Permit t . ;,
CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005 -00174
c11 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 4/18/2005
PARCEL: 2S 102CC -00303
SITE ADDRESS: 13425 SW CRESMER DR ZONING: R -4.5
SUBDIVISION: CRESMER HILLS LOT: 002 JURISDICTION: TIG
Project Description: Replace gas 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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
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
CHRISTIANSEN, MARITA G + Description Date Amount
DOUGLAS L
13425 SW CRESMER DR [MECH] Permit Fee 4/18/200E $72.50
TIGARD, OR 97223 [TAX] 8% State Surcha 4/18/200E $5.80
Phone: Total $78.30
Contractor:
A -TEMP HEATING & COOLING
16000 SE EVELYN ST
CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS
Phone: 503- 650 -9602
Reg #: LIC 71878
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: . /(A 1 mi Permittee Signature:
Call 503- 639 -4175 by 7:00 a.m. for inspections that business Ay.
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.
FR .. i -TEMP FAX N0. : 5035572990 Apr. 18 2005 08:23AM P2
t •-•
Mechanical Permit A ' IVE • , Lon 01-'141('F. 1 (N1 \
City of Tigard Ti
R eceived / _ / IL� ,1/' Pennit 14o.: X00 j 00 i T
R e ce i ve 7
13125 SW Hall Blvd., Tigard, Olt 97223 D Flan Review Other Permit:
Phone: 503,639.4171 Fax: 503,598,1960 APR _ 8 F %nt,'t t ., 1 .t ., Date/By
200 ` {,. °,. i '
II • i JLI : t1 See Pane 2 for
Inspection Line: 503.639.4175 _s : I� beta ReadyBy
CITY OF TIGA'' No tified /Method: pementa normaon
Internet: wWw,ci.tlgttid,or,us 1 � ( supl l Information
BUILDING DIVISION
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0 Multi - family ❑ Master builder 0 Other: Description 1 Qty. I� Ea, I Total
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Alr conditioning or heat pump
Job site address. . `' ( r re. dye Its den ehowin •la « lq men 00
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Furnace 100 000 BTU ducts/vents. 14,00 ��
City /Statc/T.,1P:' j 1.,,) e...' C. u� Furnace 100 000+ BTU duets/vents 17,90
Suite/bldg./apt. no.: Project name .. , ' -f? Gas heat um. _ 14,00
.
Cross street/directions to job site: Duct work 14 00 m , 14.00
1i dronic hot water system
Residential boiler (radiator or
” h dronic 14.00
Unit heaters (fuel -type, not eleotric),
in -wall in -duc sus4cnded etc. 10.00 1 b
. Flue/vent tbr of above 10,00
Subdivision: Lot no.: Other: 10,00
Tax map /parcel no,: Other fuel a • fiances ,
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v:MS;... -` ' aA Gas fire dese 10,00
\/ _ 1 -L at- - . -' F lue vent for water heater or gas
fire . lace 10.00
- Loy Ii.hter : as 10.00 ,,
Wood/ ellet stove 10.00 ,
- Wood tire lace/insert 10,00
p p �� y r M1 , , n „ „Ih,c,y Chimn /liner/flue/vent 10,00 _
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Name: ♦ l ►la ♦ A & Environmental exhaust and ventilation •_
Range hood /other kitchen
Address: \' 3L - 4 L� ( e••�DI . e.ui,mast 10.00 ,.
r Clothes d er exhaust I0,00
City /State /7.IP: C_ ♦ '0 �� _ Single -duct exhaust (bathrooms,
Phone: i a
F ( ) toiletoomi rents utili rooms 6.80 •
� 10.00
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S5.40 for first four. $1.00 for each additional
Contact name:
CEMMIIIIMIIMMI
Address; r . r° Gas heat . um. M �� City /Stete/ZIP; 0 V t ` Wall /sus ' ended /unit heater . Water heater Phone: ( ) Fax' ' ( Fire•laco , E-mail: Ran;.c r t 7 ,^ 1' SN ti ll (!1 'l, T e r r �,f u r r - 1rJ t 4rr l r 1 Y f E:Y) Y C ' ` � ) r i a 1 ,, 1 I,w f v „ a ), ,, 1 1 d� t, 11,M1 r ,,„, fi R1 rn V� �TinYtryatV r 0b, ( ) SM 1 + ;r „ + {�, i1 , Bart)eel � �
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Subtotal
City/State /ZIP( 4 4' O 9 n - - Minimum permit fee ($72,50)
Phone: (Y3) (.05 - Q�,1„ U-a_ Fax: 6 55 ,p_ot O Plan review (25% of -emit fee) .�
�y State surchar :e (8% of ermit fee
CCB lie.: `%' 1 TOTAL PERMIT FEE Rik. ',- r
/.-- Q ^ This permit application expires it a permit is not obtained within 180
Authorized signatti x+ - "-tNw days attar it hat bane accepted as complete.
Print name: Date'
j • tee methodology sot by Tri Couety Building Indueiry service Isosrd
_o_..a..,.mr_a.rmil Ann Mc 12/03 440 (11
CITY OF TIGARD . _ ,,
BUILDING DIVISION PERMIT #: MEC200S-00174
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/18/7005
Phone: (503) 639 -4171 4,,,, oiliypiul6l ll
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/29/2005 TIME: 7:07AM PAGE: 118
1 64a
SITE ADDRESS: 13425 SW CRESMER DR CLASS OF WORK:
SUBDIVISION: CRESMER HILLS LOT #: 002 TYPE OF USE:
PROJECT NAME: CFIRISTIANSFN
DESCRIPTION: Replace gas furnace.
OWNER: CHRISTIANSF_N, MMMARITA G +, PHONE #:
CONTRACTOR: A- TEMP HEATING & COOLING PHONE #: 503-650.9602
Inspection Request Scheduled For: Date: 7/29/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 012176.01 503-684-3409 Y
Corrections /Comments /Instructions: P-
1l-r44-o te, L14P 14 1 Z GC
PASS 4 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL % CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: Date: 71-.0 Phone #: (503) 718-