Permit C ITY OF TIGARD MECHANICAL PERMIT
i DEVELOPMENT SERVICES PERMIT #: MEC2006-00368
14 �� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/3/2006
PARCEL: 25111 DA -01200
SITE ADDRESS: 08627 SW LODI LN ZONING: R -7
SUBDIVISION: APPLEWOOD PARK NO. 1 LOT: 008 JURISDICTION: TIG
Project Description: AC install.
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: MF 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:
ELE 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
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
BARBARA DEARDORFF Description Date Amount
8627 SW LODI LN
TIGARD, OR 97224 [MECH] Permit Fee 8/3/2006 $72.50
[TAX] 8% State Surcha 8/3/2006 $5.80
Total $78.30
Phone: 503- 639 -4375
Contractor:
CHASE HEATING CO
2236 NE 82ND AVENUE
PORTLAND, OR 97220 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 793 -7927
FAX 503- 254 -1816
Reg #: LIC 153390
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: ay, Q U
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.
Methafileal Fer itARplkal FOR l:tl''t I(; l i' l- ()Ni '1 :
City of Tigard c Ho, (o
1312 . W J 1 Blvd,. Tig O,�, ®� pla<,x g,� 0 , 11, �s.-
Phone; '503.639.4171 1 ax: 503. ' .'ft_ V .• r;alr, Outer Permit
tnspecilotk Line: 503.639.4176 j `j' Ready/By: Et See Page 2 for
interns!: www.ci.tigard_or_us AUG ! 0 f ^ " "• NvMe t 1'od: Sapptemental leformatioa
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0 Ntw construction Al Addition/alteration/replacement A4eehnnic i1 pelmet feegc Ate haste all the Value of the work
parfonned, Indicata the value (rounded to the nearest dollar) of all
Q Deumolition D Other: mechanical materials, equipment, labor overhead and $ !fit.
; :;' F ' s . m'` y E '''''Y.' :y °?j ; d( Value $
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Fee special mfor- milker toe
I- and 2-family dwelling
tarn �
D D P��essory bnildiitv,�
0 Multi- family 0 Master builder [[ Other: klbst
Description Qty. Ea Total
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5 ��';' q { 2 ,. t1 r , 1 U tk..; �
dyypA kk rr
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Job site address: 4; ,g, -7 ._.' . ..1 ccLtr L A i 11.00 1
cit /Statefzu.; 1' uttaca 100 00013TU duets/vests 14.00
Furnace 100,0006 - BTU (duct /its) 17.90
Suite/bldgJapt_ no.: Project name: 3 j j i 3 Gas heat pump 14.00
i Cross atreetfdirections to job site: Ductwork 14,00
Hydronic hot water syste(tt 14.00
Residential boiler (radiator or
llydronie) 14.00
- Umt /COOS (ihel -type, n,nt electric),
in -wall_ in- duet, se eta_ 10.00
Subdivision: Lot ne. Flue/vent fin any Of id,Ove 10,00 µ
• ....� Other: 10.00
Tax map/parcel pm; Other fuel a L l Nantes
':!';',':AE:', it:L.:, :4 " ,% /i y .��. { Gp�'�} b , ' . y,._�. , .ti � "'' j' ; p,:'h :4�" ,
JY . ±'�R�'.i1�±1'S�;•� ;�!�'N ;,. . W� �'. : Water heater 10,00
Gas fireplace 10,00
I" A a -OIMMSOJ Flue vent for water heater or gas
fireplace 10.00
Loa l• , ter 4: s 10.00
Wood/pe11et stove I 10,00
Wood fireplace/insert 10.00
- : : „ r , CYti neyfllncz/Oua/vent 10.00
4 . ' :,� r�. " A .' % r'; ' ;�:',.: ? - "( �'�' � , % , . .
' ., . n . �' eke '�:t��
>, ,A;''0::'''' .. •w .,� •+.' Outer: 10_00
10e ! • Ell ironaental exbattet and ventilation
Address; f Le'. r . n gauge hood/other kitchen
JP .' .�. ►w , 1 .in meat 10,00
City/State/ZIP: - a :4 IC .. of '� )1)-4 cothes dryer exhaust MN 10.00
Phone; (50 ) Co Fa x ( ` Sin exhaust (bathrooms,
YYV ( ! toilet compartments, b utility rooms) 5_80 III
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:.'.:! ' ".6�r'j��.i�;.f :i %:' .,� : , t 1 . r �.rf �r� 'r'Yn�M�:11 �W�rQ� /at"P.
:.1...., . 1. . ..nn,.y,;:. .!�.: ��:+!i'•''�r�tt'TiRmRg" °�i'�l'i �S 10.00
Business name: 4• � Other 10.00
Fuel ,' ,: 1 ,
contact tonne: Y SS.40 for first fOuri 51,00 for each additional
Address: l urnace etc.
Oas beateump
City/State/ZIP: oval] /sus. ded/unitheater
Phone:, ( ) water heater
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E-mail:
F ace
•1
;1 ar`;•,. j,;,;. . ? :, :4 :; ^ ':,< d:', -.• ; ,:..`; Barbecue
ti t �
l3tisirtt ss name: Clothes dryer (us)
Address: T « , ... ,
/ '� _ , :an'Tbl'ci'>`thN,..e'5.a #rea.a :; .fti', _ ..
City /St JP; 4 a . . h ` 'V Subtotal
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Phone: (rjDw,) A 3. -• (a Fax-. (St) ,....t, .. _ ...... lvli>a ianant permit fee ($72.50) . 5f)
00 P lan review (25% of permit fee)
CCB tic_: . State surcharge (8% of permit fee) I . I arfa
TOTAL PERMIT FEE
Authorized si . J� 40 I , � — �ew tt app4ieeti n lu.as' ie a permed n i w ji � 5O `)
/ days alter it ha* been accepted a a e omutpk ptete,
Prinz vat ¢; i`en' 1 } " ? � .- ` .+ - Fee Enk tnxlology set by - rn- County lit ifrdi.ug Industry Service Board
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CP
Dana Deardorff— 8627 SW Lodi Lane, Tigard, OR
to
Proposed AC III
Furnace -
(Garage)
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: l4EC2006- 00368
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/312006
Phone: (503) 639-4171 A lltill
Inspection Requests (24 Hrs.): (503) 639 -4175 °` 1.
INSPECTION WORKSHEET FOR DATE: 8/7/2006 TIME PAGE: 67
SITE ADDRESS: 08627 SW LODI LW CLASS OF WORK:
SUBDIVISION: APPLEWOOD PARK NO. 1 LOT #: Q08 TYPE OF USE:
PROJECT NAME: DEARDORFF
DESCRIPTION: At,, install.
OWNER: DEARDORFF, BARBARA PHONE #: 503 - 639 -4376
CONTRACTOR: CHASE HEATING CO PHONE #: 503 - 703.7977
Inspection Request Scheduled For: Date: 8/7 /2006 Pour Time: ` Code # Inspection Description Confirm # Contact # M ssage
699 Mechanical final 034464 -01 503-793-7927 Y
Corrections /Comments /Instructions: Q
n l V/--e___ Ws el
-
u k... ,L. 2,,
kgrr-PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
I I FAIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: yb c) Date: Cq--)/a' Phone #: (503) 718- -(z-(