Permit C ITY OF TIGARD • MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00397
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/28/2008
PARCEL: 25111 BB - 00200
SITE ADDRESS: 10100 SW MCDONALD ST ZONING: R -12
SUBDIVISION: TIGARDVILLE HEIGHTS LOT: 010 JURISDICTION: TIG
PROJECT: SHARIFI
Project Description: Installing gas furnace.
CLASS OF WORK: ALT 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
HADI SHARIFI Description Date Amount
10100 SW MCDONALD ST
TIGARD, OR 97224 [MECH] Permit Fee 7/28/200E $72.50
[TAX] 12% State Surch 7/28/200E $8.70
Total $81.20
Phone: 503 -781 -9780
Contractor:
SUN GLOW INC
2428 SE 105TH AVE
PORTLAND, OR 97216 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 253 -7789
FAX 503- 253 -7693
Reg #: LIC 48131
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: /4,,,G4 /G#
Permittee Signature: 77 1
C 03.639.4175 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.
1
Mechanical Permit Application
• , sir_ 1.0R )r i i( 1: I SI. (r, l.1
City of Tigard CtV� Received
• 13125 SW .Hall Blvd., Tigard, OR 97223 bate/By: 7 , dr =y
_J .Phone: 503.639.4171 Fax; 503.598.1960 'LQQ
Plan R evrew
'.,r, 1) •
Inspection Line; 503.639.4175 14% y Permit
Internet www- tigard- or.gev 0 *Ay' ' la See Page 2 far
0 ,�� '. ti . Supplemental foram
`; • . • —• . ' or. Wow R � 0. " - PIZ' •S bitJLg .- tl5 ;t ' ,LSir,
❑ New conshltction ® Addition/a16Cration /repp4ccment
Mechanical pemrit fees• are based on the value of the work
performed. Indicate the value (rotmded to the nearest dollar) of all
0 Demolition ❑Other
--- mechanical materials, equipment, labor, overhead. and trofit.
.r....Aottot CONSIT11UC1iON• • • Val
• ® 1- and 2- family dwelling El Commercial/industrial ❑ Accessory building ' /
El Multi- family ❑ Master builder ❑ Other: For special nlforniano7r, ;�
',•••:.•:''.'..: . I Qty. � Ea. Total
' . TIONP: AND LOCATION . ' Heating/cooling
Job site addre s; 101011 SW McDonald St Air conditioning or heat pump
(r uires site plan showing placement) 14,00
City/State/ZIP: Tigard, OR 97224 Furnace 100,000 BTU (duet.,/.) 1 14.00 14.00
Suite/bldg./apt, no.: Project name: Sharifi Furnace 100,000+ BTU (d „t,) 17.90
Gas heat pump 1
Cross street/directions to job site: Duct work 10.00
—
Hydronie hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
—
Unit hcatcr (fuel -type, not electric),
in -wall, in -duct suspended, etc. 14,00
Subdivision: I Flue/vent for any of above 6.80
Lot no.:
Tax map/parcel no Other 10.00
Other foci appliances
1d `OF WO/11C Water heater 10.00
Gas furnace iaatall Gas fireplace 10.00
Flue vent for water heater or gas
fireplace 10,00
Log lighter (gam 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
• iner/fl thcnt
ChimneyR' u
P1r�3']G O� : ' .• • 0 TlENA1VT 10.00
.. .
Other: 10.00 _
Name: Aadi Shatifi Environmental exhaust and ventilation
Address: 10100 SW McDonald St Range hood/other kitchen
0:111 r ent 10.00
City/State/VP: Portland< OR 97224 Clothes dryer exhaust 10.00
Phone: (503)7$1 9780 Fax: ( ) Singlc-duct exhaust (bathrooms,
toilet compartments, utility moms) 6.80
• • •' [] COPPp g tt .ply Attic/crawlspace fans 10.00
Business name: Sun Glow. Inc. : 10.00
Fuel piping
Contact name: Jennifer $5.40 for first fouri for each additional
Address; 2428 SE 105 Ave Face.
Gas heat pump
City/State/ZIP: Portland, OR 97216 Wa1Us ndcd/unit heater
Phone: (503) 253 -7789 Fax: • (503) 2,53 -7693 water heater
Fireplace
E -mail: jenk(Jsunglowinc.com Range
•
CONTRACTOR . ' Barbecue -
Business name: Sun Glow, Inc Clothes dryer Raw)
Other:
Address: 2428 SE 105 Ave
City /State/ZIP: Portland, OR 97216 Subtotal 14,00
— 503 2.53 7789 Minimum permit fee ($72.50) 72.50
Phone:
(503) *Fax: (503) 253 -7693 Plan review (25% of permit fee)
CCB 1k.: 48131, State surcharge (12%ofpermit fee) 8.70
TOTAL PERMIT FE 81.20
Authorized signature: � ` This permit dime x p i been ae permitis not obtained within 185
• Fee complete.
I Print name: Jennifer
e: 07/ !8!08 lots Oct set by TA Building rndcae+y Service Board
1 /tuadisau'ermitemac -ve 'Appal c al /rao7 440.4617 (Iirt2/COMIWEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC200100397
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/28/2008
Phone: (503) 639- 4171 :au
_�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/22/2008 TIME: 7:01AM PAGE: 37
SITE ADDRESS: 10100 SW MCDONALD ST CLASS OF WORK:
SUBDIVISION: TIGARDVILLE HEIGHTS LOT #: 010 TYPE OF USE:
PROJECT NAME: SHARIFI
DESCRIPTION: Installing gas furnace.
OWNER: SHARIFI, HADI PHONE #: 503-781-9780
CONTRACTOR: SUN GLOW INC PHONE #: 503 - 253 - 71139
Inspection Request Scheduled For: Date: 8/27)2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 074359-01 503-253-7789 N
Ne Ptlp�^� 4 - r€,�1
Corrections/Comments/Instructions: A
XPASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
P tkfag ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: NA---- Date: 4122, `. Phone #: (503) 718-