Permit C ITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00290
.� �I DATE ISSUED: 6/29/2006
"�' • "---' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S111 DA -08900
SITE ADDRESS: 08992 SW GRAVENSTEIN LN ZONING: R -7
SUBDIVISION: APPLEWOOD PARK NO. 3 LOT: 082 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
RYAN NORTHCUTT Description Date Amount
8992 SW GRAVENSTEIN LN
TIGARD, OR 97224 [MECH] Permit Fee 6/29/200E $72.50
[TAX] 8% State Surcha 6/29/200E $5.80
Total $78.30
Phone: 503 -516 -2150
Contractor:
OREGON HEATING + A/C 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: J ,l Permittee Signature: _ Lp-(.. Q\n
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 28 O6 06:48a MS Rentals, Inc. 503- 537 -2172 p.2
ta ' 1 .. , -
r
Mechanical Permit lit a tlatt FOIiOFFICE USE ONLY : .
City � t°"' ft )„�•'r"' Date /B d y, e) ► Permit N � o Il! 1 ,� O
Cit} of Tigard d _
13125 SW Hall Blvd , Tigard, OR 97223 pk CFo06 Date /B JJ 1 Plan Review
Phone: 503 639.4171 Fax. 503.598.1960 �1V -' lII Date /By Other Permit
Inspection Line 503 639 4175 Y�J f Date Ready /By: J.:ris: / D See Page 2 for
Internet: www-ci_ngard •or.us , { ()Y' t1� � .1 + B • Notified/Method: / Supplemental Information •
I - YP,E OF `1iVoi COisMMERCLAL FEE * - ,SCHEDULE -'USE CHECKLIST j
< Mechanical permit fees* are based on the value of the work
❑ New construction Ad ditioeialterahonireplacemcut performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials_ equipment. labor, overhead, and profit.
Value $ •
CATEGORY OF CONSTRUCTION, , ,,,, I
ilE S115EIN "PIAL;'EQUIP- MENT % FEES*
land 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist
❑ Multi-family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total !
I'• •' ' '•`' ' JOB Sill; INFORMATION AND LOC 4TIOPi " _ , ; , - • $eats a'cooltne
( ,7t � r conditioninP or heat pump +
Job site address: &ICI ga,t). f0'� �( 4'^ (r eg a
(requires site plan showing placement) 14.00 114
City /State!ZTP• 1 J t4„/ 6 1 -- ;-?.9 Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (cuctsivents) 17 - 90
Suite/bldg /ant. no.: Project name' 1 Gas heat pi map 14.00
Cross street/directions to job site: Ductwork I 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: 1 Lot no.: Other. I 10.00
Tax map /parcel no.: Other fuel appliances
:b1ISCRIPT_IOl`I' r Water heater 10.00
i
Gas fireplace
"OE `VORI ;I ';. •_;, , - _ r; 10.00
/����
. Ai Y � VU ! t 6i-it h Uri Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) I 10.00
Wood /pellet stove 10.00 j
• Wood fireplace/it 10.00
Chimnec'/tiner. /fiue/vent 10.00
... - , . ? , � OPE .."7,7" , . , -, -. ; . . . , =� EN :4NT' ; 'f:',-.' : Oth er - I 10.00
Name: Gc-� N . Y l 1, f� Environmental exhaust and ventilation
` Range hood /other kitchen
Address: � �( - 1 t1 Z ' / ati.W .'-&4" bin equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
/ �( ,� Single -duct exhaust (bathrooms,
.
Cam/
Phone: 1 APF 1 Fax: ( ) toilet compartments, utility rooms) I 6.80
IC h'T• `f' - . . - -- _'❑ / -COI'? :CT PFBSON�- I Atticicrawlspace fans 10.00
;. ^;I_; '',. l �i.' 1 l� � Other. 10.00
Business name f_) . Y i � l J r ^ r / Fuel piping
Contact name: I. }, 55.40 for first four; $1.00 for each additional
'} Furnace, etc
Address: r A` Gas heat pump
City /StateiZLP: /1 V i-cQ (1 " r n I L s- Wall/suspended/unit heater
Z v '7 Rater he
Phone ) z t/ Fax:: ) / �Z _
• �. .� - - Fireplace
E -mail ' Range ,
,- , C tTTItACTOR' --, .,_ . . ',,,, Barbecue
< Clothes dryer (gas)
Business name: I(' ry) in-0 q-- ( y � 1 . 1
Oth er
Address. a , / Kl , - ,: MECILkNXCA11. PERMIT.r,tES*°_ •
/ S ubtotal , j
' City /State/ZIP / Jill ✓ � L"� n I (
_t 7 ry Minimum permit fee ($72.50) ,
Phone 1 i ( F i r � �� U I Plan review (25'/0 of permit fee) 1
PERMIT lit.: State surcharge (8'1 of permit fee) 5, .0
� 5
' s � TOTAL PERMIT ?~ EE `'1 �. ,,L) l „ 7 f - l i i y This permit application expires AI a permit is not obtained within 180
Authorized 5 afore: , `) i 1 " � l (f/ C� A (V days after it has been accepted as complete -
Print name: y. -1.� B / A -DI _,A Da % �rL Fee days
set by Tri- Couuty Building Indust) Service Beard
- -- -- ,,,a.- i r,i tro,rr1MIWFto
Jun 28 06 08:48a MS Rentals, Inc. 503 537 -2172 p.3
property line
back yard
a &'
Garage
Sw Gravenstien
CITY OF TIGARD . .
, � ME:C:;00�O29u
A BUILDING DIVISION PERMIT #: 6/29/2006
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 %/r pP11Ill
Inspection Requests (24 Hrs.): (503) 639-4175 ..-K44. -
7/21/2006 7:01AM 76
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
08992 SW GRAVENSTEIN LN
SITE ADDRESS: APPLEWOOI) PARK NO. 3 082 CLASS OF WORK:
SUBDIVISION: NORTHCUTT LOT #: TYPE OF USE:
PROJECT NAME: Installation of NC unit.
DESCRIPTION:
NORTHCUTT, RYAN 503-616.2150
OWNER: OREGON HEATING + A/C INC PHONE #: 50
CONTRACTOR: PHONE #:
5 , ¢ - 3lLe-' 7 C, 0 7/21/2006
Inspection Reque Scheduled For: Date: Pour ' III e:
Cc" # Irggff p mription er f tfi a (aglag h,% tl Message
eg-CLY AV/
Corrections /Comments/ Instructions:
M WO L_ 1 --t l — F 9Z I r y - 5
4-7 e- 1"4-n.(6- __ ,75/44c. ze ,, e
4-1e, ,,A/ r /friep( ,4 i
41150 '
r PASS n PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: /��" ' Date: 71/ Phone #: (503) 718 -