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Permit • A CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2006 -00467 I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/2/2006 PARCEL: 2 S 104AB -07000 SITE ADDRESS: 13121 SW KATHERINE ST ZONING: R -4.5 SUBDIVISION: MORNING HILL NO. 4 LOT: 099 JURISDICTION: TIG Project Description: Replace gas furnace. 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: DOMES. INCIN: NAT 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: C ODSTOVES: FURN < 100K BTU: 1 AIR HANDLING UNITS LO DRYERS: OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Owner: FEES BARBARA WHITE Description Date Amount 13121 SW KATHERINE ST TIGARD, OR 97223 [MECH] Permit Fee 10/2/200E $72.50 [TAX] 8% State Surcha 10/2/200E $5.80 Total $78.30 Phone: Contractor: AAA HEATING & COOLING 2915 NE MLK JR BLVD PORTLAND, OR 97212 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 284 -2173 FAX 503- 284 -1552 Reg #: LIC 222 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 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. L Fr 10/02/2006 15:56 11365 P.003/003 } RECEIVED City of Tigard gved �� P ermit Nn C T ©2 2006 i Kec DateBy:10�Z .0� q� 1 4 1 `' \ e' . ' vv 1 13125 8W )-)all Blvd.,1igard,Uk. 17223 r Mall Review Phone: 503.639.41 Fax: 503598.1960 O ther P ermit lnspcciton Line: ry 03.x39.417 i CITY OF T{Gi1+RD libe ?l - D ate d . I V`-` n Internet: ww_ci!iganivr.if s BUILDING DIVISIC ' == .0 DA. era: itioli,ied/;,:EL`.ad: i �ute intn.,oauat: —.____ TYPE OF WORK I I COMMERCIAL FEE* SCHEDULE — USE CHECKLIST ' 0 New construction Additiontaiteration repiacetnent - Mechanical permit fees* arc based on the value of the work performed. Indicate the Flue (rounded to the nearest dollar) of al 0 Demolition 0 Other: mechanical materials, equipment, labor, overhead. and profit. r ______ CATEGORY 'OF CONSTRUCTION # , Value: 1121/1- i RESIDENTIAL EQUIPMENT i SYSTEMS FEES' - and 2- fancily dwelling 0 Commercial /industrial 0 Accessory building For special information use checklist. 0 Multi- family 0 Master builder 0 Other: Description Lty. ! E-a. , Total JOB SITE INFORMATION AND LOCATION Heatine/eooling 1 _ 2 \ 'i Air conditioning or heat pump Job site address: 131 - �.� Kc..'14,4. h t �� (requites site plan showing placement) 14.00 City /State/ZIP: ! tI c i ( a fL 5 7 Z 2 3 Fur ace 100,000 BTU (duelsh its) i 14.00 I 1 y / 7 Furnace 100,000+ BTU (du ) 17.90 Suite/bldgiapt. no.: Project name: Gas heat pump 14.00 f Cross street/directions to job site: Duet work 14.00 i Rydronic hot water system 1 14.00 1 Residential boiler (radiator or hydronic) 1400 Unit heaters (fuel- type., not electric), in -wall, in -duct, suspended, etc. 1(1.00 Subdivision: i Lot no.: Flue/vent for any of above l 10.00 i o Other: J 1 0.00 Tax map/parcel no.: Other fuel appliance DESCRIMT OF WORK. Water heater 10.00 / Gas fireplace 10.00 I �(3 S 1 ,r { ctL �^ S[�fr, ty Flue vent for water heater or gas fireplace 10.00 , Log lighter (gas) 10.00 1 Wood/pellet stove 10.00 Wood ftttplace►tnse t 10.00 PROPERTY t _ 1 0 TEi'1APrr Chimnev/Iintrt0udvent 10 _ Other: 10.00 I Name: 17,, 6,, -,,,_ L it t d, Environmental exhaust and ventilation Address: 1 31 2-/ $t..., /.A.t�� Ai t h-e S i equipment - hood/ather kitchen etJuiptnent - I0.00 City/State/ZIP: 1 ,' 7 ,,,, rs { 4 %L 47273 Clothes dryer exhaust 10.00 Single-duct exhaust(bathroorns, Phone: ( ) Fax: ( ) toilet compartments, utility moms) ,. 6.80 0 A?PLICAIV'F.. t.PrCONTAGT PERSON Auidcrawispace fats l 10,00 Business name: • Other: ' 10.00 —r. •) _ Fuel piping Contact name: LTG LA) c11 c 1...7 A- ! ' 55.40 for first four; 51.00 fu r each additional Address: c Furnace. etc. II Gas heatputrgtt 1 . City/State/ZIP: , Wall/suspcnded /unit heater • Phone: ( ) Fax:: I .t 14,i`�! � . .__. Water heater By —w- _..... -.._._ Fireplace E -mail: Ran CON TRACTOR Barbecue Business name: A/� >?[_f e4 'n� f O� Ii / Clothes dryer (gas) MA, r+'� ¢ / 7 Other Address: 0 2 4 p g- n in ! �..I I31 Yd MECHANICAL PERMIT FEES'' City/State /ZIP: d 1,, m' 174212 Subtotal 'yti Minimum permit fee (572.50) - Phone: (,,5 3 ) 4t I Fax: ( 5Z.# z.8 /5311. Plan review (25% of permit fee) CCB lie.: State surcharge (8% of permit fee) s i1..' " / TOTAL PERMIT Ic not FEE 7 Authorized signature: T his perm application expires if a permit is not obtained within It Autho days after it has been accepted as complete. I Pant name: / (414 4.7,. r Date: ,p -p. ` Fee methodology set by Tri- County Building industry scrvi :c Board .n ..,,.. _a.. ._.t_....:f'.._... __ i. • -n.• a.n .wl'IT ,r.an�ann.•n.,OAI - - - - CITY OF TIGARD . , - -- BUILDING DIVISION PERMIT #: MEC200E40467 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1012/2006 Phone: (50q) 639-4171 , ,,, Nokilitil , Inspection Requests (24 Hrs.): (503) 639-4175 ...,.....61 %.!... INSPECTION WORKSHEET FOR DATE: 10/20/2006 TIME: 7:01AiVi PAGE: 72 SITE ADDRESS: 13121 SW KATHERINE ST CLASS OF WORK: ' SUBDIVISION: MORNING HILL NO, 4 LOT #: 099 TYPE OF USE: PROJECT NAME: WHITE DESCRIPTION: Replace gas furnace. OWNER: WHITE, BARBARA PHONE #: CONTRACTOR: AM HEATING & COOLING PHONE #: 503-2842173 Inspection Request Scheduled For: Date: 10120/2006 Pour Time: . Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 038541-01 503-284-2173 N Corrections/Comments/Instructions: ------ ‘; pi PARTIAL APPROVAL _ • 0 CANCEL. fl NO ACCESS 0 FAIL I CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: 7( Date: /6 — 5,---ce•—, Phone #: (503) 718- - k:-- - +i - S --- . . . . _ . . •