Permit l•
•
C ITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005 -00610
��I �� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/27/2005
PARCEL: 1 S134AC -00800
SITE ADDRESS: 11402 SW IRONWOOD LP ZONING: R -4.5
SUBDIVISION: ENGLEWOOD LOT: 036 JURISDICTION: TIG
Project Description: Install heat pump, furnace, & electric air cleaner.
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:
ELE 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS: 1
Owner: FEES
DAVID CAMPBELL Description Date Amount
11402 SW IRONWOOD LOOP [MECH] Permit Fee 9/27/200E $72.50
TIGARD, OR 97223 [TAX] 8% State Surchar€ 9/27/200E $5.80
Phone: 503 - 590 - 2436 Total $78.30
Contractor:
OREGON HEATING + A/C INC
PO BOX 397 REQUIRED ITEMS AND REPORTS
DUNDEE, OR 97115
Phone: 503 - 538 - 2953
Reg #: LIC 125815
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.
i
Issued Permittee Signatu �,. /I" � rr1' --�,
Call 503 - 639 -4175 by 7:00 a.m. for inspections t -t 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.
Sep 27.05 iS: 29a ' A 503-537-2172 p.2
,
.i ,. . .
• ,
Mechanical Permit Ait.,9-Jcv..d„, . , --, FOR OFFICE USE ONLY •
City of Tigard Received pl g . Date/By. 7 A .4" fill A •
Penni" 1-1E4-9o0.5
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 s Ep 2 2t 'lr'11t• Date/By: . 19. Other Permit:
Inspection . 1 Line: 503.639.4175 Date Ready:By: funs: EZ See Page Z for
rn
4..• 41. 1Y/10
Internet: www.citigard.or.us - -. .11
POCk;)' Notified:Method: Supplemental Information
CITY °I T ° 1-'0
i - i?' : .l'i'ilii . fii: . ..i. '- ' ,; . ) ;':'....:iiiii c . lE11:01•612VW:, iii:i'''..„ . ....i:i i i: . ...P:".1M - 141X.I2.0X - i i::ggE7 :ScliED14:g.:-
Mechanical permit fees* are based on the value of the work
L.:1 New construction hil" Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition D Other: mechanical materials, equipment, labor, overhead, and profit.
Value: S
:.:... •' ':',... 4 :=;::?:::::-: 1 :'•': : '.: : :: . :''• : : ' ,.;:•': ::.: •`* .., .,... • •••,NTIALEQ
... - - - - - • ".... . - , , • - - . -...,.
' -- • -
Ea/ and 2 dwelling D Commercial/industrial 0 Accessory building
For special information use checklist.
0 Multi D Master builder 0 Other: Description Qty. Ea. I Total
' '':'•:-: .:,:, -,i ileatin
Air conditioning or heat pump , ._._
Job site address: I 1 L.ty 1
` \2)/r1 1,„ Lp t) 14.00 . (requires site plan showing placemen i , 1 '1"
City/State/ZIP: 1 aA(7:f i 723 Furnace 100,000 BTU (ducts/vents) t 14.00
Furnace 100,000+ BTU (ductsivents) 17.90
Suite/bldg./apt. no.: i Project name:
Gas heat pump 14.00
Cross street/directions to job site: 1 Duct work 1 14.00 1 --
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. ..E _.
1, 10.00 f 0 - '
Tax map/parcel no.: Other fuel appliances
Y.,;:,4 ..;:.:;:;.,:;•::15.;:;,:::,'!,..,.::.;-.1:ii::.?, ii
•F
iyiii/Y ,...,
-;,-;i :y5
;vi-,4A,,i W',4 t ri...q,..' Water heater I 10.00
.:,-1..',...„',Y.• -'•..?„•;1:!.:4.••::: .•.!:::'-9,i,..1.z.yt fc,;::1
. f I r , • Gas fireplace I 10.00
n
Li 11 Klii-t 11 if%I. r iiiii 1-417 . -ill rtlet_e„.2___- Flue vent for water heater or gas
b r
b-i-neLL.- . , i -
t ;., ^ fireplace 10.00
0 3.4
Log lighter (gas) 10.00
. Wood/pellet stove 10.00
Wood fireplace/insert 10.00
10.00
, i'. : ;':':•: • .: - .V-:.••••!•••!.::•;',. .I....9.TT.,137 CIT-W'.4 : Other 10.00
Name: 1, 4,1fi ie ii lt i , Environmental exhaust and ventilation
Address: i 'LW 9, c51Z % Ltrazi Lie- .. Range hood/other kitchen
I
equipment 1 10.00
City/State/ZIP: ‘,.1 e; 0 Arrtt a I) 27-3 Clothes dryer exhaust I 10.00
Single-duct exhaust (bathrooms,
Phone() „q6) , 9. -t.3 Fax: ( ) toilet compartments, utility moms) 6.80
'.:EKktil:.A.P.,,.$,NT:',..;t.:-...:.v,•,..,..,A,:•:;,,,n,,,,,;.::,:... ArticicrawlaPace fans 10.00
Other 10.00
Business name01,7) • , t• n ci____ tti Oark
' Fuel piping
Contact name: r ) rtsi\..e) ---) $5.40 for first four; 51.00 for each additional
Address: e ...„ K San Furnace, etc.
Gas heat pump
City/State/ZIP: Ati-U--) 0 V- (4 n , IIC Wall/suspended/unit heater
Phonegtj2 6 aC, -.- Fax: 6 S 3 Zi 1--1 Water heater
, Fireplace
E-mail: Range
0 •
r'' : ' ,...i. , •::1 :,• Barbecue
Bu - siness name: • 4/-■ i • - y .ldi 1/\ \ I___ (1_,t,,y . ,t j s Clothes dryer (gas) _
Other:
Address: 1 r) MECHANICAL FEES
. ., ...... . . -
, ..... . _ . . . . . . . . : . .. .. • , . . . .....
•.. .. .•,.., • . - • . . .. .,- , .......,, ......_,. - • • .. .....-..,• •
City/State/ZLP: 11 , 0 " r- / - - C / ii I LS-- i ,...
Subtotal „,f. , ---
Minimum pennit fee (S72.50)
Phone:623 C53 cqz,i,t23 Fax 03 :3 017z- Flan review (25% of pernlit fee)
CCB tic.: ), i,),
1i, State surcharge (8% of permit fee) i Y
TOTAL PERMIT FEE
Authorized s pture: ) i t t ig l i 1 . ..-
. ,
0 • rlibn This permit application expires if a permit is not obtained within 180
• LlitAin C . ' , days after it has been accepted as complete.
Print name: irlyi*,e) 4, (A r to - n , c4r , I Date: eti 4 7 - . Fee methodology set by Tri-County Building Industry Service Board
i :11,fld.i.ra....P cria its \ 3/LEC-PermilApo.doc 12/03 440-4617r (11/02,COM/WEB) .
Sep 27, Ar 9:29a 503 -537 -2172 p.3
PL-410 .
Back yard
90 3
S'
Ld 7
SW Ironwood Lp
CITY OF TIGARD „
BUILDING DIVISION PERMIT #: MEC2005-00610
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/27/2005
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 10/26/2005 TIME: 7:07AM PAGE:
SITE ADDRESS: 11402 SW IRONWOOD LP CLASS OF.WORK:
SUBDIVISION: ENGLEWOOD LOT #: 036 TYPE OF USE:
PROJECT NAME: CAMPBELL
DESCRIPTION: install heat pump, furnace, & electric air cleaner.
OWNER: CAMPBELL, DAVID PHONE #: 503-590-2436
CONTRACTOR: OREGON HEATING + NC INC PHONE #: 503-538-2953
Inspection Request Scheduled For: Date: 10/26/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 019419-01 503-639-2953
Corrections /Comments/ Instructions:
•
C
PASS El PARTIAL APPROVAL fl CANCEL fl NO ACCESS
El FAIL I CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector:
• I <C6 Date: ( 0 12-(P () Phone #: (503) 718-
"