Permit . OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00263
•
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/9/2006
PARCEL: 2S103CB -00500
SITE ADDRESS: 12185 SW JAMES ST ZONING: R -4.5
SUBDIVISION: WILLAMETTE LOT: 007 JURISDICTION: TIG
Project Description: Replace furnace in crawlspace w /oil pack in rear yard, run return air to bedroom.
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:
OIL 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
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
GENE GROSSE Description Date Amount
12185 SW JAMES ST
TIGARD, OR 97223 [MECH] Permit Fee 6/9/2006 $72.50
[TAX] 8% State Surcha 6/9/2006 $5.80
Total $78.30
Phone: 503 -590 -7219
Contractor:
CARSON OIL COMPANY INC
3125 NW 35TH
PO BOX 10948 REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97296 -0948
Contact #: FAX 503- 227 -8521
PRI 503- 224 -8516
Reg #: LIC 8388
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: Permittee Signature: e A�
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business aa .
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.
Jun 08 2006 14:57 carson oil 503 227 8521 p.1
iMechanical P e ' r n i t l \ s t Hicatioa I r R 0 1. 1.1 C E 1 Si ( . • I.1
City of Tigard 9y� pate%>3a r xn. G
13125 SW Hall Blvd., Tigard, OR 97223 4 C/ Q J
Plan R:view
Phone: 503.639.4171 Fax: 503.598.1960 . ;,,1 ot p Permit
Inspection Line: 503.639.4175
JUN ���� L .I t i ' Date elBjr: e ft eady/By: taro; ® See Pa 2 for
Internet www.ci.tigard.or.ue No T tifle(VMethod: �r lJ Supplemental Information
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./ ";i t 1 `` penult fees* are based on the value of the work
ID New construction ~ • �®l Addii 'on/alteration/repltacem:a�t Mechanical p
ID Demolition ❑ O11i : ; perfo cate the value (rounded to the nearest dollar) of all
A. of : _ mechanical materials, equipment labor, overhead, and profit.
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dwellin r� � assn building AVIV:- " -:�:
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For special information use checklist.
Y ❑ b oulder 0 Description I Qty. I Ea. I Total
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b;�y..s..., s c * s 9!� $ €�' t e2 a 4 "n`�'�' A:$. �"�' ..:W�+e;h�. Beatlntr,/00041np,
Job site address: 12185 SW JAMES ST Air conditioning of heat pump
(requires site plan showing placement) 1 14.00 14.
City /State/ZIP: TIGARD, OR 97223 Furnace 100,000 BTU (ducts/vents) 14.00
Suite/bldg./apt. no.- j Project name: G ' OSSE Furnace 100,000+ BTU (ducts/vents) I, 17.90 1iaRO
Gas heat pump 14.00
Cross street/directions to job site: SW 121 AVE Duct work ( 14.00 14, i Q
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
Subdivision Lot no.:
Flue/vent for any of above 10.00
Other: 10.00
Tax map/parcel no.: Other fuel appliances
heater 10.00
44 :1 { ` '_." > ' ; " ":n; '` - ' Ygga ; t ° L "t � 0 ." o- , :; r ti ;:U:1 1`hry Vial= „F�ts�' ., . a � ,,, ,i; . : �';IH' ��" ` ,, , lik: ' �: �s °;w. ��r w,.; f > :i��
Flu Gas OIL FURNACE IN CRA ' PACE WITH NEW Ill PACK IN BACK: 9 dfo 10.00
Fe vent for water heater or gas
YARD. RUN NEW RETURN AIR TO ' CORNER BEDR t I . fireplace 10.00
Log lighter (ass) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
: ,&:' i; a " k7 s* k ; + 0.Att' a '' TI A - i , , ° ; , ,. y, /liner/flue/vent
� ',�""� rr { d F- .F7'�3 :
� :,, #�; .� �`�tx; 3�- �^ a Y .2 , v �' ,� �i.., 2 . :. ;r,: .sti -� J= Chimney/liner/flue/vent 10.00
Ni3 4 3. x 9 +'�: e " �..�i;. r il''• - ;.j. F ri•- 9 e I% � `�✓ ';*, "elf, i�,. g6f... other. 10.00
Name: GENE GROSSE Environmental exhaust and ventilation
Address: 12185 SW JAMES ST Range hood/other kitchen
equipment 10.00
City/State/ZIP: TIGARD, OR 97223 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms.
Phone: (503)590 -7219 Fax: ( ) toilet compartments, utility rooms) 6.8D
K: } �A -,,,,:g''' g3 l' e n +.. ., t ° 'd� w 1 4 , p 4 44. x r l iku,',``= '`p
4: -h : .,n t7 r� n . c . ,0 7,-k!', .d. t rd' 1 -� T , : -. 3 14118 g ?& > "t2` „ ,,; :a.� /4ttIC /Crawls p ac e fans 10.00
Business name: CARSON OIL COMP • t INC der' 10.00
Fuel piping
Contact name: JIM HARCOURT / TE ' ZIBULSKY $5.40 for first four; $1.00 for each additional
Address: PO BOX 10948 Pomace etc.
Gas heat pump
City/State/ZIP: PORTLAND, OR 97210 Wall/suspended/unit heater
Phone: (503) 471-4328 or 471 -4354 I Fax: : (503) 227 : 521 Water heater
E-mail: ZIBULSKY@CARSONOIL.0 1.1
Fireplace
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Business name: CARSON OIL COMP • r INC Clothes dryer (gas)
Address: PO BOX 10948 Oth�se(r,
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City/State/Z1P: PORTLAND, OR 97210 Subtotal &5 , 0
Phone: (503) 224-8500 I Fax (503)227 : '1' 1 Minimum permit fee ($72.50) ' 7 .50
Plan review (25% of permit fee)
CCB lie.: 8388 Slate surcharge (8% of permit fee) 5. go
�- / 'TOTAL PERMIT FEE "1 g, 3 0
Authorized signature: Q , ( ,1 . �, This permit a pplication urea if permit is not obtained within 180
dh "" - ' �,/ days after it has been accepted as complete.
Print name: TERI ZIIBULSKY I ' :: te: (i g i X 0 I " Fee methodology set by Di Building industry Service Board
i:\Building\PerrnibAMEc-PennitApp.doe 12/03 440.46111' (i1/02(coarwEa)
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Q A/C SITE MAP
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OVER 10' A/C OVER 10'
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Grosse Residence
12185 SW James St
Tigard, OR 97223
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SW James St
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CITY OF TIGARD . _.„,...
BUILDING DIVISION
PERMIT #: MEC2006-00263
D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 6/9/2006
Phone: (503) 639-4171 al iill`
Inspection Requests (24 Hrs.): (503) 639-4175 ,,,,, ' -.....
INSPECTION WORKSHEET FOR DATE: 9/6/2006 TIME: 7:06Alvl PAGE: 70 1
SITE ADDRESS: 12186 SW JAMES ST CLASS OF WORK:
SUBDIVISION: WI LLAMETTE LOT #: 007 TYPE OF USE:
PROJECT NAME: GROSSE
DESCRIPTION: Replace furnace in crawlspace w/oll pack in rear yard, run return air to bedroom.
OWNER: GROSSE. GENE PHONE #: 503-690-7219
CONTRACTOR: CARSON OIL COMPANY INC PHONE #: 503-2248516
Inspection Request Scheduled For: Date: 9/6/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 036051-01 503-471-4354 N
Corrections/Comments/Instructions:
4e2 /- '4' Lg ,,,–.41-- ,• – - , ,aea
,,-----
1 ASS n PARTIAL APPROVAL 0 ,CANCEL NO ACCESS
I I FAIL [ I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
A
Inspector: .prr ‘ Date: 9—�--z'' Phone #: (503) 718- lOggir_