Permit rr
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CITY TIGARD MECHANICAL PERMIT
1 DEVELOPMENT SERVICES PERMIT #: MEC2006 -00338
, ° ---' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 7/24/2006
PARCEL: 1S133DD-12500
SITE ADDRESS: 11945 SW 126TH PL ZONING: R -4.5
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 4 LOT: 162 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:
WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
DONALD MCKERNAN Description Date Amount
11945 SW 126TH PL
TIGARD, OR 97223 [MECH] Permit Fee 7/24/200E $72.50
[TAX] 8% State Surcha 7/24/200E $5.80
Total $78.30
Phone: 503- 830 -0323
Contractor:
OREGON HEATING + NC INC
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -538 -2953
FAX 503 -537 -2172
Reg #: LIC 125815
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: �__e )_._ Permittee Signature: ,Q, Q
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.
Jul 21 06 12:49p MS Rentals, Inc. 503-537-2172 p.2
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Mechanical Permit Applicati.on . ' - : . FOR OFFICE USE ONLY
13125
City of Tigard „ .. _.
Received
Dateisy ii Permit blozati,___1 SW Hall Blvd., Tigard, OR 97223 Plan Review k a c 3
Phone: 503.639.4171 Fax: 503.598.1960 RECEV.:•:. Or
T A Date/By:
Other Permit:
. Inspection Line: 503.639A175 lti _ Date Ready/By: Juris: See Page 2 for
Internet: www.citigard.or.us Jul_ 2 1 ._1 tg_.
Notified/Method: 1 (r Supplemental Information
CITY OF TIGARD . .. . . „ ..:. • .. : ... . .• .• • • ,- • , - -• -
-..:,:.:.,.::.:---:-..„:--:••.,-..:,,:•:: ..i.. -•:• .• -,-,• •:•:•T • • • • tkag:IDIVISIOW.:,:: .-:';••.'•••;••••::-;•;•'.........:.: Ylccm•IM semp c4EcpsT..;
, 1 mechanical permit fees are based on the value of the work,
1_,1 New construction Addition:alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
[I] Demolition III Other: mechanical materials, equipment, labor, overhead, and profit
eicicjii.. OF 'IcbistAtiera.O': .:--:. ! ....- ‘:'':.---,-.. .. I. II -'• '.. Value: S
',. ':"*:'''' 3 i . ..if' ' '.'. . - ' ,' ''''- ''' ' ' " • ' • • - - '''''' " ' • ".. ' .. :: ''''''' ' .. '' - ... . ''. ''. -: ' ...' ' . :. . '.• • • ' ' ' '''. ' IEM S'S :'. '' '
1 ,I,, and 2-family dwelling El Commercial/industrial [11 Accessory building
For special information use checklist.
El Multi-family 0 Master builder D Other: Description Qty. Ea. Total
SEjB..itEii-iIi‘b:ivria:tiiiii ,;.a .:::: , IlleatinWcooling
Job site address: / I t--t,S 31A) ) - 1.--- g
31 Air conditioning or heat pump I
(requires site plan ;bowin plat:an:lent) 0
1 11 i ...1
If J...---
City/State/ZIP: .01r-d 07 ca)-3 : Furnace 1
I
Suite/bldg../an. no.: Project name: , Gas heat pump I 14.00
Cross streetklirections to job site: Duct work 14.00
' Hydronic hot water system 14.00
Residential boiler (radiator or ! '
hydronic) 14.00
Unit beaten (fuel-type, not electric),
in-wall, in-duct, suspended, etc. 10.00
Flue/vent for any of above I 10.00
1 Subdivision: Lot no.:
. Other. I 10.00
Tax map/parcel no .: Other fuel appliances
P;t?,..;='.:',:-./iit:,.':::.:.LiL,-,:t4,M,,i,i,'. Lp ,1 0 ...,'i.,.i.,§,, 6 ,_ m It /1_, : i4 . ,.._, i i i," . .., 16 ,f40:‘*..,__04 . .;: iy : ',; (6._ H.I.tY:...i . . ' ::':..: : i i,. . L ate fu r h
2
, Flue vent for water heater or gas
! fireplace I
I 10.00
I 10.00
10.00
Log liglater (gas) i 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
I 10.00 j
',:: , I;!Rf2.IfTP‘:TNI.ICT : - :...1';'...:2:;: , .. - ! - :.i!t: , .-::! .,. .:!- . 2.-:. [ -1,~.T . ,:: . :'..- -,. .J , :.!; , ..;-.. , :.::' . . - .:;.r , ! other I 1100
Name: 0 j (i_ L i,)/ n_fiAL, Environmental exhaust and ventilation
, o ..
— i111 „,- hood. th..r latchen
Address: 0 c_f.c. 'vi 1 Li bt Raa
- /9( equipment 1 10.00
City/State/ZIP: kat ... b?1 , Lit -- OC, Clothes dryer exhaust 1 10.00 , I
y1101 4 4) .52 .7) , Fax: ( ) . t S o i ii n e g-d
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ay.
PEIC
. I.1-..:.l':I.':!j'El:ccj1..`414..0.''.4. PER I'Y'':-;.:..!...:: 10.00 6.80
, .. .. . . j . ...... , .. , 10.00
Business name ,14,- dwIn..6.1 4-
.- Cb.. ( , Other.
Fuel piping
Contact name: • ,h ( —) 55.40 for first four; 51.00 for each additional
ri
,
Address: , , , r - .•)/- Furnace. etc. I _
,
Gas heat pump
City/State/ZIP: Is' 1 VP-- ri. L c WalVsuspendediunit heater
Phone. ) — SACL Fax: : , 13) . - 7 4 - 2/ ---2., Water heater
.--. - _- Fireplace I
E-mail: . . . Range I
. .
.. .. . . .. . .... . ..... . _ ..,
.. . . . . ... . . ...„ ..... .. .. . . .. .
Clothes dryer (gas)
j Business name: ' 1 ,1,/\# g : y.) r.,_ 4__ . 7 , 4_, , Other:
Address: .1b ' ) n
niL , c Minimum permit Subtotal _ 4
I Phonef 21 ,- 4 _ Z., --- Fa L621 - 1172-_____. Plan review (25% of perrnit fee) r , 1 ...„.. 2 \
COB lie.: ,-----
. ()\-. • I. . State surcharge.. (8% of permit fee)
i
I ' t TOTAL PERMIT FEE 77 S '-ibp
Authorized s retire: ; MS * .) 1. 1 ki_nOirtpAk_ ' /,' X1.16,, This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: 4,Ayl 1 , - .,, Ajiibil(...,n I Date: * Pee ulethOdology set by TO Building Industry Servirx Board
___ - .
CITY OF TIGARD * ., .
BUILDING DIVISION PERMIT #: MEC2O06 -00338
13125 SW Hall BI'vd., Tigard, OR 97223 DATE ISSUED: 7/24/2006
Phone: (503) 639 -4171 4�dlI�l��
Inspection Requests (24 Hrs.): (503) 639 -4175 1_..
INSPECTION WORKSHEET FOR DATE: 9/1/2006 TIME: 7;Q1AM PAGE: 40
SITE ADDRESS: 11945 SW 126TH PL CLASS OF WORK:
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 4 LOT #: 162 TYPE OF USE:
PROJECT NAME: MCKERNAN
. DESCRIPTION: Replace furnace.
OWNER: MCKERNAN, DONALD PHONE #: 503 -830 -0323
CONTRACTOR: OREGON HEATING + AIC INC PHONE #: 503- 538 -2953
Inspection Request Scheduled For: Date: 9/1/20 06 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 035936-01 503- 538 -2953 N
Corrections/Comments/Instructions: /, / b� - �i'
- c' L6 aCkL .�- IA t nGV it 14:5-6- 5-6- C `?` 06 B t ✓.G.ct g- �v�
PASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: .; ;,r (7 Date: '9- A-66 Phone #: (503) 718- 244-C"--