Permit '' 1 CITY OF TOGA MECHANICAL PERMIT
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''' 4 COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00065
DATE ISSUED: 2/2/2007
'T +IGD' 131 SW Hall Blvd., Tigard, OR 97223 503.639.4171
arc Ra g PARCEL: 2S110AB -03300
SITE ADDRESS: 14265 SW 114TH AVE ZONING: R -2
SUBDIVISION: COLE'S ACRES LOT: 016 JURISDICTION: TIG
Project Description: Replace gas furnace.
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: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: IT
REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR NIT S:
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
KAY MACK Description Date Amount
14265 SW 114TH
TIGARD, OR 97224 [MECH] Permit Fee 2/2/2007 $72.50
[TAX] 8% State Surcha 2/2/2007 $5.80
Total $78.30
Phone: 503- 684 -5816
Contractor:
A- ACTION HEATING
18245 SW TV HWY
ALOHA, OR 97006 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 649 -3524
FAX 503- 649 -6095
Reg #: LIC 78369
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: ' u 4 ,`' _ Permittee Signature: p p
■ 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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Mechanical Permit i-
.t�tiplic ,A. . ` : 1 ! .t� „� _.. ' , 1 , 14 to V:',A. ...
City of Tigard (... 1� ?Al EEMMEM permit Nn. G I Ott
13125 SW Hall Blvd., Tigard, OR 97223 F" . _ .- I Plan Revs Other Permit
Phone: 503.639.4171 Fax: 503.598.1960 , . , x- 'mot pct: 1 ° Date/By:
Inspection Line: 503.639.4175 * ' ai B y'i � `. .� ,�,.. B ate Re 4y Avis: 0 Sce Page 2 for
In www.ci.tigard.or.uS ° i i .�� - �:.auu Notified/Method: Supptemeatal Information
TI/PE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ New construction Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
perform::. Indicate the value (roundod to the nearest dollar) of all
❑ Demolition " N ' Other: mechanical materials, equipment, labor, overhead, and profit
CATEGORY OF CONSTRUCTION Value: $
`� RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
kC 1 and 2 family dwelling ❑ Commercial /industrial 0 Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. 4 Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
r}h
Job site address: I Air conditioning or heat pump
�a s _
(requires con site plan st/otti placement) 14.00
City /State /ZIP: • 1 e 41 � + , q Furnace 100,00 en
0 BTU (duets/vents) 14.00
4 Fumacc 100.000+ BTU (ductsvearst 17.90
Suite/bldg. /apt no.: Project name: Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type. not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: I Lot no.: Flue /vent for any of above 10.00
Other: 10.00
Tax map /parccl no.: Other fuel appliances
— DESCRIPTION OF WORK Water healer 10.00
r
Gas fireplac 10.00
p\1 G � ' E i9 /4 CG -# S �'/ L 1 4, fC Flue vent for water heater or _as
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
5( PROPERTY OWNER ❑ TENANT Chimney/liner /lice /vent 10.00
""��� Other: 10.00
Name: /?14 / 44 d- Cie—. Environmental exhaust and ventilation
Address: / J (Vt Range hot d /other kitchen i
- • j. / equipment 10.00
City /State/"" /..11': / V � t 4 �x 6 le q? 2 r J L Clothes drycr exhaust 10.00
/ Single -duct exhaust (bathrooms.
Phone: (02 6 e ` , 5 --- B 1'a, : ( ) toilet compartments. utility rooms) 6.80
�APPLICAN'1 I ❑ C :ONT:ACT PERSON A1tic/crnwlspace 10.00 ---
1?a,incss name, - -- — Oi.hcr. —_ - ? 1. :) ii0
A Action Heating, Inc. Fuel t ipi..t ~
Contact name: 'S5.40 for first four; :1.00 f'or each adrtitiraat
18245 S.W. T.V. Hwy. Furnace. ere. f C
dr_
aICS Aloha, Oregon 97006
g Gas heat pump
City/State/ZIP: Wall/suspended/unit heater 1
Phone: (56) (,,,j_q_ 3�,, k.1 Fax: : ,3) 6,c 6 4 z, - Water heater
Fireplace
E -mail: '
Range
CONTRACTOR Barbecue
Business name: Clothes dryer (gas)
A— Action Heating, Inc. Other: i
Ailuiess 18245 S.W. T.V. Hwy. MECHANICAL PERMIT FEES*
c ity /State/Zlt': Aloha, Oregon 97006 Subtotal ; ?g p
� �
- / c Minimum permit ti.�; ($i2.jU)
Phone: (5) 3 6, 3 2 4 Fax: ( O3� 6. 4 - P
C 75 ( 2 5 % fee)
CCtl tic.: State ( 3 % a p e , Ice)
C � /� / �
(Atli l r ia:d ,�.tiu 1 urc: b
TOTAL PERMIT FEE 7B , d t5
• �� :.. _/ . — , f This tiennil npptication eepires tt :r permit is not obtained within 180
4 :
—_ .— �-- _ _ _ 4lays after it has been accepted as complete.
' Print =lace - Exile: , Fix .,, : : :liH1,11U 4sL b I •,_:Ira }: i ,ildi,i . loth:st- Scr•icc Bev.:-(!
I 07;.
T'd 5609- 6.b9 -EOS 21-Iq.eaH uvt.Qd Li dL0 =170 GO TO qaj
CITY OF TIGARD •
,
BUILDING DIVISION
PERMIT #: IVIEC2007-00066
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2r212007
Phone: (503) 639-4171 a#8 1 1 0 1 11104
Inspection Requests (24 Hrs.): (503) 639-4175 . ■ IL ,7&C 6 7- 0 0 0 (05
INSPECTION WORKSHEET FOR DATE: 3/21/2007 TIME: 7:02AM PAGE: 26
SITE ADDRESS: 14266 SW 114TH AVE CLASS OF WORK:
SUBDIVISION: COLE'S ACRES LOT #: 016 TYPE OF USE:
PROJECT NAME: MACK
DESCRIPTION: Replace gas furnace.
OWNER: MACK, KAY PHONE #: 503-684-5816
CONTRACTOR: A-ACTION HEATING PHONE #: 503-CA9-3524
Inspection Request Scheduled For: Date: 3/21/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Methanical final 046178-01 503-684-6816
Corrections/Comments/Instructions:
r46
,
0 " ?Pew lc" Z(3249/C-eg 449;
I PA Li PARTIAL APPROVAL 0 CANCEL fl NO ACCESS
FAIL I CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
Inspector: , Date: g —2j—a 7 Phone #: (503) 718-
_ .
CITY OF TI'ARaD •i Ar,-,
BUILDING DIVISION PERMIT #: 1■3Et200e -00065 •
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/2/2007
Phone: (503) 639 -4171 A zAI MPWIIV'II
Inspection Requests (24 Hrs.): (503) 639 -4175 ':_.. 006 S
INSPECTION WORKSHEET FOR DATE: 22/14/2007 TIME: 7 :01AM PAGE: 31
SITE ADDRESS: 14266 SW 114TH AVE CLASS OF WORK:
SUBDIVISION: COLE'S ACRES LOT #: 016 TYPE OF USE:
PROJECT NAME: MACK
DESCRIPTION: Replace gas furnace.
OWNER: MACK, KAY PHONE #: 6073-664-5816
CONTRACTOR: A- ACTON HEATING PHONE #: 503 - 619.3524
Inspection Request Scheduled For: Date: 2/14/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 043296 -01 503 -684 -5816 Y
Corrections /Comments /Instructions: }
i tLsu7-'r ' C, "P.411-/' •— �/t� �(i'
2c L i/'I'.ity- S— I/
/ 4(1:15
PAS' I I PARTIAL APPROVAL n CANCEL n NO ACCESS
FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: .,/�, Date: A te-- i.4 --ei'l Phone #: (503) 718- ��