Permit C ITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES
PERMIT #: MEC2006 -00089
- ° 'III 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 2/13/2006
PARCEL: 2S 115AD -06801
SITE ADDRESS: 10647 SW RIVER DR ZONING: R -4.5
SUBDIVISION: DOVER LANDING LOT: 051 JURISDICTION: TIG
Project Description: Replace furnace, add A/C unit.
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: 1 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:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
JOHN MOOR Description Date Amount
10647 SW RIVER DR
TIGARD, OR 97224 [MECH] Permit Fee 21131200E $72.50
[TAX] 8% State Surcha 2/13/200E $5.80
Total $78.30
Phone: 503- 330 -2148
Contractor:
PROGRESSIVE AIR
2625 SW PLUM CT
PORTLAND, OR 97219 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 246 -0900
FAX 503- 246 -4443
Reg #: LIC 35227
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.
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Issued By: �, AZ( e; ,U Permittee Signature: j, p \ N o
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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FROM :Progressive Air FAX NO. :503 246 4443 Feb. 13 2006 08:27AM P2
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Mechanical Permit App ' `/ FOR ()rrlCI: USE ONLY
Ci of Tigard �' V ^ Received - /� ! Pernik No ` -
City g 1Datemy_ ^ U 6 Y G _ _ /O 0 • -: •
13125 SW Hall Blvd,, Tigard, OR 97223 Plan Re'
Phone: 503.639.4171 Fax: 503.598.1960 � ' ; �g Other Penair.
Inspection
n Line: 503.639.4175
EB `i . . 1 1 1 Date Ready/gy: . See Paget for
..N
Internet. www.ci.tigard.or.us CITY OF TI - - Notified/Method: SupplementalInfoirmatlou
I SION •
. ,
IFi ;f`:f'nr. ;, I1.C�.g 1 �. rr. �!. 1 . "d,`i:rcr _ :,C.v:�Ci�•I:IiWel�l %dr•'v.a° - �a;� �,:F= `;:'r�r::,;r �:n. :4:x,
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❑ New construction :� Addition/alterarion / replacement Mechanical permit fees' arc based on the value ofthe wdrk
performed_ Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit,
I I A %h' �I l 4 1i iil l l 1 1; i J t ., o i..V, Yti a� 1 ; ' n wr,-r tT R u R $y91 i, Uc .
1 Ill i'f d' Value: $ ..
�'221;;..._2,c.,21.,;,, F .1.111' I 1 . -}l! I_ SI� v f ik, ; f g rf 1 1, .1 �tl ( ,� r aIJJFFIy�(i - ,u I „. y
� �I�a.:� '1 ,_..i. ..�Cr.iK_'N`Sd:isi ^ _ .. ^I s., 3i� n.rfai.,rS l .:y_i �3r✓:`;r !:1 I .. ,. i �1:1:l: .t., g ri tr'r .a r! •
i197'11 Ifs fL� <U ? °,' '� � � .
0 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building
[] Multi-family ❑Master builder ❑ Other: For special Information use checklist.
�wr•{�y' geatin Description I Q. 1 Ea. f Total
Ii1 ;', 1
r (ofIlp,- , 1 r ?I'�'Jx� ^ �I4 � R I tU il : 1 1
1 1] a 1 �i E?1 1r i yl v � rtl . � � g/eooling
Job site address: /66 y 7 ,S CU 1 / Le-C ." 41 e , Air
.e Air conditioning or heat pump G s
/ . (tomes site plan showing placement) t 14.00 / 4•
City/State/ZIP: (! �l rd Q 2 ??6.22_y Furnace 100,000 BTU (duets/vents) j 14.00 ((f• r e
9 / . Furnace 100,000+ STU Num/ rests) • 1 7.90
Suite/bldg. /apt. no.: J Project name: _. Gas heat pump T4.00
Cross street/directions to job site: 6 Ce i 412 /OP --x- I uct work 14.00
Hydronic hot water system 14.00
TLt ez (i41 it j /4 tot.' /J i Residential boiler (radiator or
hydronic) , 14.00 •
Unit heaters (fuel -type, not electric),
in - wall, in -duct, suspended, etc. 10.00
Subdivision: Lot FlueNent for any of above 10.00 ' •
Other: 10.00
Tax map/parcel no.: Other fuel appliances
1[ t.144{ 4 11Pf 1 � lJi 1 1 11'11 ; l r l l;1�^ , f 4 '} I r' 1 u ry n `�n Wr; - 7r'' . q� ;.111T�i� 4� F ,1 � i 'ti r + Water heater 10.00
Il,.41 �I;_� F I ,1 •Lt1. I � 111111.1 2?� M a :ii1,, x'11: :±.11... , I
/ Gas fireplace 10.00
14 e. x v( q l -r r n a e �i 'u y � g 4 Flue vent for water heater or gas
e. l'7`t e c e r. t r 0 A /4 4 c. . (J fireplace 10.00
/�F f Log lighter (gas) 10.00
Wood/pellet stove 10,00
Wood fireplace/insert 10.00
Ill � ,11I ,y r1 !IFi i i r L p ! I I r 4 r V!IaU .`11 4 ,?r, frr '�
1 : "r � 'G 1 +1 i" k t r `l '71r Chinmey/liner /flue/vent 10.00
li vid . 4_1(ri.rli1f,_ : ,'..:*'11�: ,+ J4 .., .. ,')rl l te, � l: l : ',� r1')Ci IS: .r111.Lh! F .lb112. ,_ i....� ,, , ,,,L. 1: v.. i.
Other: 10.00 _
Name: 4 A fit o d r. - ^ Environmental exhaust and ventilation
Range hood/other kitchen •
Address:
l O 6 ti to g Li e & 10.00
City/State✓ZWP: T • a p- I Qie ?7d-.2 y Clothes dryer exhaust 10.00
/ Single-duct exhaust (bathrooms,
Phone: (S'03 ) 3 a . . / Y e Fax: ( ) toilet compartments, utility rooms) 6.80
I� E f f! 1 1 .r 1 ! 1 . r Y I r '4 y'In K .. �, F'�r" a ^• 15 .,l J r 'rrd•'F l
Ifi ' 1 ll1 t Il " 1 1 SIN r i r � 9 i , d+ 1 ' lu I II 1 t � Attic%rawLspace fans 10.00 •
lxi-rn! � i. ;e,k..:..i. � ;_,.I. � 1..... 1L t , �Ss�1 �t�,/ t. �a. d. nG° ��' � '` �. �' 23. 1 .u1_� *17y>S;�i �,..k :�., � r.� 1 '
Business name: �f
Other: 10.00
r o S Sf tie- As Fad piping
Contact name; J 1 „ 6-0 c„ t t. $5.40 for first four; S1.00 for each addidonal
Address: 4 , 4 (..-K -K Furnace. etc.
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Gas heat pump
City/State/ZIP: h o 1 .-1. (a "1 0 ' ??01.!? , Wall/suspended/unit heater
Phone: (s ) a 4r6 - O 90 d f Fax:: (gw3) a Y 6, sic/ Y3 Water heater
/� A /� Fireplace
E -mail:
/� , r E x S ( ✓e Orr, /0(V ASA con, Range
N '+' 1 A n1 '',-,4'.'-V-4',7 J x, : T *i ti ' i I � ', , h 1.h ... --qi , `w - ' �" 7T tl 4 4 T" 11
! 'dZ'!I `+ .I: ' .: P r l Il 1 i 1 Y e'_
l --,l rf,5 -.i . .1 fi�
I :: t 1 Q.?ih Ci„,, 1 x'!,.02',, ? �,;.LsI.ITS': tr 7 . ,, r ? I_.y'1e 4 1.J B
Clothes dryer (gas)
Business came: e . o � r e 5 Sr t.. 'e I t /- .
L.) / Other:
es
Addrs: _ '']] G.
. / 61 / . C Y T , • 4 i rt V u x 1 � ' ,117,-. Iu1
i1 Y'l,! q - f r.11 1 1 r ,�,✓:•:.1t•...p
dr ) i_� C.:.14 ,,:' /' .�iu1.:>.0 .:1 Y ::'•:1-. .
City /State/ZIP: r . ?'`'(ci h 4, Q `
AI < 7a (? Subtotal D
Phone: (�d3) 02 Y6- 6 400 Pax: (,5�. ..2 Y,E, � 4 _ Minimum permit fee ($72,50) ')�.
Plan review (25% of permit fee)
CCB lie.: 2 S „2-,71.7 State surcharge (8% of permit fee) S.$v
_ TOTAL PERMIT FEE 7�.. o
Authorized signatu 11:21„,,,.. 70 This permit aDD iiptlon after xpf es if a permit la not obtained within 180
. O
Print name: � days after it bee been aeeepted as complete.
JA (62..a...,,,, I Date: ca"1 -06 I ' methodology set by7Yi .Cbunty Building Industry Service 'Board
kUtUiidfilt allikAMEGPerenitAnn 171M ..1. ,+T.1,..,r ..............
FROM :Progressive Air FAX NO. :503 246 4443 Feb. 13 2006 08:27AM P3
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CITY OF TIGARD a- . -/-ze�
BUILDING DIVISION PERMIT #: hfl.ta.�lll)Iff?I.Rf)
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 2/13/200t
Phone: (503) 639 -4171 „Ia= 's — ����
Inspection Requests (24 Hrs.): (503) 639 -4175 —� _..
INSPECTION WORKSHEET FOR DATE: 2/16/2006 TIME: 7:07AM PAGE: 16
SITE ADDRESS: 10647 SW RIVER DR CLASS OF WORK:
SUBDIVISION: DOVER LANDING LOT . 051 TYPE OF USE:
PROJECT NAME: MOOR
DESCRIPTION: Replace furnace, add NC unit.
OWNER: MOOR, JOHN PHONE #: 6603-33Q -2I4Q
CONTRACTOR: PROGRESSIVE AIR PHONE #: 603-246 MOO
Inspection Request Scheduled For: Date. ' 2l16t1006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
Gott Mechanical final 027023 01 503.933.1333G N
Corrections /Comments /Instructions:
x/44.44 jiadif S 7 6 7
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(I&I . 1 7 , agii Ire .
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 2 // t -2.-.10, Inspector: Date: � Phone #: (503) 718-