Permit 14 IQ
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00383
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/23/2008
PARCEL: 25111 DA - 13600
SITE ADDRESS: 08966 SW GREENING LN ZONING: R -7
SUBDIVISION: APPLEWOOD PARK NO. 3 LOT: 129 JURISDICTION: TIG
PROJECT: WIDOWS
Project Description: Mini split system
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: 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: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
TOM WIDOWS Description Date Amount
8966 SW GREENLING LN
TIGARD, OR 97224 [MECH] Permit Fee 7/23/200E $72.50
[TAX] 12% State Surch 7/23/200E $8.70
Total $81.20
Phone: 971- 409 -5339
Contractor:
CENTRAL AIR INC.
8849 SE JANNSEN RD.
CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 656 -1908
FAX 503- 650 -3898
Reg #: LIC
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.
/ / 1
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Issued By: Permittee Signature: 1, /1
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.
07/22/2008 15:08 5036503898 CENTRAL AIR INC PAGE 01/03
N hanical, permit A tai
cation FOR OFFICE USE tll a
Received PormitNo /n �ear� ?....603
City of Tigard
Data/By:
III
e 13125 SW Hall Blvd., Tigard, OR 97223 M % Plan Review Other Permit.
Phone: 503.639.4171 Fax 503.5 t+a0 S
Date/BV:
Q Date Ready /RY: nos: g See Page 2 for
f 1 Ci A R L) Inspection line; 503.639,4175 ^0 Supplemental Warmed= www tz &ud ox gov
t. Da t Re.a vtethod:
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tJ y �^ [ 5 v tk,,, ,a' } °' I-"3; - bil .:., .. v �a .,zr k 94k
r z .. c a ai ..,41‘, a= r Mechanical permit fees' are based on the value of the w ork
performed. Indicate the value (rounded to the nearest dollar) o£ all
[] New construction • Addition/alt:, _ -ti
'l.' i. �t f' - labor, overhead, and • • fit.
lf1 mechanical materials. b . [[ ent.
Demolition Other: �� Value:
q?, *. ape '..•': x` � ','xi eeiu } 1 , u i C A 41ly -$, E 1 II. 1 :4 =, : Y. 4% . 1?"=� 7." ' .� �`a S °�J 9 .(�? rl9' t> ";?, a91�; �> , f' �S i`�`i
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�. ?fi 1 i>w. Vs1 ,y +":..: « ,
ig g 1_ and ,: ` : For special information use checklist.
1_ and 2-farnaly dwelling 0 Commercial/industrial ❑ Accessory building p� Total
[] Multi- family ❑ Master builder d Otte: DescziptiW
z
v-� r j� -- 3�^x - ` ��,��'� "f }4R�,c�,�R %' t `"r4� w'W .� I�eatin�{/COOII<tF:
fa..F �� �t �� °[ ... Y.- i;�� � ✓ ?`^s£CS'� %; ^t..v ..✓s �3 s `�C 'I .«..,., conditioning or heat pump
Job site address. es?' .S o
.,-_ w -ee? e. t+ . � ,-h.. n / p Air 14.00
W �i� IT .,.r site .1an shawint. lacement) / (ducts/vep .
,p^ O Furnace 14,00 City/Stater: f G( / (� ! ` taee 100,000 BTU
100 000+ BTU duore/venta) 17.90
Project name' Gashed pump 11111 14
SltitdbldgJapt. no.: —
Duct work 14.00
Gross street/directions to job site: — _ drunk hot IN- c stem 14.00 MI
Residential boiler (radiator or 14.00
h drunk
Unit heaters (fuel -type, not electric),
in-wall, ind susp ended 1 etc. 10.00
Flue/vent for an of above 10.00 NM
� Lot no.: Other 10.00
Subdivision:
Other fuel a ' 'Dances
Tax map/parcel. uo „ , . " , , l1 , r 10.00 10.00 MI
' °" / ^ sr �� 7°- . Flue vent for water heater or gas 10.00 I.
f �0-YI ifs ~ fita�lace --
LO! lii.; k ter le : Mill 10.00
Wood/pellet stave ME 10.00
Wood fireplace/insert r woo
Cbimn= /liner /flue/vent 10.00
�,,,...^ .. as`., TTL" , •.� ether 10.00
sa r, x1-12 (' 0 4e a X7 . E,: +°
i ) .•t ^ ° '" Environmental exhaust and ventilation MI
Name: uy J �I Gf� 3 Range hood/other kitaban
/ � �ent x0.00
Address: , e ( - 10.00
• / Clothes dr exhaust
City/State/ZIP! �( O 7,1- °"Z Single -duct exhaust (bathrooms,
toilet com. r..ents utili zooms 6,80
t: � � «, � PPax.: ( ) , �,. , - �.' : Attic/craw • : ce fans � 10.00
e u ' � .2, a` a • 6? -'sue s •- ' 'v ,.. ! *w_ „ [r ,..1144,,` ' ; _. Other:
Business name: 0 , L., / raeljutpin
Contact ttaIDt:
$5.40 for fbr st feu, $1.00 for each additional F etc.
Address: .. y Q 5'5 . r1 5 e-ri ie ` t• Gas heat
t��CLG Q 70 Wall/suspended/ theater
city /statt/zIP: � a � - water heater . —
Phone: 661) (e � � —I � T Off' F a x : Gs .8.--5, F. .lace
Rau_ III
13-mail: �+ �y +r•^' ay �
vMM' 1 "J ':m '.'9T ?FS -- ' +m x Mf4 1T �'i` F�8tbM
w . 43 ; ' 3 a :a f: XF "^: '2` i , : " � ' } :to - 1.4. c." :.' n lg ' ' a .'`"* r' Clothes dryer (S � _
1t '. [� a a
Business name: �ih re f / Ale, f Other T;717.7 ` m M TV - W,.
,Address: .$••• 1 3- y q SG 1'101 of S e.,.., ,� —�--- �.. ;�»::�„a.,=: subtotal _
MY/State/a?: t. !QG p ! p 15 (ldinimpum permit fee ($72.50)
Phone: p 6 5 — / ,,,, Fax: (Sr 3) 450 — r 9 7 Plan review (25% of permit fee) � -
� state surcharge (12% of permit fee) Tr
CO3 tic.: / 7 7 TOTAL PERMaT FEE
�L"f•d'-') This permit application expires tf a permit Is not obtained within 180
days after it has been accepted as complete.
name: Print e signature: / Iv, : ! (�/� 5 Feo methodology set by Ili Building Industry Service Board
rin ziatnt a �r/�'1YP� Da '�'�� 1 m
ran ..:,Amems- m,i PermitAppdoe 04/06/015 440 4617T(1I/0 8)
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Address C1 C
Phone 503 -656 -1908 Fax 503 -650 -3898
8849 SE JANNSEN RD - PO BOX 433, GLACKAFIIAS, OR 97015
CITY. OF TIGARD
BUILDING DIVISION PERMIT #:
MEC200R -00383
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/23/2008
Phone: (503) 639 -4171 W
Inspection Requests (24 Hrs.): (503) 639 - 417
INSPECTION WORKSHEET FOR DATE: 8/4/2008 TIME: 7:03AM PAGE: 31
SITE ADDRESS: 08966 SW GREENING LN CLASS OF WORK:
SUBDIVISION APPLEWOOD PARK NO. 3 LOT #: 129 TYPE OF USE:
PROJECT NAME: w1DOW`°
DESCRIPTION: Mini split system
OWNER: TOM WIDOWS PHONE #: 971-409.5339
CONTRACTOR: CENTRAL AIR INC PHONE #: 503.666 -1908
Inspection Request Scheduled For: Date 8/4/2008 Pour Time:
i
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 073633 -02 503 - 656.19013 N
Corrections /Comments /Instructions: i
p PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: g - 4 -4) Phone #: (503) 718- 2-.41-qP,/-