Permit 4 C V P 14'
ITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00421
DATE ISSUED: 8/28/2006
I ---' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2 S 104 B A -02100
SITE ADDRESS: 13847 SW HINDON CT ZONING: R -25
SUBDIVISION: COTSWALD MEADOWS NO.3 LOT: 102 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:
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:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
SYLVESTER, MATHILDA M Description Date Amount
13847 SW HINDON CT
TIGARD, OR 97223 [TAX] 8% State Surcha 81281200E $5.80
[MECH] Permit Fee 8/28/200E $72.50
Total $78.30
Phone:
Contractor:
TRI COUNTY TEMP CONTROL
13150 S. CLACKAMAS RIVER DR
OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -557 -2220
FAX 503 -557 -0919
Reg #: LIC 72623
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: �v 6 1-411- Permittee Signature: ,r 64 -1 3 # 2 - -1 : L
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.
FRPM ' FAX NO. :5035570919 Aug. 25 2006 11:07AM P1
rte' '. •
Mechanical Permit Application FOR oFFIec use elvLY
- - - ' -
City of Tigard � Received / Q ' wlEGam4(o ! a "r
13125 SW Tull Blvd„ Tigard, OR t)92`! � � � � � natty, I �� VW' 8 Permit No.:
Plan Review
Phone: 503.639.4171 Fax 503.59R.1Q5p1 2 5 2006 Gro•jr.9'In I ( ' {\ oireBy; Other Permit:
inspection Line: 503.639.4175 ,a l, - 4 Date Read iBy: !aril'
Internet; www.ci.rigard.or.us -+ Y ��— - �/' l 0 See Pant l far ma
CITY OF TIGARD Notificd/Method J 13upptem Infor
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d "13 :,,.;, '"Il i� 1 I air t rF l ,t RV 'tom:: °'e•TIR ; ` i.• :.',1. _ :1.- .:, > 1
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❑ New construction Addition /alteration /replacement Mechanical permit fees are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition .
� Other:
i mechanical materials, equt meat, labur and profit.
;!�,!R aa' +k��'; • • r + b„ � •sir. , �. .. �} ... � � . ,�.+�r ,..E-4r° ' •_. _— Value: $
L
,.,, -_, �t,, Her :�'�
,, ; 2 r.,, x6;l- ,Y ,", � I. , �1M� ,.. , c C? �>(t�'1]�`C'fJ,Vh, �'V�'x��;- '''k :" i . "';::�= ;,,a't,y,i';•:.:j,j;,�. • A 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building �._ —•. --
Multi- tammuly 0 Master builder Other: —__„ For speritri infgrvrf „Fide rise checklist,
:��� Descripti on Q Ea, ,.. Total
I +�Erj:�g,:':aS i� + �t�� [ s , � "YiI �tJ�t °�
'E rl �,,a • �R'',�. �. Y ,. 1 1
. ;,..,, ,., , ,; , ,. � L -y .._ � .,.�
� I ' ,,��,,{�� ,," ,,y1� l ( I • . r dii ``� � 4 ;1 • ~ i4N y . �' ;7 , • . _. . .. leg/ coofrng
t,,IP!. ik a'rt•' , c ,..!„iill�l +; _, •.'(�".: pf'. ' 7 ` .. ; . .. ,'I +r. rr ,.. Heat _ ... --
/ . 1 .. ... --' --
Job site address: Air conditioning or heat pump
,- -: -.__ 1� r �� ro•uiressitc laushuwiu- pla 14.00 /�
City/State/ZIP: t ( / , ,,). Furnace 100,000 BTU ducts/vents ^, ” 140
Furnace 100,000+ Fl TU (ducts /vents) _ 17. 90
Suite/hldg. /apL not;, Project name: • ' --:••
_.._ .... ............ eras heat pump 1400 _............ _
Cross streot/direbhons to job site; 4)ucr wn,'k ■ 14.00
-_ - • ' H drools hot water system 14.00
• _.. Residential boiler (radiator or
hydrants _ 14.00
....
- -- - . .......- Unit heaters (fnel•type, not electnc),
in -wall, in -duct, suspended, etc. 10.00
Subdivision; Lot no.:
Flue /vent for any of above 10,00
.," nn 0
Tax map /parcel no.: appliances —
,:•+, ' - u fir.. "'° "- - --_ ... ,-
L ..._.
lFp.,
:ira. �•I. I +'4r ., , , ` I r 5'� ' , Water hCf1Lt7
,.ill,.. , ; , +' �f' - 1� ° �� �fi il�ti,� A, 'Et � g�' ., . - - -- - ---- ,... .... - --
ti,
l 0 00
,�" ry4r� �� G fentfoe 10,00
,,., Of / Flue vent for water heater or gas
fireplace 10.00
•
,....._._ Lo? li >hter as 10.00
• Wood /pellet stove 10.00
Wood tire lace. /insert 10.00
,tl 1 „ , . n�,r.: ,. .. � I � .: ,, . +� ! ., • yi . - - - ..Chimnay /liner /fluelvent .
�
451 .
it , , ,a r "1; *6; i . + i 1: p :;in' l :0•. 7:"., '' S. ;:Lr ,•;'Ci:S6 i`
��_ ...',v, ,... ..
,N : ... other: 10,00
Name: 6� J A Environmental exhaust and ventilation
Address;
Ran hoodmther kitchen
., - equipment _ IO.IIU
City /Statc /Zil: Clothes dryer exhaust 10.00
- - -" ' -- Single -duct exhaust (bathrooms,
Phone: ( E. .I Fax; ( ) toilet compartments, utility moms) G,R0
, a ', Y•y r. r•li}R��': r J�,� l�'' ' ,ty ;:�
,;. �• Attic /crawls ace Cans 10,00
} y� ! ( i
Othe 10.
Business name: Tri aunty Tc.r 1.p (. 1 ('-Q� 1 -
._.., : Fuel piping
Contact name: $5.40 for first four; $1.Ot} for each additional
Address: 1,'1J L 0 0 0 La( if y) o, RI vor ( , K.) m, . ' " Furnace, etc,
Gas heat at pump
Cit /State/ZTP: G
y [te 7.- e�o C(� Fax:
i„.111 7L � _�yk C -, ) _
Phone: (tC Wall/suspended/unit Wall/suspended/unit heater
��j) 35 ! ! 0 ( '0:J ) -J5 7 C % 61 Water heater_,._. _,. -- ..... _ ' Dire. lace
E• uaiI: _..__..... - _
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Range
g' " , ,• .nr,. �' •.)}( ,:" 1?�" 'i! 1iY a r " " "sv �r4 l�' iw 4S s,, ,• I II
. 1;,. : i 4, :ig� , r .y .il ly' . a`: } i ,p� �V�I r nl, i tI'� nE�h' 'f , v i::r..'�1 . '-...._ . .... .. .
.� , .44.': L �' -�: n d�• +� %�+,�:��._ ,.°�- ,4 : �ec' ��� _:��ap�r::;:m,,•`;::I{ ^� Barbecue — ------------ . -•- °-- -
Business name: l-i at k e . co` T I l.i 1 Clothes tit er • as __�._....._. ,, ._..
..M - -- -•• --- -- , . • Other,
Addr { i TI t > r i Vt 1 .l,y, T' , r: w �,. �.�i�,.._
G9s: li 1 I TIC � .Ql' V r �'' .,, :t,,i - + 1'Ii'��!t:p 110,2a.41•`iTtrrZls..`'114' 'i.: Oe.''. - --
Ctty /State/Z1Y: o - rl C..` q 1, Subtotal
�
" `'•" 6,_c5-7 ° -- Minimum permit tee ($71.50) 2. ',of* $
Phone: (, ) as - 2 2 2 f, Fax ( G � ^ '` '--6 141 Plan review (25% of permit tee)
CCB lie.: '72ji z . Slate surcharge (8% of permit Cee) ...... .,.... �
' TOTAL PERMIT FEE %1
Autllorized signature: ..,. - .7 Z1 r , t ' t ' �C- This permit application expires if r p ermit is riot obtained within ISO
„ - days after It has boon accepted nit complete.
Print name; btG7)2e /Uiam ") _` Dated a ' ] Fee medtndnlugy Net by ['ri- County Building industry Service Board
Au g. 25 2006 11: 0 111 7 0 A u M 2 o P u 2
FAX NO. : 5035570919
FROM :
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. CITY OF TIGARD ..... , .,
BUILDING DIVISION PERM": ,MEC2006 -00421
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 13/20/2006
Phone: (503) 639 -4171 i°( It
Inspection Requests (24 Hrs.): (503) 639 -4175 ` - 'IL.
INSPECTION WORKSHEET FOR DATE: 9/12J2006 TIME: 7 :01AM PAGE: 26
SITE ADDRESS: 13847 SW FfINDON CT CLASS OF WORK:
SUBDIVISION: COTSWALD MEADOWS NO.3 LOT #: 102 TYPE OF USE:
PROJECT NAME: SYLVESTER
DESCRIPTION:
AC install
OWNER: SYLVESTER, MATHILDA M, PHONE #:
CONTRACTOR: TRI COUNTY TEMP CONTROL PHONE #: 503 - 557 -2220
Inspection Request Scheduled For: Date: ai12/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 036373 -01 503-557-2220 N
Corrections /Comments /Instructions: / p l j
0 6 L6 4.#4 �i L1, l ivo -' //Lf l�� — 61 6 6 78 N' e.e6,,,-
��ci
PASS ❑ PARTIAL APPROVAL n CANCEL 1 I NO ACCESS
n FAIL , CALL FOR. INSPECTION ADDITIONAL FEES ASSESSED
,
Inspector: Date: g— /....--e.; Phone #: (503) 718- Z4g6.