Permit el
CITY TIGARD MECHANICAL PERMIT
IA DEVELOPMENT SERVICES PERMIT #: MEC2006 -00461
DATE ISSUED: 9/29/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S103DB -02700
SITE ADDRESS: 11390 SW NOVA CT ZONING: R -4.5
SUBDIVISION: GENESIS LOT: 003 JURISDICTION: TIG
Project Description: Replace 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:
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
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
CONNIE GECK Description Date Amount
11390 SW NOVA CT
TIGARD, OR 97223 [MECH] Permit Fee 91291200E $72.50
[TAX] 8% State Surcha 91291200E $5.80
Total $78.30
Phone: 503- 620 -5054
Contractor:
OREGON HEATING + A/C INC
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -538 -2953
FAX 503 -537 -2172
Reg #: LIC 125815
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: { s),
✓ 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.
Sep N. 06 09:07a MS Rentals, Inc. 503 - 537 -2172 P.l
Mechanical Permit Ap lietict>tz iit
FOR OFFICE USE..ONLY
City of Tigard –
Received 1. Permit ;,:o.: r t de fJ 7 t
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 SEP 2 9 r .N Date/By: Other Permit:
Inspection Line: 503.639.4175 jilli ' { ,I 1 - Dale Ready /By: Juris: E7 See Page 2 for
Internet: www.ci.tigard.or.us a Notified:Method: Supplemental Information
WiET- OVW0RIC�'' ! ! : e 0 r' . COMMERCIAL FEE* SCHEDULE 1 SE CHECKLIST
Mechanical permit fees arc based on the value of the work
El New construction ® Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. • CATEGORY OF CONSTRUCTION . • Value: $
RESIDENTIAL.EQUIPMENT / SYSTEMS FEES *.
® I- and 2 - family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist
❑ Multi - family ❑ Master builder ❑ Other. Description Qty. I Ea. I Total
_JOB SITE INFORMATION AND LOCATION .. . Heating/cooling
�� j, r Air conditioning or heat pump
Job site address:
i I In - �;,, . I\ , L `(!(1 C3- (requires site plan showing placement) 14.00
City/State /ZiP: j C Furnace 100,000 BTU (ducts/vents) i 14.00
J Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: Lot no.: Flue/vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
... DESCRIPTION r
. - _ . ESCRH'TION OF, WORK
Water heater •
r Gas fireplace 10.00
r \i � C Flue vent for water heater or gas
fireplace 10.00
-C G ( C t Ct. I i )C C(. Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
' ; PROPERTY' OWNER ;: .:: • :..❑ TENANT .. met /flue/vent
Chimney 10.00
Other 10.00
Name: (, f" l' .) l t, (—,( -- (v . Environmental exhaust and ventilation
i ; - Range hood/other kitchen
Address:
I : ^1 t ( ; `1; „ k ; l ! i, t ! ( 1 , equipment 10.00
City/State /ZIP: *. T r >. '' l , / '',y\ Cl--; r1.77),:7) Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (t5L $) 6 �,1, '. aL. . " F ax : ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON t craw p ce fans
A is a 10.00
Other: 10.00
Business name: Oregon Heating and Air Conditioning Fucl r m
Pip g
Contact name: i Jyx, iv $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: PO Box 397 Gas heat pump
City/State /ZIP: Dundee OR 97115 Wall /suspended /unit heater
Phone: (503) 538 -2953 Fax:: (503) 537 -2712 Water heater
Fireplace
E -mail: rashelle @oregonheating.com Range
• . CONTRACTOR . • Barbecue
Business name: Oregon Heating and Air Conditioning Clothes dryer (gas)
Other:
Address: PO Box 397 MECHANICAL PERMIT FEES* : "
•
City/State /ZIP: Dundee OR 97115 Subtotal
Minimum permit fee ($72.50) —] ,5C'
Phone: (503) 538 -2953 Fax: (503) 537 -2712 Plan review (25% of permit fee)
CCB lie.: 125185 State surcharge (8% of permit fee) 5 (_,.
TOTAL PERMIT FEE '7 --; r ' ,
Authorized signature: .t_� i5, 11 1' (1)„.1\t)"_...., This permit application expires if a permit is not obtained within 180
y - :�;, days after it has been accepted as complete.
Print name: 6, 4_, 1 A'�� 1 ,,,c 1 .1,,,,,,—,.., 1 I Date: °! - aC1 -1 .,[. ' Fee methodology set by Tri- County Building Industry Service Board
i:\ Building \Pcrmits\MEC- Pcrmi•App.dnc 12/03 440 -4617T ( I U'02.'COM'WEn)
CITY OF TIGARD ir
BUILDING DIVISION P ERMIT #: MEC2006 -00461
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/29/2005
Phone: (503) 639 -4171 _*OVA ,t I I �d
Inspection Requests (24 Hrs.): (503) 639 -4175 c�"+■ IL.
INSPECTION WORKSHEET FOR DATE: 10//2/2006 TIME: 7 01AM PAGE: 55
SITE ADDRESS: 11390 SW NOVA CT CLASS OF WORK:
SUBDIVISION: GENESIS LOT #: 003 TYPE OF USE:
PROJECT NAME: GECK
DESCRIPTION: R furnace.
OWNER: GECK, CONNIE PHONE #: 50a 52.G 5054
CONTRACTOR: OREGON HEATING + A/C INC PHONE #: 503..533.2953
Inspection Request Scheduled For: Date: 10/12/2006 Pour Time:
Code_ # Inspection Description Confirm # Contact # Message
699 Mechanical final 038068 -01 50:.538 -2953 V
Corrections /Comments /Instructions:
PASS n PARTIAL APPROVAL I I CANCEL I I NO ACCESS
FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date:f� — «e4 Phone #: (503) 718-