Permit .( ,' ",�
CITY TIGARD MECHANICAL PERMIT
i D EVELOPMENT SERVICES PERMIT #: MEC2005
�,L�I DATE ISSUED: 11/8/2005
:51,1,1-
' ' ' =--• 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 103AC -08900
SITE ADDRESS: 12835 SW FONNER POND PL ZONING: R -4.5
SUBDIVISION: ON FONNER POND TOWNHOMES LOT: 007 JURISDICTION: TIG
Project Description: Relocate furnace & ductwork repair.
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: 1
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: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
KENDRA HAND Description Date Amount
12835 SW FONNER POND [MECH] Permit Fee 11/8/200f. $72.50
TIGARD, OR 97223 [TAX] 8% State Surchaq 11/8/200E $5.80
Phone: 503- 968 -7106 Total $78.30
Contractor:
SUNSET HEATING & COOLING
0607 SW IDAHO REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97239
Phone: 503 234 - 0611
Reg #: LIC 161085
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 -8 - 32 -2344.
/
Iss ed By: c ,i ►.i 4 Permittee Si • ature: - i 4 i 1 ' d%
C all 503 - 639 -4175 by 7:00 a.m. for inspections th. - busines ■ 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.
N, 05 03: 13p p , 2
Mechanical Permit Application- QV
II U , k . k J Recei ..0,, t N l l(C l tiC O\ I.l
City of Tigard y PcrmitNo.:
131 SW Hall Blvd-, Tigard, OR 97223 Pew -i HS DO 7i
Phone: 501639.4171 Fax: 503.598.1960 NOV 41P Pl Review
7 7 ;�a,:na ,. � :' Rate/Sy: Other Penult:
Inspection Line: 503.639.4175 1
',1 !
w. ! Date Ready/By: curie: ® See Page 2 for
Internet: wwei.tigard -or -us CITY OF TIGARD Notified/Method: Supplemental Information
'IHI llJAtr nn nn lr ,
�.0 ° p t 3' 1 �` r 3A ? ; v t y3 3 r i y. s , r x c �' (. .a n . s r . '. r � iI a,,. i r 4�,agr54.�ft a a ; ,;,
t
, ": �b i x r" 3 " 3.. . . :a. ,...,atx4a' .wt.ss'.,,+ 4, ' ., l''' --': .;1 3 t f"..r;.. ;a., , .;al` , x..., „ „ .. .. .tet' { P a ,1s :Y.pi>
❑ New construction ® Addition/alteration/replacement Mechanical permit fees" are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit-
" 1` -- ,. } a' ' �i -N,. '�k'Sf rtv,•kT s Ys A'it aJ . b,t rt axe , 'L 4m. sna + x rr
* Y n n r l ,b' .••••• S j .;... ` : , 5 .. z '" - Akyp - Y'� ° r z Value: t e.. va .tti'3' ` ',i'itf7' "5553,
I ,. a.. •.. Ys.,A,. r�' `�.�A e .p ,. .f t1iY' '..t,'"? 4 , �:... f ar -< . .. . ,.n •..
:?i4 t•, ; e 3 r - �e ' rii
l- and 2- family dwelling ❑ Commercial/industrial ` ❑ Accessory building ~' ~ ' ° n I '¢ ' ' ° � z r
For special information use checklist.
❑ Multi family ❑ Master builder ❑ Other:
Description I Qty. I Ea. I Total
�' R 5 6� ' P G v s t r j i iKi i.
f' : , , : E �; i � f . , it, a _ Heating/cool
Job site address: (4:717' ' 1 Air conditioning or heat pump
+�? a� �,F f k. ; i F l i. � i (requires site plan showing placement) 14.00
City /State/ZIP: --' 1 6 C k 2 '0 "? 3 Furnace 100,000 BTU (ducts/vents) 1 14,00
Hi. I Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: ' I Project name: H j ' U lk ,! \ Gas heat pump 14.00
Cross street/directions to job site: Duct work 5 14 00 141
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (filet-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
Y
w .d'xv . >,.�.,e ,.Y..
H
��}} .J�iv.'.a�i�i ii. `i � 15W _
3 �,, /y
�. j ,-4 y k y ,,,, - . , : .. 7 ., :f t 4 J, .} , { �'' I t, Q' yob. *, '4, Ate{ ts•y� �'y ' "'' ,� W ater h eater 10 V�
'�� - wli.�+. ,a. r� ' .}3d, x � v134A �.. � c . �'vi 's * � , �
t Gas fireplace 10.00
�( _ CI 12?� gt.',t.' 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
-n a , t Chimney/liner/flue/vent
;fit ,, '.,. t€t it ' a r '''y 44,417,7415" , , , ,ti. � 10.00
` .,.ax .ea ;,. - Other: 10.00
Name: Kt( I l fia 1 .: 1.14'\ 6 Environmental exhaust and ventilation
! Ran a hood /other kitchen
Address: I ,Cf (s ) S ; i.,L..' l am ' x,E Y , ' , , ( ' ' L
equipment
10.00
City /State/ZIP: -'t- i Cl/ i i2 '- i w : f 3 Clothes dryer exhaust 10 00
) C' Fax: Single -duct exhaust (bathrooms,
Phone: (
,3 t l:" 5 • - - j j G c" ( ) toilet compartments, utility rooms) 6.80
''"'"4:41174t41\• � 'I 1 )' .'' '1�r, i ' 6''f , , g ,,. 1 ) Attic /crawls ace fans 10.00
Business name:
Other 10 00
Fuel piping
Contact name: 55.40 for first four; 51 -00 for each additional
Address: Furnace, etc.
Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone: ( ) I Fax: : ( ) Water heater
E -mail: Fireplace
Range
)g , t I l a r.0R x 1 . , a s# ti r l ' t Barbecue
Business name: Sunset Heating and Cooling Clothes dryer (gas)
Other:
Address: 0607 SW Idaho Street '{ : .rx t Ys "t~W Rr'F4�z ry' , u - z S�.>t , sa"Fg'
City/ State/ZIP: Portland, OR 97239 `Y ri w* Subtotal '
1 Z.t
Minimum permit fee ($72.50) - t;
Phone: (503) 234 -0611 Fax: (503) 234-0439 Plan review (25% of permit fee)
CCB lie.: 161085 State surcharge (8% of permit fee) rj 5..:
c.>) \.... TOTAL PERMIT FEE 7 ,.3, '
Authorized signature: 6r1(:-- ( -- I- ''' ^ - This permit application expires if a permit is not obtained within ISO
days after it has been accepted as complete.
Print name: Shauna D'Ambrosia Date: I j 1 ' 7 j ?„r' I ' Fee methodology set by Tri County Building Industry Service Board
t
1 10uilding\Permitx\MEC -Pe mitApp doc 12/03 450 -4617T (I t/02/COM/WF -B)
(A/0,141. ; 5 c' +=o Erma,¢, -r- o
CITY OF TIGARD f' - DC (112-(_
BUILDING DIVISION PERMIT #:Z2 5 "--
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: i 6 / 7 _ 6 6
Phone: (503) 639 -4171 : ir�pilpuoii��l��� T
Inspection Requests (24 Hrs.): (503) 639 -4175 �._!: p_ �L , /� D
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / 3 S / 0 -- CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 2 — - O 0 Pour Time:
Code # Inspection Description Confirm # Contact # Message
w�.
Ca
Gq/ e -c.) 2 3y,o( /f X l "-
Corrections /Comments /Instructions: ((�� M
/4.-We4 igei-Of '-i-- — 5 - ‘ ‘S -_______
./�C9 �-� Ma4�', G Co> apz,c_e 77/1i/i7 /sa
r
/./ i _
IWO / ". '
X PASS n PARTIAL APPROVAL ❑ CANCEL _ NO ACCESS
l FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 5 e "( Phone #: (503) 718 -21