Permit PT
C ITY OF TIGARD MECHANICAL PERMIT
II DEVELOPMENT SERVICES PERMIT #: MEC2005 -00828
Ali 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 12/19/2005
PARCEL: 2S 111 BB -01000
SITE ADDRESS: 14300 SW 103RD AVE ZONING: R -3.5
SUBDIVISION: TIGARDVILLE HEIGHTS LOT: 016 JURISDICTION: TIG
Project Description: Replace furnace.
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: 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
MARY REEDER Description Date Amount
14300 SW 103RD AVE
TIGARD, OR 97224 [MECH] Permit Fee 12/19/20C $72.50
[TAX] 8% State Surcha 12/19/20C $5.80
Total $78.30
Phone: 503- 639 -8288
Contractor:
SUNSET HEATING & COOLING
0607 SW IDAHO
PORTLAND, OR 97239 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 234 -0611
FAX 503- 234 -0439
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: �� � Permittee Signature: -
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.
Dec 19 05 11:26a p.
Mechanical Permit Ape • 1 o UI I I( I.1 `l. (1\1,\
City of Tigard l. `' Received t Permit No. ? l i
13125 SW Hall Blvd., Tigard, O ° R 1 � D� Plan Review
/ -� �� D � ® � r
g (J Y'd eview
Phone: 503.639.4171 Fax: 503.598.1960 c. 005 ."r + n ,�,4.? l Datc(By: Other Permit:
Inspection Line: 503.639.4175 ({ 2 J �- . Date Ready/By:
0 See Page 2 for
Internet: www.ci. Y J Notified/Method: Supplemental Information
C ITY O .TIGA is
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Mechanical permit fees* are based on the value of the work
❑ New construction ® Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
+111
r.; ' ,sir. R $ itiox} abs r a 1 4 = w A w a +,I' aT WY S h r ;Yd ,, s ' �� ' 545 W Value: S
.,:ut..�:�"3.Y�5..g.a.ira; mil o, �....4jH,: „' .'..;":',.•..":' ... 1, .a �Y...x„ r... ....:.. x,. > c .. „ a., ,. ._,...f.. w�; to ,u .j. i. i . a , `f au;z4,°,,,fi...`r r y}n
:, ,:, ,..,,;!. _ S . . .., i . r +
.- , ∎hJ.r, 411:' :
ti 1 - and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building
n� For special information use checklist.
❑ Multi family ❑ Master builder ❑ Other: Description I Qty. I Ea. Total
m rv:r, 5 r , 'ms's . vet" �x .zi . ,. %T yrer 3 �" q ° ; Ta 3„ N. v m i ^�y a; '.
'i i , 1kt s+ ,� L � i.. 4 1 a � 1 iV tiff 3 n ' ? l 3� ' w .+ e ,bo, + � r t i1 t Heating/cowing ... L.�ak�w$rp;a�,.. ?an „ < �.. ti. iY n�"+ �% �f< anx, �w.. M. r; ns' t � "+r.$zw(}.+r t,,:�:,
3 j ' ;' . �. f `` { t Air conditioning or heat pump
Job site address:
# ° ti � -, . :,? j, , I L) -.5 ' - " , i YL..- (requires site plan showing placement) 14.00
City /State /ZIP: ..--; i C -_� f 4:711 Furnace 100,000 BTU (ducts/vents) 1 14.00 9 "
Furnace 100,000+ BTU (duccs/vcnts) 17.90
Suite/bldg. /apt. no.: I Project name:c Gas heat pump 14.00
Cross street/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
Subdivision: f Lot no.:
Flue/vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
p, . Y Fs ry t( j tike , t `44 .
i . r n , l • " `. ,r , . s "" Water heater
'�' " "� a ,• `...,.��:a�.k: , r ^ ;, w, r:.:.� �..- `3�sK:;ru...; ° t?�1a:,_.. , . ����`�C. �S„ r. a .. �� 10.00
o Gas fi rep lace 10.00
r t-, a s , ' -'* ' _ ( ' LI.? ._ 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
;. l <:: r . ; i t • >,L , ac t . . ,,. M . v Chimney/liner/flue/vent 10.00
t, ; - .,:, , "� ,r . ", �„,��; c.:a.$0 . .. .
e a . ts < v, 4 at. Other: 10.00
Name: 1111.[„0.,„.- +
i` `t.124.-- Environmental exhaust and ventilation
Address: I � L 1 R L z1 . /-_r te. Range hood/other kitchen
t -'ii: I- is f t__.. equipment 10.00
City / State/ZIP: "� 1 ,` ( i z i.0 Clothes dryer exhaust 10.00
} Ad Single -duct exhaust (bathrooms,
Phone: (� , _ ) - . ) , -, Fax: ( ) toilet compartments, utility rooms) 6.80
'", " ;' "ke$ ` "` 'y� • ".;. i (v. i ` e ' �' `a .a. j,agn 1 x7, 0 *? 1;; • , ` ,,./ Attic /crawlspace fans 10.00
::net a ilWa 0,m6. $ } t&t . s ab ' ,uv' _ 5 S a6 9
` L,�.�+)st*ntisa,�.;k.�i,.�: -1,v .y gas uNU.�..,u° ,i a x ..s��.c:rw.>' -'�: �k�k'.�'.�m
Business name: Other: 10.00
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
Gas heat pump
City /State/ZIP: WalUsuspended/unit heater
Phone: ( ) t Fax.. ( ) Water heater
Fireplace
E -mail Range
� ; kK'hkrAll "L" ti s m, at ;' x Sy s +dirt ?`�Z ,Wxtnh t �&° 5�k W�..1n,, ,, N,. , ,9+t n : v
..5, � , ` W:Wlii 'r ax e & ,i `wf 4 11, ii 1;�a. L) " i s r ' . W � ff 4 1.7YrA 6 Barbecue
Business name: Sunset Heating and Cooling Clothes dryer (gas)
Other:
Address: 0607 SW Idaho Street , a ' Ft . s _
_ : w a P. � -"=
_ s: t. ^.. A..,,au a5.zw iz of
City /State/ZIP: Portland, OR 97239 Subtotal )L.I --
Minimum permit fee ($72.50) _..'. 4.`
Phone: (503) 234 Fax: (503) 234 -0439 Plan review (25% of permit fee)
CCB tic.: 161085 State surcharge (8% of permit fee) 5 (,S
TO TAL PERMIT FEE , • i c<, • 351;
Authorized signature: 7' < 1Ul Z " This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Shauna D'Atiisisia Date: 1 2'4 pi t €y. -s:7 * Fec methodology set by Tri -County Building Industry Service Board
i: \ Building\PcmiluUMEC- PermitApp.doc 12/03 440 -4617T (I 1 /02/COM/WEB)
CITY ������8��������
��m u u OF m un�m�mn���
BUILDING DIVISION PERMIT #: MEC2005~00328
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/19/2005
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 . 1 ��
INSPECTION WORKSHEET FOR DATE: 1/20/2006 TIME: 7:004IN PAGE: 102
ce4qcc) , /*��
SITE ADDRESS: 14300 SW 103RD AVE CLASS OF WORK:
SUBDIVISION: TIGARDVILLE HEIGHTS LOT #: 016 TYPE OF USE:
PROJECT NAME: REEDER
DESCRIPTION: Replace furnace.
OWNER: t^EEDER.k8ARy PHONE #: 603-639'Q08
CONTRACTOR: SUNSET HEATING & COOLING PHONE #: 603-2340611
Inspection Request Scheduled For: Date: 1/2012006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final � ^,' ��u+ W3-23406i1 �
AM
Co!nao1iona/Connnmmnta/|nstructione:
0 PASS El CANCEL ri NOACCESS
FAIL / A ,EOR INSPECTION ADDITIONAL FEES ASSESSED
——~~ftb- /r2
�°
Inspector: Date: Phone #: (503) 718-