Permit r ? CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00469
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/16/2008
PARCEL: 1 S135CA -02400
SITE ADDRESS: 11470 SW GREENBURG RD ZONING: R -12
SUBDIVISION: BOETCHERS ADDITION LOT: 003 JURISDICTION: TIG
PROJECT: DAVIS
Project Description: Relocating 50 ft. of gas piping fur furnace and water heater.
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: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 3
> 10000 cfm:
Owner: FEES
MARGARET DAVIS Description Date Amount
11470 SW GREENBURG RD
TIGARD, OR 97223 [MECH] Permit Fee 9/16/200E $72.50
[TAX] 12% State Surch 9/16/200E $8.70
Total $81.20
Phone: 503- 656 -7400
Contractor:
PORTLAND MECHANICAL CONTRACTOR
2000 SE HANNA HARVESTER DR
MILWAUKIE, OR 97222 REQUIRED ITEMS AND REPORTS
Contact #: PRt 503- 656 -7400
FAX 503- 655 -0620
Reg #: LIC 151807
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: /C�. /' Perm ittee Signature: _ i , /� AI A
Call 50 / 175 by 7:00 a.m. for inspections that busin• s .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.
SEP -16 -2008 TUE 02:14 .PSI P. 003
.- » . ,` ti `•
Mechanical Permit Application FOR OFFICE USE ONLY -
City of Tigard Received
1 14 q 13125 SW Hall Blvd. Tigard, OR 97223 , Data/By: i f 1 `t ' 1i*
,v Pla Review
Phone: 503.639.4171 Fax; 503.598.1960 ��1
Other Permit:
Date/By: T I G A RD Inspection Line: 503,6394175 Date Re ady/By: ® See Rage 2 for
Internet: www,tigard- ot',gov ^O% t. otified/Method: Supplemental Information
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❑New construction '/lflclitloWa1teration/repl Q -9 perfo tanica permit fees* are based an the value of the work
N mechanical lnater overhead, (�j performed, Indicate the value (rounded to the nearest dollar) of all
❑ Detnolition ❑ Other: L�l ials, eq uipancnt, labor, o and profit
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1- and 2- family dwelling [1 Commercial /industrial (] Accessory building ' '
.f.z 2 f: .:. to A• „nu� x . , � r et > air � N '�',
Multi fancily ❑Master builder For special irlformatioit use checklist.
❑ O ther:
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Job site address: l J C /� Air conditioning or heat pump
/ / c J ' � GAL (req uires site plan ahowing placement) 14.00
City / State/ZIP: 9 ✓ Furnace 100,00013TO (ducts /vents) _ 14.00
(3 Furnace 100,0004- BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: rs Avis. Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
liydronic hot water system 14.00 _____
Residential boiler (radiator or
hydronic) _ 14.00
Unit beaters (fuel -type, not electric), '
in -wall, in -duct, suspended, etc. 14,00
Subdivision: Lot no.: Flue/vent for any of above 6.80
- - Other: 10,00
Tax map /parcel no.:
Other fuel appliances
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t ? t .a � E�t, � �: t � 1 trn:+i..:�r;Ni7t..�#W�4' Water heater 1 0.00
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Gas fireplace 10.00
/ -. i? • / At 7tlff44. 56��- p.( r /,)!/)'L/ Flue vent for water heater or gas
. h_iA A , I .%� , . _ 11 / /, o I fireplace 10.00
1 . . Log lighter (gas) • 111,00
Woyd/7Lellet stove w 10.00
Wood fireplace/insert 10.00
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;t' -'C }j -- � i 1^1y , ti , ... ;� c y , ynhr { t:c: '''' ''j,•�a ., st�r4�” Y , t vi 1 ,' ',L0 j;;' 4, Chitnne r/liner /fluehent MOO ' . piW,1,�. �1 `Wfi6 r r t ' ;,;•,..,,,,.. }�' ;, l "1r ` ' 1 .. 5
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Other; 10,00
Name: ' r ,L / . , . ii .. l.� I/ , .. /. ,2 631 ' { .Environmental exhaust ventllatIon
Address: t Oa equipment 10.00 kitchen
� �_ /. /.1 � /A ,� �' cquipmcnt 10.00
City /State /ZIP: I / i ` ' de. 9 '70 1 Clothes dryer exhaust 10.00
Single -duet exhaust (bathrooms,
Phone: 0,3 ) k54 - (pi D) - Fax: (63 )toS,S'- Op 0 o toilet compartments, utility rooms) 6.80
'l�t � , .v t °tk:r f t , gi % t. r , !� ++.= p�'e y p ea Attie /crawls ace fans 10,00
iLL �,� ry
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, a• „ � , • - � - , ,. ' • r >,: Other: __ 10.00
Business name: :// , eo �. Fuel piping
Contact name: He()//) ' iffier $5.40 ibr first four; $1.00 for each additional
Address:
/ Furnace, etc. '
Gas heat pump
City/State/UP: Wall/suspended/unit heater
. Phone: ( ) Fax ; ( ) Water heater A
E-mail: —,-._— Fireplace �� __,�� ---- . -
knt1tnlrti t/, r ! h.,r, - nd /11e A, • . CO/0i , Range
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me;�
,(�Nlf� f� / , �7 Clothes dryer (gas)
Business na
VV '' cartr Other
Address. :r.,,- ;�:, �r , ,
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City/State/ZIP: Subtotal
Phone: C ) Fax:
( ) Minimum permit fee ($72.50) '� . Sb
� Plan review (25% of penult fee)
CCB lie.: /5J'c'7 J Statesurcharge (12 %ofpetmit fee) ,',/D
TOTAL PERMIT FEE ,$"J r
Authorized Signature: This permit application expires if a permit ]x not obfalef ..ithin 1110
days alter it has been accepted as complete.
Print name: ' i f f ' ' I /1 e � I p . Fee methodology Oct by Ili- County 'liming industry Service Board
IABull ding \t'trt \ oiteeMEC -PcrmiIApp..doo v 01 /19(07 440 -4617T (I I /07(COM/11165)
CITY OF TIGARD ri196 jd 60 5
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 i t DATE ISSUED:
Phone: (503) 639 -4171 44 /n14jIl y
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: J ,)--/ /,)--/O TIME: PAGE:
• . SITE ADDRESS: // 7 G o 2/Qf) /9IJCT CLASS OF WORK:
SUBDIVISION: OT #: TYPE OF USE: .
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: y — D e d , 4v1,4 PHONE #: gyl _T2 7
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message 9)/( _ / 1
61O 6.s• 6_,-Lx (02-t0 A-I , ik
Pc
Corrections /Coo /Instruc: C9 . 6,
0 #
6-- �.5
i W7 M L, .
ci__
, ,5_
rf PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION E ADDITIONAL FEES ASSESSED
N( C. i . DV `ice
Inspector: Date: Pho ne #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION „- 4
PERMIT #: IVIEC20M00469
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9116/2000
Phone: (503) 639-4171 .11/1111101t
Inspection Requests (24 Hrs.): (503) 639-4175 ,..„,..tir -.....
INSPECTION WORKSHEET FOR DATE: 11/12/2008 TIME: 7 PAGE:. 39
SITE ADDRESS: 11470 SW GREENBURG RD CLASS OF WORK:
SUBDIVISION: BOETCHFRS ADDITION LOT #: 003 TYPE OF USE:
' PROJECT NAME: DAVIS
DESCRIPTION: Relocating 50 ft. of gas piping fur furnace and water heater.
OWNER: DAVIS, MARGARET PHONE #: 503..656_700 ,
CONTRACTOR: PORTLAND MECHANICAL CONTRACTOR PHONE #: 503-656-7400
Inspection Request Scheduled For: Date: '11/12/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 077929-01 503-793-0904 N
Corrections/Comments/Instructions: -f(ev,i 44 1 j- 7927
(0) -- 1. tv,t- c)A
C a 5e, <ex vvs, 1
6 6 - 75°A - e's 0 PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
0 FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: 1Z.s Date: 4/goo Phone #: (503) 718- .2'4
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