Permit C ITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00533
° � J I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 11/1/2006
PARCEL: 2S103BC -01800
SITE ADDRESS: 12145 SW ALBERTA AVE ZONING: R -4.5
SUBDIVISION: CANOGA PARK LOT: 002 JURISDICTION: TIG
Project Description: Furnace change out from oil to gas.
• 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: 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: 1
> 10000 cfm:
Owner: FEES
LAPLANTE, FELIX F AND SALLY J Description Date Amount
12145 SW ALBERTA STREET
TIGARD, OR 97223 [MECH] Permit Fee 11/11200€ $72.50
[TAX] 8% State Surcha 11/1/200€ $5.80
Total $78.30
Phone: 503- 318 -4593
Contractor:
PREMIER HEATING & AIR CONDITIONING
PO BOX 86295
PORTLAND, OR 97286 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 233 -6566
FAX 503- 239 -4998
Reg #: LIC 96473
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Issued By: Permittee Signature: ArniA ••,• i _ • A 6,..,__
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
OCT -31 -2006 21:03 FROM:P 5032394998 T0:5035981960 P.3
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City of Tigard " "MI ED A Ressired
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?t uc 503.639.4171 F 303.39$.1960 n g 1 2066 , „ OasaP�
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CITY OF DIVISION
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RESIMEMAL EQUIPMENT / SYSTEMS PEEP
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❑ r ❑ Mato builder ID Other: •
Dapoription 1 Qty. 1 Ea. T
JOB SITE D YORMATION AND J..00.ATION likononforolfien
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Clara sttect/duectians 03 .10 site: 11aetnark 14.00
' RYdx k hat sneer 'Mao 14.00
Rasddardiel boiler (ndlamr or
hydrome) 14.90 '
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Ott 10.00
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PAO i PAL) OM fireplace 10.00
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fheaLaca 10.00
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- Mignon dryer 10.00
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^ 10.00
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. Gas bedroom
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CITY OF TIGARD
BUILDING DIVISION
A PERMIT #: MEC,2006,-.00533
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1/2006
Phone: (503) 639-4171 .A7i1J414111..
Inspection Requests (24 Hrs.): (503) 639-4175 14.41 el-
INSPECTION WORKSHEET FOR DATE: 11/3/2006 TIME: 7:01AM PAGE: 70
SITE ADDRESS: 12146 SW ALBERTA AVE CLASS OF WORK:
SUBDIVISION: CANOGA PARK LOT #: 002 TYPE OF USE:
PROJECT NAME: ALPLANTE
DESCRIPTION: Furnace change out from oil to gas.
OWNER: LAPLANTE, FELIX F AND SALLY J, PHONE #: 503-316-4593 •
CONTRACTOR: PREMIER HEATING & AIR CONDITIONING PHONE #: 503-233-6566
Inspection Request Scheduled For: Date: 11/3/2006 Pour, Time: .
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 039250-01 503-233-6566 N
&id —
Corrections/Comments/Instructions:
,
4.--Kgr PARTIAL APPROVAL CANCEL n NO ACCESS
I I FAIL fl CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector:
i)
Date: 1 Phone #: (503) 718-
. „ s, . • . . . . . . , . . . „ .