Permit n. -i
iiii
CITY 0.5 'TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00450
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 .503.639.4171. _ DATE ISSUED: 9/4/2008
PARCEL: 25111 BA - 02800
SITE ADDRESS: 09815 SW JANZEN CT ZONING: R -4.5
SUBDIVISION: MCDONALD ACRES LOT: 003 JURISDICTION: TIG
PROJECT: LARSON
Project Description: Replacing gas furnace and flue /vent.
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: 1
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTO UNITS:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
DOUGLAS LARSON Description Date Amount
AILEEN A
9815 SW JANZEN CT [MECH] Permit Fee 9/4/2008 $72.50
TIGARD, OR 97223 [TAX] 12% State Surch 9/4/2008 $8.70
Total $81.20
Phone: 503- 620 -1753
•
Contractor:
BEN'S HEATING & AC
PO BOX 80607
PORTLAND, OR 97280 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 233 -1779
FAX 503- 651 -3345
Reg #: LIC 64597
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: � / � ` ,f t ' ermi ee Signature: - 7e � /
Call 50 '. 5 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.
.'.' SEP 08:06 AM BENS HEATING 503 651 3345 P.01
eMeCha PernlitAPDPeati°n It Hi 01 1.1( 11 l'`%1: ()NIA
Cit of Tigard 0 Received I
' ArAr 12:1
1 . 1 h i 6 13 125 SW Hall Blvd., Tigard, OR 9722 i 10 • tan Re
Pt_ a - Phone: 503.639.417! Pax: 503198.1960 , -- '- Pair/B i Other Permit -
kk k , Inspection Line: 503.639.4175 et see Page 2 for
Internet: www.tigard-orgov C30 li giailIMIN III M Supplemental information
OC NO
yin ,, frig kt -- USE CHECKLIST
11111111MMUSWEIZEIZAA:14. 4, t• ki' CaK.A111 , i6, 0(17 .• , r v, . L., .. , . , A ' • • ' .........----.--
1 11 ' Mechanical permit fees"' are based on the value of the work
El New construction IR Addition/alteratio replacement
pertbrmed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, andprofu
Value: S 3wo
" I litataniTiratilMHZERSZEItial S' , ' -iiii V. ^ ; g=%4PiktAi4i' ` S s EmS kEss
littlf',sik%',ZIFIW,V..
IN 1- and 2 dwelling 0 Commercial/industrial 0 Accessory building :
For special information use checklist
111 Multi 0 Master builder 0 Other: Description I Qty. I La [ Total
.. ,
' . :: ; ''':' `; • ' ' i ,'I ' ' '' ' ''' 40 F ' )4 11 1 :4 1 2 / ratalais l iSSMalillegaing Hen tIn
Job site address: qg i ' -<tt'si r zero Air COnclitionina or heat pump
(reatikes sittplan showing placeinent) 14,00
City/State/ZIP: - 4 do, 1 t - 0 Furnace 100,000 ecru oucwvento _I , 14.00
... -_,..
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg/apt, no,: Project name: jt.Ae-S01,/ Gas heat pump 14,00
Cross street/directions to job site; Duct work . 14.00
Itydronic hot water system 14,00
.
. Residential boiler (radiator or
hydronic) _______ —
-- ' - 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: i 0.00
...
Tax map/parcel no.: Other Fuel appliances _
. _
/,::,: , i. , :: , y . ; : m :.,ii,:iii Water heater 10.00 '
MllratMlrP erliaill111111111111111. Gas fireplace 0.00
Floe vent for water heater or gas
g
fireplace 10.00
Log_ lighter (gas) 10.00 .. .
.. .'
Wood/pellet stove . , 10,00
Wood fireplace/insert 10.00
Chimney/liner/flue/vent 10.00
111111F.mi . Ercti'cOw „tiOAA.,',`:v '1 ::Ntei.,f1: 4 'illaltaalltiffita oth„; 10,00
. - .
Name: bOA a t t - CS 010 Environmental exhaust and ventilation ,
' Range hood/other kitchen
Address. III 4 A
— . m A q... -.A.. 4. e equipment 10.00
City/State/ZIP: rq i 0 .. ..,- Clothes dryer exhaust 10 00
— . .
tte .
Single-duct exhaust (bathrooms,
Phone: (513) , . 0...,. j ,i5 , Fax: ( ) toilet compartments, utility rooms) 6,30
CI '.„ikeputOTW, g,V,,,,",',, :.,;,t,:.,',, elarainarMillira Attie/crawIspace flats . . . . 10.00
Other: 10.00
. ... _ .
Business name: 13& ii. t ,,:j. Li-C. Fuel piping _
contact name; Cil Furace, etc. ,e,..4,e+-,...„.?.. $5.40 for first 'bur; $1.00 for each additional
Address:
..... .
n . .. ,
Gas heat pump .
City/State/ZIP: Wall/suspended/unit heater
— .. . .
Phone: (573 ) 3 i 3 - 1 9, o Fax: ; (J Th3 ) 4, ri - 73 y Water heater
- '-
Fireplace
Range
l, „. ' : P;a2FISTLISSIIIIV " i 'ESANNEE Barbecue - - -
Clothes dryer (gas)
Business name: r- 2 41 , 1 ( j 0 t tlA r -f-,": 4- eltfrirsvit97 r" 1-- 4 C-
O ther: ,,,, , , „
Atich•ess: t o, 6 al 9.. 0 , 7 . Whill,10,40'ekk*ALI!ERMIT, Frq*
City/State/ZIP: , i . 0 O. 9 22410 Subtotal
Minimum permit fee ($72.50) V L ca
"'lone: ( s..0 ) ? 3 ... 7 7 q Fax: OD 2 ) iji —3 3 1,-(1-- ...
Plan review (25.2s of permit fee) . ...c.
- ...C.B lie.: . - 4 4 , A r.t. .. State surcharge (12% of permit fee) .
TOTAL PERMIT FEE :1, .,
c ieD
Authorized signature: rtnit„,„,. — This permit application expires if a permit is not obtained within ISO
days after It has been accepted as complete.
Print name: 'tyd / KIM 9„,
j r 6 Fee methodology set by Tri-County Building Industry Service Board
e a . : A
1 \Building\ Permits\ MEC•PermitApp.d0C 04/06/06 440-441 Tr(linovcom/wes)
CITY OF TIGARD f.: ‘..,..
, •
BUILDING DIVISION PERMIT #: MEC2009-00450
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/4/2000
Phone: (503) 639-4171 A
.
Inspection Requests (24 Hrs.): 639-4175 — ,„, '-....
INSPECTION WORKSHEET FOR DATE: 9(11/2008 TIME: 7:00AM PAGE: 16
SITE ADDRESS: 09316 SW JANZEN CT CLASS OF WORK:
SUBDIVISION: IvICDONALD ACRES LOT #: 003 TYPE OF USE:
PROJECT NAME: LARSON
DESCRIPTION: Replacing gas furnace and flue/Vent
OWNER: LARSON, DOUGLAS PHONE #: 503-620-1763
CONTRACTOR: BEI4'S HEATING & AC PHONE #: 503-233-1779
Inspection Request Scheduled For: Date: 9/11/2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 075343-02 503-233-1779 Y
Corrections/Comments/Instructions:
04eCi 1 0
) ro v
c,,, a R)to u() Aer K-, ,, ,AA . e ., 73-
/t/..e 5_ iec- f ; co-,)
baScre_
i-7 PASS 0 PARTIAL APPROVAL 0 CANCEL n NO ACCESS
irfr fl CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector:S Date: //.---*69CV Phone #: (503) 718- OW 2
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2008 -004 %0
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 91'412008
Phone: (503) 639 -4171 i �a4liii� fl l ;i
Inspection Requests (24 Hrs.): (503) -4175 _jai— ' __..
INSPECTION WORKSHEET FOR DATE: 10/14/2008 TIME: 7:00AM PAGE:
SITE ADDRESS: t 15 SW JANZEN CT CLASS OF WORK:
SUBDIVISION: MCDONALD ACRES LOT #: 003 TYPE OF USE:
PROJECT NAME: Al2,`JN
DESCRIPTION: Replacing gas furnace and fluetvent.
OWNER: LARSON, DOUGLAS PHONE #: 503 -820 -1753
CONTRACTOR: DENS HEATING & AC PHONE #: !x43.233 -1779
Inspection Request Scheduled For: Date: 10/14/2008 Pour Time:
•
w Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 076662 -01 503.233 -1779 Y
Corrections /Comments /Instructions:
Ma t Cam(, n.e,4 L (; /�
Ate- c-7 1
'!J f PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL ❑ ,ALL FOR INSPECTION 1 ADDITIONAL FEES ASSESSED
Inspector: I Date: /40' --y4 -? 23 Phone #: (503) 718-