Permit CIT OF TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00671
TtGA DATE ISSUED: 11/16/2007
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S133CD -06000
SITE ADDRESS: 11763 SW SWENDON LP ZONING: R -25
SUBDIVISION: COTSWALD MEADOWS LOT: 058 JURISDICTION: TIG
PROJECT: TRYON
Project Description: Replace gas furnace
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: DOMES. INCIN:
NAT 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: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
SUZIE TRYON Description Date Amount
11763 SW SWENDON LP
TIGARD, OR 97223 [MECH] Permit Fee 11/16/20C $72.50
[TAX] 8% State Surchaq 11/16/200 $5.80
Total $78.30
Phone: 503 407 - 9315
Contractor:
A -TEMP H EATING & COOLING
16000 SE EVELYN ST
CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 650 -5014
FAX 503 -557 -2990
Reg #: LIC 71878
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 OU NC by
calling 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature ( `��
Call 503.639.4175 by 7:00 a.m. for inspections that busine 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.
11/15/2007 15:43 5035572990 A-TEMP HEATING PAGE 01/01
. . .
Mechanical Permit Annlication . FOR OFFICE USE ONLY
•
City of Tigard ti\.... t 'D,, c `tc a rB y ivcd ! // /5 7 - y Permit No.: if
Me ej 7.. (:) 7 /
,I . 131 SW Ran Blvd., Tigard, OR 97223 olnh12cvicw
' n ,' . Phone: 503.639.4171 Fax: 503,5 j .....
V\ ......... Other Porrnit,
• / (IA RD Inspection Line: 503.639.4175 1,. Data Rendy/By. irri.-- 12I See Page 2 for
Internet: www.tigard.or.gov NobilectiMeihod 7 / Suppiemmtat intermatian
::;:i:i1: ,etoiiikEivexiit atigt1:::liaihitaiV;44.bifittigt: • /vieel;tircal permit fees' arc based on the value ofthe work
0 New construction El Additioa/alterationfreplacement
performed, Indicate the value (munded to the nwirest dollm of all
El Demolition 0 Other: mechanical materials. , ti mcnt. labor, overhead, and rofit.
.. Vahte: 5
::;:0SUD.;;! 1 $1 . 410#0*:;:ei!::!!!!!!:T, : :';:!;ig . ::;F ,.......... . ...,. .. . „., ..... . . „ „,,.„.„,,. . . .., .. .. „.„..........., • ::::;:ki:::4*00.014:0,0,4140000.0140010;&a:
IS1 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory buildi ng
For special i stformarlarr use checklist.
El Multi-family 0 Master builder 0 Other: Description Qty. Fa. Total
1,-tt.010t.i,Ki.Wi:Vili IlenOnWconlIng ... -
Air conditioning or heat pump
lob site address: 11763 SW SWENDON LOOP .uires sit. inn showin_ IRCernern1 14.00
City/Statc/ZIP: TIG 97223 Furnace 100,090 13'W (cluctslycnrs' 1 14.00 14.00
rn
Fuace 100.000-4- MIT (duct,/vents) 17.90
Suite/bldg./apt, no.: J namc: TRYON Cias heat pump 14.00
Cross strect/directions to job site: Duct wink 14.00
— Hydronic hot water system 14.00
— Residential boiler (radiator or
— .
....dronic) — 14.00
----- Unit heaters (fuel-type. not electric),
in-vvall, in-clued. suspended, ctc. 10.00
Flue/vent for ally of above 10.00
Subdivision: Lot no.:
— .-, Other: 10.00
Tax map/parcel no.: Other fbc,...,tiatices
U0.--''''''------,i0.$i0*,11#.0,ki::IM:;:i.:7,1777,:.:'::gtn:V;f:.g:.:'!:' Water heale -- 10.00 • Oas fireplace 10.00
REPLACE EXISITNG CAS FTJRNACE . Flue vent for water hearer or grin
.....
— fireplace 10.00 •
-- —
- — "...ogligliter (gas) 10.00
Woodipetiot etove 10.00
Wood fireplace/insert 10.00
. ..,....,,,..... .,....... ......7 ChlinnCY/littOrifille/Verd. 10.00
:':ij.M : ,'kiti■ --------- '"" --"----------- j .a.... ft • i.;. -------- 10.00 -
Name: StJZIE TRVON EnvIromnental exhaust and ventilation —
----- Range hood/other kitchen
Address: SAME AS ABOVE equipment 10.00
_ .
City/State/ZIP: Clothes dryer exhaust, 10.00
— Single-duct exhaust (bathrooms,
Phone: (03)407-9315 Fax: ( ) toil ot compartment, utility roorna) 6,80
A fans 10.00
.i.;!:i;;Pi.;I:!4ArAli..0 PiO4$1.14.,!r.fAl0:400::.''
, Other: 10.00
Business n:i.mc
Facl leplug
Contact name: :-. SS.40 for first Tonr; $1.00 for each additional
._.
Address —214131413-124/124Crfl Furnace, etc.
; ,-
...— 16000-SEEvelyo-St---, On Ilmt pump
City/Statc/ZIP; Clackamas, OR 97015 Wall/suspcndctlionn heater
.
Phone: ( ) 03;651f4144", ( ) i ,, Wrdcr heater
_, 4 lits)lacc
E-inaii; . Range
elei.gt,Itilkto Barbecue
Clothes dryer (es)
Business name:
- -- — Other:
Address: A.-TEMP REATDIO AND C0011140 INC iii4ta00t;:i4.ti*Offilt04:04:::ii,::!:;;O:ni'd1;
. st
City/State/ZIP: . _ Subtotal 14,00
"tt,5- ,
.
Phouc: ( ) 503-6'0 '''r 4 157--.....-C:-,...9ip Minimum penult fee (S72.50) 72,50
Plan review (25% ofpormit fee) .
CCT3 Iic.: 71878 State surcharsc (8% of permit fcc) 5.80 .
.----. -- .
TOTAL PERMIT FEE, 71.60
Authorized ignat
no permit npplicatinn eXpirttA if n pent& 1% not obtained within $U
s 1 ti \-/t-A-Geit._." days after It has hem, accepted :IF COMPlete.
3
•
•