Permit CITY TIGARD MECHANICAL PERMIT
I4 DEVELOPMENT SERVICES PERMIT #: MEC2006 -00214
�'�' °7I I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/18/2006
PARCEL: 2S104CB -04300
SITE ADDRESS: 13410 SW ASCENSION DR ZONING: R -7
SUBDIVISION: HILLSHIRE WOODS LOT: 089 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:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
PAUL TURNER Description Date Amount
13410 SW ASCENSION DR
TIGARD, OR 97223 [MECH] Permit Fee 5/18/200€ $72.50
[TAX] 8% State Surcha 5/18/200€ $5.80
Total $78.30
Phone: 971 - 226 -9594
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: Rte ,� Permittee Signature: S 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.
•
May 17 06 03:23p MS Rentals, Inc. 503 - 537 -2172 p.2
McChanical Permit n-p lic ..,.. a � tio -� zaa(� {�11j,���yn�pa�/J/ .
r ® FOR OFFICE USE ONLY •
L� 11 W 1 � - Receive e' ' I D ■ 6 •
City of Tigard p1�� Date/B ' Permit \c -. 1
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Other ocrrnit:
Phone: 503.639.4171 Fax: 503.598.1960
MAY 1 I la DzteBy:
Inspection Line: 503_639.4175 (� . 1 Date Ready /By: Juni: 0 See Page 2 for
e .."'o Su oon
Internet: www.ci.tigard.or -us Notified/Method: . ./ Supplemental Information
CITY OF TIGARD
>. , ,;,. .. ` ' ; OIVtS.1.Q41. : .
...' :_ . : , .; : .: :..'.... ,.. COMMERCL4L,' FEE *'. TTEDU.E:.- ;USE.CHECKLIST :I
Mechanical permit fees are based on the value of the work
❑ New construction _ ddition/alterabon/replacement performed. Indicate the value (rounded to the nearest dollar) of all
J I ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
'.11q:.,.1. ,.:., . :- : :.. -, ...;; . O` f G O1� Y STR >'IGT•IO :, : :';''� : ` ' : : :: _: .
::: : fir S
- E S lAE1 � ). , EE ; *:;,
d 2-family dwelling ❑ Commercial/industrial ❑Accessory building For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: _
Description Q ty. La. Total
�.JOB.SJTL IIVPOR1VIc�:`f70N' "t1\ Ill"• I :OC .4TI01� :..,'; :` ?i'' ;;,�;' :,' - :�` Heafn�cooling
. Air conditioning or heat pump
Job site address: 1 l t�i' (A"1 'd ✓ ( requires e- sit plan allow ng Placement) 14.00
City /State /ZIP: ✓ , J � i{ /} -7 -. 2-5 Furnace 100,000 BTU (ducts /vents) ( 14.00 / L/
`� l Furnace 100,000+ BTU (ducts'vents) 17.90
Suite/bldg. /apt. 110.: s I Project name: Gas heat pump 14.00
Cross street /directions to job site: Duct work 14.00
Hydronic hot water system 14.00 I
, 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 i
Tax map/parcel Other fuel appliances
arcel no.:
• `.:. • .,_. , • - : : , _;.,.: - - xi :�•' Water heater
10.00
DE GRIPTIOl�l) :;OF.VUp `, r
�;. - . , :• : .. :: s ... ... . ...... . ..... _ Gas fireplace
10.00 -
1( �i l 13.9 �. i` e Glue vent for water heater or gas
` f[ ( f ( ti fireplace I 10
Log lighter (gas) 1 10.00 i _
Wood /pellet stove I 10.00
Wood fireplace/insert I 10.00
_--s.e. as: ,;:= i ::.; : :.r&.. ::,._ :: ... :. „ , :,�. ...:: c,,_: : ", Chimney/liner/flue/vent 10.00
, .,a ; :...- z,:: -.. �. OP,EI ._ ....,
,,, ... - . t' -i. ,. .. .. . .: .. ...:,__ . -
..,, .. ... r.:., 0 thee.
Name: ( �' f � t �/ Environmental exhaust and ventilation
V A W � ' n , Range hood/other kitchen
Address: U a l-SEP 91 6 AI l;. equipment 10.00
-
�, '! Clothes dryer exhaust 10.00
City/Sate /ZIP: `�(1j ��j -� Single -duct exhaust (bathrooms, ,
Pho ) q t v F 9 G Fa x:
toilet compartments, utility moms) 6.80
{
: -.-_ ..
e. ,........ ,• :: �.� �- ., ,:• - - . ttic(eraw p ce fan.- ,
- ,...;. -. - . - -F . =' Pi :•i : , .� : ® °' :iCON'TA;CT`FEdtS01�' - -
_ - . �, ,<";.,: ,�, Other.
10.00 I
Business name U / 4 . ; .. ` ;_ : : t r1L1 . ,bi / ., Fuel piping
/ 1 - •
I
Contact name: ' J� }�SI,° 55.40 for first four; 51.00 for each additional
'
Fumace, etc. I
Address: i r . 4 � Gas heat pump
City /State;Zrp: d* L / L / (� �� I S Walllsuspended'snitheater
Water heater
1 F a x:: Z
Pttone . 1 a dip C _ v Fireplace
E -mail: I Ranee _
.._.,_ C2NTRACTOR. : : ''11 ; ,. , . ,
Barbecue
Eli\
Business name: / • 1 • ; `y) \,,, 1 (�t y U t t (' , ' Clothes drye. gas
r :CI Address. • 4 • ` n _ l rl ` r l. r MECHA>i1GAI :PERMIT :k) ES t`;; ._;.`;;.' !;r ,,,
tY V ' 1 1 � Subtotal
City/State/ZIP: ,State /ZIP:
Minimum permit fee (572.50) `� g.,L ZJ
Phone: 7 Z l 7 - Pl an review (25% of permit fee)
CCB lie.: + L f I State surcharge (8% of permit fee) tJ LJ
TOTAL PERMIT FEE 1 " 1 U
,, �- This permit application expires if a permit is not obtained within 180
Authorized sj 1 n Lure: _ ` ) I , l /I U days after it has been accepted as complete -
Print name: v r\ n I ' Ua ' Fate: I' . * Fee riethodology set by Tri Count• Building Industry Service Board
. - -- -- n +n- rcnT nvm=rom,w•i
CITY OF TIGARD
BUILDING DIVISION A PERMIT #: IVIEC2006
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/18/2006
Phone: (503) 639-4171
:1011064( -
Inspe ction Requests (24 Hrs.): (303) 639i4175
INSPECTION WORKSHEET FOR DATE: 6/19/2006 TIME: 7 : 0 5AM PAGE: 61
SITE ADDRESS: 13410 SW ASCENSION DR CLASS OF WORK:
SUBDIVISION: HILLSHIRE WOODS LOT #: 089 TYPE OF USE:
PROJECT NAME: TURNER
DESCRIPTION: Replace furnace.
OWNER: TURNER, PAUL PHONE #: 971-226.954
CONTRACTOR: OREGON HEATING + A/C INC PHONE #: 503-538
Inspection Request Scheduled For: Date: 6/19/2006 . Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 031854-01 503-538-2953
Corrections /Comments / Instructions:
"7-6 L . 9 7 Ca heaAled
7--1: El PARTIAL APPROVAL [1] CANCEL Li NO ACCESS
FAIL ' CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: '(503) 718-