Permit 4
C ITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00572
TIGARD DATE ISSUED: 11/19/2008
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S1146A -12200
SITE ADDRESS: 09565 SW MILLEN DR ZONING: R -7
SUBDIVISION: COPPER CREEK STAGE 3 LOT: 087 JURISDICTION: TIG
PROJECT: GARRISON
Project Description: Replace 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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
KEN GARRISON Description Date Amount
9565 SW MILLEN DR
TIGARD, OR 97224 [MECH] Permit Fee 11/19/20C $72.50
[TAX] 12% State Surchai 11/19/20C $8.70
Phone: 503 - 538 -1950
Total $81.20
V
Contractor:
FOUR SEASONS HEATING &A /C INC.
1005 INDUSTRIAL PARKWAY
NEWBERG, OR 97132 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -538 -1950
FAX 503 -538 -0165
Reg #: L1C 97152
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 51 .. ..6699 or .= 00.332.2344.
Issued By: r
� � Permittee ' • �
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.
. - -,---
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Mechanical Permit Application 1 ,,,,.. () 1 1 ‘..1
City of Tigard EIVED = ti 1 17 08 / 9 , Penni! No.: e 6 7
. „,,-• 13125 SW Hall Blvd., Tigard. OR 9M Mac Review
:11P11 i: Phone: 503.639.4171 Pax 503.598.1960 Data/By: Ohm Permit
-
Inspection Line: 503.639.4175 NOV 1 9 2008 km g Sae Page 2 for
Data Ready/By.
Internet svww.tigtud Mcoitled/Method: Supplemestal Informadan
it 11 8
:■; .: , %). 0 . ' ::: 7 : .. ,. ' , .:'' ' : TY,.* t c ,7M ,.A10' '.i , .....,:.n...SCHEDPli VW CHEPACLO •
_
0 New construction Addition/alteration/replacement Mechanical permit Dress are based on the value of the work
proforma Indicate die value (rounded to the nearmt dollar) of all
0 Demolition 0 Other mechanical materials, equipment, labor, overhead, and profit. .
C4 :Cafift iVna ....— ..: ,'; : ::: :' -.1'. :::.', ,., i...:.,, usimi ------ Tito, $ I swarms pu.
0 - and 2-thmily dwelling 0 Commercial/industrial 0 Accessory building '
For special irifortnation use checklist.
0)&1d-family 0 Master builder LI Other: ' Descriptio Ea Tenet
jog Sri* ..Ipal 4Nirfilie$04111: !:-' : "? ..... ., Heating/cooling
Air condidoning or heat pump
Job site addreLd.Lti.,A_ d, (requires site plan showing placement) 14.00
City/StattalP: 1 ft, V1.A i (5 f/Z 7 1 - -D_ 4.. Furnace 100.000 BTU (ducts/vents) I 14.00 fq, --
Furnace 100 BTU dnets/venn 17.90
Sulte/bldg./apt. no.: `-' I Project none: NA...,LA..srp.4 Gas hat pt iimp . 14.00
Cross sired/directions to job site: Duct work _ 10.00
Hydronic hot water system 14.00
Residential boner (radiator or
hydronic) 14.00
Unit hewers (fuel not electric),
in in-ductd_uspended,etc. 14.00 -
Subdivision: Lot
Flue/vein for any of above 6.80
no.:
Tax map/parcel no.: Other fad aoollaneea
, ThiiiiptignOf eil)e3c0IX': ',::::.: ,?: : :',......:-:. ff.r:r.,. W aler h eater ictoo
Oar fireplace 10.00
., A.... . 'd
....! .. . 0 . I let I Flue vent for water heater or gas
fireplace 10.00
j Log lighter (gas) 10.00
4 1_ Wood/pallet stove 10.00
- / Wood fireplace/insert 10.00 ,
. 4 ', — 1.-.. _.i..........- . ,,g..... Chinutcy/liner/fluetvent 10.00
''..,; :: ; .: :. other_ _10.00
Name; , 0 • & . 4 , a r . III Environmental exhaust and ventlladon
' \
" A bv- Range hood/other kitchen
Address: , 5 5 i i t
CquilunCnt 10.00
City/State/ZIP: , 0, ! 0 '1 . i Clothes drier exhaust 10.00
— Single exhaust (bathrooms.
— 41,
Phone: ( 111 ..--- - .INIVEME: -10 .--- W • toilet COMpaitrni of SAN utility rooms) 6.80
Attic/cravalspacc funs
' - •.:'?:' ',./Z,4444a1 . -, : : ::' . '. .. .;;.': ":. :.:' .. . , _ ,,, ., *, „... 10.00
Other
8 U: 'flo name: FOUR SEASONS HEATING
10.00 Fuel piping
-611 tvw "n
act name: --10Calbirrir nvwSIBIALRICi------ SSA) for first four; $1.110 for each additional
Address: NEWBERG, OR 97132
Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
- Water
Phone: ( ) — Fax: : ( ) heater
Fireplace
E-mail: Range .
: . .. „
:C ONFR A O0 :,'-'::: Il';';''': ;':-:: : . " : • : Barbecue
'
Business name: FOUR SEASONS HEATING Clothes dryer (gas) _
— Other •
AND AIN CONUI I IUNINU INC.
Addref ,::,, . :::. ::;' 's - *EgliANICAt. PERMili:F**
city/StatenP: NEWBERG, OR 97132 . subtotal I
_ — Min 72imum permit fee ($7230) , St)
Phone: ( ) I Fax ( ) Film review (25% of permit foe)
CCB lie.: 4 C 7 5
-7 /,... State surcharge (12% of permit the) 4 Fr i 7 0
— TOTAL PERMIT FEE el -
--------
This permft spore:alien mires if a permit is not obtained within 180
Authorized signature: ..- days lifter it has been accepted as complete.
Print name: VW
-1 Date: — 4 A • Fee methodology no by TriCotmty Betiding Industry Service Board
tAiruikenswennusum.C-Prnait.app.dce OU1947 440.4617r (I 1/02/COMAVES)
COO/COOZ XVJ OV:01 800Z/61/11.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MCC200f1 Of)572
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11/19/ 2008
Phone: (503) 639 -4171 aft ®e o 1
Inspection Requests (24 Hrs.): (503) 639 -4175 AIL
INSPECTION WORKSHEET FOR DATE: 17J8/2' 8 TIME: 7:00AM PAGE: 33
SITE ADDRESS: 09666 SW MILL.EN DR CLASS OF WORK:
SUBDIVISION: COPPER CREEK STAGE 3 LOT #: 087 TYPE OF USE:
PROJECT NAME: GARRISON
DESCRIPTION: Replace gas furnace.
OWNER: GARRISON, KEN PHONE #: 503538.1950
CONTRACTOR: FOUR SEASONS HEATING & NC INC. PHONE #: 503.536 -1950
Inspection Request Scheduled For: Date: 12/8/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
&39 Mechanical final 078794 -02 503.639 5070 air
Corrections /Comments /Instructions: ' 69 - 1c5
(rd,..-S 115 Z- 4 1 Z— M ( dv o c.-.
1
liZZ., 11 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL //, CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/
Ins pector: Date: I' (7 A Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2003 0057 2
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11/19/2018
Phone: (503) 639 -4171 i C3I�Il
Inspection Requests (24 Hrs.): (503) 639 -4175 d � --
INSPECTION WORKSHEET FOR DATE: 12/8/2008 TIME: 7:00AM PAGE: 34
SITE ADDRESS: 09565 SW MILLEN DR CLASS OF WORK:
SUBDIVISION: COPPER CREEK STAGE 3 LOT #: 087 TYPE OF USE:
PROJECT NAME: GARRISON
DESCRIPTION: Replace gas furnace.
OWNER: GARRISON, KEN PHONE #: 503.536 -1950
CONTRACTOR: FOUR SEASONS HEATING & NC INC. PHONE #: 5Q3- 538 -1950
Inspection Request Scheduled For: Date: 12/0/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 078794 -01 503 -639 -5070 Y
Corrections /Comments/ Instructions:
rtoi CZ��2uli2
II
/111 111
• i
fib•. = Ii PARTIAL APPROVAL ❑ CANCEL III NO ACCESS
❑ FAIL in CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: . _ , _ _ Date: 1 Z U V Phone #: (503) 718- Z `' 9
/
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC 00t 00x72
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11/19/2008
Phone: (503) 639 -4171 g yl (# I
Inspection Requests (24 Hrs.): (503) 639 -4175 . �!- :_-.
INSPECTION WORKSHEET FOR DATE: 12/2/2008 TIME: 7:00AM PAGE: 32
SITE ADDRESS: 09565 SW MILLEN DR CLASS OF WORK:
SUBDIVISION: COPPER CREEK STAGE 3 LOT #: 087 TYPE OF USE:
PROJECT NAME: GARRISON
DESCRIPTION: Replace gas furnace.
OWNER: GARRISON, KEN PHONE #: 503- 538 -1950
CONTRACTOR: FOUR SEASONS HEATING & NC INC. PHONE #: 503 - 538 -1950
Inspection Request Scheduled For: Date: 12/2/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
•
610 Gas line 078538 -01 503.639 -5070 N
Corrections /Comments /Instructions:
NO 0 Al25 C.2, -t- S gt.-
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL F O ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ZA Date: P2- -- - G Phone #: (503) 718 - _ eic