Permit CITY TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00269
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/9/2007
PARCEL: 2S 111 AB -07000
SITE ADDRESS: 09250 SW INEZ ST ZONING: R -4.5
SUBDIVISION: PENROSE TERRACE LOT: 015 JURISDICTION: TIG
PROJECT: GESKE
Project Description: Install 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:
WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
GESKE, FRANK E + LORI L Description Date Amount
9250 SW INEZ
TIGARD, OR 97223 [MECH] Permit Fee 5/9/2007 $72.50
[TAX] 8% State Surcha 5/9/2007 $5.80
Total $78.30
Phone:
Contractor:
ALL FAMILY HEATING & COOLING INC
3606 CHERRY AVE #A
KEIZER, OR 97303 REQUIRED ITEMS AND REPORTS
Contact #: PRI 1 -503- 341 -5010
FAX 1- 503 - 304 -7118
Reg #: LIC 171431
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_L_ / Permittee Signature: - -( / 3) / /rAt.sfi
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.
May 09 07 02:42p ALL FAMILY HEATING 503-304-7118 p.1
1,13 002
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;Wieeranical Permit AppligItion. FOR ()FIX E USE. ONL \
City of Tigard Received ... b.,
1312S SW Hall Blvd.. Tigard, OR 9
, I ' none: 503.639.417I Fax: StaS .1' m -'-
71 CEIVElt Pla4Rcvlqw..
«•--- ' Datefl3y:
Dete/Br . / L i CY. Perm it No,: me- it e .. 06 ‘ • :
Other Pera,:e
7 . I I ; ;„.,, Inspection Lime: 503_639.417S •
• Data Ready/By. 21 See Page 2 for
Internet www.tigard-orgoy MAY - 9 2007 hToediMethod KM RanpIentstillafirmatiou
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IVISitYtV . .. '
Mechanical parmit fees' are based on the value of the work
0 New construction ddin on/alteration/replacement
perfinuteti Indicate the vatue (rounded to the neatest doliar) of all
0 Demolition tther mechanical materials. equiPateta, lebor, overhead, and Profit
''• . ' ''' • ..... " • •••••;::''' •: . : cdientirctiog ,' .: - ::- -- -.:"- .. Value: s 6 '5 0 0
:a: :..,.....**pptriak:***.eivt4§-**9.1s:F*P-.4*....::-:'....
cra. and 2-family dwelling 0 Commercial/indult:dal 0 Accessary building
Par spacial information use checklist.
l 0 hilulti-femily 0 Mater builder 0 Other: '
Description I Qty. I Ea. j Total
;-.'.... .. :. :: ......::401*•EiPtillittc***it* 4146.0c4:1704.:-.-.1•<
Air conditioning or heat pump
Job site addr ess: C I _S S1_,&2;. i l'' c.. - a_ - --j-- occ.ip. ore 11.1an SISCWil plaCCIII:n0 ( . ) _.1 4I-D.
City/State/ZIP: c(yy"4 c,,,,inct e ci - 2 Q` Furnace 190.000 BM (ducts/vcuts) , _1 14.00
_
Furnace 100,000+B (auctsivem) 17.90
Suite/b14Japt. no.: 1 Project name: 4 (-4 <6 q -7 c
Gus heat pump . -i.
14.00
Cross .et/directions to job site: Duct weak 10.00
Hydronie hot water system 14.00
Ilmideritial boiler (radiator or
. hydronic) ' 14,00
-
Unit hearers (fuel-type, not eleenic), •
in-wall. in-doct, suspended. etc. 14,00
Subdivision: {no, :
r FlutIvan for say of above 6.80
Lot
Other 10.00
fax map/parcel no.:
Other fuel appliances
- ....: .'•:. _-: .'.' .... ,:;... •••::. •• :-: : • -: .. OESCIO378171C...0k,40111C.;:- •,. :•.- • :, .. ••,":". • 7 • :• •. .•::; • , Water beater 10.00
V` \ A 1 r■c c...s Ps c-- I Gas firePlaea
1000
Flue vent for water heater or gas ,
fireplace 10.00
_Log fighw (gas) 10.00
Wood/pellet stave , 1CLOG
Wood replaceitsisert 1000
'..: ;.-' : .... Fr- -:' ': :'[• • : -.;..'. -....: . '.'' ..;-, ....". -: :, .
, ChisanevkinerrillIeNent r- 01 .00
Na: \ ,,.c i (; e .3kC--0. Enviroameneel =chasm and yeertilntkat
Rang,e boodIothrs kitchen . ,
Address
equion,em. 10.00
Cy/Stu: -.4_7 et -Taa. clothes dryer exhaust 10.00
Single-duet exhaust (bathrooms.
: l'heme: ( 2 ( _ 331 9 Fax: ( ) toilet compartments. utility morns) 610
:. : :: . - . : • ' :f - •.:.' ':'. ) Av :-.-::::_ ..q....,:::..... ..:* :: Cr : .. ., ... ' ; Attiderawtspace fans 1040
Other . 10.00 :
Business name: A
• i (--et,vvi. 4. Ll_1 CIC1 Fuel piping ,
Contact name: '
SIM for first SLOG for each additintutt
Address: 3
Pomace, etc.
' 0 C E .i.■ c. YYN- P 7.:J4C A
• , Gas heat pump i
City/Stare/Z/7P: .V ( v y_ r -
c 0..._ 4 7 .7,6 -3 Wallinispendegituatt heater ,
,
P hone: (s 3(-ir- ....S '10 I F1DC : ( - 3 0 "4 - 7 t ( 7 Water heater
Fireplace
F.-mail:
Range
.. ::,■.:...... ::•::•.;: !:.- • ;':..:::.' -3 ].( --...i1,:*::. 0. ,:',..-,.,: - .': : .;-'-:-1;.;:::.- -.::-..: •.''...,.. i '• ::_.:.' ; Barbecue
Clothes dryer (gas)
Business name: A I c-„, tu(f (--1 C) _
., Other
Address: 36000 C K‘ , i , _ AA ..... '. ..;...-
City/St:ate/ZIP: •( i 4 , - q - --- O3 Subtotal I t - t CT.)
Minimum permit lho ($ - 7-- • - C)
vhone: ( 5 •. i _ SO i 0 Fwc: 51 3 o L--( - - 7 (f Plan review (2.5% of permit fee) ,------ i
CCB lie.: 1 .1 (4 k
State suith e (8% of permit fec
- 7 r5 (').
Authorited signature: c,. / 4 1 0•% .=7/.......r1-71-----c,,....1? This Permit s at i : a atter thim istt im aria Pe iz artuna i tt7 " . i n 'aituu 18°
(2rint name: - f 2_,....,_ , ,,----------4 Date: 5 -__ X <-_-‘ .^,--. • The method:Mary ei s by rri.Coinity Buil bukstry Service Board
. - I -
MtuticqrsorcrenharMUC.PernitApp.doc DIA 947 ----) 40-4517T (I LAIWCOMAPPEO
May 09 07 02:42p ALL FAMILY HEATING 503 - 304 -7118 p.3
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A/C-HEAT PUMP..--IJNIT SITE PLAN
FEET TO RACK OF PROPERTY LINE W E
5
FEET TO SIDE PROPERTY LINE
ry ,
‘ 1
- • .
FEET TO FRONT PROPERtY LINE
ADDRESS: qz5o c3
PLEASE WAX APPLICA' NI SITE PLAN
CITY OF TIGARD
BUILDING DIVISION PERMIT #: IvIEC2007 -00269
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/2007
Phone: (503) 639 -4171 iir Inspection Requests (24 Hrs.): (503) 639 -4175 ,
' INSPECTION WORKSHEET FOR DATE: 5/21/2007 TIME: 7:02AM PAGE: 51 .
SITE ADDRESS: 09250 SW INEZ ST CLASS OF WORK:
SUBDIVISION: PENROSE TERRACE LOT #: 015 TYPE OF USE:
PROJECT NAME: GESKE
DESCRIPTION: Install a/c unit:
OWNER: GESKE, FRANK E + LORI L, PHONE #:
CONTRACTOR: ALL FAMILY HEATING & COOLING INC PHONE #: 1
Inspection Request Scheduled For: Date: 5/21/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 048626 -01 503-860-7216 N
Corrections/Comments/Instructions:
AO / Jr.
i.' r
f
•
X . FASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL I 1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 711)(jf "I Date: I Phone #: (503) 718- __!4_._