Permit 1
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C ITY OF TIGARD MECHANICAL PERMIT
iftil DEVELOPMENT SERVICES PERMIT #: MEC2006 -00212
° �J I I DATE ISSUED: 5/18/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1 S133DB -05300
SITE ADDRESS: 11223 SW WINTER LAKE DR ZONING: R -12
SUBDIVISION: BRITTANY SQUARE NO. 4 LOT: 081 JURISDICTION: TIG
Project Description: Replace AC
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:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
CHEW, FREDDIE AND Description Date Amount
THEAN, JASMINE
11223 SW WINTERLAKE DR [MECH] Permit Fee 5/18/200€ $72.50
TIGARD, OR 97223 [TAX] 8% State Surcha 5/18/200E $5.80
Total $78.30
Phone: 503 -524 -3584
Contractor:
HEAT RELIEF CO
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1311 NE 116TH AVE.
PORTLAND, OR 97211 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 260 -0077
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: /41 Permittee Signature:
494#12„&e.-4.4.-.1)
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.
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Ma 17 2006 2:01PM HEAT RELIEF Heating & Coo 503 261 9814 P.1
rleehanic� Permit App _, "} P ttlit()1t1( l ttit.():11.1
ity of Tigard Received ri o e ' Permit No.: .) _e
1125 SW Hall Blvd., Tigard, OR 97223 Plan Review /
lone: 503.639.4171 Pax: 503.598.1960 °I�� / ���� �
: > ,;.. ;;;.,, 1 I Other Permit.
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spection Line: 503.639.4175 Date Ready/By: >a Ilea Page 2 far laformatloa
Bernet: www.ci.tigard.or.ua s
�1 OF T1CaA' ! Notified/Method:
ed/Method: L�
= ON
New construct ion r': ditiON8lteratiattJrcpltleemettt Mechanical permit fees* are based on the value of the work
]
] Demolition per; performed. Indicate the value (rounded to the nearest dollar) of a
mechanical materials, equipment, labor, overhead, and profit S �Aa:4J F, If ,. ' i. �''' �, I ; j : '- -.. _. 4, t 1 p .::
*,1 and 2 - family dwelling ❑ Commercial/mdustrial ❑ Accessory building :: ,, : .
Multi family ❑ Master builder 0 Other: For special Gtjonvrafion use checklist E
` Description ! Qty. Ea. I Total
.3 t ,. I J I r -..� i )
ti., ;I :1 ! Heating/cooling
site address: ' /// c p� _ - • Air conditioning or heat pump
" J •:.Bf Il' f �� (regattas site plan showing placement) 1 14.00
:i ty/5tate/ZIP: � / Furnace 100,000 BTIJ(ducta/vents) 14.00
la if - c• -- Furnace 100,000+ BTU (ductr/vcab) 17.90
;uitelbldg./ apt. no.: Project name: Gag heat pump 14.00
doss street/direction to job site` Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit beaters (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
fax map /parcel no.: Other fuel appliances
° c l '`' , - i r <'} ...I v ! ,;,..m +. ' Water heater 10.00
t3as fireplace 10,00
_s. 0111a. Flue vein for water heater or gas
fireplace 10.00
111k' Log lighter (Ras) 10.00
' o..∎ aLz et = _ - � =� Wood/pellet stove 10.00
s — Wood fireplace/insert 10.00
Yr i F I , ' 1:; Chimney/liner/ilue/vant 10.00
Vane: . / Other: 10.00
% - 1� _. Environmental exhaust and ventilation
4ddress: i , Range htrodlother kitchen
equipment 10.00
L'ity /Statt�/ZIIPP�: Clothes dryer exhaust 10.00
?hone: Gt S Fax ( ) Single -duct exhaust (bathrooms,
s toilet compartments, utility rooms) 6.80
{ f i , _5,,.,.: + ti t ..... ' i l .. .. „; Atoc /crawlspace fans 10.00
8usittess name: QA _ a 2 11 Q- t 10.00
Fuel piping
Contact name: Ark Le_ f reset use Ca $5.40 for first four; 51.00 for each additional
Address: 3 t 2, a N , 4 / ._ ' • _A. sit 8O D Furnace, etc.
Gas heat pump
City /State/ZIP: Poi'*i , R ` . 97 3 Wall/suspended/unitheater
Phone: (5) AA._ get + 5 Fax; : (5/8 ) ( ." a/ Water heater
Fireplace
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E-mail: u /1 g�a/ ♦. 1 Range
14 S ' r.�t t� t . t i1 1 v r
r.`.::k+.JS u _.. tz] �. !`.. ..,� .<..�. i� �.� t '.','-',:'''',1.'".‘•,.,.''i''''!, Barbecue
Business name ---= ��� ' Clothes dryer (gas)
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Address: sl ?b $ Other:
LL A 6 ,.i t✓ .. y I :. i ' t s I 'J� c�?�y r • ',
City /State/ZIP: / r tti,
Lilt/ ' _ 6y q " 7 30 Subtotal
Phone: () a is- Fes: (.. ) �! 8/ Minimum permit fee (572.50)
Plan review (25% of permit fee)
CCB tic.: I a1 a
_ State surcharge (846 of permit fee)
/ i TOTAL PERMIT FEE T7
Authorized signature: Ar - . Thin parmlt application expires ff o peradt b sat obtained within 113C i L /� /•/��1 days after ft has been accepted ae complete.
Print name: _ p_ J „ .,. _1, c_.O Date: • Fee methodology set by TS-County Bounding Industry Service Board
to ..u■■Ao.....o.,uer_v.,,..n•,.a oh. ',MI ..- ... —... _....__•
May 17 2006 2:02PM HEAT RELIEF Heating & Coo 503 261 9814 p.3
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CITY OF TIGARD
BUILDING DIVISION � PERMIT #: MEC200&00212 j
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/18/2006
Phone: (503) 639 -4171 mit,o
Inspection Requests (24 Hrs.): (503) 639 -4175 .
INSPECTION WORKSHEET FOR DATE: 5/26/2006 TIME: 7:00AM PAGE: 70
SITE ADDRESS: 11223 SW WINTER LAKE DR CLASS OF WORK:
SUBDIVISION: BRITTANY SQUARE NO. 4 LOT #: 081 TYPE OF USE:
PROJECT NAME: CHEW
DESCRIPTION: Replace AC
OWNER: CHEW, FREDDIE AND, PHONE #: 503-5243584
CONTRACTOR: HEAT RELIEF CO PHONE #: 503.260-0077
Inspection Request Scheduled For: Date: 5/26/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 030597 -01 503413.8102 Y
4. /3
6)
Corrections/Comments/Instructions:
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I/a - _ SS El PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: i ke Date• A 0 c Phone #: (503) 718- `��