Permit Er CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00132
•
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/14/2008
PARCEL: 2 S 114 B D - 0 0600
SITE ADDRESS: 09975 SW RIVERWOOD LN ZONING: R -4.5
SUBDIVISION: PICKS LANDING NO.2 LOT: 080 JURISDICTION: TIG
PROJECT: FENDER
Project Description: Replacing gas furnace and piping.
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:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS: 1
Owner: FEES
DWIGHT & PEGGY ANN FENDER Description Date Amount
9975 SW RIVERWOOD LN
TIGARD, OR 97223 [MECH] Permit Fee 3/14/200€ $72.50
[TAX] 12% State Surch 3/14/200€ $8.70
Phone: Total $81.20
Contractor:
A- ACTION HEATING
1 TV HY
ALOHLOH A, , O R 97006 REQUIRED ITEMS AND REPORTS
OR W
Contact #: PRl 503 649 - 3524
FAX 503 - 649 - 6095
Reg #: LIC 78369
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:
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.
Mar 14 08 10:14a A- Action Heating, Inc. 503 - 649 -6095 p.1
S . ,, -.- me..•unaar∎.aa .2' cultist. A Oplica t i p i
- • City of Tigard ` e ived
13125 SW Hall Blvd.. Tigard. OR 97223 Da
� (}� Pt "' "1 Ha: /��%CC}"Lf�t��ClV
_. Phone: 503.639.4171 Fax: 503.598.1960 Plan Review
" Inspection Line: 503.639 "4175 MAR 14 2008 Datr.By: Other Pamir
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Internet www.rigacti.or.gOV Y y min id SeePage1tbr
CITY OF TIGARD Norifieei'Methect Ssppkmerrrai leftwastk
,. ' 'T> °F PAILDING DIV!MN: ..- con> gc z `
x .,sc vile•. •;rse aisr
❑ New construction Addition /alterat ion /replacement Mechanical perm
ermit fees' are based (m the value of the work
1
Demolition CI leer pie formed. indicate the value (rounded to the nearest dollar) of all
mechanical materials ee�uipment, labor, overhead. and profit.
CATEGORY. OF CONSI7QUC(ION . : value: F
I - and 2- family dwelling Q Carnmercial /industrial El Accessory building
s'' El ESTDFATTIAL.EQVIPMENT /SYSTE IS FE'S*
f ] tr}ti- family 0 Master builder D Othcr; For sp c/aluyormairon arse checklist
Description T Qty. I Fa, 1 Total
'' , JOJS S JNFORIvIATION AND LOCATION 1' _ Restinp/cooli
lob site address: �- {' l l V C� 1 \ r „ I /���# 1 / : n , Arr condom/13g rir hest pump °•
t 1 'mil tl .L`JJUU L L (n site plan showing plamnem) J4.00
City /State/ZIP: T 1� 1 22.3 ; Furnace 100.000 BTU (ductoveno) 1 14.00 J ��
Suhe/bJdg./apt. no.: Project name:
pumacl 1 ,00.000 +t37U ( daerr /venro) 17.40
Gas heat pm. 14.00
CMCE street/directions t0 lob site: Duct urottc 10 QQ
14ydronic hot watcr $ ratcm J 14,00 ~
Residential boiler (radiator or
hydrontc) 14.00
•
- Unit heaters (fuel-type, not electric),
in -wart, in -duct. suspended, etc. 14.00
Subdivision: Lot no.: Flue/vent for any of above 6.80 -
Other,
Tax maplparccl no.: _ 10.00
Other fuel appliances j
• • . - , . ' = -- DESCRIPTION OF WORK - -' • - • Water heater t 0.
l � V Q n a / Gus fireplace 10,00
Q Flue vart for water heater or gag
�� \ 1 l Lag lighter 7 � 1 A C' fireplace LOAD
Lag ptexr (has) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.04
P801 J ' 10.00
Chimney/finer/flue/vent
❑ T»A,vlr -,:
. 01,--
Etwar emnentsl erhaa 10.04
Name: ) 1 Envirp and ventilation r
Address: G- �. C( ' 1 y e i ,—„ ,.} 1 ICI cquip hpod/ntticr kitchen
r
� _ ..yll o equipment td_00
City/state/ZIP: 7 �ars 1► —1 Clothes dryer exhaust 10.00
Phone ( Single -duet exhaust (bathrooms,
Fax ( ) toilet compartments, utility rooms) i 6.80
a . APPLICAN'I.- -. ?1, - ` ' . ... ❑ cOMA.G1'•.POPi:..:.'i:, ; Attic/crawlspace Pans 10.00
Business name: O T 10.00
A AGTfON IILATIPIG & A/C Fuel piping
Contact name: 1R74,5 S,W T.V. HWY $5.40 for drat Mar; 51.00 far each additional
Address: ALOHA, OREGON 97009 Farnea - etc. 1 y �:1
City/State/ZIP: Gas heat pump I
Wall/suspended/unit hearer
Phone 5(0g9 ,3 2f f Fax: : 5 b249 , ( 5 Water heater
Email: Fireplace
Range
C!ONI1E44tL1OR ` Barbecue
Business name: A- ACTION HEATING & A/C
Clothes dryer (gas)
Other
Address: 18245 S.W. T.V. HWY
. ... ; f::..:. iVIEct,4Ntcna(; leJiiI1;INIT llEEst::•: -..:: , ... -.
City /State/ZIP: ALOHA, OREGON 97006 subtoel
Phony. ( ) Fax: ( ) Minimum permit fee (572.50) 76---. 5-D' " --) 3 PlanrevieW(25 %afpemit
cos lic.: )
State Surcharge (12 °'0 of permit fee) • -
Authorized signal Ut ' I I
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111Witivneo n.tyrf,.PrnnpAppkttoe OWISV 7 lip• .17T(II i TACOM/WEit)
CITY ( TIGARD •
BUILDING DIVISION PERMIT #: MEC2008-00132
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2008
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/19/2008 TIME: 7:01AM PAGE: 28
SITE ADDRESS: 09976 SW RI VERWOOD LW CLASS OF WORK:
SUBDIVISION: PICKS LANDING NO.2 LOT #: 080 TYPE OF USE:
PROJECT NAME: FENDER
DESCRIPTION: Replacing gas furnace and piping,
OWNER: FENDER, MIGHT & PEGGY ANN PHONE #:
CONTRACTOR: AACTION HEATING PHONE #: b03 649 - 3524
Inspection Request Scheduled For: Date: 3/19/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical find 066939 -01 503.620 -2909 Y
Corrections /Comments/ Instructions:
r%.4 Gu.tAid - 5-- 1 S65 - 7-Z rcea /e
PASS n PARTIAL APPROVAL ❑ CANCEL NO ACCESS
I I FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: -)c'z -e8. Phone #: (503) 718-