Permit C I TY OF TIGARD MECHANICAL PERMIT
'`'� a'✓ COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00044
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/22/2007
PARCEL: 1 S 134CA -04700
SITE ADDRESS: 11625 SW BURLCREST DR ZONING: R -4.5
SUBDIVISION: BURLWOOD NO.2 LOT: 020 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
MICHAEL B. HOLMAN Description Date Amount
11625 SW BURLCREST DR
TIGARD, OR 97223 [MECH] Permit Fee 1/22/2007 $72.50
[TAX] 8% State Surchar€ 1/22/200 $5.80
Total $78.30
Phone: 503 - 590 -3022
Contractor:
SUNSET HEATING & COOLING
0607 SW IDAHO
PORTLAND, OR 97239 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 234 - 0611 •
FAX 503 234 - 0439
Reg #: LIC 161085
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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 503.2 or 1.800.332.2344.
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Is - ed By: Afitiff L Permittee Sign. ure:
Call 503.639.4175 by 7:00 a.m. for inspection t i . busine - d. .
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.
Jan 22 07 10:04a p,2
Mechanical Permit A lica > hog oI:I I I t ;SI: o i.1 ,t
Cl O� Ti dTf� Date/B / m� � �¢e ' -d0O
•J ga : Permit No.:
13125 SW Hall Blvd, Tigard, OR 97223 IiAN r -' Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 i V 1. � Other Permit:
Inspection Line: 503.639.4175 COY phi �l rl Date/Re
Internet: www- ci- tigard•or.us CO d V U ' _ ..•,ly Date ady!Hy: luri 21 See Page 2 for
e ��:1 DIVISION Notified/Method; O1 Supplemental Information
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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
El Demolition ❑ Other: mechanical materials, equipment, labor - overhead, and profit.
- >:.,. �•�•�.. Value: $
RY' OE ST8[ICTIO
-
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El I- and 2-family dwelling ❑ Commercial /industrial
: ''. `> �RESIDENTIAL I .kaMS . SYS.t.. FEES *...:
III building ::, > .. .....:... .._.- ......, -.:.- ._, ,.. -., ::•: . ^ ,......... ....
El Multi For special information use check list.
❑ M aster b uilder El Other: F
Description I Qty. .a. Total
... . JOB• SITE.'INFORMATIONj; CATION::% =;: r : • s2.;. ? :k -`3:;. Hex
Job site address: 1. 1 ? (2.0.)::,:`, Air conditioning or heat pump
i K' .- , 'i;'(. , ' 1/_ F ' (requires site plan showing placement) 14.00
City /State /ZIP: "I) f , 6 -: 1 7 ; _;r .), Furnace 100,000 BTU (ducts /vents) I 14.00 i:L( "'
i Furnace 100.000+ BTU (ducts /vcnls) ` 17.90
Suite/bldg. /apt. no.: Project name: 1 - j'f16, r mo t- Gas heat pump 14.00
Cross street /directions to job site: Duct work 14.00 I
. I
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: ` Lot no.:
Flue /vent for any of above 10.00
Other: 10.00
Tax map/parcel no.: Other fuel appliances
DEsc -i n- ION. 0E-:- W.ORIG z;: ;':' `' i; =';:0.i::', " s,; Water heater 10.00
l ; ,' i t
Gas fireplace 10.00
- 'r.^' ;' :Lk'.. }�. },'-- '"'Y'C:j' Lll Flue vent for wafer heater or gas
L fireplace 10.00
1
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
• OP R Chimney/liner/flue/vent
❑ T OWN .: =j':' ;:�'' t -;
10 00
?game: , ,- -! : , !- ' 10.00
f / -
Oth
i r - F, ,_.j'. - f „1; ,r ) Environmental exhaust and ventilation
I Address. 1' , ,y :,�;,. - t. r; ,',. Range hood other kitchen
.} „ ,,. d -,. i 4 ,( t r.:; -� ; t equipment 10.00 ,
City /State /ZIP: - r 'i c(" £'• '7 >} _) Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms.
Phone: ( : •.) : ,,4g. -' .�- -. - Fax: ( )
,��� a e,,. �. € w� ',;;,,�. >c.� ri toilet compartments, unlit }' rooms) 6.80
.,��; -��. .ids' - - -
" °" APPLI Attic /crawls ace fans -- , CANT: = <r;" - :� s
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Business name: Other: 10.00
Fuel piping
Contact name: $5.40.for first four; $1.00 for each additional
Address: Furnace, etc.
Gas heat pump
City,-/State/ZIP: Wall /suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
E -mail:
Fireplace
Range
° ;x, -, i' ?fa�. -o rkt�`� ,I�.�� - ..r. - .� &' "A,i�. . �e:,'� • - "
C . �NJ�RA4;a �.Fh r o s r, *.•r i �ie:� " `'u ' Barbecue NbCCU
; +. -`Ya.. ,x- n;iryx�e. ,, ^,:.ke .,t ..,, .. ? €afa 3," s.
1'.k %.: •"%(rte -R, ' -'iu :.:c: .:raw, �•�E,,�..c. - ,ts� ..l,�.k. �: V: ?3 .:y:;?. <7: ;?rvx'4.; >�, ^ ^.r.5 C
Business name: Sunset Heating and Cooling Clothes dryer (gas)
Other:
Address: 0607 SW Idaho Street ;��:�w -,' :'- �:,.... -.. - -.
+z�y, +«h�rc" r �,:�gC�4;�i.PJFt1T;*S�'``•n'; "� - ' ,
City /State /ZIP: Portland, OR 97239 Subtotal E L
Minimum permit fee ($72.50) . I
Phone: (503) 234 -0611 Fax: (503) 234 -0439 �' ) � - -' L,
Plan review (25% of permit fee)
CCB lie.: 161085 State surcharge (8% of permit fee) £ :c `;
(, ' ( - -
' '' { TOTAL PERMIT FEE ` -,` %)::
Authorized signature: l -� � �.;:. ' ,) � .,,,.. -• This permit application expires if a permit is not obtained within 180
r
. days after it has been accepted as complete.
Print name: Shalom D'Ambr('fsia Date: 'i E 1) .)--1 ` ) • Fee methodology set by Tri- County Building Industry Service Board
i'V 3 uiiding \PermnswtEC- PermitApp.doc 12/05 440 -46! 7T (I 1/07/COMJWED)
CITY OF. TIGARD • 4., , —
BUILDING DIVISION PERMIT #: MEC2007-00044
13125 SW HaIIT3I' d., Tigard, OR 97223 DATE ISSUED: 1/22/2007
Phone: (503) 639 -4171 /d m d ' y p�ilp �l�'�I �
Inspection Requests (24 Hrs.): (503) 639 -4175 ` L.1
INSPECTION WORKSHEET FOR DATE: 1/3012007 TIME: 7 :03AM PAGE: 42
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SITE ADDRESS: 11825 SW BURLCREST DR CLASS OF WORK:
SUBDIVISION: 6URLWOOD N0,2 LOT #: 020 TYPE OF USE:
PROJECT NAME: HOLMAN
DESCRIPTION: Replace furnace.
OWNER: HOLMAN, MICHAEL PHONE #: 503-590-3022
CONTRACTOR: SUNSET HEATING & COOLING • PHONE #: 503 -234 -0511
Inspection Request Scheduled For: Date: 1/30/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 0426404/ 503-590.3022 Y
Corrections /Comments /Instructions:
/ 21641 , to -4.11 P1 - 11,k 6& L 5-- /4,6S I 6.7.4 eei lire ev 1-
/ AJ
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A• 1 SS I I PARTIAL APPROVAL El CANCEL NO ACCESS
FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
/ , Inspector: 1 Date: !— 30 - 0 ? Phone #: (503) 718-
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