Permit n CITY OF TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00316
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/19/2008
PARCEL: 2S 109AC - 06200
SITE ADDRESS: 13346 SW NICOLE LN ZONING: R -7
SUBDIVISION: WILSON RIDGE NO. 2 LOT: 030 JURISDICTION: TIG
PROJECT: KHUU
Project Description: Installing 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
SYKIET KHUU Description Date Amount
13346 SW NICOLE LN
TIGARD, OR 97224 [MECH] Permit Fee 6/19/200E $72.50
[TAX] 12% State Surch 61191200E $8.70
Total $81.20
Phone: 503- 608 -2868
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. - ermittee Signature: �f" /� .475Cy✓
Cal 4 9.4175 by 7:00 a.m. for inspections that busine- . ay.
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 -19 -2008 12:23P FROM: TO: 5035981960 P.1
Mechanical Permit Application �D FoIt oFFIcI: t!SI OlNLN
City of Tigard Rec eived
�' , Date/By: , i f � . �� Permit No.: J. - Y J
° 13125 SW Hall Blvd., Tigard, s 0 i C � w`Y ■
Phone: 503.639.4171 Fax: 51 ..5 :. ..0 Date/By: Plan Review Other Permit.
i t c, n ti n Inspection Line: 503.639.4175 �� 1 9 240 Date Ready/ny El See Page 2 fur
Internet: tvww.tigard- or.gov RD Notified/Method: ��� Supplemental Information
Of 11G M
TYPE OF G 1 * IG O AY , O COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
X New construct Addition/ VA 1'� Mechanical permit fees* arc based on the value of the work
❑ replacement performed. Indicate the value (rounded to the nearest dollar) of all
. ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
6 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES* For special information use checklist.
Multi family ❑ Master builder ❑Other: Description Qty. I Ea, I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: omtp I4 Nicole) La N Air conditioning or heat pump j
(requires site plan showing placement) 1 14.00
City /State/ZIP: �a L7 Fumnee 100,000 BTU (duets/vents) 14.00
U Furnace 100,000+ BTU (duets/vents) 17.90
Suite/bldg. /apt. no.: Project name: u( nl A \ to Gas heat pump 14.00
Cross street/directions to job site: � Duct work 10.00
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. 14.00
Flue/vent for any of above 6.80
Subdivision: Lot no.: Other: 10.00
Tax map /parcel no.: Other fuel appliances .
• DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
Milli, y� ` �]'� �/��' Flue vent for water heater or gas
t air a nd+ t IO► e . fireplace
10.00
W VCJ i `�.L 1 Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace/insert 10.00
XPROPERTY I
❑ TENANT Chimney/liner /flue /vent 10.00
B ( ( p�. �(/ I „ , r, , , Other: 10.00
Name: ��� Environmental exhaust and ventilation •
Snit) Range hood/o01er kitchen
Address: equipment 10.00
City /State/ZIP: Clothes dryer ahaust 10.00
Phone: o (Xjr . W t Fax: ( ) toilet com
Single-duct exhaust (bathrooms, rooms) partments, unli rooms 6.80
%APPLICANT ❑ CONTACT PERSON Auic /orawlspace fans 10.00
Business name: Other: 10.00
Fuel piping
Contact name: mint. (l 0r l $5.40 for first four; $1.00 for each additional
Address: ,- `W , Fum aee, eta
Gas heat pump
City/State /ZIP: Wall /suspended/unit heater
Phone: ( ) + F x:: ( ) Water heater
Firep lace
E -mail: Range
CONTRACTOR Barbecue
Business name:' (� Z411105 a Clothes dryer (gas)
I [5O V • r ' RIV _ � Other: Address: �� MECHANICAL PERMIT FEES*
City/State /ZIP: O� � h CA's OR--.541045 Subtotal
� j ��� / �7 Minimum permit fee ($72.50) 7
Phone: ( 557 Fax: Fax: { QQ> �'
Plan review (25% of permit fee) S, a
CCB lie.: 72.4z3 State surcharge (12% of permit fee) j I ` n ^
� TOTAL PERMIT FEE lot _� /.D
Authorized signature: if eT /i (,L e • r' Th is permit application expires if a permit is not obtained within 180
days after It has been accepted as complete.
Print name: O ,Tai1� / / A Date: f 1 " 1 • Fee methodology set by Tti- County Building Industry Service Board
I 'tBuildiegtPermitt\MEGPermitApp doe 01/19/07 440.4617T (I1 /02/COM/WF9)
JUN - 19 - 2008 12:23P FROM: TO :5035981960 P.2
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CITY OF TIGARD _ -
BUILDING DIVISION / ' PERMIT #: MEC2008 -00316
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/19/2008
Phone: (503) 639 -4171 ►1 P
Inspection Requests (24 Hrs.): (503) 639 -4175 I /
INSPECTION WORKSHEET FOR DATE: 7/3/2000 TIME: 7:00AM PAGE: 31
SITE ADDRESS: 13346 SW NICOLE ICI CLASS OF WORK:
SUBDIVISION: WILSON RIDGE NO. 2 LOT #: 030 TYPE OF USE:
PROJECT NAME: KHUU
DESCRIPTION: Installing NC.
OWNER: KHUU, SYKIET PHONE #: 503-608-2868
CONTRACTOR: TRI COUNTY TEMP CONTROL PHONE #: 503.557 -2220
Inspection Request Scheduled For: Date: 7/3/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 072166-01 503 - 557 -2220 N
Correctio s /Comments /Instructions:
Ai 4 1/ g — o6 & 1;1,\ ( ' ) S
1 �1
PASS 0 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ('' l./ Date: �I /U
Phone #: (503) 2_5( 1 c'1
P � ) 718-