Permit d
CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005 -00732
441. a� 1 1 1 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 11/3/2005
PARCEL: 2S1 12 B B -0 8600
SITE ADDRESS: 14250 SW FANNO CREEK LP ZONING: R -7
SUBDIVISION: COLONY CREEK ESTATES NO.2 LOT: 069 JURISDICTION: TIG
Project Description: Replace furnance.
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. INC1N:
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:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
GAS OUTLETS: .
> 10000 cfm:
Owner: FEES
ERIC FREEMAN Description Date Amount
14250 SW FANNO CREEK LP
TIGARD, OR 97224 [MECH] Permit Fee 11/3/200E $72.50
[TAX] 8% State Surcha 11/3/200E $5.80
Total $78.30
Phone: 503- 639 -3920
Contractor:
TRI COUNTY TEMP CONTROL
13150 S. CLACKAMAS RIVER DR
OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS
Phone: 503 -557 -2220
Reg #: LIC 72623
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: Permittee Signature: -S1 ; 7. sib \F.
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.
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- ..ity o f Tigard, . 1 Received e
31 SW Hall Blvd., Tigard, OR 9 _
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7-'23 __,_,,* ' D ate/ BY : / l 1 C-_4 permit No c.,VA.caeic q.3,2_,
hone: 503.639.4171 Fax: 503,5_,Q, il 0 Plan Review F X171 4 , 0 , Other Permit:
ispection Line: 503.639.4175 lire',.....L 10 ,
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Date/13y:
el. I • - Date Ready/Sy: . Itis: 0 See Page 2 is
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iteet: www.ci.tigard.or.us — Notified/Method: Supplemental Information
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'Mechanical permit fees* are based on the value of the work
New construction )3;1 Addition/alteration/replacement
] Demolition El Other: 0\1 2. 1 performed. Indicate the value (rounded to the nearest dollar) of all
mechanical materials, equipment, labor, overhead, and profit.
' :ff'. 7 - ' rie:,..) ::..:':.',=: ::,• ''-':"11:1.1.laW Value:
.4 ‘ 1"'• ' ''' '' ."4- ' '':':';''''''''''''''"' ' -.'•'------.' '-' .. • - -." ''‘ • ••••-•.' r‘t • ' 0 ; .
1 - and 2 dwelling E] Commercial/industrial 0 AcceYottop IQ 1 v .- • ' — " . '. - - • -.... ' j ; * . '..
For special information use check/is!.
] Multi P Master builder III oth'?ar: Description Qty. Ea. Total ,
7,':'.`'.!,..;.'.iii::::),.,-..-::::::,:f•:.,.:,:40.1il'ii4rii*OliciNt.‘dfork..;*i .tOdAfloy. :•::,: :....::::':',• ..„.:,,::•-:••:•,.: Heatin _
Job site d.i.,%-crs: 1421:4 arm° erriA51 . 1
G I W f Air conditioning or heat pump
(requires s-,,.:21.trishivia. placement) I .
14.00
(11974, . - Fure.,... 100,000 BTU (duets/vents) I 1.4.00 • -
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: * 1 Project name: • ' _
-- Gas heat pump 14.00
Cross street/directions to job site: . Duct work 14.00
it not wattr systurn 1 ! 4.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel-type, not electric),
. in-wall, in-duct, susoended, etc. 10.00 _
FlueJvent for any of above 10.00 1 .
Subdivision: I Lot no.:
Other: 10.00 ;
Tax map/parcel no.: Other fuel appliances
-. ''• - -.- '''''' . - -- - DESCRIPTION OF WORIC-':- .• -:-'' • ' '''';,'; ' - • ' .--'-• •• ' I 1000
ikr431---furnaen 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
Chimney/liner/flue/vent 10.00
- - .. • .- - —4(iiidi.iii.'62'''aiiii:- .-- sf - ', ! ':.1 ='''-: ::•'' Ei
.,i':":
,•.- Other 1000
Name: Ert WMLUil Environmental exhaust and ventilation
Address: earne) Range hood/other kitchen
equipment
10.00
City/State/ZIP: Clothes dryer exhaust 10.00 i
Single-duct exhaust (bathrooms, -
Phone: (5)) G0q--...8121) Fax: ( ) toilet compartments, utility rooms) 6.80 .
'' - ' - .1: - ...... - : Attic/crawlspace fans 10.00 I
Other: 1 10.00 1 I
Business name: Tr' Cat) TC171D COITNT 1 , Fuel piping
,
Contact name: L b la jar Mil on , 55.40 for first four; 51.00 for each additional
Furnace, etc.
Address: 0 I DO 6 • MCkaitYln Ri \ICI' 'Dirluci Gas heat pump \
City/State/ZIP: OTC. en (1 • N _ (1704 , ,5 Wall/suspended/unit heater
Phone: (a 57 2120 . Fax: : (62) 5 s I el Water heater
Fireplace
E-mail: ,
Ran
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Business name: TO COLVIN ROY Cerittr 1 - Clothes dryer (gas)
Other: i 1 ,
, Address: F)t G_ ri KJ MOS R i r_•1 lirC ,:, • ,..,.. ,, .. IVIE CITANIC Ali PERMIT FEES
City/State/ZIP: C17 Subtotal
z 41 C.i 0 C17(
Phone: (F2-5) 53 . _ ...-)--zzo ,____,_
I Fax: (CL1C. lo -cirt H Mirimum permit fee (572.50)
I I Plan review (25% of permit fee) 1 •
CCB lie.: - 721# 2S State surcharge (8% of permit fee) 7. TOTAL PERMIT FEE .
„&ci. 7-Le cr?il.i.C)C74_____.. This permit application expires it a permit is not obtaine ' ' 0
Authorized signature: days after it has been accepted as complete.
. '
Print name: t A,44.30y) Date: 101,311.1),S I - Fee methodology set by 'Fri-County Budding Industry Service Board
T • d 6 T GOLSSEOS dwal R4uno3 TJ1 eES:LO SO TE 400--
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2005 -00732
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/3/2005
Phone: (503) 639- 4171 ti�hl
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12/20/2005 TIME: 7:30AM PAGE: 26
SITE ADDRESS: 11250 SW FANNO CREEK LP CLASS OF WORK:
SUBDIVISION: COLONY CREEK ESTATES NO.2 LOT #: 069 TYPE OF USE:
PROJECT NAME: FREEMAN
DESCRIPTION: Replace furnance.
OWNER: FREEMAN, ERIC PHONE #: 503 - 639 -3920
CONTRACTOR: TRI COUNTY TEMP CONTROL PHONE #: 503-557-2220
Inspection Request Scheduled For: Date: 12/20/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 023771 -01 503 -557 -2220 Y
Corrections /Comments /Instructions:
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1
T & VI
C e}
ASS n PARTIAL APPROVAL n CANCEL n NO ACCESS
n FAIL H. CALL FOR INSPECTION ❑ ADDITIO AL F - S ASSESSED
Inspector: �, Date: \. ICJ 'hone #: 503 718 -
p III `� )
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I
CITY OF TIGARD . , ..
BUILDING DIVISION PERMIT #: MEC2005.00732
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11/3/2005
Phone: (503) 639 -4171
A 011 1 1`
Inspection Requests (24 Hrs.): (503) 639-4175 :_
INSPECTION WORKSHEET FOR DATE: 11/8/2005 TIME: 7:00AM PAGE: 08
' SITE ADDRESS: 14250 SW FANNO CREEK LP CLASS OF WORK:
SUBDIVISION: COLONY CREEK ESTATES ATES NO.2 LOT #: 069 TYPE OF USE:
PROJECT NAME: FREEMAN
DESCRIPTION: Replace furnance,.
OWNER: FREEMAN, ERIC PHONE #: 503.639 -3920
CONTRACTOR: TRI COUNTY TEMP CONTROL PHONE #: 503. 557 -2220 •
Inspection Request Scheduled For: Date: 11/8/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 020583-01 503 -557 -2220 Y FM
Corrections/Comments/Instructions:
❑ PASS I I PARTIAL APPROVAL n CANCEL k NO ACCESS
FAI ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718 -