Permit CITY TIGARD MECHANICAL PERMIT
''. COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00316
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/4/2007
PARCEL: 2 S 104 C B -04800
SITE ADDRESS: 13008 SW CREEKSHIRE DR ZONING: R -7
SUBDIVISION: HILLSHIRE HOLLOW LOT: 001 JURISDICTION: TIG
PROJECT: IUPU
Project Description: AC install.
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:
ELE 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
NICOLAE IUPU Description Date Amount
13008 SW CREEKSHIRE DR.
TIGARD, OR 97223 [MECH] Permit Fee 6/4/2007 $72.50
[TAX] 8% State Surcha 6/4/2007 $5.80
Total $78.30
Phone: 503 -524 -9594
Contractor:
OREGON HEATING & AC
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -538 -2953
FAX 503 -537 -2172
Reg #: LIC 172126
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: j , � � Permittee Signature: �j-�
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.
Jun 01 07 03:22p Oregon Heating & AlC 503 - 537 -2172 p.1
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Mechanical Permit Applicatiie FOR OFFICE USE ONLY
C ity of Tigard :a� Received
DateiB
y ' -" Permit No.: g or I o 1903 L'
Eri 13125 SW Hall Blvd. Tigard O 97223
U N 0 y Plan Revie
Phone: 503.639.4171 Fax: 503.598.19 1 2��7 Other Permit: Datei8y:
T IGARD Inspection Line: 503.639.4175 � t Y� u A . , ,� ^ Date Ready. By: See Page 2 for
Internet: www.tigard- or.gov CITY Y a-'F ' IL ARD NotifiediMethod: Supplemental Information
BUILDING DIVISION
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — 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 neatest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION ' Value: S
El dwellin RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
i and 2-family y g ❑ Commercial /industrial ❑ Accessory building
❑ Multi-family For special information use checklist.
y ❑ Master builder ❑ Other:
Description Qty. I Ea. Total
' JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: '3 w ere i<nNre or. Aig ite showing 14.00 •C5�/
reufires res site
City/State /Z1P: " 1i`, �nl..a Ci-I aa3 Furnace 100,000 BTU (ducts,vents) 14.00
1 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 -duct, suspended, etc. 10.00
Flue /vent for any of above 10.00
Subdivision: Lot no.: Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK : Water heater 10.00
HVAC- A Gas fireplace 10.00
1n 5� Cl l 1 A I L 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
Chimney /liner /flue /vent 10.00
Elf PROPERTY .OWNER • • ❑ TENANT •
— Other: 10.00
Name: IN Icol ae i upt Environmental exhaust and ventilation
�-+ � Range hood /other kitchen
Address: 13cos Sul � D>< equipment 10.00
City/State /ZIP: ���rd OR a7 aa3 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (50) 5a U —q5q 4 Fax: ( ) toilet compartments, utility rooms) 6.80
,_ El 'APPLICANT ❑ CONTACT PERSON Attic /crawlspace Fans 10.00
•
Other: 10.00
Business name: Oregon Heating & A/C
Fuel piping
Contact name: ��,aslne ale $5.40 for first four; $1.00 for each additional
Address: PO BOX 297 Furnace, etc.
Gas heat pump
City/StateiZIP: Dundee OR 97115 Wall/suspended/unit heater
Phone: (503) 538 -2953 Fax: : (503) 537 -2172 Water heater
Fireplace ,
E -mail:
Range
CONTRACTOR Barbecue •
Business name: Oregon Heating & A/C Clothes dryer (gas)
Other.
Address: PO BOX 397 MECHANICAL PERMIT FEES*
City /State /ZIP: Dundee OR 97115 Subtotal
Phone: (503) 538 -2953 Fax: (503) 537 -2172 Minimum permit fee ($72.50) 7,Q,
Plan review (25% of permit fee)
CCB lie.: 172126 State surcharge (8% of permit fee) 5, '
TOTAL PERMIT FEE '?g',
Authorized signature: 'this permit application expires if a permit is not obtained within ISO
days after it has been accepted as complete.
Print name: 'P � ciz h e e Date: 6 � -0 ' 0� * Fee methodology set by TO-County Building Industry Service Board
1:'\.BuiIding.Perm its '\10CPermitAp 04./06 440- 4617•(' %COMAWEB)
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g_ CONTT..ACTOR i A/C — HEAT PUMP —111 SITE PLAN. DIRECTION
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CUSTOMER INFORMATION
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00316
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/4/2007
Phone: (503) 639 -4171 t: '�I
Inspection Requests (24 Hrs.): (503) 639 -4175 ` ^ 2.
INSPECTION WORKSHEET FOR DATE: 6/28/2007 TIME: 7:01AM PAGE: 64
SITE ADDRESS: 13008 SW CREEKSHIRE DR CLASS OF WORK:
SUBDIVISION: HILLSHIRE HOLLOW LOT #: 001 TYPE OF USE:
PROJECT NAME IUPU
DESCRIPTION: AC install.
OWNER: IUPU, NICOLAE PHONE #: 503-U49594
CONTRACTOR: OREGON HEATING & AC PHONE #: 503
Inspection Re ues Scheduled ,
p q t S heduled For: Date: Gf28f. -p07 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 051118 -01 503 -538 -2953 N
Corrections /Comments /Instructions:
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PASS n PARTIAL APPROVAL E CANCEL ❑ NO ACCESS
I I FAIL ❑ CALL FOR INSPECTION Li ADDITIONAL FEES ASSESSED
Inspector: (` �� mac Date: Phone #: (503) 718-