Permit C ITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00118
DATE ISSUED: 2/24/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 25111 CC -08100
SITE ADDRESS: 15785 SW GREENS WAY ZONING: R -12
SUBDIVISION: SUMMERFIELD NO.2 LOT: 108 JURISDICTION: TIG
Project Description: Replace furnace & duct work, add A/C.
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: 1 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:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
DAVE HEYER Description Date Amount
15785 SW GREEN WAY
TIGARD, OR 97224 [MECII] Permit Fee 21241200E $72.50
[TAX] 8% State Surcha 2/24/200E $5.80
Total $78.30
Phone: 503- 968 -5965
Contractor:
PERFORMANCE MECHANICAL
1915 SW 25TH ST
GRESHAM, OR 97080 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 762 -2474
FAX 503- 667 -8823
Reg #: LIC 147003
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: /r.c1..P✓2._{/( %1 Permittee Signature:, p
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.
FROM :PE.; ^t,FORMANCE MECANICAL HVAC FAX NO. :503- 762 -3872 Apr. 24 2006 10:41AM P2
ii!:�Techanrical Pe 1�1, is R• [ 1" [ 11.1 I ( i- 1 ti I ." [ 1. I .�'
City
Of Tigard ~' r B� -c7'2 v - A .. Al P it N r• G G / tJ - 00
13125 SW Hull Blvd_, Tigard, OR 2 r� J U 2006 •
PPlan Ade;En
Phone: 503.639.4171 Fax: 503.5 U j , . Ey. Other Permit:
8.1
htspection Line: 503.639.4175 AI 4 J Dare Ready/By: INEI MI See Page 2 for
Internet: www.ci.tig&r'd.or -its CITY OF TIGARD Notifted/Method: Supplemental Information
BUILDING DIVISION •
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0 New coiash•uction lddilian/altemation(itplt =unit
Mechanical unit fees' are bused on the value of the work
' performed Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ OthEr: meekanic-aj materials. equipment. labor_ u1 et'head. and profit •
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�l- and 2- family dwelling ❑ t al Cl Accessory building 3 A t "' l ; '' JL
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clwellin Commercial/industrial
Multi-family El builder 0 Other: De For special information use chcckU
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tcc iPtian Qty l [ Total
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Job site ad / 23\/ M / , , �, 6I2 -
Air conditintmtg heal pump dress: / s, ei.„.- It slim o innshimms, iserment, 14.i 0 1 _
City /State/ZIP: 7 10j al ]' ? c sa _a2_ : �I _�_��/(I / /[/ /�� Furnace 10 / 0.000131 ?)0.1%33 /vents' E- 1- 1 -
..... I ... - -._ II �i� - - Gash IOV. WO Iilnl:f \;�CIl�;I - I H)0 ....__ -
Suite /bldg. /apt. no Projcid. nam ::
C}>s heat m 1 4.11 1 1 _
Cross street/directions to job site: Duet work 14 00 __...
H. hot water water 14.00
S C4 4y/niei #QJ qo 0 ' '- _. 9:::../:)- &4 9 t .i4'� Rcsi ai boiler (radiator cm
(� hydroniel 14 00
Unit heaters (fuel -type, not electric),
in •wall. in- duck, au ended, etc. 1(1.00
Subdivision: v lAt n.t.: Flue :vent for any: of above 10.00 r
_. -- - ._.,. Other: �^ 10.00 ,
Tax map /parcel no.: Other fuel a , , es
-
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Vas f t0
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G /� fireplace _ 10.00 J H / t2 % .., f1'y } • t , r/1: '`'t:�/,��I•^' - a..• -.- Our. vent for water heater of gas
/ �y fireplace 1(1!)0
A L/ 17 /c.- " - -, ...- Log lighter f :as l 10.01)
won(lipellet stave 10.00 __
- Wood fiireplace :Ureri 10 (10
i f iA 9 ; .,r.•u :.t<Ar'd' • n ; ;; -� - : "-
Tr• " e ar.- r•1 .r,', ;, < Chitnne.:rlinar fhtdntn1 10.00
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, �3r. ,.. J. t'vc: ru;;+. Outer: �...,.- I[1.W.1
Name: -_ • : , - M`_.. ".. ' 1SSnisrortmental a )aua t and ventilation
Address: Range hood/other kitchen
'V ✓ i , 1/ 14)- -.- e rt rent "..- 10,00
CityJState/ZlP: Jf� on 6)7 0� C,r t/ Clothes Clcitltes dryer exhaust 10.00 -
• - _.. ..-. -.. Single-chict exhaust (bathrooms,
Phone 3) 9 -.5- 9 , j Fax: I, ) toilet eompartm erns. utility rooms) 6.80
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a4 r`, 'fit * R , . l: .lttic:,xawlspace fans 1 l 0
•�':iSj's;'i "t .. r ?1. 6 -.{, :41 .1 � 'tr: `' "lCa ';∎l ,.;e, 'r
.,:; in„ j: �.,, ��,: t' �! p,� >��.et.:��w��:�,'<�1,�;�7vZ� ., ���„�II.Ai:C',.lC,).� La"/•7‘.,.• 'p �rrS. r,.,;r.):W Other: 10.00
Business name: / ^- i' t
Contact name: R r n l t - -wT $S.lff for fuur; $1r0n fM' Bach additional'
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j / Funiacc_ etc. _ l .W...._ 5 , 4 G
Address f i ( ' 1'� r sr - Gas heat in -
City /State/ZIP: A e ..„0.0.1,1 On- 970 r?f Walt sus. Stunt heater _ --
) L Fax; : (�j( Water hzaler r
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Phone: (
sa >� . i_e j �' 3 lace
• 7 Pirrn ... -- -'--
E -mail: Ran - , _..._
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City /StatcJZIP:�Tizes1t1124_7 ' IG.2.i•T 'Subtotal .
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Minimum permit fee ($72.50) 7 -_ 0
Phone: ( 50 ) 7‘, 7 y F (SV P ‘67'" lan review (25% of permit fee) . tit^ .
I . Ceti lie,: / 14 y 0 03 . State surcharge (*1% of permit fee) ;; , I
TOTAL PERMIT FEE `r;
�,® This permit a pptteetioo a if ■ permit is not obtained ..•ithin t fi0
Authorized signaturc:� ! days ■nee it has been accepted as complete.
t Print name: , mom, Jff D ate. 2�,, // • F set b y Tti Count tiuildi Industry scrnce�in; *d
�s I� -. - L._ -`f �t 7g.3
,.tae.a....,no,.,.:MMV[:.Pnm. Auo.cl C 12/03 400.4617T)1I/0?iC<�t /f�r
FROM :PERFORMANCE MECANICAL HVAC FAX NO. :503 -762 -3872 Apr. 24 2006 04:06PM P3
1
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CITY OF TIGARD m�
BUILDING DIVISION PERMIT # 2 0 0 6 _ 0 0 / r r
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUE
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 -- v e D
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: /5 7 g s _ itrz /k CLASS OF WORK:
SUBDIVISION: LOT #. TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 - _Q Pour Time:
Code # Inspection Description Confirm # Contact # Message
t We' L t 7 4-{
Corrections /Comments/ Instructions:
.;2.- ! t een. l /yam
� r
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-