Permit p C ITYO F TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00411
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/10/2007
PARCEL: 2S 110DA -02100
SITE ADDRESS: 10554 SW NAEVE ST ZONING: R -3.5
SUBDIVISION: RENAISSANCE SUMMIT LOT: 012 JURISDICTION: TIG
PROJECT: HERSCHBACH
Project Description: AC add on.
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R1 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:
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:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
HERSCHBACH, DOUGLAS + GAIL Description Date Amount
10554 SW NAEVE ST
TIGARD, OR 97224 [MECH] Permit Fee 7/10/2001 $72.50
[TAX] 8% State Surcha 7/10/2001 $5.80
Total $78.30 •
Phone:
Contractor:
CHASE HEATING CO
2236 NE 82ND AVENUE
PORTLAND, OR 97220 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 254 -1274
FAX 503- 254 -1816
Reg #: LIC 153390
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: &L4 Permittee Signature: a" c p_DA: c
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.
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eccktan ical Permit Application 1 t: i t H(t:1 Si". MI
City of Tigal ►�® /0 0/ i J. trw G - 7 _ o d 9
13125 SW Hall Blvd, igard, : f;? S' �r•u
. Phone: 503.639.4171 Fax: 'f is: , ' ■ of Plan Rcvi Other Permit
i <r ,.\ R ,) Inspection n w Line: 503.639.4175 " UL 1 0 2007 D i eady'rny: 91 see Pae2lor
v ,. r .tc n _. ,;, • ;ti* t 1 PaD
� �Iob!'sed�Md4od $gppJC+pt�apJ inkal®l
':. .. S'�= .. .l 3 . •��'s `'.�Jx• "'r't �'c. � •' <� �a�,'k'{:t: �.' � }ey�;1:K��e � : �. x ' R • earn . x _ - • _ .,�., -..,,,
. .. ., ... •. ,.:, .. r • f t'r��2i^! ..: � i�R ",•' +..':� : �. !�5.. ,.r„ sar .;'!:.: r te' ..� d �� '`�".� . �:.: ?+ f•. f :M i 1 Bi it � . � .
❑ New consl uction 1 'I Additionlalteaation/repIaeemeat Mechanical 'peanil fees* are bas on value of the antic
❑ Demolition ■Other: performed. Indicate the value' (rounded to the nearest dollar) of all
.•::.�• i N ,, : <_ mechanical materials, eiipnu labor, overhead, and profit. - fnroily dove r Comm '�����`��''' ••: �:: �; . • . - .,A...s. . -.. , � � .
Valor S
--tgi Crcial s'trial Accessory ' i" T:m 1 : ' .'` >•�-, ,,1 , F
1 -and 2 lling ❑ ftntla "-*"" °`�
❑ go buildixl � :�, , u;`
❑ Multi - family ❑ Master builder ❑ Other:
For merlon rrae
r is ,�.1 •�:w'?i�,'l;ry f .. ,,..�,, .{ • •r.r ... .
Description I Qty.' Ea. I Total
`Bair , ..?! .:•« S - 's : AL ' 'p ' Y . ,e d A " "•, '' %�•:- : /w� P e .
�1 109f,?wVSl.:ICiG�,�Vi"e� c'1'.� �t . • J 1 ;•r . i „ r s'; 'Pe. ��t1���4
Job Site address I D� "'-1 Air conditioning or heat pump
(metres situ showing Pee meat) ! 14.00 / !.1/
City/slate/UR I 'e ace i b e_ 7 ot�L �
Q14 PUrneee1000 BTU ( eukeuta) _ 14,00
SuitdbldgJgpt no.: J C� Project nrmc: 1 1 1 a3 � Ftunace 1�,�+BT91 rveats) 17.90
cris heat PAP 14.00
Cress street/direeettons tojob site: Hatt worx la•ou
Hydranic hot water system 14.00 _
-
Residealial boiler (radiator or
bp'dronic) 14.00
' - • Unit beaten (fitel-type, not electric),
to-wall, m -arrc; suspended, arc 10.00
Subdivision: I Lot no.:
Flue/vent four any of above r 10.00
Tax map /parcel no_: • ! Udler l 10.00
- .,,; s v Other fuel appliances
, i ' : ''`. _j;.• T '..:r.7. „p . 1 , : •'r�n r •• beate O•
,Y `n r r " :" 't ?i ;'; :. ^ , Y ej �e •.;:..-f,:: K' a +`'' water
- '��[° d•i:.a- . r : ^ ..,1, w ! „ A�;w ' . v - ; . s .SY y . . • : • `i+S ; ; �r 4u.a.`... > : ':;� I 00
• e a ,.V. n,a :, NI' 4- '• Gas fireplace 10.00
C•E' w 1 c)►rl I -('Z3 Flue vent for water heater or gas —
fireplace 10.00
• LOB b (gas) 10.00
_,_ Wood/pellet stove 10.00
• Wood 6rcplacc/iesttt 10.00
'�; � � '�' ' '.1'.07,1' S>`i�= '�".,!y^f ;•, 1 R :U ,•?�. �” s, F•; _•.. �`r�y, • *6. r r /hri4 /Ouc/VEQt 10.00
.fi �., r ,;- r'.. - .r` '�. :•.!.:.,, s•.:' •:,: OthtX 10.00
Name: -1. C' �)Cc l" • .. Environmental esttatratanti ventilation
Address: I O -{ '6LL) k.,; pt,. -e-∎) .-e... Ike >lood/ t kdehcn
equipraaot 10.00
City /State/ZIP: 1 l we C) 1 g- Clothes dryer exhaust 10.00
Phone: ( (.) 6 ;‘ ,1, -- 4 - / ' 4. c Fax:( ) toilet compartments, p exhaust utility hroomn 80
1,. r. ., :° t+ „•... s : t ' Y . : a . �, : ` Y •, A' 1� ' �i ° ' ' :`� F a '” Altickrawlspace flans 10.00
Business name: Other: 10.00
Fuld Pining
Contact name: • $5.40 for nest four; SUM for each additional
Address: ace, etc,
Gas heat pump
City/State/ZIP: Wall/suspended/twithealer _
Phone: ( )' I tax:: ( ) Water heater
. Fireplace
E -mail: Raan�,e
f_i: � : ; + v y ,', = •{:` :q•,:.'�. 0{ '';ii, ''� `,` : its= , r - .. ;.2 , ,j> ';., , , ` ° ..�':. Barbecue
.; s
., .•,, r:•• •f rr•'k., . ... E � 'A, a/ . . J! e e'p • 1. . 2 i; ' : . `. :'G` rasa ,'r'23 '. i. •, •
�' : � �j i
Address: Clothes
'2 o� �' 44'e:. r.: • ` �4/ . / � � Ahir 1 \ i- : �l �: x {�•��1���!'- }I'%y"'`'��.�. ��'�•'�.:,,.:Mij: ;'•..:•�f
City /State/ZIP. 6r4 -•(C ., . o '7 - 7Q Po Subtotal
3 5 2 - / -- ). L( I ,�5zf I $1 /c an review perm (25%vo fpe pe rmdfoe)
0 7 5
Pi (, ,�e? Feex: (�+ . Pl atttcvie:w frtart tee
CCH lie.: ' 3 t', r 0 State surcharge 0% ofpermit fee) U
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TOTAL PERMIT FEE P
( permit is Authorized eignatu.c: + [ r , ". t yffi , expires Ae n ted a complete,
l within 180
Print name: `3 ' ire Y I Date: 7- /0."/� C ' 7 1 ' Fee methodology as by Tri•Cmwb &Minn InfluthY Boald
l:�Ba1 .don coons
440.4617T (11IU21COl�/wtlB) 17f� • •�
IV _ _LL„_
A/C -HEAT PUMP - --UNIT SITE PLAN •
• FEET TO BACK OF PROPERTY LINE W 4 IP E
r•
FEET TO SIDE PROPERTY LINE
f-55.
FEET TO FRONT PROPERTY LINE
A 1 b3 4� o`�� �i ai
PLEASE REFAX APPLICATI N• FIR SITE PLAN
CD
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00411
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1012007
Phone: (503) 639- 4171I�
Inspection Requests (24 Hrs.): (503) 639 -4175 .� `__.. •
INSPECTION WORKSHEET FOR DATE: 8/8/2007 TIME: 7:00AM PAGE: 50
SITE ADDRESS: 10554 SW NAEVE ST CLASS OF WORK:
SUBDIVISION: RENAISSANCE SUMMIT LOT #: 012 TYPE OF USE:
PROJECT NAME: HERSCHBACH
DESCRIPTION: AC add on.
OWNER: HERSCHBACH, DOUGLAS + GAIL, PHONE #:
CONTRACTOR: CHASE HEATING CO PHONE #: 5012541274
Inspection Request Scheduled For: Date: 8/8/2007 Pour Time:
Code # Inspection Description Confirm # Contact # M es - �e
699 Mechanical final 053.455-01 503 -254 -1274 AttA
Corrections /Comments /Instructions:
ID PASS 1 P' - TIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL 'ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 7 Phone #: (503) 718- Z-.W
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