Permit •
•
!p CITY OF TIGARD
MECHANICAL PERMIT
" COMMUNITY M NITY DEVELOPMENT PERMIT #: MEC2007 -00160
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/26/2007
PARCEL: 1 S126DC -08500
SITE ADDRESS: 09277 SW LOCUST ST ZONING: R -12
SUBDIVISION: MLP1999 -00006 PP2000 -018 LOT: 002 JURISDICTION: TIG
PROJECT: DECKER
Project Description: Heat pump install.
CLASS OF WORK: ACS FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
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OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS: •
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
ELE 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: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
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RALPH DECKER Description Date Amount
9277 SW LOCUST ST.
TIGARD, OR 97223 [MECH] Permit Fee 3/26/2001 $72.50
[TAX] 8% State Surcha 3/26/200i $5.80
Total $78.30
Phone: 503- 293 -3810
Contractor:
HEAT RELIEF CO
13122 NE DAVID CIR # 800
PORTLAND, OR 97230 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 261 -9915
FAX 503- 261 -9814
Reg #: LIC . 122424
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.
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Issued By: s 6 Permittee Signature:
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.
,.,Mar,;22 2007 12:24PM HEAT RELIEF Heating & Coo 503 261 9814 p.1
Mechanical Permit Applica ti � l < ► I� t 111 1: t ',t . , t (t
► I 1
'ity of Tigard r t C � Received .2(, /e7 f� "nil ' V GC „ / CD /(o0
�, - ,
g # p ,
1 125 SW Hall Blvd., Tigard, OR 9722) M . . '
lone: 50.639.4171 Fax: 503.598.1960 MAR '' Plan Ravkw
a Date/By: Other Permit
1 ,
spection Line: 503.639.4175 y . ' '/� , Date Ready/By: )was ® See Pate Z for
,ternel: www.ci.tigard.or.us CITY Notified/Method: S enteataIIaroreaadon
,. 1 -•
] New construction 'F.; Addition /alteration/replacement
Mechanical permit tees* are based on the value of the work
] Demolition ❑Other performed. Indicate the value (rounded to the nearest dollar) of a
mechanical materials, equipment, labor, overhead, and profit
g ..1- ..:1 .' 1-..r. 1 I . , . i 1 I, . ". -' . _ Value: S
' ,1- and 2-family dwelling ❑ Con mercial /industrial El Accessory building r
For special information true checklist.
] Multi- family ❑ Master builder ❑ Other: Description ! Qty. ( Ea. 1 Total
i t * Heating/cooling _ _ •
C) a 7 5 u] Lo 54' 5 �.-, (ee Air conditioning o heat pump
ob site address: �slrea almphn rhowtettl p)aeernartt) I, 14.00
:ity /State/ZIP: Ti Furnace 100,000 BTU(duets/emu) _ , 14.00
g�a rd . 0 �17a33
U Furnace 100,000+ BTU jdtxu/veats) 1'7.90
luite/bidgJapt. no.: I Project name: pas heat pump 14.00
:ross street/directions to job site: Duct work _ 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (f eel -type, not 'electric),
In-wall, induct, suspended, etc. _ 10.00
subdivision: + Lot no.: Flue/vent for any of above 10.00
Other: 10.00
fax map /parcel no.: Other fuel appliances
i h� n,}�i$ 1 1^ % ! u Water heater 10.00
Gas fireplace 10.00
- Z15 -4 a 1 i 1 3 3' e r 14 1 p u ► tP • Flue vent for water heater Or gas
fireplace 10.00
Ian banter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace/insert 10.00
ii Chlrnney/liner /flue /vtxtt 10.00
);a :
ocher 10.00
vame:
S I,cSd. d1 St )S/,rLI'1 Environmental exhaust mild ventilation
4ddrcss: Range hood /other kitchen
equipment 10.00
= icy / State/ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (5, j) oZ ' — 3 f / D Fax: ( ) toilet compartments, utility rooms) 6.80
Y tl
+ sf� 2 Attic/crawfapace flans 10.00
`i _ _ 1 p� Other: 10.00
!t e
Business name: �T [� Fuel piping
Contact name: fork De.,fre...et SC p 55.40 for first fo r, 51.00 for each additional
Address: 13 j 21,.. N a DAVID / Sall: 0 2100 Furnace, etc. i
Gas heat pump
City /State/ZIP: rp i , dC 9-7?-30 WelVauspcnded/unit heatei
Phone: (5 ) ;.61/_ q t 5 3 Fax:: (923 ) 014( -.eat Y Water heater 1
Fireplace
E -mail r i S - ��/ ,• as a, a Range
n` fit.
4neli,oiGt.,4 � .,. t:. _ , .i . i ,',. i 1 ( s Barbecue
Business name: 4' ke_i) €. 4- Clothes dryer (gas)
Other.
Address: 13i E 1j.V10 Ci i dd -- 941 4 goer ,, . i.' �','•,.
.1. . - .. '. -. •alt $it -..
City /State/ZIP: # J ( '7 - Subtotal
Phone: (Sal ) .1 ela I Fax; ("3Z. ) .14..i' /y Minimum permit fee (572.50) 12-4-6 r P / Plan review (259t, of permit fee)
CCB ht:.: 1 aA State surcharge (8% of parvnit fee) Sit 0
TOTAL PERMIT PEE 7 Q. 50
Authorized signature: / permit application sip rem If a permit,) eat obtalnM within tar
days sitar It bat been accepted as conspires.
Print name: NAtr•K. Deyakt,cxsc.0 Date: 3 • Pee methodology sat by Tri:County Building Industry Service Board
..\ R..a.C....\1\..-.*4M(Pr.P..-.1. a., a.. 111111 ••• ..ate r.. .. • .m..
.
Mar 22 2007 12:24PM HEAT RELIEF Heating & Coo 503 261 9814 p.2
pr0t/ 3/2087 09:24 5036126'725 4 ., SEARS PAGE 08/08
N
Susan Brun — 9277 SW Locust Street, Tigard, OR 97223
20'
1° ' Proposed HP
+---
Furtace
Townli ouse (garage)
20'
Front
CITY OF.TIGARD ..
BUILDING DIVISION PERMIT #: MEC2007 -00160
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 3/2612007
Phone: (503) 639 -4171 1
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/13/2007 TIME: 7:00AM PAGE: 62
SITE ADDRESS: 09277 SW LOCUST ST CLASS OF WORK:
SUBDIVISION: MLP1999 -00006 PP2000-018 LOT #: 002 TYPE OF USE:
PROJECT NAME: DECKER
DESCRIPTION: Heat pump install.
OWNER: DECKER. RALPH PHONE #: 503- 293 -3810
CONTRACTOR: HEAT RELIEF CO PHONE #: 503-261 -9916
Inspection Request Scheduled For: Date: 4/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 046413-01 503-261-9915 Y
Corrections/Comments/Instructions:
6 e7, I i i' I i4- L C iL 4•1 7 1 V3 7 Q./tJ .
1--• PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:
i Date: -- /3—dr7 Phone #: (503) 718