Permit ,
)4, n C`1TY OF TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00323
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/23/2008
PARCEL: 2S103CC -11900
SITE ADDRESS: 12050 SW WHISTLER'S LP ZONING: R -4.5
SUBDIVISION: WHISTLER'S WALK NO. 2 LOT: 066 JURISDICTION: TIG
PROJECT: BUSSANICH
Project Description: Installing A/C.
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: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
TYRON BUSSANICH Description Date - Amount
12050 SW WHISTLER'S LP
TIGARD, OR 97223 [MECH] Permit Fee 61231200€ $72.50
[TAX] 12% State Surch 61231200€ $8 70
Phone: Total $81.20
Contractor:
HEAT RELIEF CO
13122 NE DAVID CIR # 800
PORTLAND, OR 97230 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -261 -9915
FAX 503- 261 -9814
Reg #: LIC 122424
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 • / - - ittee Signature: !`%��� // ri/V
Call .40.4175 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.
r Mec hanical Permit A lication ED FOR OFFICE USE ONLY
0 Received
City of Tigard Date /B df Permit No L t. J;
° 13125 SW Hall Blvd., Tigard, OR 97223 p Plan Review
Phone. 503.639 4171 Fax. 503 598.1960 J U N 0 2000 Date /By Other Permit ow
TI GARD Inspection Line: 503.639 Date Ready /By 21 See Page 2 for
Internet. www.tigardor.gov C rry Of TIGARD Notified/Method
MI Supplemental Information
A'DIN(" DIVISI ®N
TYPE OF COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ New construction ® 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.
CATEGORY OF CONSTRUCTION Value: $
❑ 1- and 2- family dwelling ❑ Commercial /industrial RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ Accessory building
For special information use checklist.
® Multi- family ❑ Master builder ❑ Other:
Description I Qty. I Ea. 1 Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
J c h 5S a , r t � c ✓ / Air conditioning or heat pump 14 .00
Job site address: (�) V� J W �l l•(,(jr
(requires site plan showing placement) A
City/State /ZIP: b1 1 ! l 0 ( /' 1 � '� 3 Furnace 100,000 BTU (ducts /vents) 14 00
,
Sulte/bldg. /apt. no.: Project name: [r \ / Furnace 100,000+ BTU (ducts/vents) 17.90
53C / C 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: Lot 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
I '\ S \ , , s ^ -N I Gas fireplace vent o 10 00
X7 J vv j "'� , l!l � 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
(PROPERTY OWNER I. ❑ TENANT Chimney/liner /flue/vent 10.00
V Other: 10 00
Name: °� 7 / iron �� SS )�� Environmental exhaust and ventilation
Address: , C<` N. (2-S CO /C_. Range hood/other kitchen
equipment 10.00
City/State /ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
t 4 PLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Business name: HEAT RELIEF Other: 10.00
Fuel piping
Contact name: MARK DEFRANCISCO $5.40 for first four; $1.00 for each additional
Address: 13122 NE DAVID CIR DR # 800 Furnace, etc.
Gas heat pump
City/State /ZIP: PORTLAND, OR 97230 Wall/suspended/unit heater
Water heater
Phone: (503) 261 -9915 Fax: : (503) 261 -9814 Fireplace
E -mail: Range
CONTRACTOR Barbecue
Business name: HEAT RELIEF Clothes dryer (gas)
Other:
Address: 13122 NE DAVID CIR DR # 800 MECHANICAL PERMIT FEES*
Subtotal Linn
City/State /ZIP: PORTLAND, OR. 97230 Minimum permit fee ($72 50) 7
Phone: (503) 261 -9915 Fax: (503) 261 -9814 Plan review (25% of permit fee) ._
CCB lic.: 122424 State surcharge (12% of permit fee) 9', in
TOTAL PERMIT FEE I) .20
This permit application expires if a permit is not obtained within 180
Authorized signature: 22Zei L days after it has been accepted as complete.
* Fee methodology set by Tn- County Building Industry Service Board
Print name: MARK DEFRANCISCO Date:
I \Building \Permits \MEC -Per utApp doc 04/06/06 440 -4617T (I 1 /02 /COM/WEB)
06/18/2008 14:47 5036126725 SEARS PAGE 07/07
2008 -06-18 0602 ROB CUMMING 5035928597 5036925065 P 12/15
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2008- 00323
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/23/2008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 W 1.L
INSPECTION WORKSHEET FOR DATE: 6125/2008 TIME: 7:00AM PAGE: 17
SITE ADDRESS: 12050 SW WHISTLER'S LP CLASS OF WORK:
SUBDIVISION: WHISTLER'S WALK NO. 2 LOT #: 066 TYPE OF USE:
PROJECT NAME: BUSSANICH
DESCRIPTION: Installing NC.
OWNER: BUSSANICH, TYRON PHONE #:
CONTRACTOR: HEAT RELIEF CO PHONE #: 503
Inspection Request Scheduled For: Date: 6/26/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 071829 -01 503 -997 -9153 N
Corrections /Comments / Instructions:
c bvt,1,.dio Lit.-d 5 - 1C 7/Z4 -q-- zed
•
[ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ! CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
-°41111°
Inspector: • Date: Phone #: (503) 718- -9