Permit a r •✓
CI TY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00656
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/8/2007
PARCEL: 2S 111 CD -05800
SITE ADDRESS: 09600 SW BRENTWOOD PL ZONING: R -7
SUBDIVISION: SUMMERFIELD NO.9 LOT: 517 JURISDICTION: TIG
PROJECT: PHELPS
Project Description: Furnace change out, move water heater.
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:
NAT 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: 1
> 10000 cfm:
GAS OUTLETS: 1
Owner: FEES
DIANNE PHELPS Description Date Amount
9600 SW BRENTWOOD PLACE
TIGARD, OR 97224 [MECH] Permit Fee 11/8/2007 $72.50
[TAX] 8% State Surcha 11/8/2007 $5.80
Total $78.30
Phone: 503 -516 -9020
Contractor:
D & R HEATING & AIR CONDITIONING
PO BOX 1292
CANBY, OR 97013 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 678 -2517
FAX 503- 678 -2097
Reg #: LIC 84489
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: "--7"._ c
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 07 07 01:55p DR Heatin' 503- 678 -2097 p.2
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Mechanical Permit , , , _
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City of Tigard v j( 0 • ;' Ott N (. / -t0D
13125 SW Hall Blvd., Tigard, OR 97223 NOV 0 1 17
Phone: 503.639.4171 Fax 503.598.1960 OtnerPcrml:
Inspection Line: 503.639.4175 CITY e'r tuns HI See P
� i Li 5036394175 ClT 6 OF TI . <I.�+: Y.Cr- � � [Otte ReadylBy: aC e for
Internet: www.ci.tiigard.or.us tttifitxVMletlwd Supplementer Information
:COMMERCIAL I�: ' t ° N
TYPE OF WORK' COMMERCIAL FEE* SCHEDULE USE CHECKLIST
❑ New construction Addition/alteration/replacement Mechanical permit fees' are based on the value ofihe work
performed. Indicate the value (rounded to the nearest dollar) °fall
❑ Demolition ❑ Other: mechanical materials, equipment, Tabor, overhead, and profit.
Value: S
CATEGORY OF CONSTRUCTION • • - .
- RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building
For special information use checklist.
0 Multi- family ❑ Master builder ❑ Other: Description Qty. 1 Ea. I Total
. JOB SITE. INFORMATION . AND LOCATION • . . • Heating/cooling
n ` � �� Air conditioning heat pump
96
Job site address: , 00 S (requires site plan shoho ng w placement) 14.00
City /StateJZIP: 9i z. Furnace 100,000 BTU (ducts/vents) 1 14.00
•
__ Furnace 100,000+ BTU (dudsivents) 17.90
Suite/bldg./apt. no.: Project name: Gas heat pump , 14.00
Cross street/directions to job site: Duct work 14.00
Flvdronic 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
DESCRIPTION OF WORK Water heater 1 . 10.00
J Gas fireplace 10.00
..11^a/04.1- C-14045/19'4- 1 �JO 4) ii ? � i / _ 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
Chimney/liner/flue/vent 10.00
ka PROPERTY OWNER ❑ TENANT Other: 10.00
Marne: Dl? e. j}( -&-PS Environmental exhaust and ventilation _
/�
Range hood/other kitchen
Address: n
`7100 Sj .k) • e ( plo-cs equipment 10.00
City/State/ZIP: -nG a fl 2 97 2,2 6f Clothes dryers exhaust 10.00
! Single -duct exhaust (bathrooms,
Phone: ( sp3 ) s -) ( .. 9 Fax:( ) toilet compartments, utility rooms) 6.80
51 APPLICANT ❑ CONTACT PERSON Atticicrawlspace fans _ 10.00
Oz. / Other: 10.00
Business name: b� �n2 It ,4irc_ 4,,,d. Fuel piping _
Contact name: , /o'p S)H 9 � 55.40 for first four; $1.00 for each additional
Address: P. 0. g I z47, Furnace, etc. ,, Gas heat pump
City /StateiZlP: C> 47 X12 9 ?PS J Wall/suspended/unit heater _
I Water heater
Phone: (5-D,5 ) 0 Z 71 Fax: ( - pS ) 4 20 9.7 Fireplace
E -mail: i Range I
CONTRACTOR Barbecue
Business name: st ) r7 _ / /C1�vt,r Clothes dryer (gas}
Other:
Address: • MECHANICAL PERMIT FEES*
City /State/ZIP: i Subtotal v.00
Minimum permit fee(S72.50) TL,5)
Phone: ( ) U Fax: ( ) Plan review (25% of permit fce)
CCB tic.: 8 �Yp 9 State surcharge (8% of permit fee) S {
A , TOTAL PERMIT FEEL 78, 3O
This permit application expires if a permit is not obtained within 180
Authorized signature: days after it has been accepted as complete.
Print name: jtqt Atl glh Date: 11/ 7 14 7 • Fee melhodoloyy set by Tn -Coumy Building Industry Service Board
i \DuiIding'Permit.MEC.AermiApp. doe 12203 440-4617T (I I /O /COut.' IB∎
CIT �� TIGARD
BuiLompr3 DIVISION PERMIT #: MEC2007- 0066
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/81 a +307
Phone: (503) 639 -4171 �Inspection Requests (24 Hrs.): (503) 639 -4175 '_. ��'.,2 Cp 7- 0665E:3
INSPECTION WORKSHEET FOR DATE: 3/25/20018 TIME: 7:01AM PAGE: 26
SITE ADDRESS: 09600 SW BRENTWOOD PL CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO.9 LOT #: 617 TYPE OF USE:
PROJECT NAME: PHELPS
DESCRIPTION: Furnace change out, move grater heater.
OWNER: PHELPS, DIANNE PHONE #: 503-616-9020
CONTRACTOR: L) & R HEATING & AIR CONDITIONING' PHONE #: 503 -67B -2517
Inspection Request Scheduled For: Date: 3/26/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 067279.01 503.678.2517 Y
Corrections/Comments/Instructions:
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•
•
❑ PASS PARTIAL APPROVAL n CANCEL n NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
•
Inspector: Date: 3 F7 Phone #: (503) 718- �5�a
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: lti1EC2007.00656
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1//812007
Phone: (503) 639- 4171I��iy��I4* �
Inspection Requests (24 Hrs.): (503) 639 -4175 �.' �`__ /Lie .Op 7 -QQ 6 5
INSPECTION WORKSHEET FOR DATE: 2/19/20013 TIME: 7 :01AM PAGE: 25
SITE ADDRESS: 09600 SW BRENTWOOD PL CLASS OF WORK:
SUBDIVISION: SUMMERFIELD N0.9 LOT #: 517 TYPE OF USE:
PROJECT NAME: PHELPS
DESCRIPTION: Furnace change out, move water heater.
OWNER: PHELPS, DIANNE PHONE #: 503-616-9020
CONTRACTOR: D & R HEATING & AIR CONDITIONING PHONE #: 503-678-2517
Inspection Request Scheduled For: Date: 2/9/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 06+5172 -01 503 -678 -2517 h!
Corrections /Comments /Instructions:
•
n PASS - PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
•
AIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: 2 —! �i —d ei Phone #: (503) 718 - -2A-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2O07 -Q0 66
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/3/210177
Phone: (503) 639 -4171 .4�70 �A�l�u H
Inspection Requests (24 Hrs.): (503) 639 -4175 P!+� l �.. /'j' ' a0 07 - 0 06-5 2
INSPECTION WORKSHEET FOR DATE: 112 2008 TIME: 7 :0AM PAGE: 47
Uu ft - 44'` i At-,DGi!2r' e l
SITE ADDRESS: 09600 SW BRENTWOOD PL CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO.9 LOT #: 5 TYPE OF USE:
PROJECT NAME: PHELPS
DESCRIPTION: Furnace change out, move water heater.
OWNER: PHELPS, DIANNE PHONE #: ' 503 - 516.9020
CONTRACTOR: 0 8 R HEATING & AIR CONDITIONING PHONE #: 503-67/3-25'17
Inspection Request Scheduled For: Date: 1/29/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mecharmical final 064094 -01 503- 678.2517 N
C. rectio s /Comments /Instructions:
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❑ PASS 7/ fl PARTIAL APPROVAL ❑ CANCEL _ NO ACCESS
CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
L
Inspector: A Date: ► 68 Phone #: (503) 718-