Permit ),_!d n A' a 6
A CITY . TIGARD MECHANICAL PERMIT
PERMIT #: MEC2006 -00172
li� DEVELOPMENT H BMEN9 Tigard, -639 -4171 DATE ISSUED: 4/28/2006
PARCEL: 2S 114AB -12400
SITE ADDRESS: 09405 SW MARTHA ST ZONING: R-4.5
SUBDIVISION: KNEELAND ESTATES NO.2 LOT: 123 JURISDICTION: TIG
Project Description: New 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: WOODSTOVES:
FURN < 100K BTU: • 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: < -10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
JEFF & SUS WEST Description Date Amount
9405 SW MARTHA ST [MECH] Permit Fee 4/28/200E $72.50
TIGARD, OR 97224 [TAX] 8% State Surchar€ 4/28/200E $5.80
Phone: 503 - 598 - 8406 Total $78.30
•
Contractor:
AAA HEATING & COOLING
2915 NE MLK JR BLVD REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97212
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- - .
Issue By: _��� Permittee Signat J e, - . _
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.
* , � Kecervea
City of Tigard 2 7 2 [ t t F `, y�,�., /O1, 4 ' Permit No.: �./E _ 66, 7,D-
13125 SW Hall Blvd., Tigard, OR 9722 Plan Review Other Permit:
Phone: 503.639.4171 Fax: 503.598.1 /2, r.` .� +� Date/By:
Line: 503.639.4175 I Date Ready/By: luris S See Page 2 for
Internet: www.ci.tigard.or.us APR,
r� r TT Notifred/Method: la Supplemental lementalInformation
.. TYpICid COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ New construction ii6ddgI ppING UIV1 repa ION cement Mechanical permit fees* are based on the value of the work
Reratlon/ performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other. mechanical materials, equipment, labor, overhead, and profit.
Value: $
CATEGORY OF CONSTRUCTION
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
Jgr) - and 2- family dwelling ❑ Commercial/industrial 0 Accessory building For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
' . •' JOB SITE INFORMATION AND LOCATION Heating/cooling
Air conditioning or heat pump
Job site address: 9 ye) s 5 11,1.47 4 4 Sit. (requires site plan showing placement) 14.00
City/State/ZIP: 7774,4„,‘ Odd 472 Z Furnace 100,000 BTU (ducWvents) / 14.00 ) Y`-
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: 6 . f Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
J 7- Residential ot water system 14.00
014 -4% L h c boiler (radiator or
y d ) 14.00
� � s , Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Flue/vent for any of above 10.00
Subdivision: Lot no.: Other: 10.00
Tax map /parcel no.: • Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
Aled,, 4 4f 14 Q 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
Chimney/liner /flue/vent 10.00
PROPERTY OWNER (( 0 TENANT • Other: 10.00
1.
Name: 6 . 5 " . . . j , J Q[ o! ( 2 . - - . 4 6 g ! '. T Environmental exhaust and ventilation
�- Range hood/other kitchen
Address: �3� je� !p S! a equipment 10.00
/) c � Clothes dryer exhaust 10.00
City/ State/ZIP: �,��/ 45), 7 / Z Z- Single -duct exhaust (bathrooms,
Phone 7) S9 1.7
IT 4p Fax: ( ) toilet compartments, utility moms) 6.80
CONTA PERSON Atticfcrawlspace fans 10.00
APPLICANT Other: 10.00
Business name: Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: Cy/v." Gas heat pump
City/StatelZlP: Wall/suspended/unit heater
Water heater
Phone: ( ) [ Fax: : ( )
Fireplace .
E -mail: Range
CUNTRACI OR '' . Barbecue
Clothes dryer (gas)
Business name: MA. )1 � , /31 f !�llp � )-70 Other:
Address: 0? 4 /'r Yl E r l t ^ -1 vd • MECHANICAL PERMIT FEES*
City/State/ZIP: t. q '7� ,2 Subtotal /41.0-. J Minimum permit fee ($72.50) '72.50
Phone: (5/13) / • , Fax: ( 53 2,8 / 5311. Plan review (25% of permit fee) .----
CCB lic.: Qa Q State surcharge (8% of permit fee) S, p
-ve•" TOTAL PERMIT FEE 7 a O
This permit application expires if a permit is not obtained within 180
Authorized signature: days after It has been accepted as complete.
/ ( �. • Fee methodology set by Tri -County Building Industry Service Board
I Print name: afl ,, SJ,tQ,� 1 rt - I Date: / ( 15
:. ma, iuin.mv .,,,,iimixor.t+.,n ,v, d,
,tia 12/03 (� 440-4617T (Il /O21COM/wEB)
•
. CITY Off' TIGARD - -
BUILDING DIVISION PERMIT #: MEC2006-00172
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/28/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 "!� 11 �+�
°''�I
INSPECTION WORKSHEET FOR DATE: 7/5/2006 TIME: 7:00AM PAGE: 41
SITE ADDRESS: 09405 SW MARTHA ST CLASS OF WORK:
SUBDIVISION: KNEELAND ESTATES NO.2 LOT #: 123 TYPE OF USE:
PROJECT NAME: WEST
DESCRIPTION: New gas furnace
OWNER: WEST, JEFF & SUSAN PHONE #: 503 - 598.8406
CONTRACTOR: AAA HEATING & COOLING PHONE #: 503 - 284 - 2.173
Inspection Request Scheduled For: Date: 7/5/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 032637 -01 503 - 793 -4300 Y
Corrections /Comments /Instructions:
0 6/4c:172011,- Gut , AA15 -.S 78574, �.�,a,-.-9-' e ."4
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • CA L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ,1��. Date: 7-5 Phone #: (503) 718-