Permit '. 1i ::-:-. ��V CITY OF TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00342
: TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/30/2008
PARCEL: 1 S133AD -05800
SITE ADDRESS: 12915 SW HAWKS BEARD ST ZONING: R -7
SUBDIVISION: AMART SUMMERLAKE LOT: 102 JURISDICTION: TIG
PROJECT: SPEROS
Project Description: Replacing furnace, vent to water heater, and gas piping to range.
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: 1
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 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: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
EVANGELO & MARLENE SPEROS Description Date Amount
12915 SW HAWKS RD
TIGARD, OR 97223 [MECH] Permit Fee 6/30/200E $72.50
[TAX] 12% State Surch 6/30/200E $8.70
Total $81.20
Phone: 503- 887 -3488
Contractor:
ANCTIL HEATING & COOLING
4320 N WILLIAMS AVE
PORTLAND, OR 97217 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -281 -0752
FAX 503- 282 -5722
Reg #: LIC 8897
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: ernittee Signature: ,
..,,e.„,... Call 503.639. 175 by 7:00 a.m. for inspections that busines 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.
, . . ,-, -(-1 1m
. .
. . .
Mechanical Permit Aroplica4i;tiL,I V l',-el ll. FOR or USE ONI .
City of Tigard Received C .:7 •
Datc/13y; 47:M Permit
1 11 " .13125 SW Hall Blvd., Tigard, OR 97223111N 2, 7 rn No.: g Plan Review
1• Phone: 503.639.4171 Fax; 503.598.19W DateRy: • Other Perrnit:
TICAR D Inspection Lim: 503.639.417 GARD
5 3arlsi:
Date Ready/13y; 0 Ste Pap 2 for
Y CY 771
Internet: www.tigard-or CIT Notiticd/Mhed:
.gov ot 776 Supplementai Information
/-; 1
BUILT.NC D.V"..S_:'!,,,I\
,,,,,,,,,,,,,,,„,,,,,__,,-,,,,4;,1, ,1,.1• ' ", ‘,,!;? 0 '''" ' ' ' !' ' . ' + ..ed, .14iitir.e. ,.. tro rkiiticri t'r '
(;`,g.'■'' !.';: .
Nlechanic.a) pcnnit fees are based on the value of the work
k
0 New construction t4 Addition/al teration/rcplacetnent performed. Indicate the value (rounded to the nearest dollar) of ail
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
' i, ; ? ? .aiV,67.77 '---T-7-1-- ETIX, 7 1!;Tf50,!W.T r--I TA " : ' Ng.a75.FTW,7. 7 %Wig40 0 , / , Y i1 . 111" - .
.I,-^ ,,, i41 , , , it'w-1..= 7,' ,, 1 . ,■•■ ,-.., , :^- t',
NI 1- and 2-family dwelling 0 Corruncrcial/industrial 0 Accessory building -*--f ' ' ,
For special i g ,
information use checklist,
0 Multi-family 0 Mastcr builder D Other: Description Qty. Ea. Total
.!i116: 0 . Vi S ( r 1 . ,/ _Heatl„g/cooling
Air conditioning or heat pump
Job site address: J , ( . __ A, S -- - ' 5 - 1 - 14r ec_,4 (requires site plan showing pixernent) 14,00
City/State/ZIP: - T . 1 • i t ,„f , , ,;' 3 FUrnace 100,000 BTU (cluats/vents) 1 14.00 ( CJ. cc;
. Fa,„... 100,000+ BTJaiucts/vcnts1 17.90
Suite/bldg./apt. no.: Project name: .4fr 4.
5. i. pump 14 00
..-- _.....-Ar / _ i Gas heat
-
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 (fucl-type, not electric),
in-wall, in suspended, etc. 10.00
.. ..... - Plue/vent for any of above 10.00 _
Subdivision; Lot no.: '
.. 10.00
Other:
Tax map/parcel no.: Other fuel appliances
4 '""riiiero 'O w h eater 10.00
, , A , iliN74!,6.'. '_, ,s,('/,nk-fitv
Gas ti rcjilace 10.00
I p 11 I'lei-nc.__e___- . Flue vent for water heater or gas
ticpr lace 10.00
/ _ 'Aims - L .•• .- - Log lighter (gas) 10.00
,O.±...._/..#1 fv.,- woodipcIlet stove 10.00
Wood fireplace/insert 10.00
i 0 ') I A I 1 Z 1-5 --\) .1(- P
Chimney 1 10.00 N C.',.
; '. ' At , /lineflue/yent
,,,,,,,N„,,7 y5, ,,.,,,,e1MT,c,f1Y(Mi/M,Wy kdilli11,7''' other: 10 00
Name: -fi /Tt 6.,, cr inu- i 1 .1 „ p lEnvironmental exhaust and ventila ion
Range hOOd/Other kitchen
Add.t,,ZI - ) . V e f I SK . equipment _ 10.00
_
City/State/Z1F 1 A , .:,) _3 Clothes dryer exhaust 10,00
- - Single-duct exhaust (bathrooms,
1 Phone: ('3) 7 - . ..ls Fax ( ) toilet compartments, utility rooms) 6.80
P.,,,,. 4;if ii;H 1 A:. Attic/crawlvacc fans 10.00
tpsr.,31,1A ,.,,'■ 4.
Other
. 10.00
Business name: t 1 1 fri -,,,,,,, JP g„...,_,DLAr Fuel piping
Contact name: ilt 1 7 W_RM III° . a /a $5.40 for first four; $1.00 for each additional
-
Address: k) ...• _.,s Furnacs etc.
..,...- .‘ - I L.-Ts ',Le Gas heat pump
-
City/State/Z11 (7 - . . Wall/suspended/unit heater -
Phone: 6)S ) 1 . Fax: : fr3 ) .-.k.s.-6.3_.,_2 Water heatet;
Q, Fireplace
E- ma i I: ') / '' / i_L)1±11/6C■6°,4411 Range ----
-
1' . , , 0 Barbecue
,,,, ifl (,;,, ,,„4,177.7, ■•,.„:.,; ,,,i?L'T%. ..
B Clothes dry (gas)
usiness nainc: _141 yeAh A- 0,- )
_.., _. ,_ . . .. ,, .„41,,,,„ ,,
Address: .;',..7:5:!:::...M.Ziriggpija4)ktitilitr"Fgp'■;1,7".'qq:,:p.'7,%,.."
: . . . -
City/State/ZIP: . fre_- - Subtotal
-
- •• • Nlinimunt permit fce (S72.50) ..)-. ..
Phone: ( ) Fa: ( )
nu, fcvicw (25% of permit fee)
,...._ x ,. ... . „ -
- • ' ' ...
1 CCR lie.: - - , _State surcharge (12% of pennit tee) , CD ,
-
I. ...
TOTAL PERMIT FEE
Thb Derain application expires if a permit is not obtained within *i.0
A uthnnzeci ,•lignaturcr) ) dayx lifter it has been Accepted AS COmpicte.
ll a :11
D •
, ■ Mil ^
...• rt KV). 'fl (.
_ .1--•'7-1 p 4 "■.?1 e _1 , 1.,,, ,n,,,,,,,„
,„„,.;et hy Tr i - e 0onty Iluilklalg Industry Sepdce Board
- ":.
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.140-55171 ( L 1 s: COM WI:51
i }1}111)T5 Pclunq , li l'. ' 14 ' (5 ' 06
Td Wd6E:SO 800E LE 'unf EELSE8E 20S : 'ON DNOHd 6uTioop 2 6u Tl-eaH 1IlDNU : woad
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2008- 00342
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/3012009
Phone: (503) 639 -4171 ' '�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/512008 TIME: 7 :00AM PAGE: 25
SITE ADDRESS: 12915 SW HAWK'S BEARD ST . CLASS OF WORK:
SUBDIVISION: AMART SUMMERLAKE LOT #: 102 TYPE OF USE:
PROJECT NAME: SPLROS
DESCRIPTION: Replacing furnace, vent to water heater, and gas piping to range.
OWNER: SPEROS, EVANGELO & MARLENE PHONE #: 503-8873498
CONTRACTOR: ANCTIL HEATING & COOLING PHONE #: 503 - 281- 0752
Inspection Request Scheduled For: Date: 9/5/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Messes -
610 Gas line 075113-01 S03-201-0752
Corrections /Comments /Instructions:
30 r #
s PASS PARTIAL APPROVAL ❑CANCEL ❑ NO ACCESS
T FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: L Date: ,< dg Phone #: (503) 718 - Z9