Permit III .� CITY OF TIGARD
MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00565
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/27/2007
PARCEL: 2S 111 AD -11200
SITE ADDRESS: 15055 SW 88TH AVE ZONING: R-4.5
SUBDIVISION: SCHECKLA PARK ESTATES LOT: 047 JURISDICTION: TIG
PROJECT: PAVAO
Project Description: Replace 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: 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
PAVAO & MOLLY MARSHALL Description Date Amount
15055 SW 38TH
TIGARD, OR 97224 [MECH] Permit Fee 9/27/2007 $72.50
[TAX] 8% State Surcha 9/27/2007 $5.80
Phone: 303 -201 -5657
Total $78.30
Contractor:
TRI COUNTY TEMP CONTROL
13150 S. CLACKAMAS RIVER DR
OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -557 -2220
FAX 503 -557 -0919
Reg #: LIC 72623
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:
),Eld,
Permittee Signature: (-a1
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.
FROt1 : 5035570919 FAX NO. :5@3557919 Sep. 27 2007 09: 46AM P1
. ,
Mechanical Permit ni icati on usiut
City of Tigard , , .: I V pp . N; al'p "7 , 0 / ,p1 Permit NciA(
13125 SW Hall Blvd., Tigard, OR 22 .' ' ... ' •• Plan Review
Phone: 501.639A171 Fax: 501.598.1960 Outer Fannie
Date/BY:
Inspection Line; 503.639.4175 SEP 2'7 21J- '.'11.-1-' Date Reerlyaly: Jeris7 El see Pagel ror
interim: www.citigard.orus NotificcVMethod: Supplemental lurarmati
' A ! • '
'! 140 ':..'''.1.1...,...:',1 .P 1(4....,.. ,.1....17 . '.. 1 ..:;.:. • ..':i ..,: '...■(!i',:ic::*.'1:.,` L.t Ifiiiiiitda;:i0iffii*kkidn, . .L usEketamegick
■O'','' qi ..:'!:',.. '..q.)::::'-'‘?f,l7,',',:AF I
I:i'i I ." :, '.„ .7.!IeT!' vde•;w,V;-. " - .. • • • • r.•'' •:•••'" • ." •• • •', ' ' '. ' ' ''• • • • .• •• " "'"'' ' ' ' ' "' " " '
ill . 1 i i i ' . I T " cii■ Mechanical i N' ical permit fees* are based on the value of the work
El New construction •1 • . .t.ti ., . a
performed, Indic.ate the value (rounded to the nearest dollar) of all
I: Demolition iI Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $
g7T 7.1 :
i
1- and 2-family dwelling El Commercial/industrial El Accessory building
,,;, 8,1/EIM FiliFs.
Description at special infarmation US e checkli
fi st.
Multi-family 0 Master builder 0 Other:
Qty. Ea I Total
..... . ....
.oZ ovilii4%;5: ... • .004 . •,...: :•:, •. : .• ... • ••,.., • ••• nearin
,'•:nvN•nn.,1••in*';i4Iiill w 1 t
i4 Iiii.illii'i4''ii i .iii"iiii ii il''rjui'i , ..iivi.i•R•a.,;• • ' ' • , iii.• i i.' ■• . '.1..:i "i'!... .
Job site addross: c ak..) .) 7 9 - 1 1- ( , Air (-And Mon ine, or heat pump
(requires site plan showing placement) 00
14.
Ci c . ; ."-- fi r cOal
I , 12,---6-11- Furnace 100,000 an.? (ducwvellik) 1 14.00 1?-1) •
' - - Furnace 100,0001' BTU (ducts/vents) 17.90
Suite/bldg/apt, no,: 1 Project name: •
Gas heat pun --- -
3) 14.00
----- ... ..,._„.,..
Cross street/directions to job site: Duct work 14 00
• • - ' • " - • • • I-Iydronie hot watet• system 14.00 ... . _.
Residential boiler (radiator or
..,..., ......_
hydronic) 14.00
----- Unit heaters (fuel-type, not electric).
M-wall, in-duct, sumended, etc. 10.00
____
Flue/vent for any of glove 1 10.00 16.0D
Subdivision: Lot no.:
- Other; 10.00 ,
Tax map/parcel no.: Other fueinplances _
* W A 1 Wate
,..i,.,.. , ',.: -.;,p.1):1;4;:*,1* heater _ 1000
mak. a.. 1 • •• • • ' ' . •,,,,,To- , •`,17 , 1 ' ,.. • 1 : . i. I A ...„: ■ • .t uaL i t.•:', 7.. r•• .. •l• ..•:• 0 4:1 '• •:' . '" 411 111: . .." •
V Oas futplace 10.00
i - L
UAA C-k-- Flue vent for water heater or gas
111 0
„
fireplace 10.00
- .„. - Log lighter (gas) 10.00
Wood/pellet stove 10.00
. ..
Wood fireplace/insert 10.00
-
r-l-T,t1.7,-'•••;";:iri".•caxt4,1,f_.=..._,,,_:,.....,;„A.,-; 4 i.•„: .. !....:11 y'lC /Liner/nue/vent 10.00
•;„.,limmreliir.is T11, , .1';‘0,,,,,••;.‘,,,v,i: '4:.0;,• ,:ii;,
.... Ntl'in'ici. • •i ...-" i. 51,',:ii.,..N.iiiir...ki&.• ';" '.:1211;:ii.i., Vii'Seli•iiiii i iii i• "i•i' ' i•• •••l'i•.i." ''''" i:' Other: 10.00
Name: . 1 - t erel Mat 1
L
... __Environmental exhaust and ventilation
,
____
Range hood/other kitchen
Address: equipment 10.00 . . .
.-- -
City/State/ZIP: Clothes dryer exhaust 10.00
Single-duct exhaust (bathroom%
Phone: ( 1 1;1 ,,, a i 0-11 lax: ( ) toilet compartments, utility looms) 6.80
' ... •,,,, *' - •
[ '
t, : •••*;7, 1
t ".. • i t eraper,, ,. -„ s
L,-•:. Atttc,/ whipa_ce fans 10.00
T'qf .':. ' 111; g , ' i nit.,.., .. 1:....V.rn.'''''.1.- ' 7: : .I7 LL . i;.:(: ...:..,...:;.(( ... • . !. '......'.. '.,.. .t. • '
Busines name: Other:
s -
in cewity - imp Carit .. ._•• -.-
Contact name: ¶5.40 for first four; ¶1.00 for each additiona
--- • • :... -
Address: 0 I Pi) () • O. ta C.kai (1- RI ;t if .,.• briu( t Furnace, ete, . .
.,- tiiT heat pump .... .
City/State/ZIP: Olaf' ) CI 11 (..) K (.( 704j _ Wall/suspended/unit heater
..._
Phone: (... t l Z220 Fax: ; (Fi(1:3) - . 5( . . , 5" 7--a.i 1 q Water heater _
Fireplace
E -mail: _ ,____ _
,
4 ,44. ': P 1 ; .. il%r h:.. V ,W.' ! .:IS A:5 ' . ,5 •Mq.N1 r;; ' :,,i Barbecue
k. ,..r IY4. :q..; iie.;,!:•!!: " .7 :`•'' :•.L i ,..;6,11..}?j: • A I ...■ g j,,,,, ......,... -ni ,.., ,...„ . ,■....., -
..' .--‘ e' . . ‘-,.-- - 4 .. - - -C .
Business namc: 11 1 I ; Li , " ii r ) ( r)r i i ,.1 ClotlIcs dryer (gas)
Address
._
__...-__.- .----(-- ___.
: '' •
I .'" '5C .' • nr1(15 ) c kirr ty rC f ;•'::: a. Ai - . • , ftir-v
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City/Stare/ZIP: C;1 y n,t •t 01 _ 6
c, i,,_ ,
-, ' ri u
.._
Minimum Subtotal
Pho perrnit fee ($72.50) ‘
ric: a-3) F5t :. - 22.. 2ci Fax: )0-5 .... .
- . '1 11
. , ....."., Pian review (25% of Permit fee)
_.._ - •
CCD lie.: - 72 0 zs State surcharge (8% of permit fee) 6 ,
TOTAL PERMI . .E.E
Thi. permit application expires If a permit Is um obtained within Lao
Authorized sigitature: / .? . . i t••• ite 1/74,Qc.-------- days after It has been accepted as complete.
Print name: NiZn_C A44,5(i Date:C.47:410-3 1 • F. methodology act by Tri-Couoty Blinding fricitmtry Service ;Ward
..........--
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 Q0565
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 907/2007
Phone: (503) 639 -4171 '"' I '� •
Inspection Requests (24 Hrs.): (503) 639 -4175 'I I. 9
INSPECTION WORKSHEET FOR DATE: 10/2912007 TIME: 7:01AM PAGE: 48
SITE ADDRESS: 1630 SW t3fyril AVE CLASS OF WORK:
SUBDIVISION: SCHEICKI. A PARK ESTATES LOT #: 047 TYPE OF USE:
PROJECT NAME: PAVAN
DESCRIPTION: Replace fumace.
OWNER: MARSHALL, PAVAO & MOLLY PHONE #: 603 839.7389
CONTRACTOR: TRI COHNTY TEMP CONTROL PHONE #: 503-557.3220
Inspection Request Scheduled For: Date: 10/29/2007 Pour Time: 41
Code # Inspection Description Confirm # Contact # Mes = • - !
699 Mechanical final 068404-01 503.839 7389
Corrections /Comments /Instructions:
El Li W\it--- Leilr2-ef I 'S .----
I li Ck l
d „ \ „ 1 „, :z
PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL I CALL FOR INSPECTION E ADDITIONAL FEES ASSESSED
Inspector: W. Date: 1 V 7 Phone #: (503) 718- <2112--4f1—
l