Permit V -�^ -
pri CITY O F TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00618
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/24/2007
PARCEL: 2 S 114 BA -06600
SITE ADDRESS: 09775 SW COOK CT ZONING: R -4.5
SUBDIVISION: COPPER CREEK LOT: 008 JURISDICTION: TIG
PROJECT: MALONE
Project Description: Replace gas furnace.
CLASS OF WORK: ALT 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: •
NAT 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: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: 1 <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
MALONE, PATRICIA M + Description Date Amount
MCDONALD, MARY JANE
9775 SW COOK CT [MECH] Permit Fee 10/24/200 $72.50
TIGARD, OR 97224 [TAX] 8% State Surcha 10/24/20C $5.80
Total $78.30
Phone: 503- 639 -3487
Contractor:
CARSON OIL COMPANY INC
3125 NW 35TH
PORTLAND, OR 97210 REQUIRED ITEMS AND REPORTS
Contact #: FAX 503 -222 -0186
PRI 503 -471 -4365
Reg #: LIC 8388
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• ��� / I Permittee Signature: ., /7 1 pi 1*ico/7
f _fz
Call 03.639.4175 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.
a
. i
Mechanical Perm 1R -24 I, - r rc)R Ohhlc I,1. SE ()NIA'
CI of Tigard
� ' :. ` ' 4 Received
ilk 4 /� Permit Na : G/
, • .
Date/By: , t% 5 Mt�GZI,Y� �! �41�
13125 SW Hall Bled., Tigard. 0 4'`` " "'
Plan Review Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 /lrfy 111 i.; , . 1 Date /By
OCT 2 4 2001
Inspection Line: 5113.639.4175 ' Date Ready /By: 61 See Page 2 for
Internet: www.ci.tugard.ur us J =u `) �� Notified/Method: . Supplemental Information
G-1-1-X-Air-a-U-ABD
T, u, 'titif ; lb ''11.01')I , _ ; _ . 1111_- COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
rmiF'-i IN ' l w • Is I Mechanical permit fees* are based on the value of the work
❑ New conslru aion i ►. .'. t .n a eration replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: S
12 and 2 dwelling. RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
y g• ❑ Commercial /industrial ❑'Accessory building
For special information use checklist.
❑ Multi ❑ Master builder ❑ Other: Description Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION . . . Heating /cooling
Job site address:' Air conditioning or heat pump
77 5 S' l� l ��a C-7. (requires site plan showing placement) , . 14.00 ,
City /State /ZIP: ' I 6 ,(A 2D , 0 rIZ, 9,7czv Furnace 100,000 BTU (ducts/vents) 14.00
f� y�// Furnace 100,000+ BTU (ducts /vents) ! 17.90 / 90
Suite/bldg./apt. no.: Project name:
/ 7.. /4 / "1/Q /dA/E Gas heat pump 14.00
Cross street /directions to job site: �� Etv
S��A C. Duct work 14.00
_
I-lydronic 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
. .: OF WORK : .. Water heater 10.00
6 / Gas fireplace 10.00
,4.5' 7 0 C]OS :(7R62. X /iQ�� -Fit /�" Flue vent for water heater or gas
(� fireplace 10.00
Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
Chimney /liner /flue/vent 10.00
' YROPERTY,'OWNER:, ❑ .TENANT Other: 10.00
Name: r 4TKa i i R P/14. 1 Environmental exhaust and ventilation
Range hood /other kitchen
Address: 9775- c 1 (" a equipment 10.00
City /State /ZIP:7 ` o a r C� - Clothes dryer exhaust 10.00 ,
/ Single -duet exhaust (bathrooms,
Phone: ( ) G, 39 3 Fax: ( ) toilet compartments, utility rooms) 6.80
. APPLICANT ! ' ' . ' - ❑ CONTACT PERSON • Atticicrawlspace fans 10.00 .
Business name: n , , Other: _ 10.00 e. • .. . / 1 • Fuel piping
Contact name: 77 !/_ 4 ,C , , p k A , .//147//,‘./ 7 $5.40 for first four; $1.00 for each additional •
Address:] /, T `, 4 4 Furnace, etc.
Gas heat pump _
City /State /ZIP: 1U 2Zt�r� � r 0, 9 -7 Z 1 O _ Wall /suspended/unit heater
Phone: (503) .L7 4 4/34,5 Fax: : (543),42a d /81 Water heater
Fireplace
E - mail: b/Q/ L .. [ . 4 R w., , . -.' 0 Range
CONTRACTOR Barbecue
Business name: In 4 ,, .. A i 4 ru
Other:
j/,; Address: S 1 . 6 -724 1 Ur • MECHANICAL PERMIT FEES *_ . -.
City /State/ZIP: A RTLQR d D2 9 7,2 / Subtotal /7 q o
Phone: (Jf 3) 1'/ (, 4 S Fax: (545 )2v , of 84 Minimum permit fee ($72.50) 7 „$b
Plan review (25 /o of permit fee)
CCB lic.: g3'g V , Q - State surcharge (8% of permit fee) 5, /'
. TOTAL PERMIT FEE q , 30
Authorized signature: led This permit application expires if it permit is not obtained within 180
�) days after it has been accepted as complete.
I Print name: A,/4 id,/h I Date:/d t e 9 , • Fcc methodology set by Tri- County Building Industry Service Board
186 -d NO/100'd 0170 -1 981OZZZ£0I o0 1 i0 uosae0 -WOdd 17£:60 10 -17Z -Ot
CITY OF TIGARD ,.
BUILDING DIVISION PERMIT #: ME C2007-00618
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10/24/2007
Phone: (503) 639 -4171 unWii
Inspection Requests (24 Hrs.): (503) 639-4175 __..
INSPECTION WORKSHEET FOR DATE: 3/412008 TIME: 7 :00AM PAGE: 17
SITE ADDRESS: 09775 SW COOK CT CLASS OF WORK:
SUBDIVISION: COPPER CREEK LOT #: 008 TYPE OF USE:
PROJECT NAME: MALONE
DESCRIPTION: Replace gas furnace.
OWNER: MALONE, PATRICIA M +, PHONE #: 503 -6391 -:487
CONTRACTOR: CARSON OIL COMPANY INC PHONE #: 603-471-4366
Inspection Request Scheduled For: Date: 3/4/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 066061 -01 603-639-3487 Y
Corrections /Comments /Instructions:
PASS n PARTIAL APPROVAL ❑ CANCEL El NO ACCESS
I ,I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: ?--.;z. — 13 Phone #: (503) 718- --` -a
1 ' ,
CITY OF TIGARD 4 . A.', -.
BUILDIFiG DIVISION PERMIT #: MEC2007-00610
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/24/2007
Phone: (503) 639-4171 a _ ,
Inspection Requests (24 Hrs.): (503) 639-4175 A--24 IL
INSPECTION WORKSHEET FOR DATE: 212812008 TIME: 7:00AIVi PAGE: 45
SITE ADDRESS: 09776 SW COOK CT CLASS OF WORK:
SUBDIVISION: COPPER CREEK LOT #: 008 TYPE OF USE:
PROJECT NAME: MALONE
DESCRIPTION: Replace gas furnace.
‘..
OWNER: MALONE, PATRICIA M +, PHONE #: 603
CONTRACTOR: CARSON OIL COMPANY INC PHONE #: 503-471-4365
Inspection Request Scheduled For: Date: 2128/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
0:49 Mechanical final 085772-01 503 Y
Corrections/Comments/Instructions:
64 -z. i-r4.1Aid/c iA-6ee- 3 .64 - j44 79 ,
fert. / 7" A I ' —rd
C.1--:'v
4 r__.-,..- ' — . -._-_,%_. . '',
_, / 1G - A .„..,.,,, . ,,,, -
I j PA,- pi PARTIAL APPROVAL 0 CANCEL ri NO ACCESS
r
fl CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
A ,
Inspector: , Date: -?------ 2-2 -O Pi Phone #: (503) 718-