Permit i -
r
! ila 11 CITY OP -TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00401
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/9/20
PARCEL: 25111 AD -20600
SITE ADDRESS: 08805 SW SCHECKLA DR ZONING: R -4.5
SUBDIVISION: LADY APPLE LOT: 030 JURISDICTION: TIG
PROJECT: NEWMAN
Project Description: Add AC 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:
ELE 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
UR
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
SHARON NEWMAN Description Date Amount
8805 SW SCHECKLA DR.
TIGARD, OR 97224 [MECH] Permit Fee 7/9/2007 $72.50
[TAX] 8% State Surcha 7/9/2007 $5.80
Total $78.30
Phone: 503- 746 -7064
Contractor:
CLACKAMA HEATING & COOLING LLC
15115 SE PENNY LEE CT.
CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 658 -4808
FAX 503- 210 -7094
Reg #: LIC 165630
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: e
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.
Mechanical Permit Application- v O R 0l• 1 1 ( F t S f o' 1.
, Er) Rem, • ' Permit . ,, -o c) Yo(
C�� Hall TI Blvd., Tigard, Il �- ' natder� 9 01 ''' �VI „
Ravi
Phone: 503.639.4171 Fax 51 ' ' : i Datchly: ocher Permit: •
T 1 c A h D Inspection Lane: 503.639.4175 JUL 0 9 2007 Date Ready/By: . El See Page 2 for
Internet: www.tigard•or.gov Natiftad/Mathed: Supplemental Infonnation
C Oi; D: D
....... .. . . . .. .. rypg smote COMMERCIAL FEE* SCHEDULE - USECHECKLIST
1::] New construction ®• Addition/alterationheplacement 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.
CATEGORY • OF CONSTRUCTION • Value: $
® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building RESIDENTIAL EQUIP I' l SYSTEMS FEES*
atio
For special injornfation use checklist
❑ Multi -family .. ❑ Master builder . . . ❑.Other:
Description I Qty. I Ea I Total
• - JOB SITE 'INFORMATION AND LOCATION Heatittp/coofbi •
Job site address: 8805 SW SHCECKLA DR As conditioning or heat pump (tetsims (rogimes site plea shelving placement) 1 14.00 14.00
City /State/ZIP: PORTLAND, OR 97224 • • • • - Furnace 100,0001311J (ducts/vents) 14.00
S /bldgiapt no.: Project name: 6948404 Furnace 100,000 BTU (ducts/vents) 17.90
Gas treat pump • 14.00
Cross street/directions to job sites 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: rLtrt no.: Flue/vent for any of above 10.00
• Other: 10.00
•
Tax map/parcel no.: Other fuel appliances
- DESCRIPTION OF WORK . Water heater 10.00
Gras fireplace 10.00. .
A/C ADD -ON Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Woodfpellet stove 10.00
. ... .. .. _ . - Woad Emplace/insert 10.00
• ta •
PROPERTY OWNER 1 ❑ TEtvAN'T ot yiliner/fluelvent 10.00
Other. 10.00
Name: NEWMAN, SHARON Environmental exhaust and ventilation
Address: 8805 SW SHCECKLA DR: Range hoodlother kitchen
equipment 10.00
. City/State/ZIP: PORTLAND, OR 97224 . . . Clothes dryer exhaust .. 10.00
Single -duct exhaust
Phone: (503)746-7064 Fax: ( ) toilet compartments, utility moms) 6.80
❑ APPLICANT . ❑ CONTACT PERSON Attic/crawlspace tiles 10.00 ,
Other: 10.00
Busines•name:
Fuel piping
Contact name: $5.40 for first four, $1.00 for each a dditional
Address: Furnace, eta ,
Gras heat pump
City /State/ZIP: Wall/suspended/unit heater .
Phone: ( ) I Fax:: ( ) Water heater
Fireplace
E-mail: Range •
CONIR4CiOR Barbecue .
Business name: CLACKAMAS HEATING & COOLING LLC Clothes dryer (gas)
Other.
Address: 15115 SE PENNY LEE CT. • •- - MECHANICAL PERIIIPT
City/State/ZIP: CLACKAMAS, OR 97015 • Subtotal 14.00
Phone: (503) 658 -4808 Fax: (503) 2107094 Minimum permit fee ($72.50) 72.50
Plan review (25% of permit fee)
CCB lie.: 165630 Il 141 (( State surcharge (8% of permit fee) 5.80
• ; 4 r - - . TOTAL PERMIT•FEE 7830
t ,•
. / / %• e This permit application espies ifs permit b not obtained within 180
Authorized signature: • •' �4 t t A y;`r. days after it has been accepted as complete.
I Print name: VLADIMIR MIICIJATS I Date: 07.09.2007 I • Fee methodology set by Trri -County Building Industry Service Board
11Buickg enniatMEGPerndfApp.dae04/06106 440461Tr(1L M/WEB)
I•' 1760L0 1•3£09 6u!IOOOrg6wleeH sewevelo e£9 :80 LO 60 Inf
Jul 09 07 08:53a Clackamas Heating &Cooling 5032107094 p.2
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CITY OF TIGARD
BUILDING DIVISION L PERMIT #: MEC2007 -00401
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/9/2007
Phone: (503) 639 -4171 ■
Inspection Requests (24 Hrs.): (503) 639 -4175 Ph
INSPECTION WORKSHEET FOR DATE: 7/13/2007 TIME: 7:00AM PAGE: 69
SITE ADDRESS: 08806 SW SCHECKLA DR CLASS OF WORK:
SUBDIVISION: LADY APPLE LOT #: 030 TYPE OF USE:
PROJECT NAME: NEWMAN
DESCRIPTION: Add AC unit.
OWNER: NEWMAN, SHARON PHONE #: 503 -7116 -7064
CONTRACTOR: CLACKAMA HEATING & COOLING LLC PHONE #: 503 -658 -4808
Inspection Request Scheduled For: Date: 7/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # es‘ge
699 Mechanical final 051881 -01 503- 746 -7064 Y
Corrections /Comments/ Instructions:
_ak
tor
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v / � / Date: 9/ 6 Phone #: (503) 718 -