Permit CITY TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2006 -00650
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/21/2006
PARCEL: 2S 115AD -05800
SITE ADDRESS: 10734 SW RIVER DR ZONING: R -4.5
SUBDIVISION: DOVER LANDING LOT: 041 JURISDICTION: TIG
Project Description: Replace 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:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
BARBER - BAUMANN, PAMELA L Description Date Amount
10734 SW RIVER DR
TIGARD, OR 97224 [MECH] Permit Fee 12/21/20( $72.50
[TAX] 8% State Surcha 12/21/20( $5.80
Total $78.30
Phone: 503- 639 -4713
Contractor:
SUNSET HEATING & COOLING
0607 SW IDAHO
PORTLAND, OR 97239 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 234 -0611
FAX 503- 234 -0439
Reg #: LIC 161085
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 44% Permittee Signature: d`y a.72101:-
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.
Dec 21 06 11:27a p. 2
a.
Mechanical Permit • , � ' ti fl I, F OFFI(. 1: t ti1•: ON1.1
nit A Received
Date/By: /a /�1 /CI& , Pcrmit�lo. �j � ,o City Of Tigard
13125 SW Mall Blvd., Tigard, OR 972.3 Plan Review pia Permit: Phone: 503.639.4171 Fax. 503.598.1960 /?, I I Date/By: Re ` ®
Inspection Line: 503.639.4175 1 201.;;-447 1- ' ' f � Date ReadyB m y: I Supplemental ePage 2 for
Information
Internet: www.ci.tigard.or.us DEC �+ Notified/Method:
ay ? ��,, ta,�_�t���{ ��.r�i:;. k�..._. �rS''�S�i',GIiECi►Z.YSf.
.
: {' •"�, j ,'• y,+� • e ?`fe' '• ' y ! `'•7.74'• �• . � et J��� . I4Ao �- ' '�4 Y � : 4 ` -
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Mechanical permit fees' are based on the value of the work
❑ New construction ►,1' • .: i. : teratio replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ ❑ mechanical materials, labor. overhead, profit.
Demolition Other
equipment. I
an ro
s cqu p t.
_ Value• S
���,,�. yi ^ �• r-1.
r. - . L.- - r�r %=- �A�ECsO1itY OR >:�t;O , �``� == . � , .:. _. �... i;r.,� �'�'�� ,.. FEE$ .
, - : - •Y,'<:,.•� ",:::!�,;:,, t C(:. , . ,... ,sac., ..� ...,..:.,.� � .d...,. "'Q,.,!�y� �'i'� .
,t.�T' °'.,.:;•... vr. a• �n, w, .cr�^_�l��i+•�•7+.3: <.._:.r.... ,..-- ,..:.
1 - and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
, ,::.,��:.,, .:...:. y�;�x3?;��bx'�= = -;`A1 Heating/cooling
. ,..,._ -, . _......: �:..: ::. JOB= S1�'Ei 2/i+ t�![ D�OC ( �Pi�..., :....::.:..:..:...... ...
�,,' Air conditioning or heat pump
Job site address: 1 Vol 7\. ..7 \i� } y't; 1.) (requires site plan showing placement) 14.00
City /State /ZIP: jl 1 Furnace 100.000 BTU (duets/vents) 1 14.00 ) L-t
lr, 11 11 Furnace 100,000+ BTU (ducts/vents) 1 7.90
Suite/bldg. /apt. no.: I Project name: E LLPI't,''i fl 0 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
Flue/vent for any of above 10.00
Subdivision: I Lot no.: Other: 10.00
Tax map /parcel no.: Other appliances
. ;.<� r:�; "• .,� Water heater 10 UO
rDASC[tIPCIQN "OF�J,V1'OR1��� �:�,; .,,, ? ": ".''
. ....... . Gas fireplace
Flue vent for water heater or gas 10.00
f fireplace
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
.,.: y iner /flue/vent
:•ti; ;'_ ^;.mot FiL!iA li: -- : , .; ,c.• 10.00
... ROYERTY�UA!iVEB; " ., •; _:_ :`• >. Other
Name: f e,A yy\ (3 ir'.iy1 O(. h011 Environmental exhaust and ventilation
�� Range hood/other kitchen
Address: ' i)"7314 .SLi: A )4e -r by equipment 10.00
Clothes dryer exhaust 10.00
City/State/ZIP: i) E l� Single- duct
Phone: (;..3) , C - l.Yr 1 ' Fax ( ) L toilet compartments, utility rooms) 6.80
r , S •••/ 1 P •2/ .(+s ��`.,. P r L t D ,, �•�." y� d'i : 1L s ttidcrawlspace fans 10.00
.;Y�Y.ili,;: 'C.n.. y t ., - o` : M.O. .. 017. u};�1 a
..A]PP�.TCAI! - ::_ ;r_: :........... A 10.00
... ...... Other:
Business name: Fuel piping
Contact name: $5.40 for first four; SI.00 for each additional
Furnace, etc.
Address: Gas heat pump
City /State/ZIP: Wall/suspended/unit heater
Phone: ( ) I Fax: : ( ) Water heater Fireplace
E -mail: Range
'F::ii• " xr.. . .. ; ,; + tr: ,_ ... n , � b .. • :.: ' cr : . ta, '0' . • h Barbecue
' .,VS i i, ' '.t' ,yam .. ; '
4 !'� � � s +�- . ; = �! ??� :LQ�if'Rl��'V�4�?ej , . 2 a'j �;!5 . ,o- ,
�;� ��:U..,,�' e.E t�a;� ��' Clothes dryer (gas) Business name: Sunset Heating and Cooling Other:
Address: 0607 SW Idaho Street ,• . !.:- :41,..A y x, ; iktt •s-' l :
City /State/ZIP: Portland, OR 97239 Subtotal 1 Lt
Minimum permit fee (572.50) idS 0
Phone: (503) 234 -0611 I Fax: (503)234-0439 •
Plan review (25% of permit fee)
CCB lie.: 161085 Stale surcharge (8% of permit fcc) t oU
-
TOTAL PERMIT FEE • 7 g. -.qtr.
This permit application expires if a permit is not obtained within 180
Authorized signature: ( I days after it has been accepted as complete-
. I Print name: Shauna D'Ambrosia I Date: id � ?I 10� I • Fee methodology set by Tri -County Building Industry Service Board
i\ BuildingV 'a M
mits\EC- Pcrmitxpp.doc 1'2/03 440.4617! ( 11/02/COM/WEB) 1
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MEC2006.00650
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/21/2006
Phone: (503) 639 -4171 . �� y _ IIItl'
Inspection Requests (24 Hrs.): (503) 639 -4175 : -� _ �
INSPECTION WORKSHEET FOR DATE: 1/3/2007 TIME: 7 : 07AM PAGE: 38
SITE ADDRESS: 10734 SW RIVER DR CLASS OF WORK:
SUBDIVISION: DOVER LANDING LOT #: 041 TYPE OF USE:
PROJECT NAME: BAUMANN
DESCRIPTION: Replace furnace.
OWNER: BARBER - BAUMANN, PAMELA L, PHONE #: 503- 639 -4713
CONTRACTOR: SUNSET HEATING & COOLING PHONE #: 503- 234 -0611
Inspection Request Scheduled For: Date: 1/3/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 041721 -01 503 -234 -0611 N
Corrections /Comments /Instructions: (C.--f5
e g
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G41P Date: / i' As 7 Phone #: (503) 718 - z-
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MEC�00000
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 17/21/7006
Phone: (503) 639 - 4171 �I�II
Inspection Requests (24 Hrs.): (503) 639 -4175 .._5 ° —
INSPECTION WORKSHEET FOR DATE: 12/29/2006 TIME: 7:00AM PAGE: 44
xwitofret , +oS+"— i - NWt4riAd
SITE ADDRESS: 10734 SW RIVER DR CLASS OF WORK:
SUBDIVISION: DOVER LANDING LOT #: 041 TYPE OF USE:
PROJECT NAME: BAUMANN
DESCRIPTION: Replace furnace.
OWNER: BARBER - BAUMANN, PAMELA L, PHONE #: 503-639-4713
CONTRACTOR: SUNSET HEATING & COOLING PHONE #: 503-234-0511
Inspection Request Scheduled For: Date: 12/29/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 041605~01 503.234 -0611 N
Corrections /Comments /Instructions:
Mt10 L,9 - 3.v - tot > c:,
c, NjD - . ,
E>c. h -c Z2 cy &
t I i z= : 14 JA/4091 / N (
.1 - s 7 P'l "--.
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FA IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: r :HZP Date: / ZVb4 Phone #: (503) 718- 76'7Y