Permit F
CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005 -00179
611 DATE ISSUED: 4/19/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1 S 136CA -05300
SITE ADDRESS: 11225 SW 78TH AVE ZONING: R -4.5
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Replace 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:
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
LOWERY, THOMAS + KATHLEEN Description Date Amount
11225 SW 78TH AVE
TIGARD, OR 97223 [MECH] Permit Fee 4/19/200E $72.50
[TAX] 8% State Surcha 4/19/200e $5.80
Total $78.30
Phone:
Contractor:
SUN GLOW INC
2428 SE 105TH AVE
PORTLAND, OR 97216 REQUIRED ITEMS AND REPORTS
Phone: 503- 253 -7789
Reg #: LIC 48131
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: J�A�� Permittee Signature: S;4-e._ 0 1) �
Cali 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.
04/19/2005 13:22. 5032537693 SUN GLOW INC PAGE 01
,. '5/12/2004 09:4.3 FAX 5035 960 CITY OF TIGARD 14001 Mechanical Permit Appllx ' $ee P
Ea
City of Tigard APR 1 Received C _ mitNo. G
13125 SW Hall BEvd.,1'l,ard, OR 97723 9 LOO Aet�y' / % 0.3-1/1--- Pw ����� � � .
Plan Review
?bone! 503,639,4171 1 ii 503.59$2,1950 yr:r: tr Qa1lerPnrnil ;;
C I TI r ,.4l i . Date/By; Yr
rnrpaeden Litt: S03,fi39,4175 Y � F , '1 Plate RetaylF3y, ]uric 8 D e 2 It1r
Internet: www.ci.agard.or.ua BUILDING DIV Notrgedrmethed: �(r SupptemanceI tnrerxne0en
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G! New cons�rnction 'VA.dditiottlalleration/ replacement ivieehaniral permit fate are based an the value of the worse
petitmned. Indicate the value (rounded to the nea1'e,4t dollar) of all
❑ Demolition ❑ Other, 1118Cht0iCal materials, equipment, labor, overhead, and profit,
! W 'I'lifl ? rY'h7 : : ''u' „' 1 °°ii�t''` ;:': ". ,'Clitia' rn'L. iri si i,' riii�r u, ;;I;;, ;li.,,.1∎1, : NIrI c °R'w� Value; it
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+ f`a13761y d 11 w.g El Commercial /industrial i0 Accessory building �' ' 7 "" i'fTinr7 I~ t ., /. >
x- and 2 `
❑ Multi -family ❑ asterbufidet El Ot�1er;
For special informa/tor7 uFR checklist. ._...
r r "1 ;iLs ;tCj ;' ;� + :Pr'IU 1. "sh' :q.t L l a w' Ypar' �. x+ l Ocsaiption Qty. TOTdl
;I'... ��� l`:. x: r i,' t u ,.1 n;1, ' ; e rC, :', •a',' ,na,br [ 1 - t s. 1,r44 Heath,: coalin•
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Job site address; 11 2� ' 6 Y V - 7-7 -1'1-• Air eOnditioning or (teat pump
(requires site plan s8c re placement) I a -00
City/State/ZIP: - - r - i'o3CI-VA Ca" q- ?---?- Furnitee 100,000 BTU puctsfventc) ins 14.00 10,
Suite/bldg./apt. no.: Project name: Furnace 100.0001 BTU (duettivente), 17.9D
-.,.• , Cias heatpu • 1 14.00
Crass street /dtpections to job sire: Duct work
14,00 113 ` . 7 - 4
trMronie hot water. system 14,00 '
Residential boiler (radiator or
hydronie) 74,00 I
Unitheaters (fuel- type, not electric),
in -wall, in -duct su- .ended, etc: 10,00 _
Subdivision: bot 110 -:
Flue/vent for any of above En 10.00 I P ,v''
no ..: Other 10.00
Tax map /parcel no.: f ,, r fuel a 1 pliance3
"i l l;,7 ] �i t.. i . , 7,-R , '� i T i!: , ,F7EjF i M1I , ita:;•ii ;k ,1.;:•;:rr�,a -:", fr -w�' ,, ' : ;'
I,�.1 1 ,, +I)t ilI!' I li }�t ;tii �9�a��III,' J I ',I..r�.l' ;rf!'fj� 1� :F: + ; • I Water heater 1000
4„ 6t +.... , .� L � a rii.,. ti :....r., -.C [' ._ ' .ilium•. ]. .0� - -
Gas fir- .lace 1000
- Flue Vent for water heater or gas
I A , V �C "� i,T� 10.00 IIII
-- La li_ ter •as 10,00
- _ Waodlpellet stove 10,00
Wood t'rrcnia s/insert 10,00
::rr. ey : +� +yv';♦;315: 'r ;lir�w C. {q, &•:, :.p.l
, :r - ::Isis$ ' ; �., i A� : . ` ._ ri _ . -i �. , .= � :��' 'c'� � ,�l °` G' ; '{'�n 4)111'1111 /Irl��r /f7W4/vCrYt 10�17tJ
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, is �'" i
- . other i 0.00
Name: ■ Gt'v4 4 Ka.'kKy 1--0 W Lnviron ientaI exhaust and ventilation .
AdAre a: IA 2:2_5 W `�V = ,� - equipment 10.00
Range hood/other kitcBeti {
-� . cquipt)
--
. City /State/ZIP: `T et yet ca.. 9 4--7-3 Clothes dryer exhaust 1I0,0j
�2 7" Single-duct exhaust (bathrooms, --
Phone: (s c3) 104(4 _. a Ip Pax- ( )
toilet compartments, utility roornr;) 6.60
,7- -,� ' Va.,., : 5 r , , r,,,p t'!!si "'4 -' 'Ic :a ;,:,. ; . -- , ,. I :r, :� rr star-:,,, .•9r,
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i l] � �• l4L ll _ d
� l!r t !1 f >� • I I'� , ;,.;� ' ,.' 4:: ai,,i .7S. �s 1 " . _Attic /ernwl_spaea eerie 10.00
t 0.00
i.:
u Other 10.06
Business name: 6U Vii La ) t r'C , C. . .
7?n1 plpin
Contact name: - ,r )r. i r VGt_C e ✓ $5,00 Col- !first four; 51,00 for each addlriena
Addraa s;_ 7 Lt' 6e , A'1,+e ,. .i,•rrtace, cte. 1
.~
Gas heat u j
City/Sun/Zia): ?: `R7V-.-' [0..Ytc.1 f c42._ c '7Z-1 (p wa11 /sue a d /un heater
Phone: (5J) J " - -°G "f 1 'Bast:: ( 2.5 -- , q'2j Water heater ..r .
E.'mai1: JeT•n k @5u- 1,91e�t�ui Plc.. C Lam»' -7 Fireplace
i1 17 :•li °I 1 • ' t 1 - '{ , S� +4 tl cv 7 [� t r t i r 1 r r � 1�•W1�C n...-
, , 017, g if,- t : i �, y r 4 , ' !t a t n SV �7u'riii 6 . , • 11IFI rt . r "' r I d " yy , I y I y ,, ,,�S i Barbecue
Business name: 5t). - . �51. 1 �.u Otfior: •
Address: `,,�� - CtoThes dryer (,gas)
Z ) , Z � 1 �� � I T; :"::1; 7'1; •!1!.•A r. -, .l'41 p , rr.�M'4e
v1 .. ,
Cit. /Sta.tefZ7P: - t -LA-+- .A., ca._ -3-7- I (p •• Subtotal -- - 5 .. 0` . =-
(5 ) 2 - -- / r r. (6 5 -� 7-ea Minimum permit r ($72,50) ...-
Phone: Sias Plan review PK of Ferran fee)
CCB lie,: "1s` l 1 State surcharge (13% of permit f 7 L F •
2 r V _ TOTAL P>GxiM1
Z E)G
Authorized signature: t �/ "' u-��` This permit application esplrea ti' a p.,re.& 7. not nboin.,d wIthir. 190
( '' `` days otter at awl born neap ar tompaete.
Print na ale 65 • T methodology yet by Ts+CowIty 13 uild.inH industry Ser,te Hoard
� YIY', � y4 -1� 1- -Cr r Date; '-i 1 � � 1 1 6 9
r\ Buildinfamnits , X8C•PanntApp.doe 12103 ocNoiSt7T(t1N2/COMtW D)
- CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2005 -00179
13125 SW Hall Blvd:, Tigard, OR 97223 DATE ISSUED: 4/19,005
Phone: (503) 639- 4171irdn�mi °1V��i'�h
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/26/2005 TIME: 7 :27AM PAGE: 61
SITE ADDRESS: 11225 SW 78TH AVE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: LOWERY
DESCRIPTION: Replace furnace.
OWNER: LOWERY, THOMAS + KATHLEEN, PHONE #:
CONTRACTOR: SUN GLOW INC PHONE #: 503-253-7789
Inspection Request Scheduled For: Date: 5/2€/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 007750 -01 503 - 253 -7789 N
Corrections /Comments /Instructions:
•
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: S = Z6 —S Phone #: (503) 718-