Permit . • t i
A lh‘ CITY OF TIGARD MECHANICAL PERMIT
,r�^ DEVELOPMENT SERVICES PERMIT #: MEC2003 -00282
� I I 13 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2
PAARR E CELL : 2S5111 111
DA -10400
SITE ADDRESS: 15211 SW REGENT TERR
SUBDIVISION: APPLEWOOD PARK NO. 3 ZONING: R -7
BLOCK: LOT: 097 JURISDICTION: TIG
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:
Remarks: Installation of exterior A/C unit. Unit cannot be placed within required setbacks.
Owner: FEES
KRUMMANN, DAVID & SYLVIA Description Date Amount
15211 SW REGENT TERR [MECH] Permit Fee 5/30/03 $72.50
TIGARD, OR 97224 [TAX] 8% StateTax 5/30/03 $5.80
Phone: 503 624 - 1694 Total $78.30
Contractor:
COMFORT MECHANICAL INC
17936 SE DIVISION STREET
PORTLAND, OR 97236 REQUIRED INSPECTIONS
Phone: 503 - 761 - 1500 Mechanical lnsp
Final Inspection
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 -66
Issued By: L . Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
t
May 29 03 07:45a Comfort Mechanical, Inc. 503 - 762 -5394 p.1
e
Mechanical Permit Application y FOR OFFICE USE ONLY p
D Received 4.- Permit 00 - 7 'DateBy: Planning o dal � Building
City of Tigard REC EIVED planning Permit No.:
Date/By:
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 Date/By: Permit No.:
Phone: 503 - 639 -4171 F YSO2 -§98 �r:
0 Post-Review Land Use
^' �LIII/UUJ �� Date/By: Case No.:
Internet: www.ci.tigar• • us ■ eel Contact �
24 -hour Inspection R Y� j �ti' J
Name/Method: Methoa: a Su
f pplSe e Page em ental 2 Information. for
ILDING DIVI
TYPE OF WORK . • COMMERCIAL FEE* SCHEDULE USE CHECKLIST
N ew construction ❑ Demolition Mechanical permit fees* are based on the total value of the work
ddition/alteration/replacement ❑ Other: performed. Indicate the value (rounded to the nearest dollar) of all
CATEGORY DECONSTRUCTION : mechanical materials, equipment, labor, overhead and profit.
[a1 & 2- Family dwelling n Commercial/Industrial Value: $ See Page 2 for Fee Schedule
❑ Accessory Building ❑ Multi- Family RESIDENTIAL :EQUIPMENT /SYSTEMS FEE* SCHEDULE • ,
Description I Qty I Fee(ea.) i Total
❑ Master Builder ❑ Other: Heating/Cooing •
JOB SITE INFORMATION and LOCATION • • Furnace - add -on air conditioning ** 1 1 14.00 _ 14. oC'
Job site address: I C 2 i 1 Si,i ` Re4e ✓1 f e. yl� Gas heat pump 14.00
Suite #: Bldg. / t. #: Duct work 14.00
Project Name: Hydronic hot water system 14.00
Residential boiler
Cross street/Directions to job site: (for radiator or hydronic system) 14.00
Unit heaters (fuel, not electric)
(in wall, in -duct, suspended, etc.) 14.00
Flue/vent (for any of above) 10.00
Subdivision: 9 t)O� I Lot #: 9 7 Repair units 12.15
/I Other Fuel Appliances
Tax map /parcel #: Water heater 10.00
DESCRIPTION OF WORK Gas fireplace 10.00
Ctddt_ Q,O, -- covie - al 1$4..36 Flue vent (water heater /gas fireplace) 10.00
Log lighter (gas) 10.00
Wood/Pellet stove 10.00
Wood fireplace/insert 10.00
Chimney/liner /flue/vent 10.00 -
MJ'ROPERTY OWNER ' ' I ❑ TENANT Other: 10.00
Environmental Exhaust & Ventilation
Name: btv ■d. ai- So I v;.,_ ICv ti, r•r) mu h v/ Range hood/other kitchen equipment 10.00
Address: 152 i I ,<&). R-e + -r --e,ry Clothes dryer exhaust 10.00
City /State /Zip: I`lt J u-tc . q'7 ) Single duct exhaust
Phone: (p y • I t,A4 Fax: (bathrooms, toilet compartments, • '0 APPLICANT ' -' l CONTACT PERSON: utility rooms) 6.80
Name: Attic/crawl space fans 10.00
Other: 10.00
Address: :
Fuel Piping
City /State /Zip: *'(55.40 for first 4, $1.00 each additional)
Phone: I Fax: Furnace, etc. **
Gas heat pump **
E -mail: Wall/suspended/unit heater ** _
CONTRACTOR . . Water heater •4.
Business Name: (' -( --1- trie I•Cai Fireplace •* ,
Address: Ileito SE bi ✓iSI 6Y1 Si . Range •*
BBQ *•
City/State/Zip: Pot of 0 2 47236 Clothes dryer (gas) **
Phone: / lC I • I GCs() I Fax: Other: **
Total: Lic. #: -]� jJ� Mechanical Permit Fees*
Authorized `` „ Subtotal: $ I L} Q C �
Signature: ��� Date: 51 Z O Minimum Permit Fee $72.50 $ 12. - 5)
Jnct % rL GA__ 1l rel rDSO _ Plan Review Fee (25% of Permit Fee) $
S Surcharge (8% of Permit Fee) $ G. SD
(Please print name) TOTAL PERMIT FEE $ "I$,.3( )
Notice: This permit application expires if a permit is not obtained within *Fee methodology set by Tri- County Building Industry Service Board.
180 days after It has been accepted as complete. * *Site plan required for exterior A/C units.
i:\Dsts\Permit Fotms\MccPermitApp.doe 01/03
Ma ,9 03 07:45a Comfort. Mechanical, Inc. 503-762-5394 p . 3
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Comfort Maiscasical, Inc.
17938 SS alga= St-
Portland102' 97236
PA: 1504614500
Case Activity Listing 11/10/2004 12:02:32PM
TIDEMARK Case #: MEC2003 -00282
COMPUTER SYSTEMS, INC.
Assigned Done Updated
Activity Description Date 1 Date 2 Date 3 Hold Disp To By By Notes
MECA007 Application received 5/29/2003 None RECD FAX 5/30/2003
DLH
MECA008 Create Permit 5/30/2003 None DONE DLH 5/30/2003
DLH
MECA715 Mechanical Insp 6/6/2003 None PASS TLP 6/6/2003
TLP
MECA799 Final Inspection 6/6/2003 None PASS TLP 6/6/2003
TLP
MECA060 (F) Issue permit 5/30/2003 None DONE DLH 5/30/2003
DLH
MECC800 Case Finaled 6/6/2003 None PASS TLP 6/6/2003
TLP
Page 1 of 1 CaseActivity..rpt