Permit A %
' V CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00148
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/15/2007
PARCEL: 25111 CD -07400
SITE ADDRESS: 15720 SW SERENA CT ZONING: R -4.5
SUBDIVISION: KERWOOD ESTATES LOT: 014 JURISDICTION: TIG
PROJECT: MICKLE
Project Description: Install new gas -gas 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:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
MATT MICKLE Description Date Amount
15720 SW SERENA CT
TIGARD, OR 97224 [MECH] Permit Fee 3/15/2007 $72.50
[TAX] 8% State Surchar€ 3/15/2007 $5.80
Total $78.30
Phone: 503- 670 -4780
Contractor:
R C HEATING & AIR CONDITIONING
2345 SE 143RD. AVE.
PORTLAND, OR 97233 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 760 -5940
FAX 503- 760 -9514
Reg #: LIC 123660
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 OU NC by
calling 503.246.6699 or 1.800.332.2344.
Issu By: a .,�/ Permittee Signa A .le / .<
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- - 07 01 :50 PM ROD. CARSON /R. C.HTG &A.0 5037609514 P. 02
M' chanical PermitA i t licatio
p RECEIVE , �, t„ I t ,,,, o
eit of Tigard RECEIVE i � 7 ty Permit No.: /LJ !!L�- 7 /
13(25 SW 50 1[all Bl vd ,'I'i ()K 9SyN7223 19h0 MAR 1 4 20 0 .i g
Phone: 3.639 7 I tlx: 503 Plan R eview
�; I Inspection Line: 5(.11639"4178 Datr111Y; Olha Permit:
Dam Resrly/il
llucrncl: www.ligard�,r•�,�, .11;'/IC y le,
n P 7 fl4 H D Mowir&Mthud
ynvDteaoentrl tnformadon
. � ` II Y'PE or WORK
COMMERCIAL FEE* SCHEDULE - USE '
❑ New construction CI Add itloo/allernlion /rcplacrntent M perm f ees• are based on the value of the word
pioformcd. Indicate the value (rounded to the nearest dollar) of all
Demolition CJ Other: ulechanicll matcria equipment, labor, overlie
act and profit
CATEGORY OF CONS-111111'10N Value; S
RESIDENTIAL EQUIPMENT / SYSTEMS : '� r
®1 and 2 -1 unity dwelling [l [ "ummcrcial /industrial (] Accessory building _ " c
ID Mutfi- fa,t,ily Muster bum, 1 'or" titif ir,f,rmtiem use ch�eekiest.
❑ Other:
Description I Ot L . Total
JOB SITE INFORMATION AND LOCATION
Job site address; 15720 SW Serena Ct. Air conditioning or heat pump r
-- _ -- - - - _. (minims site plan showing placement) 14.00
City /State/ %II': Tigard, OR 97223 Furnace 100,0(( R TU duos/yenta' I 14.00 14.00
Suite/bld ./a 1, nn.: I'rn cl name: rumacc 100,000+ B'ro1(ducta/vcmLs 17.90
1? , ...., Gas heal pump ) 14.1X0
Cross street/directions to job late:
_..__ _ Dm work - 1d.00
I I idrnnic hot water system 14.00
- .° - .. -- Residential boiler (radiator or
hydroulel„ 14,00
• - -- ,. - - Unit heaters (fuel -type, not ciccl e),
—. - - -° in -wall, in -duct, suspended, etc. 10.00
Subdivision: I .nt no.: Finis/vent for any of above 10,00
Omer. _ 10.00
Tax map/parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater
I U.OU
Gas tirep19eu 10.00
Flue vent for wet or gas
[natal! New C2% -(;J >l Furnace fireplace in (II)
•
-,... _ Log lighter (gas) 10.00
- -.... _Wnnd/peIlet stove 10.(x)
Wood fireplace/insert [0.00
® PROPERTY OWNER ____ ❑ TENANT .,� Chimney/finer/Rue/vent
Other: 10.00
Name: Malt Pr
1lekle
10110
.- Environmental exhaust and veoti[at
Address: 15720 SW Serena Ct. Range hood/other kitchen
"-- - - 1 _e uipment 10.00
City /State/7IP: "Tigard, OR 97223 _ Clothes dryer exhaust 10.00
Phone: 503 701!780
• - __ Single -duet exhaust (bathrooms, '
Fax: ( ) I„it cumpanmcttts, utility rooms) 6.80
` ® APPLICANT 0 CONIACT PERSON Attic /crawispacc fans , 10.10
[lusiness name: I4.&. Heating & Air Conditioning, Inc. (llhcr: 1._ I 10.00
- Fuel piping
Contact rime: Rod .1 !or ICclly Carson _ $5.40 for first foot; $1.00 for each additional
- Address: 2341 SE 143 Ave. _ Furnace, etc.
City/Stale/71P; Portland, OR 97233 -- - Gas heat pump
Wall/suspended/unit heater
Theme: (503) 76( -5'140 _ I Fax: (503) 760 -9514 Water heater.
E -mail; rehcat[ngtitcomeaset.net - Fireplace -
t • • - .. Rapp
" ('ON7'RA( "1'UR Iiarbu ue
r
Business name: R.C. ![eating Kt Air Conditioning, Inc. Clothes dryer (gas)
Address; 2345 SE 143 Ave. Other
MECHANICAL PERMIT kt.E. .
City /State/ZIP: Portland, OR 97233 — —_
Subtotal
Phone: (503) 7a1 - 5940 - Tax; (5031 760
Minimum permit fec ($72.50) 72.50
man review 2s% trr r
t :(1.3 he.: 123660 ( le,rr,tt fe
State wn, rgrr c f8 ?/o of permit fee)
( 1 __ TOTAL PRRMIT F'Ll'
Authorized signature: / 2' , ' / is permit application 'spites Ira permit is not ohrained Ilia f
� " �, _ J ��• �� This days after it has been accepted es complete,
R67dn cis . far r) / d3 //q/2 , 7 ,. ,.. --
S.
CITY OF-TIGARD ., ,:
BUILDING DIVISION PERMIT #: MEC2007- 00140
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/16/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 �.' `°'f ��
INSPECTION WORKSHEET FOR DATE: 4/16/2007 TIME: 7 :00AM PAGE: 46
SITE ADDRESS: 16720 SW SERENA CT CLASS OF WORK:
SUBDIVISION: KL:RWOOD ESTATES LOT #: 014 TYPE OF USE:
PROJECT NAME: MICKLE
DESCRIPTION: Install new gas -gas furnace.
OWNER: MICKLE, MATT PHONE #: 503 -6P0 -4180
CONTRACTOR: R C HEATING & AIR CONDITIONING PHONE #: 503 -T60 -5940
Inspection Request Scheduled For: Date: 4/1612007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 046513 -01 503.670.4780 Y (5 / 1 .
Corrections/Comments/Instructions: p ` �J
`i f/ CCi Br . _a z- LLG ".4, / ��! ` J sf1" y i /al �- Go - . Cry Cam/- 7 .— ,
ASS _ ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: f G Phone #: (503) 718 -