Permit CITY OF TIGARD MECHANICAL PERMIT
�.j DEVELOPMENT SERVICES PERMIT #: MEC2005 -00822
- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE I 1 5103 005
PAARCRC : 2S 103CC -02100
SITE ADDRESS: 12060 SW ROSE VISTA DR ZONING: R-4.5
SUBDIVISION: COLONIAL VIEW LOT: 016 JURISDICTION: TIG
Project Description: 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:
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: .1
Owner: FEES
KENNETH G. BRIEN Description Date Amount
12060 SW ROSS VISTA DR ' [MECH] Permit Fee 12/14/20C $72.50
TIGARD, OR 97223 [TAX] 8% State Surchar€ 12114/20C $5.80
Phone: 503 - 570 - 0870 Total $78.30
Contractor:
SUN GLOW INC
2428 SE 105TH AVE REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97216
Contact #: PRI 503 253 - 7789
FAX 503 253 - 7693
Reg #: LIC 48131
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: jR MAI 1v At Permittee Signature: S eC A PPL 1 ch r/O f‘i
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.
K
i `' 12/13/2005 12:23 5032537693 SUN GLOW INC PAGE 01
14echauical Permit AngLation rc)R 071 f( I.1.SF. (J'• i.,
City of Tigard V E �/ Received -/3 J Y..it No.' ECU/OS: 00 8 7 Z
13125 SW Hall Blvd.. Tigard. OR 97223 Han Review ()tiler Perms 503.639.4171 Fan 503.598.1960 • r ; Date :ey'. 0 Se:t'aReilhr
Inspection Line: 503.639.4175 DEC 13 21 . i L1ateRea it
Irltanct: www.ci.tigatd.ormt NotiliiediMethed /X S , j tnlhrmetrot,
CITY OF TIGARD
r.": � `Nr Y.�.S� x�.ri�:'•t� 6 :�' c ") ^ 4. : • :- �'�`r; >. ' �� .:n.i ~ •c:.a• :',i iw•.��w: ,
_k • . .:f( '•' �7a .. r'.:C?� r .. r " J'%.•.• � ,.:.i � , ... , . f M l a . permit .•,. .: arc the
. r.�,. .ri7: r •. q tr: • � n:.�....'i'�' .. '.;' o f ..... • ..�,.. ' , : n.. , � s � hlf of work
..n., •,. . . � v {.. •.,: . ,....: •.: �. pepermit j'eeR based Vn the W
Ot
CI New construction CV Addition/alteration/replacement performed. Indicaic the value (rounded to the dourest dollar) of all
0 Demolition Other. kal materials. e@npma t. overhead, profit.
nret$a1i` � O ea • ; ,}�, Gr ^iiq'rV " •: le s i r '^s',6. •: 'v:N r : i'V. w 1: ..,, t 1 tte!",?•,,,Ati
W[ 1- and 2 family dwelling ❑ Commercial/industrial. ❑ Accessary building
For special information use checklist,
o Multi - family ❑ Master builder ❑ Other: Description J Qty. I Ea. L Total
»;
.:: ?'��s : - ;�,:',: . -., i'ataiA,. r:. r -"•� <• Air conditioning or heat pump
kb site address: IZQ 1(20 ` 5 W 4 V L V7' ' - S+ • (r5eises site plan showing placement) , I 1.1.00
City/StateJZIP• " a „ _ 012- g. -3-2.-2-3 F urnace 100.0OOR11. I 14.00 Ili
Furnace 100_0004 Fail 1.1%Mo' cruvr 1790
Suite/bldg./apt. no.: Project name: Gras heal puny) 14.00
Cross slrrxUdirectiona to job site:
Duet work 14,00
Hvdronrc hest water ev?tetn J 4.410
Residential baler (radiator or
bv°drt nic) 14,00
Unit heaters (fuel -type, not electric),
in-ualL in-duct, mispenclr d. cir. - 10.00
_ any' of for a of above I 10.00 1,0
Subdivision: Lot no.• Other: , 10.00
Tax map /parcel no.: Other fuel nv pliances
!}:i.
: , y � , .a. *. i,, .:��•. •!• ,.�, a :^,2 i , r i . ) , ; :.� >F•r;i; %xf• Water as ereplac heater _ 10.00 10.00 r
>� . . �. y.r1 .: '� e ms: : , ` '., ..
r Flue vent for wrier banter or gas
c 10.00
1 4 .. - Log lighter (1t`L., WOO
Wood ` pellet Rost 10.00 i
• ' Wtvxl fere,laee:iiltert 10.00
n• Chimne} liner.11ue vertu 10.00
k ° t - i ;
'+a! �°I4
jt'� ;�* :iii! � : ;.,. ; 'r " `.• ;,
• /•yy���� 10.10
�' {4...P•�'. is i ^• , :.F' 1 A.r "i'�. • LL ' ar� Y '.' :
Name: , n n.e....j-a Em oumentalcshatitt and ventilation
Range hood/other kitchen
Addreta: t .j,/V p or_o, V ( . • equipmenM ►sYadmttst 1 10.00
Snigle-duct exhaust (bathrooms,
Phone:
Fax: ( ) , toilet 05+artments, utility rooms) 6.80
• : >•;. tit'• a r' y /� :e• "W i s.ii%; :4 Atriecranisineefain 10.00
s.5}k � R••: 1 ,i +F' �. ' Y h � � a'':.(�x£c• , :•�.' ° +�3 .. . �•• � •.t? ^; ...r 10.00
Business name: •
Furl piping Contact name'. _ SUN GLOW, INC. SA.40 for firer four: $1.00 fur each additional
Heating & Air Conditioning Farnatx. etc t
Address: 2428 SE 105th Ave. Portland, OR 97216 eiaa heal pump
City/Stale/ZIP: (503) 253-7789 FAX (503) 253.7693 • Wall.'Anspended unit healer
—
4 Far:: ( ) Water healer
Phone: ( ell �[ /� /� •-' Fir-place
-mail: ` gill r \e 55� I OU) ' ) L• C 1L1relro
,: _;:5� -;'" r .a y r ,, ; :.•.� . •_. ‘'.'"7 • ` , ye , :�, 4 , : :: ,: •{4�xt ° °;f ia _,. , y : Barbecue i_. •..,Y'..
'-. \�,.: - •:- � :n:rRk::::� � ::•.?:; .t.:. r.. .:. ... �
_.. .. 1. •.•+. .. . i•V.�.. •4
.,.: :.••.. ♦ ... "'r f}
Clotho dryer lops)
Businour name: Other
_ c j Q..bOV� ,•.. . {. ..�.
AddreaR: e }�''.4`IA ��i "i�•vJ_ er a ..��,:� - ,` x � '•.° f!• lrR� i, . ic'r : \'r'.
CitylState /LiP:
Minirnlrm permit fee ($72.50) 2,:. t)
Phone: ( ) I Fax: ( ) _ Plan review (25°.5 of permit leo) ` �`
CC � 0 lic.: ( �) � Sure surcharge rehargc of permit fee) !Jr
1 /Mr/ r ` TOTAL PERMIT FEE d O
i . This permit opp lc46 s If a mums r cnpi mums is het °bud in 180
Authorized signature: � r.�. ilm dop Broth r
tat been cgdea as complete.
iPrint name:
Y , . : , 1 1 � • Foe rnednlaBy set by Tri- County Beading 'Industry Service Board
li Y
ieaoleits \PereibkMEC- Poornimpp.doo 17m9 440.4617T(lttm/t:OM/WU3)
•
CITY OF TIGARD
' BUILDING DIVISION PERMIT #: MEC200 -00822
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 12/14/2005
Phone: (503) 639 -4171 1 y 'f
Inspection Requests (24 Hrs.): (503) 639 -4175 F__..
INSPECTION WORKSHEET FOR DATE: 1/4/2006 TIME: 6:59AM PAGE: 53
SITE ADDRESS: 12060 SW ROSE VISTA DR CLASS OF WORK:
SUBDIVISION: COLONIAL. VIEW LOT #: 016 TYPE OF USE:
PROJECT NAME: BRIEN
DESCRIPTION: Furnace
OWNER: BRIEN, KENNETH PHONE #: 503 -570 -0870
CONTRACTOR: SUN GLOW INC PHONE #: 503.253 -7709
Inspection Request Scheduled For: Date: 1/4/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 024325-01 503-253-7789 Y PM
Corrections /Comments /Instructions:
"1 2 /1r14,,Jn z_,,, : e c s--,-
t e'l A evPue bv/.�41- e/cX 3 6 Li? /sz v .i /5
....._. r ,1/
---- ,,_„__ ,,, i
r-1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718- 76 4
-1--144.1(./ „) .