Permit CITY TIGARD MECHANICAL PERMIT
I DEVELOPMENT SERVICES PERMIT #: MEC2005 -00607
� SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/27/2005
PARCEL: 2S111 DD -02900
SITE ADDRESS: 08800 SW HAMLET ST ZONING: R -4.5
SUBDIVISION: STRATFORD LOT: 029 JURISDICTION: TIG
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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
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
KEVIN DONNELLY Description Date Amount
8800 SW DONNELLY [MECH] Permit Fee 9/27/200f $72.50
TIGARD, OR 97224 [TAX] 8% State Surchart 9/27/200 $5.80
Phone: 503 - 598 - 8801 Total $78.30
Contractor:
SHAMBURG HEATING LLC
PO BOX 829 REQUIRED ITEMS AND REPORTS
TUALATIN, OR 97062
Phone: 503 692 - 5563
Reg #: LIC 126881
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: P ermittee Signature: Q� ( / z-ih
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.
503-691-6855 p • 1
Sep 27 05 09:06a Scott Shamburg
. .
luchankcal Permit Application )1.. r) : FOR OFFICE 1.$13
City of Tigard _.,
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13125 SW Hall Blvd., Tigard, OR 57223
Plan Review
other-Pamir
Phone: 503.639.4171 Rut: 503.5913.1960 A
DatriBr
Inspection Line: 503.639.4175 f...m.l, ri I I aim Ready/ay: 2 rut
Internet vrww.ci.tigard_orus SEP Notiiied/hdethott k rapplemea inrormatiata
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0 New construction •
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w ' alt5fReeiellietSI Mechanical permit fees* are based on the value of the work
pciformed. Indicate the value (tounded in the nearest dollar) of all
0 Demolition LE e .
chant cal materials, : u1 . era_ labor, overhead, and • refit
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<u12 dwelling 0 Commercial/industrial 0 Accessory budding InialiElianill=11
0 Multi 0 Master builder 0 Other:
Description Qty- 11112111 Total
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Air conditioning or heat pump i 14.00 UM
Job site address: 5,440 „i.. 4t 4./ill .
. ones Mc : Ian Ithowin. .1aceniern
City/State/ZIP: --- 77/:- 4 /0/ 7v.Z 62 V
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Furnace. 100.000 BITI duns/venal E 14.00
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Ninace 100000+ BTU bluenivents) 17.90
Suite/bldg./apt no.: I Project name:
IIMIMMINIIMIIM 14.00 MI
Cross sacm/cliteetinns In job Site:
Duct work 14.00
rineerreMMIll 14.00
Residential holier (radiator or
- b ■ •:, ic III 14.00
unit (fuel-type, not electric),
rxie
10.00
Subdivision: 1 Lot no.: 10,00
10.00
Tax map/parce.1 ma.:
Other tad. . lianees
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IEMTTIMIIIMMM 10.00
Flue vent for water heater or gas ' 1111
Ii . lace 10.00
................______ 10.00
" ." • let stov■a=rJ.IIIIIIIII. 10.00
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• Other 10.00
Name: kW/YU 7)0/1ne 4: f _ Environmental exhatt4t and ventilation
Address: g - , • am k-e- vi
10.00 111111 .
City/State/ZIP: - 77 . 4 i 4. q , - 17, --' 7 V Clothes el - exhaust 10.00
Single-duet exhaust (bathrooms,
Phone: ( .g)3) „.. ,4 .5 Froc: ( )
toad! mm- . . - ts, utili roams 6.80 111111
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Contact name:
55.40 for fire four. SIM for each additional
Address:
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City/State/ZIP:
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E-mail:
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TOTAL PERMIT FEE Mill liSa
Authorized signalturc: -
This permit sppliestilso =Oro fl a permit is sot atomized widths 1E0
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CITY OF TIGARD
i BUILDING DIVISION PERMIT #: MEC2006-00607
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/27/2005
Phone: (503) 639 -4171 ' " Ali '�I�I
Inspection Requests (24 Hrs.): (503) 639 -4175 :�'
INSPECTION WORKSHEET FOR DATE: 10/6/2005 TIME: 7:02AM PAGE: 65
s'7 --- Ta'
SITE ADDRESS: 08800 SW HAMLET ST CLASS OF WORK:
SUBDIVISION: STRATFORD LOT #: 029 TYPE OF USE:
PROJECT NAME: DONNELLY
DESCRIPTION: AC install.
OWNER: DONNELLY, KEVIN PHONE #: 503 -698 -8801
CONTRACTOR: SHAMBURG HEATING LLC PHONE #: 503 -692 -5563
Inspection Request Scheduled For: Date: 10/6/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Mes - '-
699 Mechanical final 017616.01 503- 692 -5563
Corrections /Comments /Instructions:
PI ( WOK. L > T� ��
F 6. 7>0 irc_T 4- )-(J" ) -0 (i<. eo ,-
e ift(
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PASS IN PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I I FAIL % CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/
Inspector. _ = Date: / . Phone #: (503) 718-