Permit CITY OF TIGARD
� :� MECHANICAL PERMIT
�� °���� COMM UNITY DEVELOPMENT
PERMIT #: MEC2007 -00298
TIGAARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/23/2007
PARCEL: 1 S134CC -03400
SITE ADDRESS: 12492 SW WINTER LAKE DR ZONING: R -4.5
SUBDIVISION: CAPSTONE LOT: 001 JURISDICTION: TIG
PROJECT: HILLYER
Project Description: Replace existing 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:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
HILLYER, BRUCE A + LISA A Description Date Amount
12492 SW WINTER LAKE DR
TIGARD, OR 97223 [MECH] Permit Fee 5/23/2007 $72.50
[TAX] 8% State Surcha 5/23/2007 $5.80
Total $78.30
Phone:
Contractor:
CARSON OIL COMPANY INC
3125 NW 35TH
PORTLAND, OR 97210 REQUIRED ITEMS AND REPORTS
Contact #: FAX 503- 222 -0186
PRI 503- 224 -8500
Reg #: LIC 8388
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: Permittee Signature: I -pp c l (Y}(
Call 503.639.4175 by 7:00 a.m. for inspections that business day.
• 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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.liuii cuuua • so VAT 50359819 CITY OF TIGARD O/1 nut
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Per No,: die r00 •a; City of Tigard ).: D ,. S 23
13125 SW Hall Blvd., Tigard, OR 97223 Plan Reviewer Permit: ® Phone: 503.639.417) Fax 503.598.19 4 2 3 2007 Dare/B ,
Y Iospeetioa Line: 503.639.4179 D:de Re • yBy; , ee Pane 2 tar
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SupNementot termination
; Internet: www.tigard-or.gov i § r' I '. c % , y itui l tie umeihed:
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Mechanical permit fees' are based an the value of the work
Now construction pi Addition/alteration/replacement perthrmed. Indicate the value (rounded to the nearest dollar) of all
3 Demolition 'At' Other: f ? y icy mechanical materials. equipment labor. overhead. and profit
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1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
. _ . 31.13 ,a ' 3333• i •�. 1 . .
Fur special information use checklist,
Multi family ❑Master builder ❑ Other: Ctsaipt►on LQty. J Ea. 1 Total
4-; • :i-.3- * * - ' 9 4.4 ta ;icB; i, l ,: tt , t li ', ice''` '.' .':t Heatingleaolins
II Air conditioning or heat pump
ob site addr as. a 1 "1 - q a J1,4 kI1 MT EE 1--A LE D 2. to nine site Ian shwc l aoerniatt 14.00
:ity /sraterGiP: G
87223 Furnace 100,000 BTU (ducts/vents) 1 14.00 / • `
1 , Fum9se.lOD,000+ BTU (du�s/vents) 17.9
;Wm/bldg./apt. no.: ProJcet nom: 8 Rt.l i fit 1l U Eft. as heat pump , 14.00
.",Toss street /directloas to job site: SW / .25"` � �-, 1 Duct work 14.00
„HYdrooto hot wacgr system . 14,00
Residendalboiler (radiator or
bydronie) 14.00
Unit heaters (Rtes -type, not electric),
In -wail. is -duct suspended em. 10.00
Lo no.: Flue /vent for any of abovo 10.00
Subdivision: Other: 10.00 _
Tax map/parcol no.: Other fuel appliances
!r "b. , 7 � 7 1 ' Weitz heater 10,00
' � �t Gas fireplace _ 10.00
o G . : 4 4 - Ai, , r Flue vent for water heater or gas 10.00
fireplace
Log lighter (gas) 10.00
Wood /pctlot stove 1 0.00
Wood fireplace/insert 10.00
�, x; ,, : - r, T r ,..,T , ,,, Chimnynl�er/tiue/vent -- - 10.00
::•' •d':,I ? ]i� '7 °, I' S'i' .j.i iv ,
L . Other: 10.00
: .1,
Name: R� f'1.i, ( EA Enviroo otel e xhaoet and van 'Iation
1 Y Range too o err kite en
Address: /�e / .5'1A1 i /47 DR , equipment 10.00
City/State/ZIP: -- 9 7223 Clothes dryer exhaust 10.00
ry 1 7 1Li�R� �72 I Singh- dum exhaust (bathrooms,
Phone: (503) Bpi, ,, L i a 85 - Fax: ( ) toilet compartments, udlity rooms) 6. BO
y :, ;v �,;,' a t 1 + . '§�' : i' d ,.. , �. �,.,•. A Anidaawls otans 10,00 =
s= .� 6';.'' 3 ,;4 + itr bf+�!ager ,1 �,., i'.1 1;' " t '' - 10.00
Othhcr:
Business name: I , ; , 01 ` e u e : , Fuel piping
Contact name' 1 M I4AI . ot. 2 - PAUL tilAllio 6 $5.40 for first Poor; 51.00 for each additiona
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Furnace, etc
Address: / A �35 ' SL - _ - - - Gas heat pump
City /Statr/ZIP; 7 2 / O Wall/suspended/unit heater
l� D G.��tQyi -nle"
' / Fax: A3 )222 - 6186 Water heater
Phone: (503) x� ' .�s Fir m lane .
'mail: Jiffc l /,, j A • , . • 'L Go"l Renee
' !- '.1 . . , . - : `ti' 'l:I n � . „ / }+r y ' , . , �n.. r ),. .,........,-1 v; , ,t• Barbecue • \T :•iY.i �: t � la�l.l t•. .• .. f, . f� > ' . t. ,. •.11 .. ♦ ..` 1••'
I Clothes dryer (Etas)
Business name: - .. . ' / ` _A i . f
. Oth f ..
Address' .i/.2• ✓ : ':�' ' ;c ' tr�tl ti�.,y
Subto ;,.
City /State/ZIP: p„, , :. ! � ' °
. /p tal h ..
Minimum pemdt fee (572.5 7a, 50
Phone: (563) s / 7k 9 x,95 Fax: (Ze) 222 no 184 Plum review (23% of permit foe)
CCB tic 3 8 G State surcharge (B% of permit fee) .5, 8d
0 0 � ��� , / bees PERMIT PILE 78.36
• LGU / / / / J / g a - - N 1
This Det�nit applreet c h a r m s t i e is nor obtained within 180
Authorized signature: days alter it has acceereptepre d as complete.
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