Permit a
'
CITY OF / TI GAR® MECHANICAL PERMIT
DEVELOPMENT SERVICES
���I PERMIT #: MEC2006-10023
ISSUED: 3/9/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S103DD -06100
SITE ADDRESS: 10582 SW GARDEN PARK PL ZONING: R -4.5
SUBDIVISION: KAREN PARK LOT: 001 JURISDICTION: TIG
Project Description: Replace 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:
NAT 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:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
DUANE HEARD Description Date Amount
10582 SW GARDEN PARK PL
TIGARD, OR 97223 [MECH] Permit Fee 4/1/2006 $72.50
[TAX] 8% State Surcha 4/1/2006 $5.80
Total $78.30
Phone:
Contractor:
TRI COUNTY TEMP CONTROL
13150 S. CLACKAMAS RIVER DR
OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -557 -2220
FAX 503 -557 -0919
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: 1j Permittee Signature:
Co
o
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business da ..
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.
Mar 04 06 1 1 : 4 6 p TriCountTemp 5035570919 p . 1
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Meelianical Permit Application - - FOR OFFICE' USE ONLY • H
City of Tigard 'igh CErki ED R.eived
------)z.._ Permit NANNE-
13125 SW Hall BI Tigard, OR 9 7---, Plan Review
Phone: 503.639.4171 Fax. 503.598:1'. 1?-01 ii ii%. Date/By:
o Other Perant.
Inspectin Line. 503 639.41
Internet www cLugard.or.us 75 MAR nob ...,_-. °a...II Date Readyy:
Notificd/Method. . ui Sis El ee Page 2 for
)q(r Supplemental Information
. J '' '. • "- :. :- ( ' ' '''`"7 ., - .: - .. ' ' : ; . ;. ,- ' ' ," '.i':"'" 1 : :" '"- - -" -: : .' - ''''' ' - rI7 - i. 61'1, . Yr.'6-twl;.,,,4-04\WiSik-::*1::.'44-%" i'V!.' ,_'. '..".;:'.., ''V'' ti=6 - iSEICELEGICLIST
0 New construction XVIttilearteration/replacement ' Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition E1 Other: mechanical materials, equipment, labor, overhead, and profit.
, ',..,,;_;'‘'.• ' ,';:' •• ..... „ • e -, CATEG0106::Ok'CONS7.:12:KTION',.t;t,jk:i, , - -,-.. •:- ,,;,,,,,:i.,,:. , Value: S
';''' • ,-*SIJST.II rE OtTrIVIEN T. fSYSTEIVIS ;FEES*
X 1 - and 2 dwelling 0 Commercial/industrial 0 Accessory buildmg
For special information use checklist
0 multi-family El Master builder 0 Other: ' Description
1 Qty. Ea Total
C 403 . i.i.01NE'OiziviAliC41;itsiu.:T.:OOAJ,Ot 4 : '-' :; . ,:, ..,;Y::f: Heating/cooling
Job site address: tObeZ SW et aircicn fat-L(4)i= Air conditioning or heat pump
. (requires site plan showing placement) 114.00
City/State/ZIP '.[lard 4r1zz3 Furnace 100,000 BTU (ducts/vents) I 14 00
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 I 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
I
Flue/vent for any of above ; 10 00 ,
Subdivision: Lot no.:
Other: 1 10.00
Tax map/parcel no.: ' Other fuel appliances
' Water '
:L' • .' t.'.::::::, '-DESCRIFtiON OF, 'Vv,Oki< ,;,;,..'„?I:.'_:.r::;5'21,:, i 7.''''',,', -. :" I" " W a er he - t er 10 00
k$ fitril &Cr Gas fireplace
Flue vent for water heater or gas 10 00
, fireplace 10.00
- Log lighter (gas) 10.00
' Wood/pellet stove 10.00
Wood fireplace/insert 10.00
Chimney/liner/flue/vent 10.00
,' -il .OWNE- „''.,,,, - '- Fl=,,', W,"„ :1; - 'r .' .: 1 , 10 00
Name: ' Environmental exhaust and ventilation '
Address eZine Range hood/other kitchen
equipment 10.00
City/State/ZIP: Clothes dryer exhaust l 10.00
Single-duct exhaust (bathrooms,
Phone. ( 502) (920 [M( Fax: ( ) toilet compartments, utility rooms) 6 80
„ :y. Appia`cAN ;,:..7-, ' -.. n.: 'citii■Fr4ic.T .. I-- ,. - Anic/crawlspace fans I 10.00
,_ Other: 1 :0,00
Business name: Trl CaUTtli Tcrnp CO ITN I Fuel piping
Contact name. S5.40 for first four; $1.00 for each additional
1 '
Furnace, etc. I
Address. ° 10(). ( C ackdir)/(16 Ri vcr cDri UC) Gas heat pump I
City/State/ZIP: CrtgCn 0 -i c ,, C( 7Q4 Wall/suspended/unit heater
Phone: (9J) s57. ” -
. - 2/2D I Fax: : (q3) P55 1 q Water heater
Fireplace I ,
E-mail _ Range
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1. ,4 - ,:,- r,,..d .„. , ..„ ..„, .,..,M..1V.5 ,...,,te ----,...,.. .9 . ,..., - - . '..,
- '''' ' Clothes dryer (gas)
Business name: 1 n ccan imp Corr. •
. Other. I
Address: ?) iF)0 G. T6 Karal3 AA R1 x-rtri \t'7 ',.- - , ," - --MECHANICATi,iPERINIIT.EFES*-
f, '
City/State/ZIP 07)11 LL C e_ cf .
- Subtotal
Phone: ( a - \3 ) 55 x _ , Fax. S5 -6(
1 e() .1,1(1 ,
, Minimum permit fee (572 50)
Plan review (25% of permit fee) .
CCB lie • 7211 2_,,. . State surcharge (8% of permit fee) ritto
. . TOTAL PERMIT FEE
Authorized signature: ,h...(2-2 177 aaci4------- ,
This permit application expires if a permit is not obtained within ISO
days after It has been accepted as complete.
Print name: , ba Aita,6 (J /1 I Date: al6ttetP ' Fee methodology set by Tn Building Industry Service Board
I 1Buildmg \Permits 1 MEC-P n-mitApp doe :2/03 440-46 t 7T ( I I/02/COM) WEB)
CfTIOOF TIGARD _
a
BUILDING DIVISION r PERMIT #:(�/)QC
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2Q ,._ 2-3
/;
Phone: (503) 639 -4171 a ir�ryrn�N4JBl�It
Inspection Requests (24 Hrs.): (503) 639- 4175 !ii
INSPECTION WORKSHEET FOR DATE: TIME. 4 �}�,) PAGE:
SITE ADDRESS: 1 Q 5 G rA. ✓cI P i— P1 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: 7 PHONE #:(SD 1 9 2' - -
CONTRACTOR: �''e-- . PHONE #:
Inspection Request Scheduled For: Date: / 7- V— , Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments /Instructions:
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AM fi
1112/1IV I I I Ilia LaMMIA
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1 Z PARTIAL APPROVAL ❑ CANCEL NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITION L FEE • ASSESSED
. 1.4 Inspector: Date: e #: (503) 718 - `Ga13
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