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C ITY OF TIGARD MECHANICAL PERMIT
'''� ° " COMMUNITY DEVELOPMENT PERMIT #: MEC2006 -00653
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/26/2006
PARCEL: 2S104AA -12600
SITE ADDRESS: 12380 SW 129TH AVE ZONING: R -4.5
SUBDIVISION: BELLWOOD NO. 3 LOT: 145 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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: 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
JENNIFER ANDERSON Description Date Amount
12380 SW 129TH
TIGARD, OR 97223 [MECH] Permit Fee 12/26/20( $72.50
[TAX] 8% State Surcha 12/26/20( $5.80
Total $78.30
Phone: 503 - 579 -1195
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: -07Z ,Cal--(/'
Permittee Signature: 7,,ce P
Call 503.639.4175 by 7:00 a.m. for inspections that business �a
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 26 06 09: 15a p.2
. ` - ' -
Y - Mechanical Permit . ` n, /i t ' 1 )I'OR 01'I'K I I'SI', ONLY .:.
f■ „ F1 City of Tigard Dat 6 � t - P J PermitNo /7Or / %/ 77 •
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review G�� vv lia
Phone: 503.639.4171 Fax: 503.598.1960 DEC 2 v 2OOB � ,`` �, Date/By: Other Permit:
Inspection Line: 503.639.4175 �I t) . ' . Date Ready/By: Juris: 63 See Page 2 for
Internet: www.ci.tigard.or.us a
ein tl u1 � No , '` - ��
Notified/Method: Supplemental Information
•,�r ; €. :�C�i,�<..t. . �O► si�lic�t" �> ��. S a >t� ri1;� . = , ... tisE- iiEC�2i�
❑ New construction ® Addition /alteration /replacement ' Mechanical permit fees* are bast d on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment. labor, overhead, and profit I
,, ... CATEGORY:. ±O1 ,
t< - „. }.y��� � fit, 4. ��rpj� ��+�j� �.� /gyp,+ = y�(
.,.. R i -sgi N �• .(21, /S1.S EM ..
E 1 1- and 2- family dwelling ❑ Commercial /industrial El Accessory building "` `" "` . "' •
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other:
Description Qty. La. Total
., I.: :: JOB SITE:- INFORMATION - AND_ ''!" -,; r? Heating/cooling
Job site address: i 2 f. '`" -
. Air conditioning or heat pump
2 'J p .� t: " t �., (requires site plan showing placement) 14.00
City /State /ZIP: ?-S (-(. CI 7,- :2 ;'. Furnace 100,000 BTU (ducts /vents) 1 14.00 IL; --
Furnace 100,000+ BTU (ducts /ycnls) 17.90
Suite/bldg. /apt. no.: Project name: 4-'l 4 r)„ • ; ,,;t f _ r \ Gas heat pump 14.00 f
Cross street/directions to job site: Duct work 14.00
- 1- lydronic hot water system 1.1.00
Residential boiler (radiator or
hvdronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall. in -duct. suspended, etc. 10.00
Flue/vent (br any of above 10.00
Subdivision: Lot no.: -
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION :;:OF - - WORK;':,: > >:: ; ::,: ;N-,: ;
,
r Gas fireplace 10.00 _
1�'r ; f , 2 L.. t • t•;..,2 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 _
;:G;tr
Chimney /liner /flue /vent 10.00
;PR fit. ' �O R: '� -
1�-� C)PE TX WNE - - - " ❑'IENA�1'I"'' =';',�
``. - Other 1000
Name: t ; ) )<') (.4:(.. k,' 1:-11,,,,,(c Environmental exhaust and ventilation
Range hood/other kitchen
Address: , , i;df';
i ,.:, J SL- equipment 10.00 1 t
City /State/ZIP: 1- ] I. Clothes dryer exhaust 10.00 I 1
Single -duct exhaust (bathrooms,
Phone: (S1,1:2.-) ) ■:..% C .. 1 ;( E r'•` j Fax: ( ) toilet compartments, utility rooms) _ — 6.80
. ::,
„ APPLXG s: :; 1 craw space fans
❑ AN'I? •� ��� '�; _ _;i` Att c •I 10.00
Other: 10.00
Business name: Fuel piping
Contact name: S5.40 for first four; 51.00 for each additional _
Furnace, etc.
Address: Gas heat pump 1
City /State /ZIP: Wall/suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail: Range
az
w
Barbecue
- � . ; "�i" ,... n�i,'.t a, • , � :- , ^,�,. tr... tar. a ,. :?d"^`c ,.. .�, < .ti�''' r -v .. �.. ... �. ,..,,.e , tr. ,
Business nae: Sunset Heating and Cooling Clothes dryer (gas)
Address: 0607 SW Idaho Street e .
a;T }' 4.::,n .,:iNIX1:
I171N `
1CA�P''S 1
FiES,%'::. ':.
City /State /ZIP: Portland, OR 97239 Subtotal ;t.4 r
Minimum permit fee (572.50) •' S
Phone: (503) 234 -0611 Fax: (503) 234 -0439 Plan review (25% of permit fee)
CCB lie.: 161085 State surcharge (8% of permit fee) , c:•Lj
TOTAL PERMIT FEE J K; C
Authorized signature: \ - ,�. ' ,' )' - "! - This permit application expires if a permit is not obtained within 150
� days after it has been accepted as complete.
Print name: Shauna D'Ambrosia Date: ice1 .J ia•' t s-- `, • Fee methodology set by Tri- County Building Industry Service Board
i '\Building \Permits \MEC- PermitApp.doe 12/03 440 -4617T (11 /02/COM/WEB)
CITY OF41GARD
BUILDING DIVISION PERMIT #: MEC2006.00653
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/26612006
Phone: (503) 639 -4171 1 @vo°i �
Inspection Requests (24 Hrs.): (503) 639 -4175 .J.11- I
INSPECTION WORKSHEET FOR DATE: 1/2912007 TIME: 7:05AM PAGE: 55
SITE ADDRESS: 12380 SW 129TH AVE CLASS OF WORK:
SUBDIVISION: BELLWOOD NO. 3 LOT #: 145 TYPE OF USE:
PROJECT NAME: ANDERSON
DESCRIPTION: Replace furnace.
OWNER: ANDERSON, JENNIFER PHONE #: 503- 579.1195
CONTRACTOR: SUNSET HEATING & COOLING PHONE #: 503.234 - 0611
Inspection Request Scheduled For: Date: 1/2912007 Pour Time:
Code # Inspection Description - Confirm # Contact # Message
699 Mechanical final 042481 - 503 ¥
Corrections/Comments/Instructions:
E 1J E � ! 41'6. x; , 1 h'c'L - 5 t 5— 14,4¢1' G 6 -�'c -/ C voclkL.vr
SS I I PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
n FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: / Lei —6- > Phone #: (503) 718 - 2,4-C-0
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