Permit I��� CITY OF TIGARD
DEVELOPMENT SERVICES MECHANICAL PERMIT
4 PERMIT #: MEC2005-00531
°=--� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/29/2005
PARCEL: 2S103BB -05900
SITE ADDRESS: 12550 SW 124TH AVE ZONING: R -4.5
SUBDIVISION: BROOKWAY LOT: 059 JURISDICTION: TIG
Project Description: Install A/C & gas 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: 1 DOMES. INCIN:
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: 1 AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
W ILLIAM MANAHAN Description Date Amount
12550 SW 124TH AVE
TIGARD, OR 97223 [MECH] Permit Fee 8/29/200E $72.50
[TAX] 8% State Surcha 8/29/200E $5.80
Total $78.30
Phone: 503 - 579 -9226
Contractor:
SERVICE NOW OF OREGON INC
404 SE BEAVERCREEK RD #228
OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS
Phone: 503- 655 -7558
Reg #: LIC 161582
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: .� d� // Permittee Signature: je
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business d y.
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.
08/29/2005 08:48 5036557593 SERVICE NOW INC PAGE 01/03
,,' ry} . ;).:0#;, , ' h , y 4i x7 , l1,MItl: �5. t iOi x0.5:. 1 ,
Mechanical Permit rrr��� El .,. _;4 : , i , a ,,: , M (. : .r(),0,01 ;11 ;ONL Y . .. �/t` •
City of Tigard
�� ry — 1r°' Date ive. . / �`� F'/ 2 65 a /
'r'— 1� 0 Rafe - / Permit No `t>,/t�J�c
13125 5W Flail Blvd., Tigard, IZ 472'2 Plan Review
Phone: 503.639 4171 Fax: 503.598.1960 „:if+ . 1\ pate /13y: Otticr Permit:
lnspeetion' 503.639.4175 AUG 9 20 05 I � pale Read By' See Page 2 for
N ,,4, -.�.:
Internet: www.ci.tigard.or.us Neiifled/Method: Supplemental information
I Y C?F TIGA
1 �+.+ ` `i` t 7 "r �l ? " s>? ; ;r - �.� sa I t 1 : ,g 4, ,. .i i•` 'ai :;i ;14 : / COMMi (t GI t•,..: SC1.f Df•LE. :t2' s lull Pt
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ev lit, t ,�r d! H �� il. r =n, ' •r-
❑ New construction Addition /alteration /replacement Mechanical permit fees' are based on the value of the work •
performed. indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Olhcr; mechanical materials, equipment, labor, overhead, and profit.
r , t . , .. ,, . , � „p _, ”' ,ek + M �. •..:Y ' M i, \fame; $
t m. ,z +,, r s I I f: § . I y ' t ' , �' ' 0 ' ' l 00 !' d , �C t ?! ` ] i� de. i s .,p � :r vt Afg. "';tit - ,_ . ... ., r r. to
Ell 1 and 2- family dwelling El Commercial/industrial ❑ Accc.sory building ..:0.:,.•N • , . ;4 ; ' � 1 i N ; •'' ' ST i '? } ` ” � ,
For special trlfoentarlon trse checklist.
❑ 1\4 . ❑ Master huildcr ❑ Other: Ea. Total
Descri l Qty. i
li
4. X2', ; 'a'I0btL ''3 k,11.- 1 AN' '�'.i>p: _t nr e( oo"
...l, jria. dill , j our ) ^n "' 1V (: � M. N4 �?f . , tcati )
Air conditioning or heat pump
Job site address: ,' ` 2_111-4 I . ` * (requires site plan showinkpl;icetnts 9 ( 14.00 1
City /Stile / /11 0 .- v 4.. , I Furnace 100,000 BTU (darts /vent ( 14.00 f ----- �" Furnace i00 + 13Th(ducts /ucnt5) 17,90
Suite/bldg. /apt. no.: ' Project name: %% ii r l . . k _ Gas heat pomp 14.00
Cross street/directions to job site: . Duct work 14.00
11 ff f- lldrotlic hot water system 14 .00
w Residential boiler (radiator or
hyd ron ic) 14,00
lhilt heaters (fuel -type, not electric),
in - wall, in- duct, suspended, etc. 10.00 •
Subdivision: . Lot no.: Flue /vent for any of above _ 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
n Ala -1 .,'' " !:f�k• Water healer 10,00
y', :'I;` ": %07, e l il` ` . 0U.N I' st OM.0F i;.1 , A )Kf {li`.'.:,1 ' ' ? r - ..
/ as fireplace
111 • rs , i. u ` , .• k I iuc veril foi water heatur or gets
• fireplace • 10.00
Lo• liuhter oils) 10.00
Wood/pellet stove 10.00
' Wood fire l 12e/i/insert 10.00
:� « .. , -x � � , , ., K„ .:,1�.,:., , 4��y t .; ., . • • Chimney/liner/floe/vent punt
rtiy _ _tl " t.(i�' fGR t,t ; : �'': tfiri l�i`[i ' ` ,, 0,00
hilt, $ " iH < Y . ,,.;. Other: l ...._
l/ i11111r / Al „Qi1 / 4 /. -,i f;nvirpnmcnldl COMM Ana vcaftilation
Range hood /other kitchen
Address:. .' ® `In' /P . equipment 10.00
D # q 2/ 3 _equipment
dryer exhaust 10.00
Single -duet exhaust (bathrooms,
Phone ( 5A) S t/ - q �, ■ 1 , Fax: ( ) toilet com ailments, utility rooms 6.80
P1;1'iy / ( x ,k � 11 ' s 4 ?'3 "" Y Attic/erawlspacefan 10.00
t j , A i° 1 hT t .: p . .1 j 1.111.=x '?, I) .1 (( v ti: i , aq t . -, • . :: • 3 I
b�1��.1a3,YI,Lut. • . .�ti ,., ., . • ! • +Sr, r r''... ) •LY'�1 ,n:l , „ � .
•
Other: _ 10.00
ZIEZEMMINIIIPY uJ _ , ... rid thing
-.,46 . 0 4 fia ' 55.40 for first four; $1.00 fo each additional
Furnace, etc. • ,
Address:
( i n s hen( pump _.
City /State / %1P: Wall /suspended /unit heater
Phone: ( ) Water heater
Firfllace
E-mail: it tine
,'_. ??•, t. :4 i ., ]'R kr,'. - ...-7.- , ..' f3inc�ette
� • "C(�t'' I'C)R
Clothes dryer (gas)
Business name: Service Now of Oregon Inc, other:
Address: 404 5,. Beavercreek Rd 4 228 .- y ri5 haG 1(?2�1iCA4':PI:Tkl�Z` 7 � ?, U �° q'
f
ti
City /Stuni1.,1►': Oregon City, OR 97045 _ _ 5al
Minimum permit fee ($72.5$72.S0) ,,
• Phone: (50 3)655 - ,7558 Fax: (503) 555 Plan review (25% of permit fee)
CCE fie -: 1 61582 — Stale surcha (8% of permit fee) !
.�* Y I'Iti� p :,p {llieatie TQTA I- Pefttyir FEE U
ey pire$ If a permit 13 not obtatnCd within 180
Authorized signatu : Or d;t,1y tier it has been .e•,ptclt ae complete_
]� �T
t : F e e metltodoiogy set by •fri- Cntiely 13uilding industry Service Board
Print name: Ala � 4 rtiffi R rta�f�lr ! i>02�
i; WviidintlPer ,,,i(s\MC(:- PcrnlllApr.dpv I 2/o • 4A°- gin (I1 (12 /COMhvEPI
08/29/2005 08:48 5036557593 SERVICE NOW INC PAGE 03/03
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CITY OF TIGARD . ,, , z _ ay .
BUILDING DIVISION PERMIT #: MEC2005 -00531
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 812912005
Phone: (503) 639 -4171 0 I *" �
Inspection Requests (24 Hrs.): (503) 639 -4175 'IL.
INSPECTION WORKSHEET FOR DATE: 9/16/2005 TIME: 7:01AM PAGE: 102
SITE ADDRESS: 12550 SW 124TH AVE CLASS OF WORK:
SUBDIVISION: BROOKWAY LOT #: 059 TYPE OF USE:
PROJECT NAME: MANAHAN
DESCRIPTION: Install NC & gas furnace.
OWNER: MANAHAN, WILLIAM PHONE #: 503 - 573 - 9226
CONTRACTOR: SERVICE NOW OF OREGON INC PHONE #: 503 - 65577558
Inspection Request Scheduled For: Date: 9/16/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 015735-01 503. 655 -7559 N
Corrections /Comments /Instructions: PD 1 (--
f.,e AV‘Z/,d- , 14/Ad s 5 755 ��.
i: PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
n FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: q /0-05 Phone #: 503 P t (503) 718 -