Permit •,a
CITY TIGARD MECHANICAL PERMIT
11 DEVELOPMENT SERVICES PERMIT #: MEC2005 - 00801
�� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 12/6/2005
PARCEL: 1S133DC-08300
SITE ADDRESS: 11720 SW 134TH TERR ZONING: R -7
SUBDIVISION: WINTER LAKE LOT: 013 JURISDICTION: TIG
Project Description: Replace furnace, add air cleaner.
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:
FURN > =100K BTU: <= 10000 cfm: 1 OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
STEVE LOVELAND Description Date Amount
11720 SW 134TH TERR
TIGARD, OR 97223 [MECH] Permit Fee 12/6/200f $72.50
[TAX] 8% State Surcha 12/6/200e $5.80
Total $78.30
Phone: 503 - 524 -4388
Contractor:
OREGON HEATING + A/C INC
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Phone: 503 -538 -2953
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: 4j' .P Permittee Signature: SL �, P*1 ,
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 06 05 10:17a 503 - 537 -2172 p.2
I •
Mechanical Permif` S' pli V-F"`�"1 1 t FOR OFFICE USE ONLY _
City of Tigard t Received ( 0 • - /O 1
Date/By PermitNo.-
Y 6 - . l .. J
13125 SW Hall Blvd., Tigard, OR 97223 O� Plan Review
Phone: 503.639.4171 Fax: 503.598.19 1J LV O 2O Date/By: Other Permit:
Inspection Line: 503.639.4175 4 t!' l' Date ReadyiBy: J r 0 See Page Z for
Internet: www.ci.tigard.or.us ,. Notified/Method: h� Supplemental Information
C ITY `
. {� .�X'�. ) � -/ � .' ;. , -,: -.. >;:'? ;; , . COMI�•1ERCIAI:.. EE * . ' . - SC
T3:EBYTI:)r�- ' USECFIE
■ Mechanical permit fees* are based on the value of the work
❑ New construction Addi Lion /alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all !
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
'. <' : t.. ..:•,;.c .CATE R
OY;:OF CONSTRUCTION ': ..,
Value: $
'..; - -
;� .RESIDENTIIT." EQC1I1 ?1vIEI�'"� /:S1'STEMS'FEES* • �_
and 2-family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist
❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total
:,
• ..: ;,.. :..: „ ,.:..-'' Heat-mg/cooling
- " �/v • Air
.:,. , ::::.., -, OB L.;INk'OR11•IttiTIOr1 ,A-�� ;:LOCi1TIaK `;i`;�,::,::..,. ,,.•.•e . ,�., `: Heat diti heat Job site address: conditioning oning or ea pump
(re q uires site plan showing placement) 14.00
Ci /State /ZIP: �'� C Furnace 100,000 BTU (ductsivents) # 14.00 I -
le", Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00
Cross street/directions to job site: I Ductwork I 14.00 l
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
Flue /vent for any of above 10.00
Subdivision: Lot no.:
Other. I 10.00
Tax map /parcel no.. Other fuel appliances
_ :':., �lYY'' - ,;:. :.
..._...,;,: �.. ..
_..., :.; S Water heater 10.00
- i DESCFC I P"T[Ol`i�!:OF . O RK• :,
. Gas fireplace 10.00
! /' Flue vent for water heater or gas
I i • . / �i t fireplace 10.00
I • ) / j Log lighter (gas) 10.00
' Wood/pellet stove 10.00
' •
t I/ rn awe/ ven
I 10.00
f IA / l { (r� `` Wood
{1 t
.
P ROP TYO �,. N E
,_. R.
,,.:.....: . .:..::.... ........ . , ... . , ,.. ,...... h
. , ... ... ... :..... - Di
Name: , ,(r/„e__ LI�•v` (L_4& 2.. Environmental exhaust and ventilation
;` ,1 .— r Range hood/other kitchen
Address: I 1 — 1 Z - V i q j /�/ equipment 10.00
City/State /IZIP: ' 1 (- (4 (( 7 - 9 7 Clothes dryer exhaust 10.00
J Single -duct exhaust (bathrooms,
Phone: OD-3 2 c.-/3 { Fax: ( ) toilet compartments, utility rooms) 6.80
. f. ,. c craw ce fans 10.00
= - %" 'APPI:ICANT" • ; is ❑'< .) � � Atti / ]spa
. :, ; ?; ..: CQIVTPiCTroPE SaN; �:i': ,
:..,,...., 1 10.00
Other.
Business name / ti' A I . " � ` � �� - Fuel piping
Contact name. . � yt si \ I $5.40 for first four; $1.00 for each additional
Address:
S' ) Furnace, etc.
Gas heat pump
City/State /ZIP: ! t/I `��� Wall/suspendedunitheater
Phone( 3) 6-)s aV + Fax:: t 1 53 1i -4-a Water heater
mss'' Fireplace I
E -mail: Range
> ::.::::..:. .. aC 2fiIItA: CTOR;;::_...;'`.�:..:;:_.':.. , '. ,....';..:;, >` ,:.:: Barbecue
h y) ; j Clothes dryer (gas)
Business name: (/ / f(i Other:
. I
Address: -' �� ' 1 `_ MECHANIC L P E RMIT FEE
City /State /ZIP: 1(l l , CS l=— L4 1 L,S Subtotal (--P>.-- �! � _ Minimum permit fee ($72.50) L: SO
Phone :_ E':) S3 g a z 1 I Fax 63 -7 2,172_, Plan review (25 % of permit fee) y
CCB lic.: + 1_, ,24 �L1
State surcharge (8% of permit fee) 0.•
TOTAL PERMIT FEE ` . r.
i
/ j^ This permit application expires if a permit is not obtained within 180
Authorized s atUie: 1 L� � days after it has been accepted as complete.
Print name: ,...,.'hyl,\A I .�I , ,! t ` Date: ` G 4� ` Fee methodology net by Tri- County Building Industry Service Board
i/ Build ins\Pcmits'MEC- PermitApp.dnc 12/03 4404617T(11/02'COWWEB)
CITY OF TIGARD '� 7
BUILDING DIVISION PERMIT #: F�1EC20 �,.Q; 1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/8200,
Phone: (503) 639 -4171 /I J Ii �oglfll " `
Inspection Requests (24 Hrs.): (503) 639 -4175 - 6 7 ' I�
INSPECTION WORKSHEET FOR DATE: 1/11/2006 TIME: 7:01AM PAGE: 83
SITE ADDRESS: 11720 SW 134TH TERR CLASS OF WORK:
SUBDIVISION: WINTER LAKE LOT #: 013 TYPE OF USE:
PROJECT NAME: LOVELAND
DESCRIPTION: Replace furnace, add air cleaner.
OWNER: LOVELAND, STEVE PHONE #: 503 -524 -4386
CONTRACTOR: OREGON HEATING + NC INC PHONE #: 503 -536 -2953
Inspection Request Scheduled For: Date: 1/11/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 024711 -01 503- -524 -4388 N
'Corrections /Comments/ Instructions:
/1/.01C/2 4Ief S7°
•
R _
PASS _ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/ 2 7 0 6
Inspector: Date: f f / Zi Phone #: (503) 718-
,.. _ .
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: MEC2005-00381
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: i//2�0
Phone: (503) 639-4171 :rillopt?'
Inspection Requests (24 Hrs.): (503) 639-4175 ...,_......w .......
INSPECTION WORKSHEET FOR DATE: 1/1012006 TIME: 7:00AM PAGE: 78
SITE ADDRESS: 11720 SW 134TH TERR CLASS OF WORK:
SUBDIVISION: WINTER LAKE LOT #: 013 TYPE OF USE:
PROJECT NAME: LOVELAND
DESCRIPTION: Replace furnace, add air cleaner.
OWNER: LOVELAND, STEVE PHONE #: 503-524-4388
CONTRACTOR: OREGON HEATING .1- NC INC PHONE #: 503-536-2953
1
Inspection Request Scheduled For: Date: 1/10/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 024612-01 503-53/3-2963 Y
Corrections/Comments/Instructions:
•
0 PASS fl PARTIAL APPROVAL 0 CANCEL NO ACCESS
AIL
CL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: .
75 Date: /— / — a e' Phone #: (503) 718-