Permit CITY TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00555
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/12/2008
PARCEL: 25111 CA - 09800
SITE ADDRESS: 09890 SW KABLE ST ZONING: R -7
SUBDIVISION: TAMI PARK LOT: 005 JURISDICTION: TIG
PROJECT: LEHMAN
Project Description: Remove and replace gas furnace and heat pump.
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: 1 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
CARL & BETTY SUE LEHMAN Description Date Amount
9890 SW KABLE ST
TIGARD, OR 97224 [MECH] Permit Fee 11/12/200 $72.50
[TAX] 12% State Surch 11/12/200 $8.70
Phone: Total $81.20
Contractor:
A- ACTION HEATING
18245 SW TV HWY
ALOHA, OR 97006 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 649 -3524
FAX 503- 649 -6095
Reg #: LIC 78369
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: ✓/ _ e•ermittee Signature: 4 . LA/
Call ��.4175 by 7:00 a.m. for inspections that busirifs y.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
02/28/2014 08:05 FAX I j001 /003
,, Mechanical Permit t�Dpliteatian 1 l)it �., l 1( ) I :.,; :,\ I > . , •
w—a 16 _ .. City of Tigard � D � ReeeixA
13125 SW Hell Blvd., r8yrtl. OR ' ` ? ? i,
CY ' Itt:4 t! 0,, 1_ s - iJ
503. •
it Fax : . • • I Pion Review
Phone: 503.09.4171 Fa
Inspection Line: 503.639.417$ 00
Crete/By
P«mir
Inures www.tirad or.gov NCV 12.2 Dar ■ Serfage a err
Suppleateriel l>dxa dke
`..:.. "" . .. TYPE OF i � pL ` " cosh+ ER Oki., sc •. • USE
El New construction n Addition /atle�1itfmtep Mechanical permit teens ore based on Me value of diepaitic
the work
Demolition • „ Q performed, Indicate the value (rounded to the nearest dollar) of ail
mechanical materials, equipment, labor, overheat and profit
-- - • CATEGORY OF CONSTRUCTION " . :•■• Value: $
1- s
':t nd 2-family dwell' `;' " /SYSTEM FMS" : • "
y mg ❑ Co Commercial�mdttspiel Q Accessory building
❑ ulti- furnity [] Master builder
For special infor�rraeio use checklist.
❑ Other: I Qty. I Fa. I Total
MR WI INFORMATION AND IA3CA11o1 '.'� f, • -::, 6+s
Job site address: 9 � F � q j � K Y f ) ( a P hD ms I 14 / 4
City/Sate/ZIP: /ZIP: 1 1 Q T1 I 7 22 Furnace 100,000 BTU (rmcatves t►) _ / 14.00 /
_
Purr= 100,000+ BTU (civets/verb) 17,90
5uite/bldg.i apt no.: _ • Ai A. ✓ Gas heat p 14.00
Croat street/directions to job site: Duct work 10.00
Hydraulic hat watr:r sy,iem 14,00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel-type, not electric),
in -wall. in -duct, suspended, etc. 14.00
Fluthent for of above 6.80
Subdivision: Lot no.:
Other. 10.00
Tax rap/pared no.: Other fret apieasess
• • _ ': :" ' .: • D>SCRTP110 �1 or wows - . „ -•,- i.' .— •. plater heater _I 10.00
"vr A ?1SP _ 14-- ref) C c a c, Gar fireplace 10.00
(� Flue vent for water heater or gas
--r Ay Q c e . p � � /1 - }'lam J fib. 10,00
Log lights (gas) 10.00
t A 1 i) Wood/pelict stove 10.00
1
Wood faeplaee/in cti 10,00
riorz.RTY owroo • : • • • . ChirruteyilineHftnervent 10.00
j ❑ 7�iM17<'
��)��! ea £aviv+ ia1 exhaust sad ventilation moo •
anliPMCS MOO
�
`City/State/ZIP: 1 �j9 Clothes *Ter adtawt 10.00
Phone 2 `
Single-dad exhaust (bathrooms,
7 Fax: ( ) toilet utility corms) 6.80
-.:-.:--:,-•:- Da APPL3cAl ;: - •: • . ' . , ❑ 1,CT.•.PISkrort= :: i• •,1:. Aujeciawtwaee hits 11100
$i nowt . ® -ACTION HEATINr, & A/C /0.00 I—_
Contact name: 18245 S.W. T.V. HWY SSA for Bret (tar; SLOP far melt additiona
Address: ALOHA, OREGON 97006 Fes. etc.
Gas pump
City/State/ZIP: • Wsla/saagcndednm* heater
Phone: ( ) f Fax:: ( ) Water heater
E-maih
Fircplacc
- --- _ Rage
CrOM1RAt,Tt� Barbecue
Business name: A- ACTION HEATING & A/C - Clothes dryer (Ras)
Address: 18245 S.W. T.V. HWY
Other • •
f ity/State/ZiP ALOl 4, OREGON 97006 , '- l , CAL sa irrFizS 6 ?.. ..
Sabtafal ' .
Phone: M 2 Fax: COS) " • , 09
Minimum permit fee (372.50) ..O
COI tic: Plan review (25% of permit fee
• ) LJJ State surcharge (12% of permit fee) - 7J
TOTAL PERROT FEE
Authorized si , 2 0 A /��������► • Mob part t of om,
t UMW so amplete.
dem after Print nacre ♦ / �' D. ? 1TLIJ 7:4 ' Fee rnrdtodeiogy set by TTi -County Road* Malay sr,;m Hoard
merit iswe aleme -a•mome.are 01/14107 440.4617T (I 1/02/COMAKR)
02/28/2014 08:06 FAX 0002/003
•
A— Action Heating & Cooling, Inc.
18245 S. W. T. V Hwy.
Aloha, Oregon 97006
CCB# 78369
503- 649 -3524 Fax: 503-649-6095
SITE PLAN:
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SITE ADDRESS: cl - JU caki KaEl e,
. .
CITv OF TIGARD
,,, .
BUILDING DIVISION PERMIT #: mEc2008,00556.
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/12/2008
Phone: (503) 639-4171 1411,4
Inspection Requests (24 Hrs.): (503) 639-4175 M' --1.11.
INSPECTION WORKSHEET FOR DATE: 11/17/2008 TIME: 7 PAGE: 23
SITE ADDRESS: 09890 SW KABLE ST CLASS OF WORK:
SUBDIVISION: TAMI PARK LOT #: 005 TYPE OF USE:
PROJECT NAME: LEHMAN
DESCRIPTION: Remove and replace gas furnace and heat pump.
OWNER: LEHMAN, CARL & BETTY SUE PHONE #:
CONTRACTOR: A-ACTION HEATING PHONE #: 503-649-.3624
Inspection Request Scheduled For: Date: 11/17/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 078115-01 503-692-0135 N
Corrections/Comments/Instructions:
-1' ..--- ,..-- ' gr: __.4...- . - -- // ' .._ ......._./ CA../ ,.1 4
1:17Z, 1 A g 4, L4. A.eo ic.-. Zv4,4,,z.- 5 fg7641
, . e
,,-
,---
O PASS FP1 APPROVAL fl CANC,EL I I NO ACCESS
O FAIL n CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector:
Date: 1/ -/7---6' Phone #: (503) 718-
.. _ .
CITY OF TIGARD
A
BUILDING DIVISION PERMIT #: Mr:02008-00556
13125 SW Hall Blvd., Tigard, OR 97223 (II / DATE ISSUED: 11/12/2006
Phone: (503) 639-4171 .M. il\ . .
Inspection Requests (24 Hrs.): (503) 639-4175 . . .4, , , ,,, i r a •
INSPECTION WORKSHEET FOR DATE: 1202008 TIME: 7 PAGE: 22
SITE ADDRESS: 09890 SW KABLE ST CLASS OF WORK:
SUBDIVISION: TAMI PARK LOT #: 005 TYPE OF USE:
PROJECT NAME: LEHMAN
DESCRIPTION: Remove and replace gas furnace and heat pump.
OWNER: LEFIMAN, CARL & BETIY SUE PHONE #:
CONTRACTOR: A-ACTION HEATING PHONE #: 503- 649-3624
Inspection Request Scheduled For: Date: •2/3/2008 Pour Time:
Code # Inspection Descrip • Confirm # Contact # Message
625 Duct work 078711-01 603G20-0135 N
•Corrections/Comments/Instructions:
cbt
c—C2 .
• U \4(saiLI\ /16
,Q gej 40r
n OY-
p. .
e 5
(PASS 0 PARTIAL APPROVAL 0 CANCEL fl NO ACCESS
FAIL 0 CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED
Inspector: t■ L-- Date: 1 Phone #: (503) 718-