Permit CITY TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00321
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/6/2007
PARCEL: 2S 112C B -13600
SITE ADDRESS: 14830 SW KENTON DR ZONING: R -7
SUBDIVISION: ASHFORD OAKS NO. 3 LOT: 145 JURISDICTION: TIG
PROJECT: CAIN
Project Description: Install 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:
WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
DWANE CAIN Description Date Amount
14830 SW KENTON DR
PORTLAND, OR 97224 [MECH] Permit Fee 6/6/2007 $72.50
[TAX] 8% State Surcha 6/6/2007 $5.80
Total $78.30
Phone: 503- 598 -9018
Contractor:
D & R HEATING & AIR CONDITIONING
PO BOX 1292
CANBY, OR 97013 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 678 -2517
FAX 503- 678 -2097
Reg #: LIC 84489
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 t at 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 06 07 10:53a DR Heating 503 - 678 -2097 p.2
Mechanical Permit Application \ ' FOR OFFICE t SE ONLY
City of Tigard Dat y: M 2
• 13125 SW Hall Blvd., Tigard, OR 97223 ) ' 1 �
1: Phone: 503.639.4171 Fax: 503.598.19:1 rr I Date g eW �j Permit No.: Other Permit:
Inspection Line: 503
T I G ARD ' i� " Date Ready/By: runs: El S See Pa e 2 for
.
Internet: www.tigard- or.gov � UN ® Z00 Notified /Method: Ju -t 1 Supplem Information
TYPE OF WORItf p'y' ; - i :GARi3 COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
tt Alt . Y 9 {il t�+� Mechanical permit fees' are based on the value of the work
❑ New construction Additionlalteratitplaement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: S
RESIDENTIAL EQUIPMENT / SYSTEMS FEES"
® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description 1 Qty. I Fa. 1 Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 14830 SW Kenton Dr. Air conditioning or heat pump ' ,l �
(requires siteplan showing placement) l 14.00 Jl tJt.-�
City/State/ZIP: Portland, OR 97224 Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg.lapt. no.: Project name: Gas hem pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydronic hot water sy - stem 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel-type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: I Lot no.: Flue /vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water beater 10.00 -
Gas 6replaee 10.00
Install an Air Conditioner -
Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood Fireplace /insert 10.00
® PROPERTY OWNER ❑ TENANT Chimney /lineriflttelvent 10.00
Other 10.00
Name: Dwane Cain Environmental exhaust and ventilation
Range hood /other kitchen
Address: 14830 SW Kenton Dr.
equipment 10.00
City /StatelZIP: Portland, OR 97224 . Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (503)598 - 9018 Fax: ( ) toilet compartments, utility rooms) 6.80
® APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name: Same as Contractor
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
I Furnace, etc.
Address:
' Gas heat pump
City /State/ZIP: Wallsuspended/unit heater
Phone: ( ) Fax :: ( ) Water heater
Fireplace _
E -mail: Range ,
CONTRACTOR Barbecue
Business name: D &R Heating and Air Conditioning
Clothes dryer (gas)
Other:
Address: P.O. Box 1292 MECHANICAL PERMIT FEES"
City/State /ZIP: Canby, OR 97013 Subtotal jP -I.00
Phone: (503) 678-2517 I Fax: (503) 678 -2097 Minimum permit fee ($72.50) 7'). 5C
Plan review (25% of permit foe)
CCB lie.: 84489 State surcharge (8% of permit fee) ' ..—
CC tJ - TOTAL PERMIT FLEE ' .3( )
Authorized si tut `lit.' ((J - This permit application expires if a permit is not obtained within 180
F . days after it has been accepted as complete.
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CITY OF TIGARD t' =;'
BUILDING D IVISION PERMIT #: MEC2007 -00321
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/6/2007
Phone: (503) 639 - 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 Jittit
INSPECTION WORKSHEET FOR DATE: 7/6/2007 TIME: 7:06AM PAGE: 49
SITE ADDRESS: 14830 SW KENTON DR CLASS OF WORK:
SUBDIVISION: ASHFORD OAKS NO. 3 LOT #: 145 TYPE OF USE:
PROJECT NAME: CAIN
DESCRIPTION: Install a/c unit.
OWNER: CAIN, DWANE PHONE #: 503-598-9018
CONTRACTOR: 0 & R HEATING & AIR CONDITIONING PHONE #: 50167B - 2517
Inspection Request Scheduled For: Date: 7/6/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 051349-01 503. 678.2517 N
Corrections /Comments/ Instructions:
ak 4L. Or72 Got- 144 vit.u9J /,,t4 . * S /6 / /t4- 6 -itiCd 002 ,+.,
PASS PARTIAL APPROVAL n CANCEL _ NO ACCESS
FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
.4 Inspector:, Date: 7.- 6--0 7 Phone #: (503) 718 -i