Permit 11111 CITY OF TIGARD MECHANICAL PERMIT
: ` COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00626
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/26/2007
PARCEL: 2S114AB -01202
SITE ADDRESS: 16305 SW 92ND AVE ZONING: R -4.5
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: STEWART
Project Description: Install furnace and a/c units.
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: 1 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
HAROLD STEWART Description Date Amount
16305 SW 92ND AVE.
TIGARD, OR 97224 [MECH] Permit Fee 10/26/20C $72.50
[TAX] 8% State Surcha 10/26/20C $5.80
Total $78.30
Phone: 503 -598 -2362
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 : / / / /// Permittee Signature: / 6.477 •
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.
•i • -
FROM :5035570919 FAX NO. :x'035570919 Oct. 26 2007 11:07AM P2
Mechanical Pe 1w 4 ty'!14s�, ': 41 FOIt ()IrFJcJ USE ONLY
aer R eceived _
City of Tigard - : s ° • nn'' /
20 1 17atcBy: /o Z1D/ S PcrnutNo. [J/�
13125 SW Hall Blvd., Tigard, 'OR' 97223 `� / m.,,_et�
Plan Review
Phone: 503.639.4171 Fax; 503.598.19(0 /!nsf"rlf� + <t\ patc/by,
Inspection Line. Other Permit:
.503.(39.4175 j� �, w Ii ..� ,
inlCrnet: www.ci.ri8al'd.or,ua 1kJ sk ` � Pate Ready/By: � See Page Z ror
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❑ New construction i 1 Addition /alteration /replacement Mechhnical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
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0 Mufti - family Q Master builder L Other; _ - -„ ua! r, ,,
1'w'spa la n ,n firm use checklist.
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.Tab site address: + / 1C \D"I j{j 1
_ - t J 4 Air conditioning or heat pump req aitcpinnahawlagptacernem) - 4.00
City /State /ZTP C '” Furnace 100,000 H'I"11 ttucta /vents 14.00 gni
Furnace 100,000+ HT', ( rlu,I Ivents 17.
Suite/bldg. /apt, no.: Project name: - _..._- ...__. .
-• -•- _ ,.... _.. t iae heat pump __ 14.00
Cruse street /directions to Site: Duct walk 14 00
I lydronic hot water system I4. U0 _ -
Residential boil --
--..... ..- - --- -._... " er(fAdtflWror
h drortic 14.00
' - -- Unit heaters (fuel -type, not electric),
in -wall, in -duct, sus )ended, etc, 10
Flue /vent for any of above: 10.00
Subdivision: Lot no,;
__, .�. -- -- - - - ... - .__ then 10,00
Tax 'nap /parcel no.: Outer fuel a. , fiances
" " "Il,i'lr•/fill;,i,;,,,rthb,:,l n„'', i5: i',:, ,,,,l+'rl't.: .
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��'. ! ] r Gas fireplace B 10.00
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V` ° �/ lac vent for water h eater or as
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hrrplace 10,00
.-- - ^^'- L.og lighter (gas) 10.00
Wood /pellet stove 10,00
Wood fireplaoe/insert W 10.00
wr a,,u I ^r - ri -� ; w�rr * . j Chiron. /finer /flue /vent 10 p0
1t � Namee: t1 'i4 1 ` y � � ?�'t YC ' �, �� ' ,Y .� 1 ,
Tl`� u Ether: I10.00 4 W t V �l y /)yl� lt�
III Environmental exhaust and ventilation
Address; Range hood /other kitchen
-- ---- -- -- --- -- , -- equipment 10.00
City/slate /ZTP: Clothes dryer exhaust ..0
, r � Single: duct exhaust (bathrooms,
Phone: E ) G, � ✓ vl� Fax: ( ) toilet t umparlmenls, utility ronnAL 6.80
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F ._. I c .:. . ' tilt c Yl (Irr1(o
—.. ... .. __... �' -.. - - -- - reel piping
Contact i1 ime: • •_ --
$5,40 for first t`o urt$1,00 for each addiliur
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Address: �'' I • .�G . 1 � ll lA 1:.1 l Il l V�.' Gas he t m 1 . _— _.......
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Phonc: ( ) .�;) �' 1 � �) I (. ) .� C 1 ... Fuepince
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Panne: J M inimum permit fee (S77.,J0)
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n review
— Plan review (ZS /n of permit fee)
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to surchnrP,e 1 t fcc) rlj}
days after i t has u en epte as
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Authorized sigrtelure: A- 0 C' ” h'0r " L- --- Thb permit uppiknljnn expire If 0 p ermit iR net ebtained within 180
)/ comptote.
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CITY OF
��mn w n�'n TIGARD
BUILDING DIVISION PERMIT #: MEC200?.0062
| 13125 SW Hall Blvd., Tigar , OR 97223 ~ . DATE ISSUED: 10/26/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 ,430~ 41
INSPECTION WORKSHEET FOR DATE: 11/6/2007 TIME: 7:01AM PAGE: 67
SITE ADDRESS: 1630.6 SW 92ND AVE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: STEWART
DESCRIPTION: Install furnace and a(c units.
OWNER: STEWART, HAROLD PHONE #: 603-598-2362
CONTRACTOR: TRI COUNTY TrMP CONTROL PHONE #: 683-557'2220
Inspection Request Scheduled For: Date: 11/5/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 hNmrhmnicaNUnal 050890-01 603-567-2220 Y
Corrections/Comments/Instructions:
'
�� PASS � �� CAN��EL I |NC>ACCESS
' --
FAIL Ei CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
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Inspector: PO «`/ " �� / Da��� / Phone#: (5O3\71'
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