Permit .. t1
. ,
ip C ITY OF TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00209
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/25/2008
PARCEL: 2S 104 DA -09200
SITE ADDRESS: 13189 SW RAPTOR PL ZONING: R-4.5
SUBDIVISION: QUAIL HOLLOW - WEST LOT: 078 JURISDICTION: TIG
PROJECT: SWENSON
Project Description: Installing heat pump.
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: REPAIR UNITS: •
FIRE DAMPERS ?: 30 - 50 HP:
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
MELISSA SWENSON Description Date Amount
13189 SW RAPTOR PL
TIGARD, OR 97223 [MECH] Permit Fee 4/25/200E' $72.50
[TAX] 12% State Surch 4/25/200E • $8.70
Total $81.20
Phone: 503- 330 -0056
Contractor:
SKY HEATING & AIR CONDITIONING
1635 SE NEHALEM
PORTLAND, OR 97202 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 - 235 -9083
FAX 503- 235 -0454
Reg #: LIC 50244
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: ` �� —,...,..L„ Permittee Signature: s// f / i -
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.
•
04/24/2008 20:06 5032350454 SKY HEATING AND AC PAGE 01/02
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• IV4e chanical Per mit Application Hilt t FI(I 1 SF. ONI,
City of Tigard t\IS. Revived iI No.: f
13125 SW Hall Blvd., Tigard, OR 97223
r`� Plan Review
II Phone: 503.639.4171 Fax: 503.598. r) ' Date/By: Other permit;
l' I t n It I) Inspection Line 503,639
` / _
Internet: www.ti d -0r. av �PQ Dal? Ready[aBy:
LA el See Pa 2 for
g �� 00-.\\.44"'
G , Notificd/Mathod� . Supplemental Information
TYPE OF WO fi t� • • ��� COMMERCIAL, FEE* SCHEDULE - USE CHECKLIST
❑ Nevi construction ® A ddition/altcralacement Mechanical permit fees• arc based on the value of the work
perfomied. Indicate the value (rounded to the nearest dollar) alai'
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit,
CATEGORY OF CONSTRRUCTION Value; $
® I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building RESIDENTIAL EQV/PMENT /SYSTEMS FEES'
❑ Multi family 0 Master builder For spacial Information ntr. Checklist,
❑ Other: Description P Qty. L•a. Total
• JOB SITE INFORMATION ,.AND LOCATION •' . • . Hea tittR/cooling
Job site address: v a y ✓ • • Air conditioning or heat pump -"-
(requires rite plan showing placement) 1 14.00 l q
City /State/LIP: r ? d Furnace 100,000 BTUsducts/venta) 14,00
S _ r Furnace 100,000+ BTU (duct /vents) 17,90
j
Suite/bldgJapt. no.:. Project name: (j .) f!N
- . . Gas heat pump 14.00
Cross street/directions to job site: ( -Aj S I ! Duct work 14,00
P ,;� P Hydronic hot water system 14.00
.i X Residential boiler (radiator or _
` ` e 1 ' _I hydronic) 14.00
v.v. _ - � Unit heaters (fuel -type, not electric),
• / / in -wall, in -duct, suspended, etc. 10,00
Subdivision: Lot no.: Flue/vent fur any of shove 10.00
Other: 10.00
Tat map /parcel no.: Other foci appliances ^�
DESCRIPl ION OF : t±ORK ...;: Water healer 10.00 -
Gas fireplace 10.00
J _
s�a11 M A • • • ' . 4 • 0 Flue vent for water heater or gas
fireplace 10.00 _ _
Log lighter (gas) .10.00
_ Wood/pellet stove 1 0.00
Wood fireplace/inacrt 10.00 __
IN PROPERTY OWNER Chimncy/lincr /flue/vent 10.00
. : ' ` ' • '. Other:
Name: t 10.00
Q,�[ L_S$4 �S o !'7 Environmental exhaust and ventilation •
Address: Range hood /other kitchen
equipment 10.00
, City/State/ZIP! Clothes dryer exhaust 10.00
Single - duct exhaust (bathrooms,
Phone: ( )
�Q — Q� !_ Fax: ( ) toilet compartments, utility rooms) T 6.80
® APPLICANT' 1 � .13 f£RSON:: ; ... ^..;: Attic/crewlspace fans 10.00
Business name: SEE BELOW Other: 10.00 —
Fuel eiping
Contact name: $5.40 for first four; $1,00 for each additional
I
Address: Furnace, etc.
• Gas heat pump
City/State/ZIP: Well /suspendcd/unitheater
Phone: ( ) Fax: : ( ) Water heater
E-mail: Fireplace
Range i
• CONTRACTOR. .. 13arbccue
Business name: SKY HEATING & A/C Clothes drycr (gas) _
Address: 1635 SE NEHALEM
O
•
ther:
' .': MRCHANICAL PERMIT FEES•
City /State/ZIP: PORTLAND OR 97202 Subtotal
Phone: (503) 2359083 Fax: (503) 23404$4 Minimum permit tee ($72.50) 7,„.7 .,C0_
CC'B tic.: 50244 _ Plan review (25% of permit fee)
State surcharge (12% of permit lee) 5 :a�
TO TAL PE RMIT FEE. 1)
Authorized signature: This permit application expires if a permit Is not o btaine d within 1W)
days agar it Ws been accepted an complete.
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04/24/2008 20:40 5032350454 SKY HEATING AND AC PAGE 01/01
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CITY OF TIGARD . .
BUILDING DIVISION � PERMIT #: MEC200B -00209
(
13125 SW Hall Blvd., Tigard, OR 97223 b i . E ISSUED: 4/25/2008
Phone: (503) 639 -4171 , v , ��
Inspection Requests (24 Hrs.): (503) 639 -4175 _. '!!+� �:_.. " I
INSPECTION WORKSHEET FOR DATE: 5/30/2008 TIME: :01AM PAGE: 60
SITE ADDRESS: 13189 SW RAPTOR PL. CLASS OF WORK:
SUBDIVISION: QUAIL HOLLOW WEST LOT #: 070 TYPE OF USE:
PROJECT NAME: SWENSON
DESCRIPTION: Installing heat pump.
OWNER: SWENSON, MELISSA PHONE #: 503- 330 -0056
CONTRACTOR: SKY HEATING & AIR CONDITIONING PHONE #: 503 - 23(x9083
Inspection Request Scheduled For: Date: 5/30/2008 Pour T •4e:
Code # Inspection Description Confirm # Contact # Me '=ge
699 Mechanical final 070539 -01 503- 235.9083 Y
Corrections /Comments /Instructions:
'7 5 --/ 3 ?
3-0 po,,,,_
-50 Orv%_c inevi.-..-. '
i i, : i41
•
g PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: V& (A /I _ Date: C V C Phone #: (503) 718 -2)(