Permit CITY TIGARD MECHANICAL PERMIT
�1i DEVELOPMENT SERVICES PERMIT #: MEC2006 -00364
`'' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/2/2006
PARCEL: 2S 111 AB -04300
SITE ADDRESS: 09085 SW INEZ ST ZONING: R -4.5
SUBDIVISION: PENMAR TERRACE LOT: 005 JURISDICTION: TIG
Project Description: Replace furnance, add A/C unit.
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:
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:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
EDWARD KIRBY Description Date Amount
9085 SW INEZ ST
TIGARD, OR 97224 [MECH] Permit Fee 8/2/2006 $72.50
[TAX] 8% State Surcha 8/2/2006 $5.80
Total $78.30
Phone: 503- 624 -7327
Contractor:
AIR PRIDE, INC.
18605 WILLAMETTE DR
WEST LINN, OR 97068 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 655 -0556
FAX 503- 655 -0534
Reg #: LIC 154359
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.
C
Issued By: Permittee Signature:0 "/ / '
l
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.
.. ,..
.
Mechanical Permit Application - ; •..., • • roloi. • , .
Cit of Tigard E.\\VB -,..) Received — _ „.,.., ..{,--7
Permit No.
Date/By: ,1" 1/ l.) ' r.....:-4--- ,., .
e "" 0
c.zeio 4' - 636 V
13125 y SW Hall Blvd., Tigard, OR 972BEC .
Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 2 ?OF , . ig.,,,00lioio Date/By: Other Permit:
Inspection Line: 503.639.4175 Aki G ....,,,i,.. :71 1 ' • Date Ready/By: Juris (r. 0 See Page 2 for
Internet: wwvv.ci.tigard.or.us oiTY TIGARD Notitied/Method: Supplemental Information
OF
. Dime niVISION
....... ... .... ..... ............... .. ....... ...... . .. ....
...:,.:-•,-:---:.--,-- - _..,-.-:.:-:,••:.:- • :••••• :-.•-•-...- • .- -, • .:,..,.: , • • - .::::CO1V11
0 New construction rAddition/alteration/replacement
Mechanical permit fees* are based on the value of the work
'1:2
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $
cATEGoRy::;cov.icoNsTRucTioN.:.;:::: :-- :-
4010ENVit-,::EPtIO*MCN'ti Yg.TrWinS.
it 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building
A. For special information use checklist.
M ulti-family 0 Master builder 0 Other:
Description I QtY. Ea. Total
30 4iMMI.I.VOIRMATIOt' 4 : : :ANP.:::LOVNTION:::: . ...=::::::::::::::::::::::::::::::::::::. :: Heating/cooling
Job site address: 0e s i,ko 2 Si-- Air conditioning or heat pump
(requires site plan showing placement) ( 14.00 1 1 —
City/State/ZIP: 7 9 ( Z- q 7 - a Y Furnace 100,000 BTU (ducts/vents)
1 14.00 /'t —
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 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
Flue/vent for any of above 10.00
Subdivision: Lot no.:
Other: 10.00
Tax map/parcel no.: Other fuel appliances
:::.:::::::::::.:.::::.:::::::.::::.:.:.:::::::::.:::::-..::::,:.:..::......:.- - - • : -. - :.:- .7 10.00
...:.:.:.:.:.:.:.:.:.:.::.:..:.::..:.:.:.:-:-......:.:.: .:-:-...:...... - .:- ibEsekterkim:ov:WoiRk::;::.:.:.:..:.:.:.:.:.:.:.::.:.:...:...:-:.:.:.:...:.:::::.:-::.:.:.::.:-:-:..:.: Water heater
- Gas fireplace 10.00
Flue vent for water heater or gas
Aq (ace. Pv-1,--./.4-c.e.- fireplace 10.00
Log lighter (gas) 10.00
/1-6() Of' 4--t a Wood/pellet stove 10.00
Wood fireplace/insert 10.00
10.00
:: • :::si -:..... • ,..: : .:,::: ::.- Chinmey/liner/flue/vent
10.00
Name: t- 4-1_, K , I R 6/ Environmental exhaust and ventilation
Range hood/other kitchen
Address:
equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: (9,-- 0 a ,( --) -2.„ -7 Fax: ( ) toilet compartments, utility rooms) 6.80
/...<........., ...,.... .... , .., .,., .,. ...
a:Ar.p.ateit::::::::-:::::::::::::::::::.:::::::.::::-: .:-::::.-....-. ... :.;114tiN TAcrt:::0006K::::::::::::::: Attic/crawlspace fans 10.00
Other: _ 10.00
Business name: , /L
Fuel piping
Contact name: &XXS &I IM...\1 $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address:
Gas heat pump
City/State/ZIP: , Wall/suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E-mail: Range
emp.m.Ac..,Tr ' . ' -..::: .,::::::::::::::::::::::::::::::,:,.,:::::,:::::.:::::::::::: ::: :::::::::::.:-:.: s :: •• Bar
-..- .:::.•• .. •• ---- - -
Clothes dryer (gas)
Business name: 4 //2, (- .2,,./
Other:
Address: i ebos (,ui/ //4,,,k, e . 7),-z___
City/State/ZIP: (/..)1 i i/vAi oa_ 9 7o(Y Subtotal
Minimum pemnt fee ($72.50) .
Phone: . (76 ) 6,3 0 5 --5- b Fax: ( al? ) i el-4 ..,...) 3 — 05 5,
1, Plan review (25% of permit fee) 7a57)
CCB lie.: /5 3 5 - pi rig-0 : ce-D-ci State surcharge (8% of permit fee)
TOTAL PERMIT FEE
...X. This permit application expires if a permit is not obtained within 180
Authorized signature: 411■ days after it has been accepted as complete.
Print name: ... e Date: Vgl * Fee methodology set by Tri-County Building Industry Service Board
iABuilding \ Permits \MEC-PermitApp.doc 12/03 440-4617T (11/02/COM/WEB)
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CITY OF TIG RD
BUILDING DIVISION PERMIT #: MEC2006 -0031
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 8/20006
Phone: (503) 639 -4171 fi 4i0j1
Inspection Requests (24 Hrs.): (503) 639 -4175 1-IL
INSPECTION WORKSHEET FOR DATE: 19/21/2006 TIME: 7 : 02AM PAGE: 69
SITE ADDRESS: 09085 SW INEZ ST CLASS OF WORK:
SUBDIVISION: PENMAR TERRACE LOT #: 005 TYPE OF USE:
PROJECT NAME: KIRBY
DESCRIPTION: Replace furnance, add NC unit.
OWNER: KIRBY, EDWARD PHONE #: 603 -624 -7327
CONTRACTOR: AIR PRIDE, INC. PHONE #: 503-655-0556
Inspection Request Scheduled For: Date: 9/21/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 036849-01 503 - 666.0556 Y
Corrections /Comments /Instructions:
i�.� E/lFit -lee2i 446L 5 4'5 f S - c- er /ec i7—
- f
PASS n PARTIAL APPROVAL ❑ CANCEL H NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:. ".. Date: -2/ r1,& Phone #: (503) 718- Z