Permit ,
C ITY ' O F TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00236
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/25/2006
PARCEL: 25 109DA -02900
SITE ADDRESS: 15295 SW GREENFIELD DR ZONING: R -7
SUBDIVISION: SUMMIT RIDGE LOT: 006 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
JOSH DEARBORN Description Date Amount
15295 SW GREENFIELD
TIGARD, OR 97224 [MECH] Permit Fee 5/25/200E $72.50
[TAX] 8% State Surcha 5/25/200E $5.80
Total $78.30
Phone: 503 -598 -7920
Contractor:
CLAWSON HEATING & NC
PO BOX 899
GRESHAM, OR 97030 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 618 -9646
FAX 503- 665 -2375
Reg #: LIC 110307
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:
Call 503 - 639 -4175 by 7:00 a.m. for inspections that busines \Jay
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.
05/25/2005 10:44 5036652375 CLAWSON HEATING PAGE 02/03
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City of Tigard
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1317_5 SW 1, 11 Bivd., l'isoni, OR Plan Review
Phone; 503.639.4171 Pax: 503.599,19MAY Z OOS Other Permit.
Inapeetion Line: 503.619.4175 2 5 /006,,,,,4 - ." . vq Li Dale ReWW/BY: NM 7 ; See Page Z Ow .
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CITY OF TIGARD
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0 Now construction 0 Adr3itionialictation/rep1acernont medal/deal permit fna0 ere based on the value of the wade
pm:Simla Indicate the smitte (rounded to the nearest dollar) of all
0 Demolition ILI ()trim: mec h an ical materbus, equipment, loot overhead, and profit.
' .. .':'. *;... . .....* 4 : 0 ? - .140Air OW.OkiWilettc0" . '1,"':•••• • • '.": . :'..`“' ..."t'' ... • ••.‘ Value; S
----- 1 1 : ..AZO I OS 47 .04.0400:0V -1 ,0*04 11 A$ K. :: :
l •••• and 2 dwelling 0 Com!mercial/indosnini 0 Anceaaory building
For special information P3 ehocklisr
I:I Multi-family 0 Master builder 0 Other: Description I Qty. I En. I Total
•• .. ,'''', ... ''''; ‘,"0 '' :4, '' ' ' : •'''%? . ) 5% , t .' , ' itesting/coolins..
Job site
or ..-- lir i ' Air condi/LIG/1in err heat pump
address „,,L5: re ./....i. , r so:anima late plan showing ttlwtetot) 1 14.00 I l i JO
City/State/ZFP: 2: 4 .;z d e t _ _, OA. ./....Wg FurnFurnace 106,000 BTU Naos/vents) 14_00 ,
ace 100.600+ BTU (duosomoo 17.90 _
Suite/bldg./upt. no.: f FrrtitCt Of11210!
, Gas heat pnme 14.00
Crass street/directions to job site: Duct work 14,00
.. _
Hvdronie tun ;vat et11
. Rmidadial boiler (radiater or
hydroni) _ 1&(n
Unit heaters (flici-typc, not electric),
in•wall, in-duct, suspended, eta, jOO .
” Flue/vent for any of above 10.00
Subdivision: Lot no,; '
Other; 10,00
Tux map/pm:el oa,; Outer feel a u !lance
-; • • ..iitvov ; Water heater to-00
d Gas fireplec 10.00
...
0 C../ ....-- Fine vent for water heater or pa
"41/Aldlt —
fimplaCt 10,00
■ _
- Log lighter Ile) 10.09
— Woad/pellet stove 10.00
-
Wood f replace/Moot 10.00
Chinotty/liner/fludvent _JD.00
. : . TV. ..Ajdoitiki■O,0*4131(4,V!: .:,. ::' :.... '':' .: ':-..;::,.. i lamigiticii":„:: ., .,....1,;.,.
Olher: 10,00
Name: 4, j 'At 1 ., Env1rommental erhytunt and ventilation .
Add Range hoodtothe kitchen
reec:
,c4„6.i..,.....4.....Q...._ equipment 10.00
City/State/ZIP: Clothes dryer orlinust ' 10.00
Suagle•duct exhaust (bathrooms,
Phone! ( fal 7 , 41P a ••••• 7. -:_ 0 Fax; ( ) toilet corn elaiIt Wj0i rooms 6.80
":::. ' .••,..:'.....:'i 0 ::::.: ..„' ,':!,' ' • :4±that.A.6.4tRoi 4 Artiderawlspace flora
Other! ) 10.06 _
Business name;
, Fad tilling
Contact name; ,, ., MAO for first Four! S1.60 (hr each additional •
---__
Pinnace, etc.
Addresa;
Gas heat pump
city/stuteam; Wall/suspended/unit beater
Water heater •
Phone: ( ) FOX', ; ( )
-- Fireplace
E-mail:
lulu) e
1H.', .:1';'1 ::" 1: ;,..6.... • !.:... , i..r , ,,:.,.', . Barbecue
- 0 .../ AZ/ Dlotheo dryer (gas) i
BuSinesS name: - / Ar '' '
.. er:
Address: )40 7) , . 1::.•;72r iii.0004r.04A*
City/State/ZIP: (... tesS Xa/1..--". _./ CA F 2: ?Ii.DI Subtotal
Minimum permit fbe ($72_50) .7,/ 6
Phone /. --- , F. Fax: , ,A t , . r... • --__
Ptah rqview (as% of permit (be)
CCB lie.: /70‘..3,0 7 _- 4,;(.-‘ State surcharge (a% oft:omit fee)
_
04 TOTAL PE Rivi0IT .1 t'lf;3 , r50
loo p.m.:4 .11pIlatelens rapines if w permit FL,. not oburimmd .4.1rmin
Authorized signature: 7(./.-Pi.,..4:-..0 dap alter It bas berm nerroted .. coropkte.
Print name: . - ‘ s. k . _ i e..._ Date: s ea
• p metbedelente set by Tri.Oattruy Milli:San Industry Service Board
IABuilding \Pennits\MEC.PennitApp.doc 12/30/05 44 46177 (11/021C0 Panto
05/25/2005 10:44 5036652375 CLAWSON HEATING PAGE 03/03
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CITY OF TIGARD : - -
BUILDING DIVISION`" PERMIT #: MEC 20000236
Alik 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/75/2006 ,
Phone: (503) 639 -4171 Nil Ili
Inspection Requests (24 Hrs.): (503) 639 -41751
INSPECTION WORKSHEET FOR DATE: 7/24/2006 TIME: 7 :01AM PAGE: 45
SITE ADDRESS: 15295 SW GREENFIELD DR CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE LOT #: 006 TYPE OF USE:
PROJECT NAME: DEARBORN
DESCRIPTION: Installation of NC unit.
OWNER: DEARBORN, JOSH PHONE #: 603-508.7920
V
CONTRACTOR: CLAWSON HEATING & NC PHONE #: 503 - 6188.9646
Inspection Request Scheduled For: Date: 7/24/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 033441 -01 503-610-9646 Y
Corrections /Comments /Instructions:
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: ��� Date:7 & Phone #: (503) 718 - 'C,� .5