Permit CITY TIGARD MECHANICAL PERMIT
alp DEVELOPMENT SERVICES
PERMIT #: MEC2005 -00200
c 'I II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 4/29/2005
PARCEL: 2S103CB -10600
SITE ADDRESS: 12174 SW QUAIL CREEK LN ZONING: R -4.5
SUBDIVISION: QUAIL HOLLOW - EAST LOT: 064 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
ORAMI, AHMAD & MARYAM Description Date Amount
12174 SW QUAIL CREEK LN
TIGARD, OR 97223 [MECH] Permit Fee 4/29/200° $72.50
[TAX] 8% State Surcha 4/29/200f. $5.80
Total $78.30
Phone: 503 -579 -8700
Contractor:
COMFORT MECHANICAL INC
17936 SE DIVISION STREET
PORTLAND, OR 97236 REQUIRED ITEMS AND REPORTS
Phone: 503- 761 -1500
Reg #: LIC 79558
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: Sze,
Call 503- 639 -4175 by 7:00 a.m. for inspections that business da\f.
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.
Apr 29 05 07:46a COMFORT MECHANICAL, INC. 503- 762 -5394 p.1
Medianical Permit A G i V G Y
�`� FOR OFFICE USE ONLY
Reeeivea
City of Tigard 2005 Dategy: y o f' i�2 Pemtit No. � � 220140
13125 SW Hall Blvd., Tigard, OR 97223 AP 2 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Gi1,,v..... I ^` Date/By: Ocher Permit:
Inspection Line: 503.639.4175 . •1 I Date ReadyBy: r, : El See Page 2 for
Internet: www.ci.tigard.or.us C1vY OF 1.1G/Vi:::,, ' '� Notified/Method: �;��/ Supplemental Information
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❑ New construction Vi Addition/alteration /replacement • Mechanical permit fees• are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
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,.. t �`�' A' TE�O�t�t?0 )�CO1N�T,F{.U�`CIO'Nl. )�,• . . . ..
1- and 2- family dwelling ` ❑ Commercial/industrial ❑ Accessory building •r. :i . ' � .. ' ....... .' Q MAN : / ?$YS S FEES'
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For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Fa. I Total
:r°r' ;.'ri 7OB 16T lY LOCATION i . �:' Heatincionoling
Job site address: 121 1'- .. W 1 0 r e t_ 4c L CL n Air conditioning or heat pump
Q pp ta l plan (requires site p showing placement) 1 14.00 14 . CO
City/State/ZIP: - 6 O. Y d C' F . c j 1 2 `,Z '3 • Furnace 100,000 BTU ( ducts/vents) 14.00
1 Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: I Project name: O r- CA_ m 1 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
,;.:,;<,,, •t.;,..:., Water heater 10.00
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,Yt; :j , ;i:RFi$ p e . rte,:
. r Le' ,� =.i :"d' : sir ... , ..ri�i;;•`:.0 •- . r ��� '' "7r•': : a'�1!�SE�"°:.'. � ' %:ri,' ; . ii;
{ /� Gas fireplace 10.00
_
nz t Ca l l A / 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
y f • v ,. .:. •, . ; , 2.1,4-4.7., , :? Chimney/liner /flue/vent 10.00
:(�,! )< QYTRFY t7,. _ ,® Yt0.4 -, ,
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:,... f, ',,�!..:: ..� :'� �Y• "ter' . .. Other: 10.00
Name: A h rnetd C r 0- n1 i r e Environmental exhaust and ventilation _
�4 51,' QtLtg re a Range hood /other kitchen
Address: 2 1
l: k La h � . _._ equipment 10.00
City/State /ZIP: 71 Q y^ C) Q • G ] 7- 2. 5 Clothes dryer exhaust 10.00
l Single -duct exhaust (bathrooms,
Phone: (50a ) 5 7 9 - $ 1 CCt Fax: ( ) toilet compartments, utility rooms) 6.80
- "r t�' ,r.' , ' F : •'t Attic /crawls ace fans 10.00
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.- 'I •. . .: =f. �. ,. .l,:Q�it1�� i�N�r:+.'� icy' �I::" S.' T".' Y , •:. f" I�i ..:, ^{,::��V����"!•.,.�F��.'a :'".e. ' :I��: Other: 10.00 _
Business name:
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
•
Address: Furnace, etc.
Gas heat pump
City/ State/ZIP: WalVsuspended/unit heater •
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail: • Range
:: �.( �y tt:.
i • .:i: -r • _ e Barbecue
..i ii: , 3I t'1 #y:. 4-',.,kf g.44..Pg- ':&t+ n ?a A :k:743 '41vr::git.V•.. Ar'::-•dy,4 ;.'•.:..g::. .
r�_ Clothes dryer (gas)
i
Business flame: �QYYI Cal Cal rner � o ry, !°C.e, (nC .
/ 7 'e �7� Il)((v ' Other:
Address: I is . 314 1J ~ .,�
�:; i •�� "+'.,,.: . . 1 1o, CHi1PI •
City/ State/ZIP: e poY- .4 et!'� A 41 2_3 Co Subtotal 11. C
I Fax: fir- ,, a � - 1 / Minimum permit fee (572.50) 1 '1..50
Phone: , I (
3 -�4 - i 5D 2- 5 1 ..i. " Plan review (25% of permit fee)
CCB lic.: 1 58 State surcharge (8% of permit fee) 5, E CI
� � /l �(• t(' 'r
TOTAL.. PERMIT FEE 1 2 . 3 C
Authorized Si ature: ; CCI c _ Cl � " • ' Qd This permit applteadon expires if a permit is not obtained Within ISO
1 days after it bas been accepted as complete.
Print name: G no_ k . u 4'c CIq N'ct. rd j r. I Date: a ') • 9 - 05 ( Fee methodology set by Tri County Building Industry Service Board
U 1
ilBuildinB Pcm:itsttvtEC•PermisApp.doe 12101 440-46177 (t tfoveoMIWEe)
Apr 29 05 07:46a COMFORT MECHANICAL, INC. 503-762-5394 p . 2
. . • • . . .
LOT LINE:
FIRST NAME: AHMAD LAST NAME: ORAMI
ADDRESS: 12174 SW QUAILCREEK LN CITY: TIGARD STATE: OR ZIP: 97223
INSTALLA'flON ADDRESS: 12174 SW QUAILCREEK LN CITY: TIGARD STATE: OR
PROPERTY LINE
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i
20 FT:
1 k
• 1 I i
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. .
. I !
I I
I i
FT: i FT:
! --
1 i
• 1 i
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, I I
•
1 . ,
• FRONT
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. 1
•
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4 . Z .
25 FT: 5214‘ 3A VROO' VP 7:.. •
i
.. _1.
4/1 ::-,10C. PROPERTY LINE
-
X OUTSIDE UNIT
1
CITY OF TIGARD .• _
BUILDING DIVISION PERMIT #: MEC2005 -00200
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/29/2005
Phone: (503) 639 -4171 //m l °�
Inspection Requests (24 Hrs.): (503) 639 -4175 - `- L
INSPECTION WORKSHEET FOR DATE: 5/9 /2005 TIME: 7:10AM PAGE: 98
1z , 'T k/ / /.sr( =u c .3
SITE ADDRESS: 12174 SW QUAIL CREEK LW CLASS OF WORK:
SUBDIVISION: QUAIL HOLLOW - EAST LOT #: 064 TYPE OF USE:
PROJECT NAME: ORAMI
DESCRIPTION: Installation of NC unit.
OWNER: ORAMI, AHMAD & MARYAM, PHONE #: 503- 5738700
CONTRACTOR: COMFORT MECHANICAL INC PHONE #: 503-761-1500
Inspection Request Scheduled For: Date: 5/9/2005 Pour T •
Code # Inspection Description Confirm # Contact # sage
699 Mechanical final 006213 -01 503761 -1500 Y /
Corrections /Comments /Instructions:
M,& /o12 t- /+r3L # L /c 7 r ) , . 7•' INl[ q ' o AM
AIL L LCM , p i e Diq J 7
A- A. vov < < M / AI 1 r p
(C.i
PASS . 'A AL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL V f L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:
bate: c ' hone #: (503) 718 -