Permit MECHANICAL PERMIT
CITY OF TIGARD
s '1 COMMUNITY DEVELOPMENT Permit #: MEC2009 -00563
rIG,Rh 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 10/22/2009
Parcel: 2S103BB12700
Jurisdiction: Tigard
Site address: 12305 SW ANN CT
Subdivision: LAKE TERRACE NO. 2 Lot: 20
Project: Hand
Project Description: Replace furnace and install NC. Unit must meet 3' minimum rear and side yard setbacks.
Owner: FEES
HAND, ROBIN R Description Date Amount
12305 SW ANN CT
TIGARD, OR 97223 Air Conditioning 10/22/2009 $46.75
Furnaces < 100K BTU 10/22/2009 $46.75
PHONE: 503 - 341 -6609 12% State Surcharge - Mechanical 10/22/2009 $11.22
Contractor:
SUPREME COMFORT HEATING
9425 SW COMMERCE CIRCLE #16
WILSONVILLE, OR 97070
PHONE: 503 - 682 -1985
FAX: 503 - 682 -1018
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressue:
Total $104.72
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature: QN 60,4 r
Call 503.639.4175 by 7:00 a.m. for an inspection 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.
10/21/2009 12:33 503-682-1018 SUPREME COMFORT INC PAGE 01
.:- Mechanical Per mit ApplicatimR ECEIVED .
:.,:,.,.. ,. „,,...,. ,.'•'-' •• ' 4 '''',
, , -I ' .::'':' ,2 ' City of Tigard Received
Drithmy: M PI 0 .fIllr .
IV Eimit No. ,//6 - r 0 2009 1 05 ° 6 S
13 125 SW I-fill 13Ivd , TiPPrd OR 97223 OCT 2 1 2009
Plsn Revie
.:, Phone. 501.6 i fax: '503.591.1960 DD/R' Eillg
4 1 6 ,6, l i p . Inspection Line, 503.639.1175 CITY OF TIGARD Date Rcncly/13T hirIL 10 SeC PAO 2 fo
Intcrncl: www.tigard-or gov
BUILDING DIVISION mii ' /6- SttOplOITIentili Information
Print name:
. . . fti?tii,' Hot. WOK .: ;
0 New construction Z Addition/alteration/replacement 4:.o*Nit1kdAt;' ctirtcKust
Li Demolition 0 Other: Mcchnnictil permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
" .• CATE6011V ! O•l'iir; ! (A0.k1:Itito*:••:!!",':.!!'•: • ' !!!: • •••,, - ! • :•:,:- mechanical materials, equipmenl . labor, overhead, and profit._
Value: $
Z I- and 2-family dweilin 0 Commercial/industrial D Aec.,.55or building
! RitSiotr4TiAL to tirmuNT I SVOlEIVIS rEts*
0 Multi-family P Master builder II] Othcr;
for SPCCIal Itifoi'maltort use checklist
0,1f,„81TE..F,NtPit■kNfAirlOStAr41) !I:06AI** :.• : .. ':.:... , , -
Qty, I Ea. Total
Job site address: 12305 SW Ann (:t. neAtinWconling .f...._____
Air conditioning
L'ity/State/Zi I': Tigard, OR 97223
(011ii)itSsitcpinnsticoviauloCCMC110 1 46 75 1 46 7'
-
Su i tc/bIdglapt. no.: Project name: Hand Furnace 100,000 RTI,J (duets/yentsi
1 46.75 46,75
-- Furnace I ouppt 13T1 1 (clocir:/verits) 54.91 --..--
Cross sired/direct ions to site
teal pump . __ (11.06
Duet work 23.32
Ilydronic hot water system 2132, ... ..._._
Residential boiler (radiator or
hy,.ronic) 23.32
_..,,...,..
unit healers (hici-tyne. not electric),
I Subdivision; Lot no,: in-wall, in-duct, suspended, sic 46.75
Flue/vent for any of above 23,32
Tax map/parcel no.:
Other: 1 23.32
. . . . . ,
1"11:SC1111110N1 OF';iVORK. ' :::'''... : ' , :•:. ' • • : Other fuel appliances
--!---
Replace furnace Water heater 23.32
.„ Gas fireplace 33.39
_....,...,_ , ........... — - . -_,.._....„ ,,. —
Flue vent for heater or gas
Add Air conditioner
" • fireplace 23,32
Log lighter (z 23.32
Wood/pellet stove 33,39
,
Wood fireplace/insert 23.32
'6
PROPERTY OWNER •• • ' :' :' ' ".•':•• ::.• !•• : • in '' ;• !• .• ! • • •• !
gimney/lincyllue/)ent 23.32 ..
Name: Robin I-land Other; 23,32
_
Ern:fronmcntal exhaust and ventilat
Address; 12'30 SW Ann Ct.
Range hood(other kitchen
I Tigard, OR 97223 equipment i 33,39
Clothes dryer exhaust 33.39
Phonc: ( ) 1-'aft; I, )
Single-duct exhaust (bathrooms,
. toilet compsLnenis, utility rooms) 23 32
.. 0: APPLICANt . „ . ,',;',: ::o CONTACT PERSN • • ! •
' O
Attie/erawlspace Ibns 23.32
Rosiness name: Supreme Comfort Inc,
Other: 2332
-- .... _ ..
................._—________ __ _
Contact name: Randal Lapp 1
—.._._
$14.15 for first four; $4.03 for end additional
Address: 9425 SW Commerce Cir, #16
Furnace, ctc,
L'ity/State/ZI I': Wilsonville OR 97070 Gas heat pump
Wall/suspended/unit heater
Phont• (503) 682-1985 1 Fax: : (503) 682-1018
wnicater
__ r he
,.-
F.-mail: randyl@casystreet.nct Fireplace 1
• ,
• • • • C.ONtRACTOR, .,!;-!• ! - '!;!!!! ,!!•:',•:!•!,•..:::! ,. , • , ! • .!!: . ..• : .
Barbecue
gusinc1f nornc: Supreme Comfort Inc_
Clothes dryer (pis) ......
-...„., —,.....-
Address: Other
„---..,....._
...._...._.. ......,.....__ ,.„,.,..___,........,.„...._....._ .,_.......___ .
.,.,', • • . ,•!!!114E(14AN I CAL FEE MIT l'EtS*' '
Oily/State/ZIP: .. .
, Sobtobil 93.50
Phone: ( ) 1 Fax: ( ) - ,
Minimum permit Cep ($90.00)
t 1/4 v / CUB lic.: Z1192 P1nn rovicw (2514, 01' pconil fcc)
— --„--- . Stoic surchnrFc (17, of permit Fee) 11,22
4 / IOTA I . P11:10111" FEE 104.72
,
AuthoriLcd signature; ,.
TII;7ermit,,ppi)emk. crwir,,, if n nurmit is not nbfolocd within ISO
•
dugs after is has been accepted as raropicte.
i; \I de u 1(.011/09 4.40-4(i I 7T (i I (OZ/CONI/W1313)
t ,
123OS S tv 4)u7 --71; j $
co
(s)
liaard, Ot ‘172-
Li
0 VVILSONVILLE, OR 97070
<1 682-1985
o
z
1
1-1
H
ce
o 1
W ,__-- - - -------- - - . -- ----
Z
1 1:
0
0
[-Li
Wi ■ 1
fY i
D : .
U) .
I '
.• .
I •
: -
. :
i . .
. i
•
i •
, , I
.. ,
i !
.--.
cN ,
. 1
LID ,
I •
M :
ED .
En
1 .
- .
co .
co .
• •
N
m
m : .
N
-..., .
,-1 :•
N \ i
•
-..„, • i
El '
_._ . __- __ ._. ___ ___ -________ .. ----__ _______---- -----_____ -----____________ .._ ._ ._
4,1 n 71-.
CITY OF TIGARD
BUILDING DIVISION ,t- PERMIT #: ELC2007-00563
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/1312007
Phone: (503) 639 -4171 � � � p1 N dp � y � � l r?
Inspection Requests (24 Hrs.): (503) 639 -4175 ..,--41- :_..
INSPECTION WORKSHEET FOR DATE: 9/612007 TIME: 7 : 0 AM PAGE: 3
SITE ADDRESS: 12305 SW ANN CT CLASS OF WORK:
SUBDIVISION: LAKE TERRACE NO. 2 LOT #: 020 TYPE OF USE:
PROJECT NAME: BECKMAN
D ESCRIPTION: Wire hot tub.
OWNER: BECKMAN, KURT A + MELANIE Iii, PHONE #:
CONTRACTOR: W ILLAMETTE ELECTRIC INC PHONE #: . 503-6243631
' Inspection Request Scheduled For: Date: 916/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 055248 -01 503 -624 -3631 Y p1)
Corrections/Comments/Instructions:
OW
l,41CA v0 — .
( ,--- - -- 7 ----- )
( .. (1- ..., : ,,,,, )
PASS I I PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
1 FAIL n CALL OR INSPECTION n ADDITIONAL FEES ASSESSED
i P D
,_
Inspector: 111 Date: Phone #: (503) 718 -
r
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: ELC2007 -00563
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/13/2007
Phone: (503) 639 -4171 4 i�nrvrdul "
Inspection Requests (24 Hrs.): (503) 639 -4175 ..:' - I..
INSPECTION WORKSHEET FOR DATE: 8/24/2007 TIME: 7 :00AM PAGE: 86
/
SITE ADDRESS: 12305 SW ANN CT Orr /2,9 3' CLASS OF WORK:
SUBDIVISION: LAKE TERRAC . NO. 2 / LOT #: 020 TYPE OF USE:
PROJECT NAME: BECKMAN --- -- . - - - --
DESCRIPTION: Wire hot tub.
OWNER: BECKMAN, KURT A + MELANIE M, PHONE #:
CONTRACTOR: WI LL.AME 1 E ELECTRIC INC PHONE #: 503 - 624.3631
Inspection Request Scheduled For: Date: 8/24/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 054511 -01 503.6243631 Y
Corrections /Comments /Instructions:
- 55
. Dito a, .
reS r
n PASS ❑ PARTIAL APPROVAL ❑ CANCEL Iii NO ACCESS
IL n CALL FOR INSPECTION I 1 ADDITIONAL FEES ASSESSED
Inspector: 452.01A Date: S.— Z7< T Phone #: (503) 718-
CITY OF TIGARD w v'
R (7 _,0-4-
BUILDING S OR 97223 ' l'� Gf '`ry � �� DATEESSUED: 8/13/2007 00683
Phone: (503) 639 -4171 /a r ��10 ° it
Inspection Requests (24 Hrs.): (503) 639 i 75 `AIL.
INSPECTION WORKSHEET FOR DATE: 8/2112007 TIME: 7:00AM PAGE: 36
SITE ADDRESS: 12305 SW ANN CT CLASS OF WORK:
SUBDIVISION: LAKE TERRACE NO. 2 LOT #: 020 TYPE OF USE:
PROJECT NAME: BECKMAN
DESCRIPTION: Wire hot tub.
OWNER: BECKMAN, KURT A + MELANIE M, PHONE #:
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503- 6243631
Inspection Request Scheduled For: Date: 8/2/12007 Pour Time:
Code # . Inspection Description Confirm # Contact # Message
0i ,
19 Electrical final 054388-01 603-624-3631 Y � r 11 '
Corrections /Comments /Instructions:
•
No vei-424-4,5,c 1-6 los(ovkiLeilfri
I 1 PASS . I I PARTIAL APPROVAL ❑ CANCEL xi NO ACCESS
FAIL CALL FOR INSPECTION H ADDITIONAL FEES ASSESSED
1 r! ��/
Inspector: Date / /�� hone #: (503) 718 - ( 4 16