Permit q CITY OF TIGARD MECHANICAL PERMIT
IIIIII ' °� COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00178
T I G A R D 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/9/2008
PARCEL: 200600
SITE ADDRESS: 08655 SW PINEBROOK ST ZONING: R-4.5
SUBDIVISION: PINEBROOK TERRACE LOT: 003 JURISDICTION: TIG
PROJECT: SMITH
Project Description: Installing 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:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
NANCY SMITH Description Date Amount
16730 SW JORDAN WAY
KING CITY, OR 97224 [MECH] Permit Fee 4/8/2008 $72.50
[TAX] 12% State Surch 4/8/2008 $8.70
Total $81.20
Phone: 503- 639 -7050
Contractor:
ADVANCED HEATING & AIR COND
5825 SE FOSTER
PORTLAND, OR 97206 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 - 774 -0161
FAX 503- 774 -4391
Reg #: LIC 98573
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: % ittee Signature: ����C.--'7�
L � �
Call 503.63'.' 175 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.
Apr 08 2008 3:53PM ADVANCED HEATING 5037744391 p.2
Mechanical Permit Application, Col( OFFICE IIS r. ONLY
City Of Tigard 'teethed
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13125 SW Hall Blvd, Tigard, OR 47213
Phone: 503.639.4171 Fax: 50.7391.960 Plan " OaavPto++tit ■ bawd= Line: 503.639.417S - • , . Daffy'
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a Air conditioning or hat pomp
reg ekeaaitephashefi3 RD bceteea t) 14.00
City/State ZIP: ! /,4/'� q'aa/ i Furnace 100 ' , 0 BTU dmvhemi 14.00
Furnace 100i000+ BTU (dsuar.ear9) 17.90
SoAladb)dgltrpt no.: Project mum= sy3,) ! Gas hat pump 14.00
Cross streee/due Lions WO) site ■ Duct work • 14.00
.. -_ . _ .. i Hydntxiic hot water ryoiett1 14.00
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Eta ide ctial boiler (radiator or
■ hydrant) 14.00
• Unit heaters (frail -type, not electric),
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in -wan, induct, suspended, eta. 10.00
Subdivision I Lot no.: Fiuehrent for any of above 10.00
Tax taap/pateel Ma: 10.00
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oar fireplace 10.00 ,
� ,,, / _ / • 1 Flue vent for water heater or gas
`ei /�;GCJ / La Gre -lace g 10.00
Los 1(Rhter (gar) 1 0.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
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10.00
thaw � v ..., ' :: .L'ggl q; ( C Other: 10.00
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City/9tare Zip /��' a .97,072 , � Clothes 10.00
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,, i�ttss : ; , roller compsranents. eaIIt%moans) 6.130
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Authorized signature: /, [., TOTAL PERMIT FEE i Z0
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2008.00178
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/9/2008
Phone: (503) 639 -4171 gj�l
Inspection Requests (24 Hrs.): (503) 639 -4175 ' -
INSPECTION WORKSHEET FOR DATE: 4/11/2008 TIME: 7:01AM PAGE: 11
SITE ADDRESS: 08655 SW PINEBROOK ST CLASS OF WORK:
SUBDIVISION: PINEBROOK TERRACE LOT #: 003 TYPE OF USE:
PROJECT NAME: SMITH
DESCRIPTION: Installing furnace.
OWNER: SMITH, NANCY PHONE #: 503- 639-7050
CONTRACTOR: ADVANCED HEATING & AIR COND PHONE #: 503-774 -0161
Inspection Request Scheduled For: Date: 4/11/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 068258 -01 503-7740161 N
Corrections/Comments/ Instructions:
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•
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: —lam /1 g- Phone #: (503) 718-