Permit /
i il l n CITY OF TIGARD MECHANICAL PERMIT
�_• COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00421
c DATE ISSUED: 8/12/2008
TICcARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S133CD -04800
SITE ADDRESS: 13675 SW FEIRING LN ZONING: R -25
SUBDIVISION: COTSWALD MEADOWS LOT: 046 JURISDICTION: TIG
PROJECT: HANSEN
Project Description: Replacing 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: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
CHUCK HANSEN Description Date Amount
13675 SW FEIRING LN
TIGARD, OR 97223 [MECH] Permit Fee 8/12/200E $72.50
[TAX] 12% State Surch 8/12/200E $8.70
Total $81.20
Phone: 503 - 524 -7300
Contractor:
SUN GLOW INC
2428 SE 105TH AVE
PORTLAND, OR 97216 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -253 -7789 _.
FAX 503- 253 -7693
Reg #: LIC 48131
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
/ -Iindemm
Issued By: /� Permittee Signature: e / , ^
y' t /__�� �� P itt Si g iG�r7�c.1/
Call 50 . . • .4175 by 7:00 a.m. for inspections that busines
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
I •
Mechan il C t t N - 9 3 l f , l a t l 1 l i t I I RNLI "`
'' City of Tigard ' �� ^ 1
' 13125 l SW .Hall Blvd., Tigard, OR 97223 1 r
12 2 00 8
; ` 7 ■ Phone: 503,639.4171 Fax: 503,588.1960 A`' l.� Other Permit:
Inspection Line: 503. 639.4.1.75 •11 NO Dote ReadyiBy, H See Pali` Z for
):ks;irtFl) Or� V " ' i NIS IO ' Notified/method: Supplemental Information
.. �^ I w�- tigardvr -gov 1 ,� J
[ 111.
.1.9'p'E OF WORK. . . ' C 0 i , • t AL: FEE " ' 1:1$t, tel
Mechanical permit fees* are based on the value of the work
❑ New construction ( . Addition /aiteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ ,Dctstolition D Other: mechanical materials, equipment labor, overhead, and .rofit
Value: $
CAO)zii CiJATS k frUCTIdN
21
1. and 2-family dwelling ❑Commercial /industrial ❑ Accessory building
It1L1 J1►>I)�PV Y l �SYS 1 IE1S'FS*
For special information use checklist.
Multi- family ❑ Master builder ❑Other: inscriptiony L Ea. j Total
' JOB 8I'M INFORMATIoN AND We-A • . Heath: coati
�
Mr conditioning or heat pump
Job site address: , � ,1Y ■ aims site .tan showitt; %cement all 1 4 . 00 IN
+ • Furnace 100,000 BTU (�cta/v vit5)
17.90 IM
City /State/ZTP: •�� f a i •� r Furnace 100,000+ BTU slucta/verfts 17.90
Project name: 14,00
Suite/bldg. /apt. no ": 0.i r Gas heat um.
Cross streetldirccticros to job site: _ Duct work 10.00 in
Hydronic hot water system 14.00
Residential boiler (radiator or
h dronic 14.00
Unit heaters (fuel -type. not electric).
in -duct, sus .ended, etc. > MEN 14.00
Flue/vent for an of above MI 6.80 MINI
Subdivision= _ I Lot no.: Other: 10.00
Tax map /parcel no.: Other foci a. 'Baines
bEscitirrioN 017 3,VoRK Water heater IIII 10.00
Gas fi lace 10.00
a A& of • 1 - '_ll�: t Flue vent for water heater or gas
II ' ,� •, fir .lace 10.00 Ell
IA' ►i• CS as IIIII 10.00 MEI
Woodi. stove Mil 10.00
Wood fire .lace/inscrt 11111 10.00 NM
Chitnny/liner /flue/vent 10.00
' 111"X • OWNER 1 f1g1�tAN 1 • Other: _ 10.00 •
• Environmental exhaust and ventilation
Name: (� ,f ur_ .1 }� . Range hood /other kitchen
Addess: '< " - `t I f ‘1v..1 a r . L .� e. ui ',fluent 10. Q0
�,r� �,, Clothes d r exhaust En 10.00 ME
CitylStatcl2�P�; • p" Wit- Single-duct exhaust (bathrooms,
G � q t) { ,� G ments, utili rooms 6.80
Phone; ( + - Fax: ( J � (� toilet com art A ace fans ty 10.00
4>l�ttX C Uli17AL;71C►N 10.00 wEi
Other:
~ Business name: ..
. .in_
Contact name: SUN GLOW, INC. 55.40 for first four: $1.00 for each additional
IIMMI
Address: Heating & Air Conditioning pump
heatuntp
Ci /State/ZIP: 2428 SE 105th Ave. Portland, OR 97216 - Gas
he �
(503) 253-7789 FAX (503) 253.7693 _
Water heater ��
Phone. ( ) t _.. ��__
- E -mail: �� U n r C11--0 L.V'� C... • C.C.) Ran •e
CO • CT OR Barbecue MI NMI
• Clothes dryer (gat)
Business taarne: Other:
SUN GLOW, INC. • .miy ire ITiaiOrtFES^.
Address: Heating & Air Conditioning -
City /StatetZIP: 2428 SE 105th Ave. Portland, OR 97216 Snbtotal Minimum permit fee ($72
Phone: ( )
(503) 253-7789 FAX (503) 253 -7693 Pl review (25% of permit fee) Ell
��
CC8 tic.: i~� (,, ` State surcharge ( % of permit fee)
TOTAL PERMIT FEE Oni
- J ��� , • ThM permit application expire if a permit is lint obtained within 1:0
Authorized signature: (- k days after it has been accepted ex complete.
Wir III 0 I*T • Fee methodology act by Tri- Cormty Building industry' Scrvice Board
Print name: _, r V w r Date:
440461 71 (11 ft722 /COMJV.'513)
CITY OF TIGARD .
BUILDING DIVIS PERMIT #: MEC200& -00421
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 8112/2008
Phone: (503) 639 -4171 J zoli t
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/26f2008 TIME: 7:00AM PAGE: 36
SITE ADDRESS: 13675 SW FEIRING LW CLASS OF WORK:
SUBDIVISION: COTSWALD MEADOWS LOT #: 046 TYPE OF USE:
PROJECT NAME: HANSEN
DESCRIPTION: Replacing gas furnace.
OWNER: HANSEN, CHUCK PHONE #: 503-524-7300
CONTRACTOR: SUN GLOW INC PHONE #: 503-253-7700
Inspection Request Scheduled For: Date: 806008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
7 -r
699 Mechanical final 074500 -01 503 -253 -7789 Y
Corrections /Comments /Instructions: 503- 0 2° - Bs 2
$ 3 - 5Z '- ?3
`PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: 35 Date:,,QOA,/ 06 Phone #: (503) 718 - r2g2.3