' '
Job site address: mcis ow co f cf . Air conditioning or heat pump
1 14.00
, (requires sire plan showing placement) I _
City/State/1.LP: illarelanzi Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suiteibldg.lapt. no.: - 1 Project name: •
, Gas heat pump 14.00 '1
, .
Cross streetidirections to job site:
Duct work 14.00
I hot water system i 4.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel-type, not electric),
in-wall, in-duct, suspended, etc. 10.00
Flueivent for any of above 10.00 • '
Subdivision: Lot no.:
Other: 10.00 , • Tax mapiparcel no.:
Other fuel appliances
• -.•::':-LI;I:?.=-;-I.:,:-::I.,,:,-1:i3E.SCiiiitlil*I-oh...-*(5iik .,.L=1.:i?:•.•'.:''. Water heater
I 10.00
i
I i I * Gas fireplace 10.00
Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) I L0.00
I Wood/pellet stove 10.00 I
Wood fireplace/insert 10.00 1
•
10.00 1 '
I I - :::,:i r ..: . =•,: ,: lgI*0:64ki:kg . ..;"4., , , : T .. i: ,:7 .; ::.: F . ;,:i . , , .- 17 ::-.. : : :, ;. :: : 2. , i.i i,.,i.* . . 4i L N ,i ;„; , ::.•: .. , -. : ..::,,....:,:,-;:,..; .,; , Cohthimney/liner/flue/vent • 10.00
Name: ite
I Environmental exhaust and ventilation
Address: ealyr . Range hood/other kitchen
equipment 1 10.00
City/State.'ZIP: Clothes dryer exhaust 10.00 i 1
,
Phone: 3/9b..51(2.mrt, Fax: ( ) Single-duct exhaust (bathrooms,
toilet compartments, utility rooms) 6.80
- 7I 7 1=it:,XiiiirkAititi - ZI; : ,,-;LII7:;•:,',II'.....,7*,:r,. : II:.,,:: . : I,I : II3I z :ItrtONT:I :T : EI: i§o ly II' .:1:4, i Atticicrawlspace fans
10.00
Other:
Business came: Tn Ccwity T Corrito I 10.00 Fuel piping
Contact name: a i anditztin
$5.40 for first four; $1.00 for each additional
Address: ( 1W 5 ClaCkailla3 RI' vcir Jyrik/C1 rurnace, etc.
Gas heat pump f .
CityiStateiZIP: Clj 1 0 N e q 7 Wall/suspended/unit heater
Phone: (.. . 57..._ 2220 Fax:: (62) 55 it? : Water ace
heater
Firepl
E-mail:
I
Range
' L II; I,7:::: . Barbecue
. 1
Business name: in ccan-v - ranp coritroi Clothes dryer (gas)
Address: ?) ff P) ( rno3 Ri Vcr V ,,,,. -..-_,.:..__. --. : FEES*• . •
CityiStareiZIP: 0i-e1r ci-ty Cg___ q7c/+_5 Subtotal
Phone: (5:;:5) 55 ' t - 21 I Fax: p - .. 5- - 7 -6(1 i ti , Minimum permit fee ($72.50)
Plan review (25% of permit fee)
i'
CCB lie.: 72,r -23
State surcharge (8% of permit fee)
TOTAL PERMIT FEE i i Ui
0 — 11...______,
This permit application expires ifs permit is not obtained within 150
Auchori2:ed signature: E 2 ; - Le , 67a
days after it has been accepted as complete.
i PIIM name: N.ailt? »i1) I Date: 7(0(05 I ' Fee methodology set by Tri-County Building Industry Service Board
::' 1103 440-4617T (1 UO2/COMIWEB)
Jul 13 05 04:07p Tri County Temp 5035570919 p.2
0
_ _
I `
J �J
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MEC2005 0 427
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/15/2006
Phone: (503) 639 -4171 �o4, qp li
Inspection Requests (24 Hrs.): (503) 639 -4175 ...
INSPECTION WORKSHEET FOR DATE: 8/4/2005 TIME: 7:08AM PAGE: 71
SITE ADDRESS: 13795 SW COWLES CT CLASS OF WORK:
SUBDIVISION: LYNZ COURT LOT #: 002 TYPE OF USE:
PROJECT NAME: GRAVES
DESCRIPTION: installation of A/C unit.
OWNER: GRAVES, MICHAEL, PHONE #: 603. 518.8888
CONTRACTOR: TRI COUNTY TEMP CONTROL PHONE #: 503 - 557 -2220
Inspection Request Scheduled For: Date: 8/4/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 012800 -01 503. 969.0111 Y
Corrections /Comments /Instructions:
7 .iyK
owe h G
L- C
i fi 3.
i ,
C . a . vz...s2_, ( ...,,(17,.,...L„ ,
d _e
wii -'"
�; - SS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
• FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
•
Inspector: Date: I/ Phone #: (503) 718 -