Permit CITY OF TIGARD
� E MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00590
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/3/2008
PARCEL: 28111 BA -03100
SITE ADDRESS: 09810 SW JANZEN CT ZONING: R - 4.5
SUBDIVISION: MCDONALD ACRES LOT: 006 JURISDICTION: TIG
PROJECT: MARACLE
Project Description: Furnace installation.
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
ROBERT & BARBARA MARACLE Description Date Amount
9810 SW JANZEN CT
TIGARD, OR 97224 [MECH] Permit Fee 12/3/200E $72.50
[TAX] 12% State Surch 12/3/200E $8.70
Total $81.20
Phone: 503- 684 -1052
Contractor:
OREGON HEATING & NC
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -538 -2953
FAX 503 -345 -6628
Reg #: LIC 172126
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: �w � �_. ` Permittee Signature: c 4-��
Call 5•3.• .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.
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• Mechanical Permi� t Applie t1 ,' jI�OFFICE USE O NINV
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' City of Ti � PermitNo.l
>a Date/By: / ♦ _ 4141r - - - ! "'(-)U !
's 13 -125 SW Hall Blvd., Tigard, OR 97223 2 Plan Review
F ! • Phone: 503.639.4171 l 503,598.1960 DEC. 0 2 ZOOS bete /By' (lther
Inspection Line: 503.639,4175 lies: o See Page 2 for v..-
flC p, P Date Ready By: 8
.. I nternet: www.tigerd- or.gov CITY OF TIGARD Notified/Method: 7-a Supplements[ Information
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❑ New construction ®Adds [ion /altenatiol>/replaecment Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ oemolition ❑ Other: mechanical materials. equipment, labor, overhead, and profit.
. "i:>.n 3.- ^Yr!;,.• 1tJ.�..� ,.. n,., I , ,....,.� -: - : .; ,•:,,." : ; i.•'c': .:1. ' i� i r: ,, IJi Value: S
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KI 1- and 2- family dwelling CI Commercial/industrial [] Accessory building
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For special information use checklist.
❑ Multi - family ❑ Master builder ' ❑ Other: Description Qty. I E s. Tota
cz V 1! "Ci' i^ I • , -7;. r . 1 . P,1� c ap: l : r . , . : .. I pla.l a , , 'nn ; .,a� I „:o :: :;'Pr' ,. R fi r .n,7 14f / I ; r
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al F E� t 1 l .lpi 5 -4#, ; a ook � i� � � r,.l , `,f ' .si (t f 1 , ,1 11 ?il,ia$E) {i�'�1 Heating/cooi�n w • / Air conditioning or heat pump
lob site address:
9 $ ! Q S W 7 al a e pn C" 1- (rcguires site plan shoaitaq placement) 14.00 _
City /State /ZIP; [ i t,1 p P d 0 g 9 7 2 2 3 Furnace 100,000 BTU duots/vcnts 1 14.00 1 .CF
,+�-- / Furnace 100,000+ BTU (ducts /vents 17.90
Suite/bldg./apt. no.: Project name: Gds heat pump 14.00
Cross street/directions to job site: H/ .11 Duct work 10,00
” Tdydronic bot water system 14.00
Residential boiler (radiator or
• 1bydronic) 14.00 _
Unit heaters (fuel -type, not electric),
•
in - wall, in -duct, suspended. etc. 14.00
Subdivision: Lot no.. Flue/vent for any of above 6.80 _,
Other. • 10.00
Tax map /parcel no.: k ih Other fuel appliances _
) 1 ra . 'i l ' ' 4 L l N ', 2 ,. D''.4 S ,, 11l1 t, 41 1, Jt' X 11, . 1 .: Water
t __ 10.00 .
i . 11
.. �a3 �rcal&�e _ 10.00
..1— 1/t s+ q 1 1 F%-4,- r. ace Flue vent for water heater or gas
flace w 10.00
_. Lae1i_hter ass) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
Chimney/liner/flue/vent
/liner /flue/vent 10.00
�y 1 a e t +'m rcn v n It��r* j �I 'aPg J
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10.00 •
Name Bo b M Cl c' to c ?l 'e mm _ Environmental exhaust and ventilation
Address; ' t i $ 10 5' V/ C �, r �, e to C T' kangc other kitchen
equipm merit other 10.00
City /State/ZIP: 'r' j 9 a rCt a (. g 7 2 2 Clothes diye• exhaust 10.00
f - Single -duct exhaust (bathrooms,
Phone: (S 03) 6 $ `� - 0G2_ Fax: ; ) toilet compartments, utility rooms) 6.80
! 1 ti I. i "�' i4 al ^Yc 7 r a s s, a �{ p ,I i. f „ rRa C "I'''..,',,, I i q Attic/crawls ace fins 10.00
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" Othrr. 10.00 •
Business name; D r e9 p Pt el:, i i tea, g I C. Fuel piping
Contact name: 1 Ste. Etlak e rg .. r -. r $5,40 for first four; £1.00 for. each additional
Address: r 3 c) 3 ox q - 7 Pumice, etc. ..
G heat pump
City /State /ZIP: DtA o d e p il. et 1' I Wall/suspended/unit heater — ,•^
Phone: (503 ) $ - '2, q 5$ Fax: : (`J°3) 6 1/ . es-56 Water heater ,
_ ,
Fireplace
E -mail: Range
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Business name: 7 el Q _Clothes drx s) , •
Other. •
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Address; ,i'p,::1 t t� r tl k . `S 'E rt ;�a:ul i ii � a p *a�.ii
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City /State /ZIP: Subtatsl '7
Minimum permit fee ($72.50)
Phone: ( ) 11 Fax: ( ) - Plan review (25% of permit fee)
CC x3 sic.: 2. '1 State surcharge (12% of permit fec) $ • 7ci
" - • TOTAL PERMIT FEE $ I , 2 •
' yLft cL/447r.-- .
This permit applicaton expires if a permit is not obtained within 180
Authorized signature: aster it has beet, accepted as complete -
Print name: Jo S t, F 0 Qr • ..,, 4t, Date: 1 2 / 2 `G T a. Fee methodology set by Tri- County Building Industry Service Board
I:\ Buildimt\PenuiauMEC 'Ptnnivapp.doc 01/19/07 440.4t17T(11 /02 /COM/WEB)
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2008-00590
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1213/2000
Phone: (503) 639-4171
Inspection Requests (24 a e.41
INSPECTION WORKSHEET FOR DATE: 2/512009 TIME: 7:00AM PAGE:
•
SITE ADDRESS: OBtii0 SW JANZEN CT CLASS OF WORK:
SUBDIVISION: MCDONALD ACRES LOT #: 006 TYPE OF USE:
PROJECT NAME: MARACLE
DESCRIPTION: Furnace installation.
OWNER: MARACLE, ROBERT & BARBARA PHONE #: 603-6134-1052
CONTRACTOR: OREGON HEATING & NC PHONE #: 503-638-2953
Inspection Request Scheduled For: Date: 2/5/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 tkilechanical final 013031401 503-691-9699
Corrections/Comments/Instructions:
71 PA . 11 PARTIAL APPROVAL —A11.111"1.111001 CAW
. El NO ACCESS
[ FAIL CALL FOR INSPECTION - • N'TIONAL FEES ASSESSED
Inspector; Iligasaares.,- Date: 2 " c 67 7 Phone #: (503) 718-
.• •