Permit C ITY OF TIGARD MECHANICAL PERMIT
PERMIT #: MEC2004 -00250
r�l�� DEVELOPMENT H PMENg Tigard, ) 639 -4171 DATE ISSUED: 5/7/2004
PARCEL: 2S 110BC -03700
SITE ADDRESS: 12345 SW WINTERVIEW DR
SUBDIVISION: THORNWOOD ZONING: R -7
BLOCK: LOT: 008 JURISDICTION: TIG
CLASS OF WORK: NEW 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: DOMES. INCIN:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS
OTHER UNITS:
FURN > =100K BTU: < =10000 cfm:
GAS OUTLETS: 1
> 10000 cfm:
Remarks: Gas outlet for outdoor fire pit.
•
Owner: FEES
•
DON MORISSETTE HOMES Description Date Amount
4230 GALEWOOD ST [MECH] Permit Fee 5/7/2004 $72.50
STE 100
LAKE OSWEGO, OR 97035 [TAX] 8% State Surchart 5/7/2004 $5.80
Phone: 503 387 - 7538 Total $78.30
Contractor:
ALADIN HEATING & A/C
1924 SW 32ND STREET
GRESHAM, OR 97080 -8500 REQUIRED INSPECTIONS
• Gas Line Insp
Phone: 618-8311
, Final Inspection
Reg #: LIC 00044097
•
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. •
Issued By: `_ Permittee Signature: �. ��lJ.% L�- Q•�c,./Y'!
• Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
•
May 06 04 02:36p dart edmonds 503- 692 -0768 p.2
.- ,11a yr 11trA1UJ !®001/002
i
• Permit ADplic • t ® FOR orr•Icc i ;s ca t.>,'
vity of Tigard �` D ;g PertmtNo.: id 9 , L./ - per's.
13125 SW Hall Blvd., Tigard, Z.,117/ Pha Re
Phone: 503.639.4171 Fax: 5 . 9 1960 y .,,, • . , DaxiBY• OtEerPenN[:
Inspection Line: 503.639.4175
l� b �O O ,....4. • 'A I Date ed/Methe See •
Internet: www.ci.tigstd•or v6 NotiftpyMeNad, s la t Pa g e 1 nenU for f or 3u0e
1G
L R. y . .t ‘trtrrtsst } = •+-r =rr r 7I
t Ail MI ow constriction Maxim l on/alterationreplacement Mechanical pertmtfea• arc based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
ID Demolition ❑ Other
meeluoucal materials, equipment, labor, overhead, and profit.
,r%•^�_ n l k- :; ° `.i�. ,;; , ;. :�.. z J� 6) eo `;^ ', "- r i + ra r r� I, : Value: S
L 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building �' .!;.10.4;,: , o r: r I :
El Multi- fanaly ❑ Master builder ❑ For Jpeeie! Information use
= ' . ;�; :{ Sir i1 ?� ; , �r;r :i � :u(.,fl tr .,�jT,T�- „ e ,r H ". t�` Description [ Total
c, :;�: ' .:r -` ' 1 , iiA'- :'. �ti i s G .. +i fw'E naetiep/eool1og ,
Job site address: /.? 3 .../ s Sta....! („f.. J F . , - 1 61_ L � b (/ i Jar conditioning or heat pump
( regnttes site plan snowing Ptacerneng 14.00
City/State/ZIP: 'rj I a. LG'( c / 2_• 9 7 ... -3 Furnace 100.000 E17E1711 td
7 uc Wvems; 14,00
SuamdbldgJapt. no.. • Project name: 7 L; - Furnace 100.000+B7U (at ewveeu) • 17.90
Gas heat pump 14.00
Cross meet/directions to job site: Duct work 14.00
�� ! /1-1--/<_ Residential hot water system 14.00
Residential boiler (radiator or
hyeenicl 14.00
Unit heaters (fuel - type, not electric),
in-wall, in-duct, suspended. etc. 10.00
Subdivision. /70Y1� (+L%t)C& I Lot no.: L
Other: for any of above 10.00
Other: 10.00
Tax map/paree1 no.. (.,; S S {S Other fuel�a
:1: '.... !. .1': . I y t _ L'_!......_ r : o ,� :5 ,.= r ri r : n FT- � - : pliaac 10.00
.. - _ -_ . �1 f. •.._ ' S,Ijr• . .= :r � I : r h C �I. i' ....t . � G aler ep l c
�- Gas fireplace 10.00
4. ct eLvf-J d)7 el-L-74 /e E. '7 j a.43 Flue vent for water heater or gas
7 p t� 1 r J . Lrd ert� /' " fireplace 10. ,
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood ftn:place/insat 10.00
'.1. ' . - --c }•-r. -- _ - - +1 -•' - T. 1 ; r, ,r Chinmey/linerl lue/vent 10.00
''_ i ° ` - I .'t,-�7 - ..1...`''._ _ . 1i. l 'c t - .. r , . it
Name. /)cam-) Th c - r 1 S S'.erg
HL'Y1't G� Environmental exhaust and ventilation
Address: L a O ,s, c, L .1 U <<a± Range hood/other kitchen
e4uipnwnt 10.00
Cityisnuerz8: (.Gt -ijc. C - c) G 1C Y 7e.z 3`f _ Clothes dryer exhaust 10.00 ,
Single -duct exhaust (bathrooms.
Phone
( ) Fax ( toilet
,•,-,,...,:'-'..1'!:.',`.: .r :v, ,,� r , ( I i. e > > 1 , - '..;,..,",o . ii _ 1 . ` S AWe /aetvlapace fma 10.00
utility morns)
Business name: 1-a -rl SC ?Y 4
elr Y) 7 () Fusel
Or: 1
Contact name: / a -00 , .L.L' n S. ton Li 1249 rs , . 55.40 for first four; 51.00 for each additional
Address. '7' Z1& OM l\ OK j 7 L3 T Fermat ate.
f ���PPP Gera heat pump
City/State/71P: aR � Lir WaWsuspcnded/unitbeater
Phone: (S 0 Q - 59 L/ S I Feu: x (503 / 9Q - ( /to 1 Water hater
E-mail:
J Fireplace
} - r, �-r - cry.- s�-. } r* Range
I 4 i 1 _
1 h, - ,I �Il F•','.iV :L .r 177 N 77,•: Barbecue
Business name. 0 r , 1 Clothes (togs) .
j •' / otter. ). e 0 f
rs Pa-
Addta: _ iCi�q S1,0 3,)Np Si" . , -..
� Ar,�r )W
.r . ', :.' :� : : '•', >„a�n,. ':, N :� •
f5ty/State/ZIP: L J (l a /C . - Subtotal
// Cr -Y�l/ - Minimum permit fee (S72.50) 7.:2• SU
Phone: ( .R 6, D _ . Fax ( 563) Plan review (25% or permit fee)
CCB lic.: /-7/41 C7 7 // / 3 I Slam surcharge (8% of permit fee) -
TOTAL PERMIT FEE J '7y. 30
Authorized sigva[1tre J G[��`t� j Thu permit oPPUc son expires Ira wogs Is oor obtained �tmin Ito
aura attar It has been aeeepeed ow coaplele,
Print name: f 7 J e n . . 44r ``+ ? Date :5 to / oti . Fad methodology xr by Tri- County Building Industry Sennee Board
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