Permit CITY TIGARD MECHANICAL PERMIT
f l DEVELOPMENT SERVICES PERMIT #: MEC2005 -00704
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/20/2005
PARCEL: 2S 110BD -07600
SITE ADDRESS: 11798 SW ASPEN RIDGE DR ZONING: R -4.5
SUBDIVISION: ASPEN RIDGE LOT: 048 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:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
JAMES DOANE Description Date Amount
11798 SW ASPEN RIDGE RD
TIGARD, OR 97224 [MECH] Permit Fee 10/20/20( $72.50
[TAX] 8% State Surcha 10/20/20( $5.80
Total $78.30
Phone: 503- 624 -2115
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: -12 ���, Permittee Signature: \ (),„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.
Oct 20 05 12: 00p 503 - 537 -2172 p.2
Me chanical Permit p _liter f
,D Received OR OFFICE USE ONLY
; _.
City of Tigard Date/By. . PermitNo.� o - S 1
13125 SW Hall Blvd., Tigard, OR 9 Ptan Review
Phone: 503.639.4171 Fax: LL0'' � � c y � j i
. �1 ; Date/By. etDate/By. Other Pennir.
a.
Inspection Line: 501639.4175 4�
503.598.196 �. O 200 Date Re-a- dyBy: 3uris: Ef See Page 2 for
Internet: www.ci,tigard.or.us I Notified/Method: � ! Supplemental Information
CITY OF TIGARD
„ r ::, :.. ...:: .: • ” • ` I t ::. :: ` . CO*;fERCIA :FEE *;, -; (1): E., )cEIST:' •.•
Mechanical permit fees* are based on the value of the work
❑ New construction Addition/alteration/replacement .
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
Value: S
.
•�.r;..:
. ,.- - , _`0:C`_�TEGOR7; "OF:CONSTRLtCI?IOl`i. ? -_ _
..: ' � ;;RESIllEI`I'pIt1L` EQUIPMENT/ SYSTEMS FEES* _
1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other Description I Qty. Ea. I Total
_..z ......,,, 4 . r
"4OB'• S, TI ' '`LOC' x '` " =,: = ; � ` {I•:''• ^•;,r Heatin oling
t V r '
� 11 . 4 Air conditioning or heat pump
Job site address: J I q O I � i J�d,� 1 i 0 "4 .f11,�,. (requires site plan showing placement) 14.00
City /State /ZIP: , , / CELL /r CI i , J Furnace 100,000 BTU (ducts/vents) / 14.00
�/'I �"�t�'� ` `'� Furnace 100,000= BTU (ducts/vents) 17.90
Suite /bidg. /apt no.: • Project name: -
Gas beat pump 14.00 I
Cross street/directions to job site: Duct work 14.00
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. 10.00
Tax map /parcel no Other fuel appliances
a p �: -� , .t , .. ,:;,.:�.,: ,,,_: ,;,c 53'. i ;`; ;' Water beater
_ � � : ,.: > { I 1000
- :i`i•- - ;;. DESGRIPTIO `•` OT!i`'VI?ORI�'=`iy``,�.: n.:1- � .
�:r
=tr:
, F ,. e.,.,. :.. ! -'• ..:. ..... ^_ , ,_...., .,,..,._, Gas fireplace 10.00
1 ( ,1 ! i7I , 1� ,V( ( _� Flue vent for water heater or gas
v 1 fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove I 10.00
Wood fireplace/insert I 10.00 I
f:2= .,, - ' : :: " . f ' �..,�-,:-:.� - - - - c, `yS� ' ; ., t: 10 . _ ,.;::::. - - : r;5;:i�ir ::. _�,� trier /flue/ a nt 10.00
,, Chimney/l' v
ROPEIiTY- '`O�V�IE 1; _ "[j: [iE1�i�1T;'
;_. ::.:......._,,:_ :,.:,.,.._.. ::. :r::_.,n.,t '_�' +.:., ,11i`s�'r ...... .- .._....,..,...._ „oi: n er 10.00
Name: i (�� O /, n 1 Environmental exhaust and ventilation
r n Range hood /other kitchen
Address: i l l fi 1� l y ,■ I . t/' 1 ) .n �� equipment 10.00
City /State /ZIP: .I !- d / �J Clothes dryer exba1et I 10.00
,? ��, ' Single -duct exhaust (bathrooms,
Ph j ) (4 q sj 1 1 15 . .. -.. _ Fax: toilet compartments,
_ . . co o ) ,
-.::.:...,,: , ..:�. �,. :•,; PL�.iICANT` i
: .� ❑- ''CAACT P
Attic /crawlspa�cefans
rooms)
, �NT
10.00
00
Business name I t{ . ! -A_41 � 6r� Other 10.00 I
Fuel piping
Contact name: '1 � $5.40 for first four; $1.00 for each additional e() /� Furnace, etc.
Address: F'�d� �I Gas beat pump I
City /State /ZIP: J L"` ddd , "` `' , I V- l C' f I I s” Wall/suspended/unit heater
_ l ��� Water heater
Phone. j I `� _
Fireplace •
E- mail: Range
p
'I`R:4G1'O'Et- -
Barbecue
Clothes dryer (gas)
c
Business name: / �,� r �/ / Other.
Add
Address: , ■ C , l fd ' 1 _ .. ,... MECH 4.141 * ',-< _; ; '
;..,:.,... CAL'PERMETFEES,... ;yam`--
City iZIP: ress: , 11 !
0V - 14 V) f t c Subtotal r.....
( 7 Minimum permit fee ($72.50) -�{�
Phone: _ - o_ Fax)3 r� � 7 !Jl 7 7 Plan review (25% of permit fee) .
CCB lie.: l 6 t t� State surcharge (8% of permit fee) O
TOTAL PERMIT FEE _?„
Authorized s.ga lure: / • / , . r 0. This permit application expires if a permit is not obtained rithin 180
44
P. U days after it has been accepted as complete.
Print name: �. 4 ' I 11 /, � Date: yi d' ° li . Fee methodology set byTri -County Building Industry Service Board
is tauildine'PcrminJgC-PcrmitAop.duc 1203 440 -4617T (I Ln2ICOMWEB)
dry , /z4
CITY OF TIGARD
BUILDING DIVISION • - t'. PERMIT #: MEC2005 -00704
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/20/2006
Phone: (503) 639 -4171 ,a�si�,
Inspection Requests (24 Hrs.): (503) 639 -4175 ��':
INSPECTION WORKSHEET FOR DATE: 11/9/2005 TIME: 7:09AM PAGE: 76
SITE ADDRESS: 11798 SW ASPEN RIDGE DR CLASS OF WORK:
SUBDIVISION: ASPEN RIDGE LOT #: 048 TYPE OF USE:
PROJECT NAME: DOANE
DESCRIPTION: Replace furnace. •
OWNER: DOANE, JAMES PHONE #: 503.624 -21'15
CONTRACTOR: OREGON HEATING + NC INC PHONE #: 503-538-2953
Inspection Request Scheduled For: Date: 11/9/2005 Pour Time:
I
Code # Inspection Description Confirm # Contact # Message 34-,,,
699 Mechanical final 020677 -01 503.538 -2953 Y j: 3o 4. 4 :00
3 6 z Y{ z l r 5
Corrections /Comments /Instructio :
ili/i6t4 Ze-4 . 5 C 4/-7e
/;a/
,
/'
/
PASS I 1 PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAI ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED •
II Inspecto . V`LI Date: 1 1 s / Phone #: (503) 718-