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Permit
It` AP CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2006 -00480 °7 J I I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/6/2006 PARCEL: 2 S 103 C B -03200 SITE ADDRESS: 12335 SW MARION ST ZONING: R -4.5 SUBDIVISION: WILLAMETTE NO.2 LOT: 037 JURISDICTION: TIG Project Description: Replace furnace, gas piping. 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: WOODSTOVES: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES DAVID LUCAS Description Date Amount 12335 SW MARION ST TIGARD, OR 97224 [MECH] Permit Fee 10/6/200€ $72.50 [TAX] 8% State Surcha 10/6/200€ $5.80 Total $78.30 Phone: 503 -590 -6024 Contractor: TRI COUNTY TEMP CONTROL 13150 S. CLACKAMAS RIVER DR OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS Contact #: PRI 503 -557 -2220 FAX 503 -557 -0919 Reg #: LIC 72623 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: ✓J � " i Permittee Signature: 5 . Q1` Call 503 - 639 -4175 by 7:00 a.m. for inspections that business dO.. 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. OCT -S -2006 04:48P FROM: TO : 5035981960 P.1 • • Mechanical Permif, is idjji 4.1 FOR OFFICE USE ONLY City of Tigard ' Received PermitNoli '/ 13125 SW Hall Blvd., Tigard, OR 97223 Date/By: 4 a ....._,/ t QY 6 Plan Review 5 Phone: 503.639.4171 Fax: 503.598.19sof�T Q 200 ,,,.,,% CC , . Day. Other Permit Line: 503.639.4175 V# I ": Date/By: Internet: wWW.ei.tigard.0i.ua ‘ ,.7..1.111-- "" �� Ready/By: El See Page i for Notified/Method: Supplemental Information iii i 1 Or _ 1 V rift °,.% ; I :ii, 1 : 1 1 ) ~•' Efiy~�,13 ye a �..y : 11�J e - 7,- hrJcf&.'J.: ,-1 , he �; ,� .rte• , u r. .. ' !' a •t 'a"� : _ r. . i�1 .•. , J -. z }r!4O ff : "� , - u $1i cicus'p ❑ New construction / Addition/alteration/replacement Mechanical permit fees' are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ■ Other: mechanical materials, equipment, labor, overhead, and profit. a:: tir f4 . 6.i l;'i ;• ,��.'S 4' :1 :,010,04 04 ;100 ,j, Oi0.0. 0'F. 51g4"416 .- Value: -, .. . A, I and 2 family dwelling ❑ Commerciallindustrial ❑ Accessory building f` n ^" F�.sID) N&� ,1bt2 lY�[ G SYSTEM FEES' For special information use checklist. ❑ Multi - family ❑Master builder ❑ Other: Descnption I Qty. I Ea. , Total :r*r ,,, fii e . - A O � . . "�.- t u0 , 4# ; ;- t i F ig -r, Heating/cooling Job site address: 11.&35d5 (/t& a 1 Ol Air conditioning or heat pump • V l.Ul J (requires site plan showing placement) 14.00 City/ State/ZIP: T 6 41 Furnace 100,000 BTU (duce/vents) I 14.00 Furnace 100,000+ BTU (duce/vents) 17.90 Suite/bldg./apt. no.: I Project name: Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 • Hydrontc hot water system 14.00 . Residential boiler (radiator or hydronic) 14.00 • Unit heaters (fuel -type, not electric), in -wall, in -duet, suspended, etc. 10.00 Subdivision: LLot no.: Flue/vent for any of above 10.00 Other: 10.00 . Tax map /parcel no.: Other fuel appliances ±.� r -- . ; M o .- Wa ter heater 'I `h -.7.• ', ` i .74.. r ••: ;� t I©ri >p4o *o • , ,'. : 4 10.00 _ '. ` - ppp t Gas fireplace 10.00 4 ',/ • y MIGE�l . ; // / 4. Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace/insert 10.00 qz r, rcr y r , @ pun Chimney /liner /fue/vent 10.00 3?r: ' at4 '•'tom'• L i e.I'_. - iii ii,, �. ily '. ehi . ; sr Other: 10.00 Name: ) I II 0 Environmental exhaust and ventilation 1 Range hood/other kitchen Address: 4,1 equipment 10.00 City/State/ZIP: Clothes dryer exhaust 10.00 ` �� Single-duct exhaust (bathrooms, Phone: (E03) 4 d a(Q I Fax: ( ) . toilet compartments, utility rooms) 6.80 p =' ^ ^yy�+;f r'WC 5 ' i - i� Q t �] ` " r to w: i. „ ''.•a y rn Anic /cwlspace fans 10.00 iI ll%J-J� nolzil i. 2.rik �fL�.JI v WL YfN ' ''' .4' � r ' _w . � . Business name: Try cay Temp C01111101 Other. 10.00 Fuel piping Contact name: S5.40 for first four; 51.00 for each additional Address: ( 1 �O S. Cl C'.kl ! l Q RI b '_IJl (V V Furnace at e. Gas heat pump City/State/ZIP: a rgj O n 0 ©� q 705 Wall/suspended/unit heater Phone:() s57- � _ 9 990 I Fax: : (S) 557-011.41 Water heater Fireplace E-mail: Range • t 4'. , ��TT17t^ J" r' ,+f� 7. , f ,y +r ti ,...� ii ,, 4; -4it.: ti.-M1C ••, • N_f -2.2 ." ;Ii .� GIYi::&; -. e U ....pia : �', • ....i l l r ' ,.. _,; '_7_ " r f" Barbecue T}�i co Temp Co rtro i Clothes dryer (gas) Business mate: 1 1 t„IJ j V 1 � L.4 t l t V I Other: Address: '� + `� t ,� m�S .Nri . > ; 4ti a ' �a J s ti Subtotal City /State/2D: Or r ) � � C) Phone: (S) 5S -22x-, I Fax: 00 55 6(1, lq Minimum permit fee (572.50) Plan review (25% of permit fee) CCB lie.: - 7 State surcharge (8% of permit fee / itrl • e TOTAL PERMIT FE ; . • J� ,474,04`7L.. �_ Th us permit applleadon expires If a permit Is not o .• • fined within 180 Authorized signature: ( days after It has been accepted as complete. Print name: bi Z (Q ti,304 Date: , r 1 • I • Fee methodology set by 'Fri-County Building Industry Service Board CITY OF IIGARD , �. - BUILDING DIVISION PERMIT #: MEC200E*00480 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10/6/2006 Phone: (503) 639 -4171 �Iil Inspection Requests (24 Hrs.): (503) 639 -4175 F _ -. INSPECTION WORKSHEET FOR DATE: 10/31/2006 TIME: 7:01AM PAGE: 39 SITE ADDRESS: 12335 SW MARION ST CLASS OF WORK: SUBDIVISION: WILLAMETTE NO.2 LOT #: 037 TYPE OF USE: PROJECT NAME: LUCAS DESCRIPTION: Replace furnace, gas piping. OWNER: LUCAS, DAVID PHONE #: 503 -530 -6024 CONTRACTOR: TRI COUNTY TEMP CONTROL PHONE #: 503-557 -2220 Inspection Request Scheduled For: Date: 10/31/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 039058 -02 503 - 557 -2220 Y Corrections /Comments/ Instructions: 10 ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: F Date: 4d 3 / -z (1 Phone #: (503) 718- ¢,N CITY TIGARD - ` BUILDING DIVISION PERMIT #: MEC2006 00460 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/612006 Phone: (503) 639 -4171 � itl� Inspection Requests (24 Hrs.): (503) 639 -4175 � w ` __.. INSPECTION WORKSHEET FOR DATE: 10/31/2006 TIME: 7:01AM PAGE: 40 SITE ADDRESS: 12335 SW MARION ST CLASS OF WORK: SUBDIVISION: WILLAMETTE NO.2 LOT #: 037 TYPE OF USE: PROJECT NAME: LUCAS DESCRIPTION: Replace furnace, gas piping. OWNER: LUCAS, DAVID PHONE #: 503-59G-6024 CONTRACTOR: TRI COUNTY TEMP CONTROL PHONE #: 503.557 -2220 Inspection Request Scheduled For: Date: 10/31/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 033056 -01 503 - 557 -2220 N Corrections /Comments /Instructions: 1 5 - Z /1/74e_i L Fezzr z a z.4.< /Us co , 6,,o • (, NW Natural Gas Express Program Air Test Approved for 6.5 we (STD) g 2 PSIG ❑ witnessed at / PSIG for min. Address /Z S e.4/ ity J• By /40, Date / O -.- NW Natural has witnessed an applied air pressure test and no leaks were • detected. This notice does not warrant that any appliances are free from defect. In accordance with State and local codes, as well as an agree- ment with NW Natural and local jurisdictions, a final inspection must be obtained and completed within 30 days of the above date. F -9010 (Rev. 11101) • ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: / Date: JD /.-ofo Phone #: (503) 718- -2-Y--4-s---