Permit CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005 -00130
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 3/25/2005
PARCEL: 25111 BA -04000
SITE ADDRESS: 14100 SW 98TH AVE ZONING: R -4.5
SUBDIVISION: MCDONALD ACRES LOT: 015 JURISDICTION: TIG
Project Description: Replace furnace & A/C.
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: 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:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
BRACK, RICHARD J AND DORE NE Description Date Amount
14100 SW 98TH
TIGARD, OR 97224 [MECH] Permit Fee 3/25/200e $72.50
[TAX] 8% State Surcha 3/25/200e $5.80
Total $78.30
Phone:
Contractor:
SUNSET HEATING & COOLING
PO BOX 42289
PORTLAND, OR 97242 REQUIRED ITEMS AND REPORTS
Phone: 503- 234 -0611
Reg #: LIC 161085
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: 1T Permittee Signature: .)L \i
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.
Nov 17 04 01: 20a p . 2
.r-c • .
Mechanical Permit AppKtion_ . FOR 01.1 I tit: ONI A
City of Tigard
Date/By: ,„,,A) U,...) ' • _/.,
ernit N ' °- f
6c.... oi 'nO
13125 SW Hall Blvd., Tigard, OR 97223
AR 24 P 20 Alk, Plan Review
Phone: 503.639,4171 Fax: 503.598.1960 4., ,i , Date/By: Other Permit:
Inspection Line: 503.639.4175 rfl
CITY OF TIG.,-„s1 '...... Date Ready/By: riAl 65 See Page 2 for
BUILDING DIVISION
Internet: www.ci.tigard.orus Notified/Method: Supplemental Information
$
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Mechanical permit fees* arc based on the value of the work
D New construction 4 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.
.„..,..-.-..:,!::?.K76.601.1"i.,eiA4;1A---WiRattilki****111441:"--141:•11.41 Value: $
• ..,-,:, i.i i.,,,,,, . ,., .. „..,..„, . ..,..,. ,., . .., • ,-hity:iiit., -) intii,, i ';''''
. 5?)
I - and 2 dwelling 0 Commercial/industrial 0 Accessory building
For special information use checklist.
0 Multi-family 0 Master builder El Other: Description I Qty. I Ea. Total
• .. Heating/cooling
Air conditioning or heat pump
Job site address: (
1 1-ii '(-) - Ci, Em) Ci 6 ( A (requires site plan showing placement) i 14.00 /two
' 9
City/State/ZIP: - it 6 t, ) 1.--, i 2 .21-t Furnace 100,000 1311) (ducts/vents) 1 14.00 (4.0o
Furnace 100.000+ BTU (ducts/seats) 17.90
Suite/bldg./apt. no.: Project name: tp Fr
Gas heat pump 14.00
Cross strect/directions to job site: 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
10.00
; ''':•-:'•;:.:'•:.•':-:.•.:'•::.:.• • ! . :':":- . . :•.:1•-' •' : '-' : ': • '' :.• ' 1. ' 0-t ;t -S 0 ,0 0 ,1 C ) :N:4*0.4 1 C - :•''..'' ; ' :: 4. s..: . -.; ...', 4.-- i : ;'1.',: : : . ';. • :''.', 1 ':. ; :i.',':' . ..f,' - .."
I ()
K..CLIDIA. LC ..4 Lf.? , f... (1_,L, Gas fireplace 10.00
, Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove [0.00
Wood fireplace/insert 10.00
• .. ...-.- .- .. ....,,.,,..,,. Chimney/liner/flue/vent 10.00
•
• ' .i Other: ' 1 10.00
Name: R?1,...'6.1.1a.t-ti.... 13i--xt.L.k.... Environmental exhaust and ventilation
Range hood/other kitchen
Address: I L H 00 elA!• Ci.S (4- equipment 10.00
City/State/ZIP: .1 1 ')- () 1 01'77 1.-it' Clothes dryer exhaust 10.00
t_, Single-duct exhaust (bathrooms,
Phone: ( ) IC 3 - 5Stc w-2, Fax: ( ) toilet compartments, utility rooms) 6.30
.,. • ...'• .. .: ,,:,:A . .4 F :.0: : .. coN - j:Ac r.' : . / . E 0 SQN: ..i.;:: ; '.:,' : ..., Attic/crawlspace fans 10.00
Other: 10,00 1
Business name:
Fuel piping
Contact name: 35.40 for first four; 51.00 for each additional
1 l
Furnace. etc.
I Address: i
Gas heat pump
City/StatelZ 1 P: . Wall/suspended/unit heater 1 -------1
Phone: ( ) Fax: : ( ) Water heater I
i ---- Fireplace I I
i
E-mail:
Range •
i . .
1 - . CONTRACTOR • " • • . : . • Barbecue
1 1 ,
I Business name: Sunset [leafing and Cooling I Clothes dr)er (gas)
- ' Other: I I 1 -1
i
I Address: PO Box 42289 . MECHANICAL PERMIT FEES*
1 Cirsztitate/ZIP: Portland, OR 9 7242 Subtotal 1,,2S ZCi I
I - Minimum permit fee (572.50) TO
1
'hone: (503) 234-0611 I Fa (503) 234-0439
' Plan rev es (2D 'n of permit lee)
I t:C13 lie.: 16 1085 State surehar-Lte (3% of permit feet I 5 „so, *;
........„.........._ ... „. .
n ---- /. _ ._
TOTAL PERMIT FEE
Authorized simiature: i--
c - - -- i ,... ,
. , V
, , _ ,,__.,.„ Thi, permit application evpires if a permit is not obtained ■Iithin 180
--- --- -.1 ..
days after it has been accepted AS complete.
n .-
Print ame S
: h auna D rn brus
'Ah ' i Date: 3/A1, c ..-
, 1 . Fat inethodolog■ sct by Tri-Ciaiiiity Building Indllsic■ Sul% ..:,: ilo:lrd
4Un5T,..miv,
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Nov 17 04 01:20a P - 3
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Site P1,.', n
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Name: 4,-4,...--,e),--- 17-.111,1 vyt emck
Address: i 4 i co. 7; it 0 7 8 71 " C 4— N
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HOUSE
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CITY OI; ` r ARD ^� ,_
BUILDING VISION PERMIT #: MEC200G 00130
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/25/2005
Phone: (503) 639 -4171 ::4
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/22/2005 TIME: 8 :06AM PAGE: 91
SITE ADDRESS: 14100 SW 98TH AVE CLASS OF WORK:
SUBDIVISION: MCDONALD ACRES LOT #: 015 TYPE OF USE:
PROJECT NAME: BRACK
DESCRIPTION: Replace furnace & NC.
OWNER: BRACK, RICHARD J AND DORE NE, PHONE #:
CONTRACTOR: SUNSET HEATING & COOLING PHONE #: 503 - 2340611
Inspection Request Scheduled For: Date: 4/22/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 005087 -01 5503- 639 -5863 N
Corrections /Comments /Instructions:
- 0 - iti . G'&"-67-ei eVe- .‹ CA- r,
•
❑ PASS , PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: /10( Date: 1 � —.K-,, Phone #: (503) 718-