Permit '1
• A CITY OF TIGARD MECHANICAL PERMIT
�w D EVELOPMENT SERVICES PERMIT #: MEC2006 -00382
s��' ° �J II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/8/2006
PARCEL: 2S 109DA - 09500
SITE ADDRESS: 15196 SW OAK VALLEY TERR ZONING: R -7
SUBDIVISION: SUMMIT RIDGE NO. 2 LOT: 084 JURISDICTION: TIG
Project Description: Installation of 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:
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
LYNNSIN YANG Description Date Amount
15196 SW OAK VALLEY TERR
TIGARD, OR 97224 [MECH] Permit Fee 8/8/2006 $72.50
[TAX] 8% State Surcha 8/8/2006 $5.80
Phone: 503- 684 -6428 Total $78.30
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 NotificationCenter. 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 that business da y.
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.
FROM •
-1: FAX NO. : 5035570919 Aug. 08 2006 10:01AM Fl
/ 4. • • .
. •
Mechanical Permit AvC
k ication. 1, .1 _IL FOR OFFICE USE ONLY
City of Tigard riv TA fteesived•-■
OR 9722
Emiasy • - 7 t , - 0 ‘ lt.... Permit NoV \ e_,,,,,8,06- -, .
13125 SW Hall Blvd., Tigard, 3 Plan Review
Phone: 503,639 477
.4171 Fax: 503.598,1960 OthcrNmo
7% 1)ate/F3y:
Inspection I Ane: 503.639A175 puG C '6200.:,4) AL Date Rendy/By: ...
Jhr :i i el see Page 2 for
Internet www.ciligard,or.us Notified/Method; Supplemental Information
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0 New construction P:0 • • itionialteration/replacement Mechanical permit fees' 'are based on the value of the work
performed. Indicate tho value (rounded to the nearest dollar) of all
0 Demolition 0 Other: . mechanical materials, equipment, labor.overhead. and profit.
- Vi l i e(A . ;
. . .' .• . ' vlue: $
_ . „„,_,, • ,....!. , .:. ..c, I %1%.„;,,.... io.,. .... ;.>!...,,...-....,:!.., .,....-- ., ,..- % r. ... - •••!.. t. • : . .. • - --.- , .,... - )!'"•.!.: '` " • ' ''''''..:1: ': • ' •• '11... ,
''- .... .....” ' .. 1.3'.:.,..;44.i;AOMIgritrpgiac-2143pgra3t.sysirydas FEF,S*
and 2-family dwelling 0 Commercial/industrial 0 Accessary building
For special Information use citeeklisr.
111 Maiti-family 0 Master builder 0 Other: __-
Description -- F ON- I La. TOCai
? " I ll.' :7,':" 4' 1 6' ... tiotil4Of' •'''; C. A ' i ,.....'" . ,‘ • '..:-.....; • .i::4-...-,.. H - ..
W. ••.:. ...!1. 'N. . ....'. :. • •-• • '.,."4.:•........... .. • ::... • •• - ...'..;::)4.......i.. ,..;.. eatIng/cnoits..
,..
Job site address: I , q . , . ircf2 , irijimaw , 7A_
... . . . _...) Air conditioning or heat pump
re uires sito pLtn showing placement) ( 14.00 /4€ OD
I ....
City/Statea • . -- g iik I 0 na-> Furnace 100,000 RThiducts/vents) 14.00
A A ...• --
-...-+. Furnace 100,009+ I3TU (ducts/vent%) 17 .90
Suitc/bIrIglapt no.: k Project name: •
heat pump , 1
- .. . • .
Cross street/directions to job site: Duct work 14,00
.... -
. H dronic hot water system I 4.00
..... -
Residential hailer (radiator or
hydronie) 1
• - • - .• . Unit heaters (fuel.type, not electric), •
- in-wall, in-duct, suspended, etc. - 10.00
...,. Flue/vent for any of above 10.00
Subdivision: Lot no.:
Other: . 10.00
- -
Tax map/parcel no.: Other flietaapliances .-
-....
V ' ',',:.•-• • "7 Par.. ,.. lir Iyh7:607ii; 4 ......1,1........:2,,, . Water heater l0.00 -
_._ .
'. '."*.‘'..''i: ' ..'-'''''.'''. :' 111 4"" " -.'... ...'‘...7-7-:" id:•.'.. ' "'fr.e::.r..':1n.--
Gas fire lace I 0.00
..
r TA .&..1i1
- Flue vent for water heater or gas
_.• , ,
•
fireplace 10.00
...
- . .„- Log lighter (gas) 10.00
Wood/pcIletstove 10.00
- - , -
Wood pm-place/insert , 10.00
-'
rharineviliner/flue/vent
1 . TrygFr. -.... : :'-...i L k .:2 0 ,-.i ,....,, , ii..z ,..,...,..„ _•-L • - 10.00
.. A.,6.1 - z.4.4 , • ii .-. • ....1r ds;77v,i7L, :.J,i wri., •.,... t••• $ • !... '. •••' • :. : . :::: 147.6.14r i Other: 10.00 .
Name: . • .._4_ A... 4 I 1 Environmental exhaust and ventilation
.., .- •. _
Addrass: Range hooUother kitchmi
equipment 10.00
City/State./ZiP: Clothes dryer exhaust i 0.00
•
g - - - , .- Single-duct exhaust (bathrooms,
Phone:V/34 ) / 4 , 1,,t ( Fax: ( ) toilet compartments, utility rooms) _ 6.80 -
' Air jAitgire,3043•44'.7":)1.,?i::..-0:w-.:;--..,.:414,4,8,1xx,„4„:••,,t,,,,,,,,,,:...,,,,„„•,„......., Attic/crawlspace fans 10.00 -
Other: 10.00
Business name: . C . LI r o .i' lit • • --
.._ Fuel Wittig _
Contact name: $5.40 for first four; 51.00 for each additional
_. - .
Address: 0 0 6. tarkaffici8 Rikirv-d)rHRICI Furnace, ctc.
GaS heat .un,. ' -
City/State/ZIP: OrteOti ci i- q ____
ciz. 6 1 OL715_______.... Walt/au . ended/unit heater -
Phone: (t1)) s57--222D- Pax: : (62) . 55 . 7.--al 1 q Water heater --.
- ' Fireplace -.-
E-mail: Range .- - ...-
Y1 L4:1:11 if .:. •-gr211107411,31.4.;*; ‘: tg ''e, : ::.NW.,.1 3 1 Barbecue ‘,11::,..47/11, Ilia,' ::,: -.1.. - ..-• •,, •-•:'-.••••• rAm • ... ,.,„ . • ••.• ..,,eai• Nli' ' ISA...WI:7A ' k....,,..: '. .',
Business name: Tri COW L I # nPr i - Clothes dryer (gaa)
Other: _
- , ( . 1 • e t kr-r•bth_-- ;.,r,,iree4,, • - ' c ri l •r- MR''..' -• .,e' " •
Address:
t.) t ". • ■ -
City/State/ZW: CZ/101/1 c- ek_ q Pro . i _ Subtotal
., Mnimum permit fee ($72.50 ' la ,-
Phone: (aN3) 55 -.22
- ( 1 20 Pax: (c•j® 65 - 7 ... 0 , 1 10 ,
Plan review (25% of permit fee) .. _
.-. --, ._.
.... i . _ arrl ,..
CCB tic.: 1 tr) State surcharge (8% of permit fee)
-
/ TOTAL PERMIT FEE - 1 r. 3 n
.5 >z a ... 7v 1
Authorized signature: mu permit application expires it a pernut Is oot obtained within 180
daye after It luta been accepted as compnae.
... cr i.■- f' • • Fee methodology set by Tri-County Building laduetry Service Board
Print name: ,ill/le Vta,„60)1 Date: 4 i cy . 4. 1
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PLEASE REFAX APPLICATION WITH SITE PLAN. 3
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•
CITY OF TIGARD "
BUILDING DIVISION PERMIT #: MEC2006-00382
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 , _
INSPECTION WORKSHEET FOR DATE: 8/18/2006 TIME: 7 :03AM PAGE: 50
SITE ADDRESS: 15196 SW OAK VALLEY TERR CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE NO. 2 LOT #: 084 TYPE OF USE:
PROJECT NAME: YANG
DESCRIPTION: Installation of A/C unit.
OWNER: YANG, LYNNSIN PHONE #: 603-684.6428
CONTRACTOR: TRI COUNTY TEMP CONTROL PHONE #: 503
Inspection Request Scheduled For: Date: 8/18/2006 Pour Time:
Code # Inspection Description Confirm # Contact # ag-
699 Mechanical final 036226 01 503-567 -2220 Y ��
Corrections/Comments/Instructions:
/, -ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G%f7? Date: 6 Phone #: (503) 718-Z4411(