Permit CITY TIGARD MECHANICAL PERMIT
PERMIT #: MEC2006 -00031
l DEVELOPMENT SERVICES
4 ���1 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 1/18/2006
PARCEL: 1 S 126DC -03100
SITE ADDRESS: 09330 SW LEHMAN ST ZONING: R -4.5
SUBDIVISION: LEHMANN ACRE TRACT LOT: .007 JURISDICTION: TIG
Project Description: Furnace conversion, oil to gas. Gas outlets for furnace and water heater.
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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
GAS OUTLETS: 2
> 10000 cfm:
Owner: FEES
DALE RICHARDS Description Date Amount
20675 SW LEBEAU RD [MECH] Permit Fee 1/18/200E $72.50
SH ERW OO D, OR 97140 [TAX] 8% State Surchar€ 1/18/200€ $5.80
Phone: 503 780 - 4387 Total $78.30
Contractor:
PERFECT CLIMATE INC
PO BOX 3176 REQUIRED ITEMS AND REPORTS
GRESHAM, OR 97030
Contact #: PM 503 491 - 4848
FAX 503 491 - 4849
Reg #: LIC 118424
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 • • ' ° - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699
or 1 -:c '- 332 -2344.
Issu - • By: I . ipts it Permittee Sign - , 0 j' , ' fr/ No-1.—/N._
Call 503 - 639 -4175 by 7:00 a.m. for inspections that busin -. s 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.
01 ' 13: 5034914849 PERFECT CLIMATE INC PAGE 02
•
l f e cila n kcal Permit Application
• City of Tigard — Received .
SW ; Date/BY / if d G x Permit rQo,; tigC.d WV� 6ro3I
13 125 SVY Hall Blvd., Tigard, OR, , t,,,:"C
Phone 503.639.4171 Fax: 503, ' 8.:.''m:: " � �, ix Plan Review
�, .�trb J( +`: Date/By: Other Pernik:
Inspection Line: 503.639.4175 C J J 1 Date Ready/By: IB lu rk'
$ 8 L,006 -��
. Y o � See pa a for
Internet: www.ci.ti artd,ar,us I 1_ V Notified/Method: l� 1 SuPPlemental lnformatAOn
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❑ New construction ► � + t i qy + ;' , t. r' . p 1cc Mechanical permit fees" are base. on the value of the work
f performed, Indicate the value (rots ded to the nearest dollar) of all
❑ Demolition S r:
mechanical b
mat erials, equipment, a or, overhead, and profit
r a t r t r a 101 m r c ut , r ;� 1 value: $
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......
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w r,.� ,
O1- and 2- family dwelling ❑ Commercial /industrial 0 Accessory building L sx'a k` - "a',. :.: '-'11.,...- „ ail ; ; ;: ; ;� 5r ;_
❑ Mu lti- family ❑ Master builder ID Other:
For special IPiforbla an use checklist
Description
r., ;A r r Maw r7mr <, c urct r•r ption
i ' $ �i � n°'�r.y �r- . rrr•B - r ..., , Qty. Ea, Total
f 1,', + a t • ,v, ; ,r !11: : irrl.l, 0 ; ;•qu,5- 1 7 rt a ;�rp r:'y.1a a` r. y,'o a i - .sic."•- ? 1 ,:;: i •'
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-. ,� ,, .. . aa;ts ...1!rk.. •R':YYr� Sscit:,,.3
Job site address: Q Air ditionin or heat pump
It< (regltires con site plan showing placement) 14.00
City/State/ZIP: -- 7 - 7 - r 2 Furnace 100 000 BTU (ducts/vents 14.00 / - Of)
' Furnace 100 000+ BTU duals /vent MI : 17,90
Suite/bldg./apt, no.: Project name: Gas heat pump 14.00
Cross street/directions to job site: Duct work 14,00
ki • ron i c hot waters stem 14, 00
Residential boiler (tadiator or
hydronlc) 14
Unit heaters (fitel -type, not cicetri.),
in -wall in -duct suspended eta 10,00
Subdivision: Lot no.: Flue/vent for on of above 10.00
Other. 10.00
Tax mop /parcel no,:
• Other fuel a a , Iiancca
i! 4 J'F � }; '7 d�f •A iVr t' r N'n g { r' �4'I n: �: � :.� % ; • +
• c.: n .404.1.Sa{�nfer e 01 ;11 :i i 't ,. ., ..,i' ', :, ; . Water heater 10.00
Gas fireplace 10 -00
Prue vent for water heater or gas
fireplace - 10.00
Lo: l i -liter (gas) 10.00
• Wood /pellet stove 10,00
• Wood fireplace /insert 10.00
F ! ';jy;y < 3 ". e " " '.., z�r. ;r r my Chimney/1
!a,i � f ti r f tmt e4 . t xf irS 1 sF . : " 3!• i - N ��, +, 1 /liner /flue /veal
�tri..,t x C emrL1. z..Ar? <- 4tf:rir e'1(A :YI��JAif�:� .d5' � �� 1., ..,'�Y t' °I' &, �,a..��uLn, y 10.00
rrr.:.lb. R{St::R_ "�1 y, iW1 m (]then:
10.00
�/ i Environmental exhaust and ven latton
• • /Range hood /other kitchen
•!!' •• ..7.1.. w c +ui• mcnt 10.00
City /Statc/ZlP:` / 00 l7 eie-- 9 7/ Clothes dryer exhaust i 10,00
Single-duct (bathrooms, !
Phone: (33) 7 . - V38 Fax: ( 67 8 exhaust (bathro
r 1yg� L ., ;r.«,: I„l1vr t, m*'�r, ��'r� � �� toilet comIartments, utili roomq 6.80
ht�ri t a g , •� y �+ mF' d4 .i`'ctutiml2n'�n`F SX Mi t 4 � t "1 P1`P "1•` ° .':it5 t r3 5 r) 794 a =MUTE �t' Attic/cra ,
an � r,.l f;, i r. t ,5iiitra, wlspoce fans �� 0,00 ME
I
Business name: Other: 10,00
Fuel t.ing
Contact name: _
$5.40 for drat four' $1.01 for each additional
Address: Furnace eta 1ilil ►a6
•
City /State/ZIP; Gas heat pump
I 111.1
Wall /suspended /unit heater
Phone: ( ) Fax: : ( ) Water heater
•
E -mail: • Fireplace
r -' 9'i .� ? "-'1Fwi f� I� I1 ryr Range
1 f tL ta:�r ''" {{�� + t r � l c ',• •i ,t y" ;i V ' ,�l'1. If ',_
� :,a •,.. �:_. • ,r. -,•a3 . t r Barbecue
Business name: i I ! Clothes dryer (:as ■ .
Address; Othet;
City/State/ZIP: f r1 + /: s:,..:: ,i.,�:�„�G�c :'�. 1,: :L�:,i:V.S ;, .. r"m•_`ti r .'.. s • '.W
subtotal r
•
f de. _ i i Minimum pe it fee ($72.50)
Fax: eds
CCB lic.: _ // i /I - Plan review (25 ° of permit fee) •
State surcharge (8 °)==l
.r
Authorized signature: TOTAL ' ERMIT FEE '�
This permit a pplication expires if a ermit is not obtained withi 180
days after it has been a cepted as complete.
Print name:
i A Date: �' . Fee methodology set by Tri•Coanry wilding industry Service Board
ivulldl na1Pehn Its 1W.C- Permit App. dm I ^✓no
i
4 0.4617rr1lm:'COMA 68!
CITY= OF TIGARD
BUILDING DIVISION .., A
PERMIT #: III:.:2()C:twOti31
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/18/2003
Phone: (503) 639- 4171mif >p�u�pi ��
Inspection Requests (24 Hrs.): (503) 639 -4175 _
INSPECTION WORKSHEET FOR DATE: 1/24/2006 TIME: 6:58AM PAGE: 17
SITE ADDRESS: 09330 SW LEHMAN ST CLASS OF WORK:
SUBDIVISION: LEI1MAWN ACRE TRACT LOT #: 007 TYPE OF USE:
PROJECT NAME: RICHARDS
DESCRIPTION: Furnace conversion, oil to gas. Gas outlets for furnace and water heater.
OWNER: RICFIARDS, DALE PHONE #: 503-780-43n7
CONTRACTOR: PERFECT CLIMATE INC PHONE #: 503.491-484f3
4F3
Inspection Request Scheduled For: Date: 1124/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 025607-02 503- 491 -4840 N
Corrections /Comments/ Instructions:
1 41 0 r -k\-e.E..- ,..: o _ L 'or
f] PA ❑ PARTIAL APPROVAL ❑CANCEL n NO ACCESS
AIL El
FOR INSPECTION ❑ ADDITIO AL F ES ASSESSED
. • , . c.j>
j' 2 i �
Inspector: Date: ( Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION ,..,A
PERMIT #: MEC2006-00031
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1118/2006
Phone: (503) 639-4171 40 ,419Al#
Inspection Requests (24 Hrs.): (503) 639-4175 , 1
INSPECTION WORKSHEET FOR DATE: 1/24/2006 TIME: 6:58AM PAGE: 18
SITE ADDRESS: 09330 SW LEHMAN ST CLASS OF WORK:
SUBDIVISION: LEHMANN ACRE TRACT LOT #: 007 TYPE OF USE:
PROJECT NAME: RICHARDS
DESCRIPTION: Furnace conversion, oil to gas. Gas outlets for furnace and water heater.
OWNER: RICHARDS, DALE PHONE #: 503480-4387
• CONTRACTOR: PERFECT CLIMATE INC PHONE #: 503-491-4848
Inspection Request Scheduled For: Date: 1/24/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 025607-01 503-491-4848 Y
Corrections/Comments/Instructions:
.(3\M 0 li •
IV „
• / . r
t WV"'
Q
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9 4 1..,,,r •• W ;PAL/
1/44 i_Ac
,, INFIII/rAIPTAFAIIIIF lir
lakoirrsmap Air
f 4is• i7 r r r iv
/
. •
-. PASS I I PARTIAL APPROVAL —_ _ 0 CANCEL El NO ACCESS
0 FAIL fl CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
s )
Inspector: • Date: \ 2- 0 (;) Phone #: (503) 718- Z4.2-3
CITY OF TIGARD ,
... ,
BUILDING DIVISION PERMIT #: hijEC2(00031
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/18/2006
Phone: (503) 639-4171 741 lit
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2/3n006 TIME: 7:02AM PAGE: 66
SITE ADDRESS: 09330 SW LEFIMAN ST CLASS OF WORK:
SUBDIVISION: LEHMANN ACRE TRACT LOT : 007 TYPE OF USE:
PROJECT NAME: RICHARDS
DESCRIPTION: Furnace conversion, oil to gas. Gas outlets ;3r furnace and water heater.
OWNER: R1 CHARDS, DALE J PHONE #: 503-780-4387
CONTRACTOR: PERFECT CLIMATE INC . PHONE #: 503-491-4848
Inspection Request Scheduled For: Date: 2/3/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 026206-01 503-491-4848 Y 1L. L. 0-
Corrections/Comments/Instruction :
l
) P.-.6 .497 17,6.4 ,_.,4 092, -g- A -- '- -2 --e--.4--
P cetz-
A/7274e_ : -- / -- ed I c) ) 7 c.7/ CZ ot.t 6 zf
1 r ya_ir-e Mia aY,--t( le.44_
ii„AovcrLeg, de377._4(vir s7e_r:r ..".e„vci?
PASS El PARTIAL APPROVAL 0 CANCEL 7 NO ACCESS
0 FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector:
Date: 27-7-g/0; ti Phone #: (503) 718-
44,p,. i...0-k. L oc_GU f E an q0 N,,
CITY OF TIGARD 4 3 ,
BUILDING DIVISION PERMIT #: ME.C2006,00831
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/13/2006
Phone: (503) 639 -4171 NM��iii �
Inspection Requests (24 Hrs.): (503) 639 -4175 „Ink 'I I..
INSPECTION WORKSHEET FOR DATE: 7J1/2006 TIME: 7:02AM PAGE: 69
SITE ADDRESS: 09330 SW LEHMAN ST CLASS OF WORK:
SUBDIVISION: LEHMANN ACRE TRACT LOT #: 407 TYPE OF USE:
PROJECT NAME: RICHARDS
DESCRIPTION: Furnace conversion, oil to gas. Gas outlets for furnace and water heater.
OWNER: RICHARDS, DALE PHONE #: 503-780-4307
CONTRACTOR: PERFECT CLIMATE INC PHONE #: 6O3- 491 -4i 4B
Inspection Request Scheduled For: Date: 2/1/2006 Pour Time:
Code # Inspection Description , hk Confirm # Contact # Message L _ ,>,<
-e..!., :.w�� 4a I ira,' 026074 -01 503- 491 -484F3 Y (gCCD) at, .c ..cLec't
Corrections /Comments /Instructions:
11W A?
I) I / d V( le._ - C 2 4 ("7 r . r P-- e.-2. e-i-e-Z749 4-2-7/7)70/L
ZA_-e-(
7-) i t--2/? d if( d.e /7 o a - Z, G ad .�c/,__
( 00a
o fzexl( m7 ,
) F;Le., C 'ue . - A.- d -p -pi -off -� he. i a / t ' — ee(
-7 � , / ��i�r�e le)--4 ,�J-)-
. / /1/1 7 v ( - 5"
i) - - re 5Na u.,G - 7046-40-4 �d h. -cam-. d'�.�n (.� 64/(7
6 Gc-t v: C9 l- / n C.4c�/ / v P
1 .,,d0 / /ce 2 1 7 9>--e'llc/ ' ' 1 d6A-C,
i
PASS PARTIAL APPROVAL. CANCEL ❑ NO ACCESS
FAIL • ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: - v Date: j_ Phone #: (503) 718- 2 l®