Permit CITY OF TIGARD MECHANICAL PERMIT
s '' COMMUNITY DEVELOPMENT Permit#: MEC2014-00201
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/01/2014
Parcel: 2S 110AD09600
Jurisdiction: Tigard
Site address: 14650 SW 106TH AVE
Project: Galway Hills Condominiums Subdivision: LANG HILL Lot: E
Project Description: Install ductless a/c in pool house
Contractor: JEFFS HEATING&COOLING INC Owner: CALWAY HILL HOMEOWNERS ASSOC
23875 JOHNSON RD BY STAN ADKINS BUILDER, INC
WEST LINN, OR 97068 8459 SW BARBUR BLVD
PORTLAND, OR 97223
PHONE: 503-557-4635 PHONE:
FAX: 503-557-3870
FEES
Specifics: Description Date Amount
Type of Use: MF Permit Fee 05/01/2014 $194.93
Class of Work: ALT Type of Const: Plan Review 05/01/2014 $48.73
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 05/01/2014 $23.39
Stories:
Project Valuation: $4,600.00
Fuel Air Handlers
Fuel Types: Units<10000 cfm:
Gas Pressure: Units>10000 cfm:
Furnaces Boilers&Compressors
Furnaces<100K BTU: 0-3 HP:
Furnaces>=100K BTU: 3-15 HP:
Floor Furnaces: 15-30 HP:
Unit Heaters: 30-50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning: 1
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $267.05
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notific tinn Center. Those rules are set forth in OAR 952-001-0010 through OAR 952- 90. You may obtain a copy of the rules
or direc estions to NC b emailliiinng 503.232.1987 or 1.800.332.2344.
Issu By: C / ( /il i �t /1 n Permittee S gnature: `,� ,
' ..�=i ./
Call 503.639.4175 by 7:00 a.m.for the next available ins•- tion date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit A liNED
City of Tigard D y: ij Puma No/// Pum No etr G96l r 4e)d 0/
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Other Permit \
Phone: 503.718.2439 Fax: 503.598. 1 2014 DeBy
, , , i ., Inspection Line: 503.639,4175 Date Reedy/By tuns B See Page 2 fir
Internet www.tigard-or.gov CITY 01-IIGARD Notified/Method supplemental 1ahrratlw
CITY rf$l�lV C(1N►tMLNCIAI Imo" ICCIi>EDV1 t 11� CYi�T
'Mai/flake Mechanical permit fees are based on the value of the work
performed.indicate the value(rounded to the nearest dollar)of all
❑New construction ArAddition/alteration/replacement :.u.
mechanical materials,e! .tiu►u;ua 1 - +..
•
❑Demolition In(titer: Value:S ,r I
CATEGORY OF CONSTRUCTION RESIDENTIAL E UW SYSTEMS Far ` „�
❑ I-and 2-family dwelling ❑Commercial/industrial -N Accessory building Fur special information usecheckllst.
❑Multi-tainily ❑Master builder ❑Other: Description I Qty. 1 Ea. 1 Total
JOB Sf11 INFORMATION AND LOCATION Heattng/coollm:
t>4 ,
Joh site address: /4t 6 5.Q S 4 / G i r~rf Air conditioning , 46.75 .S`
City/State/ZIP: jet✓ cf1,. A 7 f�- 'Y Furnace 100.000 BTU(ducts/vents) 46.75
Suite/bldg./apt. Pro�ect name: / /�1 Furnace 100.000+BTU(doetsivemt) 54.91
c no.: Project C.4LC71.4a_
Cross street/directions to job site: 4� ! (!'fir Heat pump I , 61,06 ,
TAIL ^ I0 / Duct work 23.32
f r )lydronic but water system 23.32 , I.
few( AS.0 t, a,. . fLf9/L./ Residential boiler(radiator or
hydronic) 23.32
~Unit heaters(fuel-type,not electric),
Subdivision: Lot no.: in-wall,in-duct,suspended,etc. 46.75
Tax map/parcel no.: Flue/vent for any of above , 23.32
]
DESCRIPTION OF WORK Other: 23.32
(/C L/ 11f,� 1� C. A--- td e9/ h44tr,4t _Uttar fuel appliances:
Water heater 23.32
Gas fireplace/insert 33.39
Flue vent for water heater or gas
fireplace 23.32
....,,c
At PROPERTY OWNER I ❑ TENArrr Log lighter(gas) 23.32
Wood/pellet stove 33.39
Name: C
Wood fireplace/insert 23.32
Address: Chimney/liner/flue/vent 23.32
City/State/ZIP: Other: _ 23,32
Phone:( 1 Fax:( L) Euvironnteatal exhaust and ventilation: ... Ft..,
,retttRI.ICANft' c+ CONTACT PERSON Range hood/other kitchen
r 'q
�i /� equipment 33.39
Business name: f� L� Clothes dryer exhaust 33.39
Contact name: 7.42,4A.(Q0 Single-duct exhaust(bathrooms.
' g
7 toilet compartments,utility rooms) 23.32
Address: 3 7,7,by „SdIL� �1/
Attic/crawlspace fans 23.32
City/State/ZIP: Kiev- 444". '" 5 )?
Other: 23.32
Phone:A-11) , or/.• 3 7114 j Fax::(i .7 c g
3 k 9-0 Fuel pipin
F.-mail: r= i tO -,+-a� ...Air 514.15 for first foar:54.03 foe each additional
CONTRACTOR ' '"' Furnace,etc. r (
business name: s 4 hi 7 K1 rot.e....„ Gas heat pump
Address:Z?8 r If&f}A,S 0A-,- R_) ,Wall/suspended/unit heater
l'ity/state/l.IP:lye 17Lf�4. , -Q }Y water heater
Phone:(v `- i Fax: ' 7) ` f_ ? • • r Fireplace
CCB lic.: 9 91/ 7 i "x 9,y /s' Ranje
Barbecue
Authorized signature: MO"- Clothes dryer(gas)
Print name: Y J'/a/a pAc.�4'.><V a. I Date: /../tf ! Other:
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