Permit •
IN . ;
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00636
TIGARD DATE ISSUED: 10/31/2007
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S114BA - 01600
SITE ADDRESS: 16180 SW CRIMSON CT ZONING: R - 4.5
SUBDIVISION: PICKS LANDING NO.2 LOT: 123 JURISDICTION: TIG
PROJECT: BROD
Project Description: Replace furnace with like kind.
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:
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:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
YVONNE BROD Description Date Amount
16180 GRIMSON CT
TIGARD, OR 97224 [MECH] Permit Fee 10/31/20C $72.50
[TAX] 8% State Surchar€ 10/31/20C $5.80
Phone: 503- 639 -3334
Total $78.30
Contractor:
FOUR SEASONS HEATING &A /C INC.
1005 INDUSTRIAL PARKWAY
NEWBERG, OR 97132 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -538 -1950
FAX 503 -538 -0165 •
Reg #: LID 97152
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 OU NC by
calling 503.246.6699 or 1.800.332.2344.
Issued By: � , I ,L_ _ __,/ ( Permittee Sig .ture: w - L �.T2
Call 503.639.4175 by 7:00 a.m for inspections that business •a .
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.
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• CITY OF-TIGARD
BUILDING DIVISION
PERMIT #: MFC2007-00636
D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 10/3112007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 A- 11.
INSPECTION WORKSHEET FOR DATE: 11/9/2007 TIME: 7:00ANI PAGE: 81
SITE ADDRESS: 16180 SW GR1MSON CT CLASS OF WORK:
SUBDIVISION: PICKS LANDING NO.2 LOT #: 123 TYPE OF USE:
PROJECT NAME: E3ROD
DESCRIPTION: Replace furnace with like kind.
OWNER: BROD, YVONNE PHONE #: 603,639-3334
CONTRACTOR: FOUR SEASONS HEATING & A/C INC. PHONE #: 503-538-1950
Inspection Request Scheduled For: Date: 11/9/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final • 059306-01 503-639-3334 N
Corrections/Comments/Instructions:
#0 ierr-172ie-4-/ /.1--4,4-mY-4-- gilcke, - 5 ---14--g-43&
PASS — PARTIAL APPROVAL 0 CANCEL H NO ACCESS
FAIL , CALL FOR INSPECTION
i F El ADDITIONAL FEES ASSESSED
/
Inspector: Date: ,&----0-- Phone #: (503) 718- 7e----a--'-------