Permit h
C ITY OF TIGARD MECHANICAL PERMIT
41 ' � 1 DEVELOPMENT SERVICES PERMIT #: MEC2005 - 00380
c �' l l 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/23/2005
PARCEL: 1S135DB-03900
SITE ADDRESS: 11390 SW 92ND AVE ZONING: R - 4.5
SUBDIVISION: DOGWOOD RIDGE LOT: 012 JURISDICTION: TIG
Project Description: 40' gas piping.
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:
LPG 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: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
JOHNSON, CHARLEY F AND Description Date Amount
D.J. STRAUSBAUGH [MECH] Permit Fee 6/23/200E. $72.50
11390 SW 92ND AVE [TAX] 8% State Surcharl 6/23/200E $5.80
TIGARD, OR 97223
Phone: Total $78.30
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Contractor:
A ABSOLUTE COMFORT
6331 SE CAVALIER WAY REQUIRED ITEMS AND REPORTS
MILWAUKIE, OR 97267
Phone: 654 - 5711
Reg #: LIC 132407
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 OUNC ing 503 - 246 -6699
or 1- 800 - 332 -2344.
Issued By: /� Permittee Signature'
Call 503 - 639 -4175 by 7:00 a.m. for inspections th 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.
7 - 1 ,
.. r a FOR OFFICE USE ONLY
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R D ec ate/B eived y .49% ,... 0:0E411 ,''' Permit No •itA
! fall Blvd., TigardaMq7223- V ED
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3.639.4171 Fax: 503.598.1960 &ONO ile, 1 X Date/By: Other Permit:
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,:on Line: 503.639.4175 il pm r;•11 2 005 _.44 ' !' I Date Ready/13y: Ilin 111 See Page 2 for
•.et: www.citigard.or.us JIM% .'.. f--. Luu
72 Notified/Method: Supplemental Information
Mechanical pennit fees* are based on the value of the work
0 New construction El Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
EXY
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El
1- and 2-family dwelling '[-±, Conlin ercia 1/in 6 Accessory blinding . iCliv*A74
For special information use checklist.
0 Multi 0 Master builder 0 Other:
Description Qty. Ea. Total
,,,, ,RNATIcka 4 :2 ,„ : ,.. 16 , i ,,, ,,.,.. ,, Heating/coolin
Air conditioning or heat pump
Job site address: 11390 SW 92 Ave
(requires site plan showing placement) 14.00
City/State/ZIP: Portland, OR 97223 Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: Project name: sun room
Gas heat pump 14.00
Cross street/directions to job site: SW Greenburg Rd Duct work 14.00
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. 10.00
Flue/vent for any of above 10.00
Subdivision: Lot no.:
Other: 10.00
Tax map/parcel no.: Other fuel appliances
;Itigr:„'dths'll'rti14trorrWtjjirc F4' 7 ,.. ), *..... , i..q- Water heater 10.00
:-..
Gas fireplace 10.00
Extend existing gas pipe 40 ft within existing space behind sun room. '
Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
• Wood fireplace/insert 10.00
':- iigt:,...ii‘sWkjec,4ftrowg .i,„;e:V!-.4ktiN:"*TitygirAti;;.,li,y; ,., Chimney/liner/flue/vent 10.00
10.00 .
Name: DJ Strusbaugh Environmental exhaust and ventilation
Range hood/other kitchen
Address: 11390 SW 92 Ave
equipment 10.00
City/State/ZIP: Portland, OR 97723 Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: (503)624-3782 Fax: ( ) toilet compartments, utility rooms) 6.80
Attic/crawlspace fans 10,00
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Other: 10.00
Business name: A-Absolute Comfort Heating & Cooling, Inc
Fuel piping
Contact name: Andrew Hart $5.40 for first four, $1.00 for each additional
Address: 2099-B SE Oak Grove Blvd Furnace, etc.
Gas heat pump
City/State/ZIP: Oak Grove, OR 97267 Wall/suspended/unit heater I.
Phone: (503) 513-4795 Fax: : (503) 513-0797 Water heater
Fireplace
E a-absolute-comfort®comcastnet Range
Barbecue
Business name: A-Absolute Comfort Heating & Cooling, Inc Clothes dryer (gas)
Other:
Address: 2099-B SE Oak Grove Blvd l' r;cf*" •-,' , "..:.,-, '
City/State/ZIP: Oak Grove, OR 97267 Subtotal
XV
Phone: (503) 513-4795 Fax: (503-) 513-0797 Minimum permit fee ($72.50) , V
Plan review (25% of permit fee)
CCB lie.: 132407 State surcharge (8% of permit fee)
, TOTAL PERMIT FEE /It .. 0
This permit application expires if a permit is not obtained within 180
Authori.74 : _ 6
7,6c'Ahj 6 days after it has been accepted as complete.
J
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C s I . 1 r' '
CITY OF TIGARD ;
BUILDING DIVISION PERMIT #: MEC2005 -00380
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/23/2005
Phone: (503) 639 -4171 .�iaio���i�p,�i1 ���f Il
Inspection Requests (24 Hrs.): (503) 639 -4175 , „ _W `...L
INSPECTION WORKSHEET FOR DATE: 6/24/2005 TIME: 7:09AM PAGE: 42
SITE ADDRESS: 11390 SW 92ND AVE CLASS OF WORK:
SUBDIVISION: DOGWOOD RIDGE LOT #: 012 TYPE OF USE:
PROJECT NAME: STRUSBAUGH
DESCRIPTION: 40' gas piping.
OWNER: JOHNSON, CHARLEY F AND, PHONE #:
CONTRACTOR: A- ABSOLUTE COMFORT PHONE #: 654 -5711
Inspection Request Scheduled For: Date: 6/24 /2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 010098 -01 503-380-8386 V
Corrections /Comments/ Instructions:
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: — Phone #: (503) 718-