Permit A
CITY OF TIGARD MECHANICAL PERMIT
U DEVELOPMENT SERVICES PERMIT #: MEC2006 - 00131
a-- ' ' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 4/7/2006
PARCEL: 2S111 DD - 07600
SITE ADDRESS: 08527 SW AVON ST ZONING: R -
SUBDIVISION: CHESSMAN DOWNS LOT: 002 JURISDICTION: TIG
Project Description: Replace furnace and vent water heater.
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: 1
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
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:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
RICK & PAM LOVE Description Date Amount
8527 SW AVON ST [MECH] Permit Fee 4/7/2006 $72.50
TIGARD, OR 97224 [TAX] 8% State Surchar€ 4/7/2006 $5.80
Phone: 503- 684 -2819 Total $78.30
Contractor:
SUNSET HEATING & COOLING
0607 SW IDAHO REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97239
Contact #: PRE 503- 234 -0611
FAX 503- 234 -0439
Reg #: LIC 161085
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 �zJ� -�' Permittee Signature at �, git/T r/
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.
Apr 06 06 08:28a p.
Mechanical P Application o
City offTigard O �\I R D e eceived lBy: y eY 06 A� Permit No.: N r C2
C nL3I
13125 SW Hall Blvd., Tigard, OR Plan Review
L
Phone: 501639.4171 Fax: 503.598.1960 +)006 -'': Ia R Date/By: Other Permit:
Inspection Line: 503.639.4175 -a+i • L . Date Ready/By: luSI H See Page 2 for
Internet: www.ci.tigard,or.us Notified/Method: ' ! tt/t Supplemental Information
GAR
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ry � ='d . 4
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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.
"3P r r 'r" r' awe &ss'7 a . nisi a :- , r c ,s .;�"
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�` m.� { . t - ., ''" :�'� ° � `� z. `x``���.�v Y Value: S
" `" �° t �
dw rti t'1 r w u � � z d s1. 4i §S!.. > la's s� � ..
al I - and 2 family dwelling El Commercial/industrial ❑ Accessory building
For special information use checklist.
0 Multi family ❑ Master builder ❑ Other: Description p I Qty. I Ea. Total
rt f„ ,,�awx'i" r, b .1 g ry ; Fa r y t ` �r" H eatin g/
,�.�,t,�t� ".,,;.E��err ,.r.� ,,.�... .,,..;�`�..�w „,,,�•,;._,�. ,.., -. � .'�, :.°- t..,a�.s::t,:s cooling
Job site address: r . ° ) { c Air conditioning or heat pump
`- f- l >)i\ G)�T j (re site plan showing placement) 14.00
City / State/ZIP: 11 <`i 1 :) P € , `a^1 #F 1 Furnace 100,000 BTU ducts /vents) 1 14.00 I -
Suite/bldg. /apt. no.: .,.) Project name:
Furnace 100,000+ BTU (ducts/vents) 1 7.90
( ` Gas heat pump 14.0()
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
Subdivision: Flue /vent for any of above ) 10.00 10
Lot no.:
Other: 10.00
Tax map /parcel no.: ter, Other fuel appliances
"3 !° , 0 4 11 IMV Water heater . 10.00
-OIL: a ,�� y� Gas fireplace 10.00
. ' ) -• .C4 Val - # i.�,. Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 1 0.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
9 r ' `0t `i� . ".,,'',:.. 11111 bi •; O hmney /{inedflue /vent 10.00
er: 10.00 I
Name: t..... C ?fz
�,R(.,� -- �'�_tk t`1 ii_ ( Environmental exhaust and ventilation
9,':::; - 7') < r`'� ^ Range hood/other kitchen
Address:
;': r ,.�*L-`l Y . S "1 . equipment 10.00
City /State/ZIP: .- (' . ; F=,,, Z :17 2-Li Clothes dryer exhaust 10.00
Single-duct exhaust brooms,
Phone: (Z ?,, ) ;) &`A, { tai Fax: ( ) toilet compartments, ut�lit rooms) 6.80
a
Q 00-4 ` ,.. 'w,albye t ., , +,, zai 1 '.( i.4 .,m Attidcrawlspace fans 10.00
Business name:
Other: 10.00
Fuel piping
Contact name: S5.40 for first four; 51.00 for each additional
Address:
Furnace, etc.
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
E -mail: Fireplace
Range
; . a ;:TA 4 $ b f ihz ` ,:i .l.'t„ Barbecue
Business name: Sunset Heating and Cooling Clothes dryer (gas)
Other:
Address: 0607 SW Idaho Street Mat;
City /State /ZIP: Portland, OR 97239 Subtotal ,.rat`
Phone: (503) 234 -0611 Fax: (503) 234 -0439 Minimum permit fee ($72.50) .y k
Plan review (25% of permit fec)
CCB lic.: 161085 (`+ State surcharge (8% of permit fee) a ai„ „'
TOTAL PERMIT FEE 7 'a(. ?5,..-
Authorized signature: \� This permit •pplication expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Shauna D'Ambrosia I Date: 2 !! ss • Fee methodology set by Tri -Count Building Industry `'� "���r6,1.,'�C 6'Y Y Y 6 try Service Board
i \ Building P Permits \MEC- Permit App . doe 12/03 4404617T (l1 /02/COM/WEB)
CITY OF TIGARD
-
BUILDING DIVISION PERMIT #: 1VIEC2006 00131
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/7/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 5/18/2006 TIME: 7:01AM PAGE:
SITE ADDRESS: 08527 SW AVON ST CLASS OF WORK:
SUBDIVISION: CHESSMAN DOWNS LOT #: 002 TYPE OF USE:
PROJECT NAME: LOVE
DESCRIPTION: Replace furnace and vent water heater_
OWNER: LOVE, RICK & PAM PHONE #: 503-684-2819
CONTRACTOR: SUNSET HEATING & COOLING PHONE #: 503-234-0611
Inspection Request Scheduled For: Date: 6/18/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Me
699 Mechanical final 030078-01 503-4436815 •' 'Or FTA
Corrections/Comments/Instructions: )7 S( -20
•
•
PASS PARTIAL APPROVAL 0 CANCEL fl NO ACCESS
I FAIL fl CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: Date: '70 Phone #: (503) 718- Zi° 4(11