Permit r*
CITY TIGARD MECHANICAL PERMIT
AI� DEVELOPMENT SERVICES PERMIT #: MEC2005 -00573
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/14/2005
PARCEL: 2S102CC -05400
SITE ADDRESS: 13620 SW CRESMER DR ZONING: R -4.5
SUBDIVISION: BEREA LOT: 015 JURISDICTION: TIG
Project Description: Furnace replacement.
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:
LPG 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
DORENE THOMAS Description Date Amount
13620 SW CRESMER DR [MECII] Permit Fee 9114/200: $72.50
TIGARD, OR 97223 [TAX] 8% State Surchart 9/14/200; $5.80
Phone: 503 639 - 0826 Total $78.30
Contractor:
OREGON HEATING + A/C INC
PO BOX 397 REQUIRED ITEMS AND REPORTS
DUNDEE, OR 97115
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: a ��` Permittee Signature: ,/a
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.
Sep 05 12:41p Oregon Heating and Air 503 - 537 -2172 p.2
l;.
Mechanical Permit _•_.,. >; i i. ■ rig" FOR OFFICE USE ONLY
City of Tigard Received ,
13125 SW Hall Blvd., Tigard, OR 97223
Date/By: t) D O Permit No 005 -0,0573
Phone: 503.639.4171 Fax: 503.598M Plan Review
a ��" 2, 200 / /B Date /BY: Other Permit:
Inspection Line: 503.639.4175 LL I Date Read )ur;s•
Internet: www.ci.tigard.or.us s 1 � ' '; Y y
Notified/Method: �� 0 See Page 2 for
Supplemental Information
CITY OF
_ Addition/alteration/replacement . COM1bIERCL�II, F DUL] = USE•CHECIQ:
- E SC IIE
DI New construction Mechanical permit fees are based on tt value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, 3verhead, and profit. • ::.;:.CATEGORY OF :CONSTRUCTION'::.:;' .•,' ;',::`,. .:; Value :I
1- and 2-family dwelling ;: RESIDENTIAL 'EQUIPMENT /,IYSTEMS'FEES *. •. • ' . •
❑ C ommerciaUindustrial ❑ A ccessory building
❑ Multi- family 0 Master builder ❑ Other
For special information us t checklist.
Description Ea. Total
•.. : ' 70B' S1T ;INFORM IJO LOCATION;' );;' `.; : ry
i
....., ... ,, . ::. - - / Heating/cooling
Job site address:
VF- -E3 1%) Air conditioning or heat pump
t / k.., / t Y . t t (requires site plan showing placement) 14.00
City /State/ZIP: \. 'd 1-2, Furnace 100,000 BTU (ducts/vents) 14.00 f '
J
' Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name:
Gas heat pump 14.00
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: Lot no.: Flue/vent for any of above 10.00
Other. I0.00
Tax map /parcel no.: Other fuel appliances
,t :„
- :bx5lClYFP'F10 � OF:� WORK' " - fAcF ; g' Water heater 10.00
;k�/ !>>( ' lit l Wit
: --- r ..., Gas fireplace 10.00
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
mer /flueJvent
OPERT;Y :Ol '; " x - - 10.00
... i'!�It� _ r'
Other 10.00
Name: / j / 1 r� — C� o -
(U Environmental exhaust and ventilation_
Address: ` n � irf --5 / 0-, Range hood/other kitchen
Y / 1 w el P 10.00
City /State /ZIP: Z / �l a , v?A 0 i Z.23 . Clothes dryer exhaust 10.00
Phone:'1/) } -
Sine-duct (bathrooms,
1� Jr ( C 1 a 2 Z, L� , G Fax: ( ) t ilet compartments, utility rooms) 6.80
I' s .; T A ttic /cr ace fans 10.0
_ - ..... - -... APPLC
.,., �� ,`:`•; .. ...,. - i C'IT P1w1tSOIi'.� ;i ?``''i':`�i?�•' Aawl sP 0
Business name q% y ��� /�
` �„ y 1 � (1))1,—/ ,� Other. 10.00
ire
1 p(� w � U l 1.��
/� Fuel piping
Contact name: i � r I �� J - - $5.40 for first four; $1.00 for each additional
Address: Y i c a4 V/ Furnace, etc.
l �•✓� / ( Gas heat pump
City/State /ZIP: di /L/�, 1 U (h 411 I I S WalUsuspended/unitheater
Phone. ,3) Llr J g ac Fax: 6 ' '1 ✓ `/ t ) 5t 3 - 7 2-/ +Z Water heater
E -mail:
. Range
�( Fireplace
,. -, - ,O.j1TRACTOR; - _ Barbecue
Business name: 4,n -try t om" "'v' ' r h " J,,_ ( / U t t- Clothes dryer (gas)
l Nv VV U ' Other:
Address: .. .,._ . ,.
MECFI•ANICAE:YERNiI7 FEES ° := •'' , `r:
5 dbto
11 , 0 1 x'1 1 Ls �
City/State /ZIP: : ,
Phone :tidt% � ,61,r-a3 F � 3 63-7 2 17 Minimum permit fee ('572. ee) f Z 1�
L Plan review (25% of permit fee)
CCB lie.: ?• L ` __ State surcharge (8% of permit fee) „ Ye) ? --- TOTAL PERMIT FEE , , e
Authorized s afore: 1 ,� l ) 1 ■,� C �� This permit application expires if a permit is not obtained within 180
days after It has been accepted a ;complete. E Y set
Print name: I - I � � ► , f ha ,- D ring; • ' Fee methodolu 6 Tri -C Building Service Board
_ ' :��wir/ly Y oon tY g I ndus trS'
iABuildine \PamiuWIEC- PamitAoo.doc 12/03 440 - 46I7T (1 I /02/COM'WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEsw200f.00513
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/1 '4 /2()35
Phone: (503) 639 -4171
474
Inspection Inspection Requests• (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/30/7006 TIME: 7:01AM PAGE: 61
SITE ADDRESS: 13620 S'W CRE SMER DR CLASS OF WORK:
SUBDIVISION: REREA LOT #: 0.6 TYPE OF USE:
PROJECT NAME: THOMAS
DESCRIPTION: Furnace replacement.
OWNER: THOMAS, DORF :NE • PHONE #: 303- 639 -0876
CONTRACTOR: OREGON HEATING . NC INC PHONE #: 503.531 -2963
Inspection Request Scheduled For: Date: 1/30/2006 Pour Time:
Code # Inspection Description Confirm # Contact # 0:_,---,,,„-,
699 Mechanical final 026809-0/ 603-538 -2953 A-
6 '
Corrections /Comments /Instructions:
i'
r
PASS /� ' TIAL APPRO I CANCEL ❑ NO ACCESS
FAI I r ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: • — Date: 3 ' °` —Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2005-00573
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/14/2005
Phone: (503) 639-4171 iil��iipll" �I
Inspection Requests (24 Hrs.): (503) 639 - 4175 ±1 1..
INSPECTION WORKSHEET FOR DATE: 10/13/2005 TIME: 7 :04AM PAGE: 124
SITE ADDRESS: 13620 SW CRESMER DR CLASS OF WORK:
SUBDIVISION: BEREA LOT #: 016 TYPE OF USE:
PROJECT NAME: THOMAS
DESCRIPTION: Furnace replacement.
OWNER: THOMAS, DORENE PHONE #: 503 639 - 0026
CONTRACTOR: OREGON HEATING + NC INC PHONE #: 503- 538.2953
Inspection Request Scheduled For: Date: 10/13/2005 Pour Time:
Code # Inspection Description Confirm # Contact # e age
699 Mechanical final 018114-01 503 -531 -2953 Y A4
Corrections/Comments/Instructions:
M / o i(
A-� -a i/ may P ✓ p
v . • Pc-g._ 'S
& z S --- o �,.��
iP ; l A/6 p — y Y r
Pc��C /Li 4_ 5
I PASS 5; PARTIAL APPROVAL PI CANCEL ❑ NO ACCESS
FAIL $ ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
''` ��` Date: / F ' 0� Phone #: 503
Inspecto L ( ) 718 -
1