Permit V
CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00195
n ll li 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/11/2006
PARCEL: 2S111 AD -16500
SITE ADDRESS: 09045 SW WESTLUND CT ZONING: R -4.5
SUBDIVISION: MALLARD LAKES LOT: 031 JURISDICTION: TIG
Project Description: Replace existing furnace, install heat pump.
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: 1 DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
THOMAS ALBRIGHT Description Date Amount
9045 SW WESTLUND CT [MECH] Permit Fee 5/11/200€ $72.50
TIGARD, OR 97224 [TAX] 8% State Surchar€ 5/11/200€ $5.80
Phone: 503 443 - 6149 Total $78.30
Contractor:
OREGON HEATING + A/C INC
PO BOX 397 REQUIRED ITEMS AND REPORTS
DUNDEE, OR 97115
Contact #: PRI 503 -538 -2953
FAX 503 -537 -2172
Reg #: LIC 125815
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 B �n �� Permittee Signa re: d > 12 t
Iss By .C\ �� a /\.O /
Call 503 - 6394175 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.
May 10 06 06:38a MS Rentals, Inc. 503 - 537 -2172 p.2
■
• Mechanical Permit Application • • FOR .
' g OFFICE USE ONLY /� Ze4 ` . ..:
Receive? 7 /C V 61 , — ,G •71 / Pe 66 /9
City of Tigard Receiv / : H
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Other Permit
Phone: 503.639.4171 Fax: 503.598.1960 442=44X i# Date:By.
inspection Line 503.639.4175 . ' st' v III Da': Ready %By: Jurs. E' See Page 2 for
Internet: www.ci.tigard.or.us lr, •l t
`^ � � Notifiedlivlethod: I Supplemental Information
1Tl� ' \C •
Tl OF t ORK. ;COMMERCIAL.TFFE : SCHEDULE• USE CHECKLIST •
Mechanical permit fees' are based on the value of the work
"❑ New construction Addition/alteration/replacement aao7vreplacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: 1 mechanical materials, equipment, labor, overhead, and profit.
Value: S
CATEGORY OF CONSTRUCTION
_ - iilrsmEt` EQuiPlvEr /sysTEhis rEl;s # :.
I . and 2-family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use cneckisr.
❑ Multi - family ❑ Master builder ❑ Other: Description f Qty. I Ea. _ Total
= JOB,SITE IQF
I \ ILl7i1TT � O / T � AKD LO . Heating/cooling
f/ v �� I 1A.� �1 conditioning ste plan ing o .eg P umn
Job site adaress:C ,4 (requires site n showin ac-menU 14.00
City/State/ZIP: q0-/rr_l ry q 1 +1 , .� � (4 Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000= BTU (duc's'vents) 17.90
Suite/bldg. /apt. no.: I Project name: ! Gas heat pump 14.00 ,
Duct work _ 14.00
Cross street directions to job site: 14.00
Hydronic hot water system
Residential boiler (radiator or
. hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 1 10.00
Flue/vent for any of above I 10.00
1 Subdivision: I Lot no.: Other. 10.00
Tax map /parcel no Other fuel appliances _
Waterbeater 10.00 '
D OF tiVO / Rh Crs fireplace 10.00
. �l £4 ty' >' `m A A /n( ` J ' 'r 11 - fireplace v for water or gas
�" f { 10.00 i
1) PIc /I p I Log lighter (gas) i 10.00 I
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
Chimney/liner''flue/veat 1 10.00
7 PRO_ PER" OWNER '., Q TE1�a1N f Other I 10.00 1
•• ` ` Environmental exhaust and ventilation
Name \. ,L��,■ ..... ■�
Range hood /othez kitchen i
Address: . 1 1 i �� Range got I 10.00
�/� Clothes dryer exhaust 10.00
City /State /ZIP: , �. f `� l i , Single -duct exhaust (bathrooms,
Phone ti ) ` ijr,l Fax ( ) toilet compartments, utility moms) 6.80 . • •
IP &P► L1C 9 Lti"T ti - C OB?T AC 'I PERSO2 1 Attic /crawlspace fans 1 , 10.00
f �. n Other. I 1 10.00 I
Business name � y / 4ii � " - .. , J / , �� l (' 1 l � � Fuel piping
Contact nae^ /
ml-n� $5.40 for first four; 51.00 for each additional l
n , Furnace, etc. }
Address: �/ ��Y) / Gas heat pump I
City /State /ZIP: Al i , i — GZ (, \ IS Wall/suspended/unit beater
Z 1 '-1 . Water heater 1
Phone. _ _ ) • 1� G _ Fax: ' ( Fireplace _
E -mail: Range
C • 'TRACTOR n Barber. -
1 Clothes dryer (gas)
Business name: f' / , � . • , . q ` . / ' Other. i 1
1 MECHANICAL PERMIT FEE -.:
Address: _ 1 /
/ /� `� Subtotal
City/State/ZIP: ! L� ,t I I �� 1
� M
� �� � � inirrumperaut fee (572.50)
Phone: - Fax 1 Plan review (25% of permit. fee) .
•
CCB lie.:
X ' < State surcharge (8% of permit fee) • TOTAL PERMIT FEE -
I ^ l] This permit application expires it a permit is not obtained within 180
Authorized s dtnre: I / V ' days after it has been accepted ns complete.
Print name:
/ D ate: / 't �# * Fee methodology sat by Tri- County Building Industry Servi c Board
. ,n ec, , r n v mrrr M,WFR/
May 10 06 06:38a MS Rentals, Inc. 503- 537 -2172 p.3
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Sae Plan
Back yard
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC200G -00195
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/11/2006
. Phone: (503) 639 -4171 ��i1j
Inspection Requests (24 Hrs.): (503) 639 -4175 ":_..
INSPECTION WORKSHEET FOR DATE: 7/19/2006 TIME: 7:00AM PAGE: 67
SITE ADDRESS: 09045 SW WEST LUND CT CLASS OF WORK:
SUBDIVISION: MALLARD LAKES LOT #: Q TYPE OF USE:
PROJECT NAME: ALBRIGHT
DESCRIPTION: Replace existing furnace, install heat pump.
OWNER: ALBRIGHT, THOMAS PHONE #: 503'443-6149
CONTRACTOR: OREGON HEATING + NC INC PHONE #: 503538 -2953
Inspection Request Scheduled For: Date: 7/19/2006 Pour Time:
Code # Inspection Description Confirm # Contact # 4sag-
699 Mechanical final 033266 -01 503- 538 -2953 , Y
Corrections/Comments/Instructions:
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•
444 N(r- . ham&
U u new 7;vf-x. wo e
•
•
41110
•
4. PASS ' ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
. ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: r1/hP Date: 9'f 7' , Phone #:‘ (503) ;718- �lo1-li