Permit CITY TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00081
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/19/2008
PARCEL: 2 S 104 DA -17600
SITE ADDRESS: 13260 SW KINGSTON PL ZONING: R -4.5
SUBDIVISION: QUAIL HOLLOW - SOUTH LOT: 002 JURISDICTION: TIG
PROJECT: HUBBARD
Project Description: installing carrier two ton A/C.
CLASS OF WORK: ALT 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
ROSS HUBBARD Description Date Amount
13260 SW KINGSTON PL'
TIGARD, OR 97223 [MECH] Permit Fee 2/19/2002: $72.50
[TAX] 12% State Surch 2/19/200E $8.70
Total $81.20
Phone: 503 - 261 -9915
Contractor:
HEAT RELIEF CO
13122 NE DAVID CIR # 800
PORTLAND, OR 97230 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -261 -9915
FAX 503- 261 -9814
Reg #: LIC 122424
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: e � �cra -✓
Call 13.639.4175 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.
;;∎ "`.;9,2/18/2008 HON 9:21. t 3 39n %8 E U f J001 /003
Mechanical Permit Applii FOR OFFICE USE ONLY
Erli City of Tigard TIGARD Received
n 13125 SW Hall Blvd.,Tigat >l A R 97 DI ®N Date/By: /� QI �, i �f
Phone: 503.639 4171 Fp3A. Other Permit:
TIGARD Inspection Line: 503.639.4175' Date Ready /By: Juts: 0 See Page 2 for
Internet: www.tigard or.gov Notified/Method: Supplemental Information
R � x i _ � i . ate --- 4 t r t R G — .itT,Vt !y'C-fie 7
Mechanical permit fees* are based on the value of the work
El New construction ® Addition/alteration/repIacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
r; r Z, �* rye *- : =
•°` �:� ���"� ° ',�T't;� + Ra a , o �. � � °� -Le = "`�T - �' � ut�� Valuer
❑ 1- and 2-family dwelling
y g ❑Commercial /industrial ❑Accessory building
® Multi- famil ❑ Master builder El Other:
For special information use checklist.
" '�"' t e s, 1 `. O M�iT. e r X"" � Description
Qty. I Ea. Total
,. .. . — ...,. > - .. - 1 , .__N :�' - Heating/cooling
Job site address: 1 `3 ..(c C' Si tCi i-1 � PL S1' 1 -- ) P) Air conditioning or heat pump
(requires site plan showing placement) ,
14.00 i If '
City /State /ZIP: b j K-0 (X_ q',-4 a ,3 Furnace 100,000 BTU (ducts /vents) 14.00
Suite/bldg. /apt. no.: I Project name: J b ( a- S /A46602./ Furnace 100,000+ BTU (ducts/vents) 17.90
�' Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydronic hot water system 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
.` c„W,-,,_. `"r % * e9 B ,. s items ``` ' a Water heater 10.00
Gas - \r\ }�, I C t v . �, 1 \ I I Flue vent f 10.00
Y u`S C� 1 � 1\3 C 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 _
r , er'r �yp t e Arig .. 0Y €s' e ., � � Chimney/liner /flue/vent 10.00
.. f.. _ - . . . rr +. - Other
n • 10.00
Name: I� S l�17_)b(j,y- Environmental exhaust and ventilation
Address: 1 . S1. . Ill lro„- n � Ls... Range hood/other kitchen
equipment 10.00
City/State/ZIP: `�( (,� U` al - a- a: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ( I gi a — f:) (Cs y Fax: ( ) toilet compartments, utility rooms) 6.80
r
9 W �_ A_. • W ; s c R '. Attic /crawlspace fans 10.00
Business name: HEAT RELIEF Other: 10.00
Fuel piping
Contact name: MARK DEFRANCISCO $5.40 for first four; $1.00 for each additional
Address: 13122 NE DAVID CIR DR # 800 Furnace, etc.
Gas heat pump
City/State/ZIP: PORTLAND, OR 97230 WaWsuspended/unit heater
Phone: (503) 261 -9915 I Fax: : (503) 261 -9814 Water heater
Fireplace
E -mail: - Range
* " c a 4-. , . f1R n . Y ' `- - Barbecue
Clothes dryer (gas)
Business name: HEAT RELIEF -
Address: 13122 NE DAVID CIR DR # 800 4
- mom ._..
City/State/ZIP: PORTLAND, OR 97230 Subtotal
Minimum permit fee ($72.50) ']a-, 51)
Phone: (503) 261 -9915 Fax: (503) 261 -9814 Plan review (25% of permit fee)
CCB. lic.: 122424 State surcharge (12% of permit fee) 0 $- 70
3
TOTAL PERMIT FEE
This permit application expires if a permit Is not abt w ithin 180 •
Authorized signature: .L / /.%/LLt — days after it has been accepted as complete.
Print name: MARK DEFRANCISCO Date:
* Fee methodology set by Tn -County Building Industry Service Board
t:\ Bui1ding1Pemits'MEC.PemitApp.doc 04 /06/06 440 -4617T (11 /02 /COtd/WEB)
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A/C—HEAT PUMP—UNIT SITE PLAN
• FEET TO BACK OF PROPERTY LINE W '".- e
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FEET TO SIDE PROPERTY LINE
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FEET TO FRONT PROPERTY LINE
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PLEASE REFAX APPLICATION- WITH SITE PLAN •
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CITY OF TIGARD
BUI DIVISION PERMIT #: EC2fl0s3 000: 1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 21/912008
Phone: (503) 639 -4171 .,,mr- 41 n�yi l 11 1i
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2J22/2008 TIME: '7:00AM PAGE: A
SITE ADDRESS: 13260 SW KINGSTON PI_ CLASS OF WORK:
SUBDIVISION: QUAIL HOLLOW SOUTH LOT #: 002 TYPE OF USE:
PROJECT NAME: HUt3(BARD
DESCRIPTION: installing carrier two ton NC.
OWNER: HUBBFARD, ROSS PHONE #: 503 - 261 -9915
CONTRACTOR: HEAT REt.IEF CO PHONE #: 503. 261-9915
Inspection Request Scheduled For: Date: 2122/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 065455 -01 503-261-9915 N
Corrections /Comments /Instructions:
0 ie1 I_ t n¢ o-,-- 1, AL LAC. *' 5- V 3 6 F2.4 ,-eupi C.,- rLc,--yi-
'. %
i.- ❑ PARTIAL APPROVAL n CANCEL _ I I NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: —'� -^-cj g> Phone #: (503) 718 - ''...�`c
. • -