Permit CITY TIGARD MECHANICAL PERMIT
i D EVELOPMENT SERVICES PERMIT #: MEC2006 - 10010
i �I DATE ISSUED: 3/3/2006
13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 PARCEL: 2S111 DC - 13000
SITE ADDRESS: 15935 SW OAK MEADOW LN ZONING: R -7
SUBDIVISION: SUMMERFIELD NO.11 LOT: 626 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:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
LELA CHRISTENSEN Description Date Amount
15935 SW OAK MEADOW LN
TIGARD, OR 97224 [MECH] Permit Fee 3/31/200E $72.50
[TAX] 8% State Surcha 3/31/200E $5.80
Total $78.30
Phone: 503- 624 -0282
Contractor:
OREGON HEATING + NC INC •
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Contact #: PRI • 503 -538 -2953
FAX 503 -537 -2172
Reg #: LIC 125815
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. •
Issued By: -70�� Vey 13-13 Permittee Signature: . 3_,,tt a\„\„
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
•
;r- a RECEIVE') '
Mechanical Permit 4 I 1 F OR OFFICE USE ONLY ��yy' •
City of Tigard
13125 SW Hall Blvd., Tigara, OR Reoeiveal
o-etr�ay 2 /Db M PermitNo.mE 6 � /DO / A
Plan Review
Rev o Permit
Phone: 503.639.4171 Fax: 5013 TV N OF TIGARD G DIVISION � `i {I I P a n R ev
Ready/13y: Inspection Line: 503.639.4175 ■ {� ti 1 i Date ReaC'! 0 See Page z for
Internet: www.ci.t1gard.or.us er ' Natiied' Mctbod: Supplemental Information
Mechanical pe • based on the value of the work
❑ New construction Additionialteration /replacement performed.. Indicate the value (rounded to the nearest dollar) of all
❑ Defisolitioa ❑Ogler: j
m echanical materials. equipment, labor, overhead, and profit.
Value'
:..: .< ,;:.,. ..:•. .; : :., , - : : : ".CA E GQR� ; O$, CONST ,:: :' .. ` ` :,. , a, • „ . _ ... _ . .:... ': . . ':, , RESYDENTLIL'EQUIPhiENT I ,
1- and 2-family dwelling ❑ Cot�merciaUindustrial El Accessory building For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. J Total
'p�b TIOl)I '`
'�'�' Hearing/cooling
�_ ' Air conditioning or heat pump
Job site address: i th3 a 1 D a (requires siteplao showing placement) I 14.00 I L4_,.. City' /State/ZIP: 1 9 at i Furnace 100,000 BTU (duets/vents) L ! 14.00
l �� �7 Furnace 100,000+ BTU (dvctsfvents) 1
Suiteroldg.iapt no.: I Project name: Gas heat pump I 14.00
Cross street/directions to job site: Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or •
hvdronic) 14.00 .
Unit heaters (fuel -type, not electric),
in -wall, in-duct, suspended, etc. 10.00
Flue/vent for any of above 10.00 I •
Subdivision I Lot no.:
• Other l 10.00
Tax map /parcel no.: fuel appliances .
F ......:::.:.. '.::. _ _ t ,..._ r ,' �,•. =- ::�:a� = ; heater 1000 ')
Other p
.. _?..�`;:. .c ".;. W ater
?; i C=- _ '.�n;�CR )t x � �l�?� ' • %'d ��� , l .,: c'” ..d:: L'
- ,'4." r l : � z: y il ; 'Y'Fa 1' ;: Y� Qq . .:�.:� - .y:..._.,. -_ r . .�r,:. 'efs - 7x:i =J:a :•i ''�31 4�:?E�; .i:C"i..cy I 10.00
x ' -•' ; .. .... . G fire _
, j L € ci . l t i Flue vent for waterheater or gam
' fireplace 10.00
' Log lighter (gas) 10.00
Wood/pellet stove 10.00
• Wood fireplacefinsert 10.
: . t , •�. Chimney/liner /flueJveni 10.00
°.i - .. _.e - - - - .:v ^:x �.:y_d ?I tee;: ', _._ ✓'t.1if .'=�t - 'ii ['_'lgi } a •
Airs _ _;:q -. - !t .. ti .: S; Ek I�'T�S;v. 7107.0, ,:Q4,:..._a'. 10.00 I -
- :f;. �. ;��QPi_lr.'IZ i _ .i c ,-�.��,..., .....- :C.:.i�:1.S r �:.. . .., o... 4.. " other: I
Name: + I��1 s/1 Environmental exhaust and ventilation
Le \ � Ul / /� /� _ • ' A^ Range hood/other kitchen • Address: 1 ✓� � `i tkiC CLditlf) (A ' equipment 10.00 1
City /State /ZIP: pv( ( " I ). Clothes dryer exhaust 10.00 -
,, Single-duct exhaust (bathrooms,
Phone: f ,Ill 09_5(2 .. Fax: ( ) ` + toilet compartments, utility moms 6.80 '
ti .y:F: , ; - 1 ; . " ' t n ... . _ _•..� ?:. __.�:.F_{_ ' .. *' o '71;..,:'x;; Attic /crawlspacefans 10.00 1
, rv`` F /•... • APIP.,... ', �,, ni .. ;�COl`iTd F P ERS lY- ::...
,`e.` ?e: >. 11 . i .z =;'a i?.:....:..a ? Other. 10.00 I -
O
Business name \ I D Il nm �- ., Fuel piping
Contact name. ' `1. Jr Jr 11l �1 S5.40 for first four; $1.00 for each additional
`J Furnace, etc. L
Address: Gas heat pump I
Wall/suspended/unit ended/unit heater
City/State/ZIP: J — , ,.. c . 6 v... � 11. t 1, 5 �
�) � 2� 7 r Water heater
Filmic. S I Fax: l
) � 2 Fireplace
E -mail: • Range .
I,
/ '� J 1 1 N `/' • l-JUn . Clothes dryer (gas)
Business name: /� Other.
Address: , _ ; - . T . 91 S.'.
, -..: - tiLipi: , "L.
t Subtotal
City/StateiZIP: �, � � ti� I L
� � ( Minimum permit fee (572.50)
Phone: • � '�j Fax ; r / � 7 Planreview(25 %of permit feel 41
"� • , t State surcharge (8 io of permit fee) I
CCB lie.: (J�. (8%
p )I ,
TOTAL PERNIIT FEE I
I i
` / This permit application expires if a permit is not obtained within 180
Authorized Si ature: � tl , i. / ^
Print name: �' ' i / 1, �, Date: ' 06 J ' Fee methodology set by 7ri- County Building Indusay Service Board
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CITY OF TIGARD ` -3/2A --7zv/ Yvi&I
BUILDING DIVISION PERMIT #: ZeO6 — /lea/ v
13125 SW Hall Blvd., Tigard, OR 97223 IB A DATE ISSUED:
Phone: (503) 639 -4171 A
Inspection Requests (24 Hrs.): (503) 639 -4175 �' I � -
INSPECTION WORKSHEET FOR DATE: V2- 4 TIME: 11 PAGE:
SITE ADDRESS: / S 3S 00_,16. 019_444. CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: ��^^
OWNER: (.....,214... 6d- op12Ttv)- PHONE #:
CONTRACTOR: erZAVT.e
P HONE #:5-3s,— 2503
Inspection Request Scheduled For: Date: Pour Time: d ab
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments /Instructions:
AlerP f
• 5 , s &le_el yncv,:61 Ltt-6_a.
7) g/Cg-7. I
(/ \ 1\41)
•
A: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
C
Inspector: v& Date: V 2;2 / 41 64 Phone #: (503) 718- D--V-2,1