Permit C ITY OF TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00467
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/16/2008
PARCEL: 2S 111 AD - 12000
SITE ADDRESS: 15080 SW 89TH PL ZONING: R-4.5
SUBDIVISION: SCHECKLA PARK ESTATES LOT: 039 JURISDICTION: TIG
PROJECT: FUDIM
Project Description: Installing 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:
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: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
KATIE FUDIM Description Date Amount
15080 SW 89TH PL
TIGARD, OR 97224 [MECH] Permit Fee 9/16/200€ $72.50
[TAX] 12% State Surch 9/16/200€ $8.70
Total $81.20
Phone: 503 -538 -2953
Contractor:
OREGON HEATING & A/C
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -538 -2953
FAX 503- 691 -8556
Reg #: LIC 172126
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: / � - Permittee Signature: A
Call • . • .4175 by 7:00 a.m. for inspections that business • • .
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.
11lecll a><>Eicai P ermit A lication "= io oF:F °
City of Tigard maitre.: , • li 1 550 Hall Blvd.. Tigard. %.1 a`'0 Received
Ir
P
a Phone; 503.639.4171 Fax: 500 .598.1960
Date/By Ottor Permit
•
i A Inspection Line: 503.639.4175 SE p 1 6 ... Date Ready /By; Juris: EI See Page 2 for
._ Interne www.dgard - or. ov 1`opifed/Wfethod: - / {a Supplemental Information
„ • r GARD r+,.,
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ke-.: 11s,? ''xr -5 ... aril -" r , ...• - ' • 1 G q % .t • :it ,. , u e
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i Mechanical permit fees* are based on the value of the work
❑ New construction Additio a teration/replacement
performed. indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
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1L, 14 • T f. e �. •C !'.i :� } � . ` g ypg ( ]�� lt �j� 0 t. . �•] 4 : � '�. „ • . l ` t ( , i ylt N Value: V
n . - t t . p.. 0 �y'( 101..,... " �,2 ,I, Gil ",�...r,..” K• . . tt'1. tld ,:K. -. 2: •Ll , i i . . K r r. . . 43:i:-'.;l!` tl!r J rL r ; : 4 r f i .t:C::�n p i NG ! A. ' T' > •
CI 1- and 2- family dwelling 0 Commercial/industrial ❑ Accessory building ` .', u ,:.:. wt. ;.. :i ( 4.: ..s; ,. , , 4r. `,'tt:s i ktx
.For special information 1486 checklist
❑ Multi- family ❑ Master builder ❑ Other. Description Qty. 1 Ea. Total
,' E • Et ; ! ZE ,.t�i. ► r � .. ` - �.r 4 ; eW Y ,,: t'i „.il S tt ! "r �' t iii ! Heatinlrlcooung
J • : M 4 M•. ; f " .MS. : �4 •iii /�'�! L "
1
Job site address: 1 S D $ o W q �'h Air conditioning or heat pump 1 (requires site plan showing, placement) 14.00
Ci ty/State/ZIP: Ti Furnace 100.000 BFU (ducts/vents) 1 14.00 , / y 00
� �
O a d d t\ q Furnace 100.000+ BTU (dnem/vennt2 17.90
Suite/bldg. /apt. no.: ✓ Project name: a g -i�i, . . / heat pump 14.00
Cross street/directions to job site: Duct work 10.00
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. 14.00
Subdivision: Lot no.' Flue eat for any of above 6.80
Other. .- 10,00
Tax map /parcel no.; Other fuel appliances
•
!
Jft . =�ry" tiertq s `w k t ' tf eV Water heater 10.00
it `li r,,, se •t.4,a' m1a 1} rtar tvr uxeeea ^itac tllilUfatil77RtltiitLN6 fiR!
Gas fireplace 10.00
Z h t S Tat it F1A e v. 4 L e )?lire vent for water heater or gas
fir :.lace 10.00
Lro., li:,hter : MI 10.00
• Wood/.-lletstove 10.00
Wood 11°13 ce/insert 10.00
t3I y . �� r^ J '' Chitna 10.00
: 1 e r 4" i 4 7 n' t:,�-� tit y (( ' l' t t } � } :� ! � f 4 t a n {�I. { j ��- ie" r 10.00
., . 'LtUJSFi' iii yY1 ..9 PI/ . Y •d � . iY LCI •... fT '�tlt
Name: Of • - r Q. Fu o f ; /M. Environmental exhaust and ventilation
Address: c E q S 1n/ $ q 1„ r 1 equip hood/other kitchen . equipment 10.00
City /State/Z1P: T i e• ro a 0 q a y Clothes dryer exhaust - 10.00
Single -duct exhaust (bathrooms,
Phone: (SO3) s'O 6 - , S di , fax: ( ) toilet compartments, utility rooms) 6.80
ti i f a. - �>°i . i t'U {t ��}'Jt (t�,'ry!t!t q ' C : ' 1 ��t� t1u�•, e t 00
. t: h � � � 1r� . �: ' • .�1YIWMAS3� a2tt!�iaL'ISlT� +I !. N�.��id �f�� � � �•` �k♦, . - HtM1114C.tFa�flai 1 ' , } '"7 Attic/rmwlspnce 10.
. Other 10.00
Business name; 0 r e - 0 • - _ - - i Fuel piping
Contact name: Tv c ift E. ft, e yl „ Q _ $5.40 for first four: 51.00 for each additional
Furnace, etc.
Address: Q [ Q 3 9 7 Q q Gras heat pump
City /State/ZIP: D (Ahd e e � a q 7 j S Wall/suspended/unit beater
il
Phone: (C63) S 3 . q S 3 Ho: (6e3) c ei (. g-$>s- 6 Water heater
Fireplace
B -mail: Ra
r
r•;; . gr . •. �z. :. c,,,,;r . tom. • ` r '! , " Barbecue
'itY J { � },•,� y:r .;iJ.. 1 ., L r r t !�, i h ' t :
S i:f tligl I', nail t:a,G! :ii :i...+)., •ltlf.;c' . ° .�..a::L :.. ,. 9,-ftel ^J�,:t �: ,ii i' , tifsafdp• ,,,) 15004., tt
Business name: Set yo e
Clothes dryer (gas)
- Other: •
Address. a it V•1 ? , 0 .: ' rW 1 :0 11 p " ;
City /State/21P: Subtotal 7 r9 . C
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50).
Plan review (25% of pemiit fee)
CCB lie.: / 7 g j a c State surcharge (12% of permit fee) -= . 1 O
• TOTAL PERMIT FEE g.. 0
-
Authorized signature: / J/ This permit application expires if a permit Is not obtained wttlda 180
-tea i days after it has been accepted as eomplote.
Print name: oS 1,, e . , Date: j j / p$' w Fee methodology set by Tri- County Building Industry Service Board
r• rwar,s„.rr..,.;tanaFr vR.ra,A,.„i c 01115,07 440 (l1/02/COM' WEB)
Z0 /Z0 3eE ONIld3H N003NO 9598 -T69 - 605 9T:9T 800Z/9T/60
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ME{` 2008.00467
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 /a�,,ary� „ ;I\ 9/16/2008
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1013/2008 TIME 7:(�AM PAGE 18
SITE ADDRESS: CLASS OF WORK:
15080 SW 89TH PL
SUBDIVISION: SCHCCI <LA PARK ESTATES
#: 039 TYPE OF USE:
PROJECT NAME:
FUDIM
DESCRIPTION: Installing furnace.
OWNER: FUDIM, KATIE PHONE #: 503.638
CONTRACTOR: OREGON HEATING /I NC PHONE #: 503 - 538-2953
' Inspection Request Scheduled For: Date: 10/3/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 076272 -01 503. 5138 -2953 Y
Corrections /Comments /Instructions:
. L g,�r;T/lL /.132 /Avl 2 r.s !461.,, _ /76 q 9 7 6.124 -A/ Gy z t
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 4. Date: /a — 2 G `l/ Phone #: (503) 718 -