Permit P. i
W n CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00572
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/1/2007
PARCEL: 1 S125DB -07000
SITE ADDRESS: 07125 SW SHADY CT ZONING: R
SUBDIVISION: SHADY DELL NO. 2 LOT: 043 JURISDICTION: TIG
PROJECT: STINE
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:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
STINE, THOMAS ROGER AND Description Date Amount
KARTHAS, CYNTHIA
7125 SW SHADY CT [MECH] Permit Fee 10/1/2007 $72.50
TIGARD, OR 97223 [TAX] 8% State Surcha 10/1/2007 $5.80
Total $78.30
Phone: 503- 246 -9418
Contractor:
SUNSET HEATING & COOLING
0607 SW IDAHO ST.
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.
i Issued B J 4 i � i/ J /// Permittee Signature: •-.__.12_,Q., I t / r t
day.
503.639.4175 by 7:00 a.m. for inspections that business d y. ll
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.
Sep 30 07 02:40p p• 2
1.01t 1)1111 I. 1 �1 ()\11.\ Mechaln Permit a Data p RrnitNo.: EGZGU - • At
City of Tigard Rec I D I S�
VEVA Other Permit:
OR 97223 {� Plan Review 13125 SW Hall Blvd., Tigard, f f3CED1
, ., t � I Date/By:
Phone: 503.639.4171 Fax: 503.598.196 (,1 See Page 2 for
U` I l I Date Ready
. /By: See a g e 2 Information
In terne t : ww .or.tis QC� ° V Notified/Method: Mill
Internet: www.ci- tigard.or.us W ®F VieR , 6v
av rznwa,F'4rnsrtms� �i' e:y
e , e ; z . , J r + � y a r �, t ,.�7 �^'�. y ITV y` y �' t •a � tv ?
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at u Mechanical permit fees* are baud on the value of the work
- � �� � � � kd,4 �� ry .,, . - s. ,. sue. Y � ?,^r �• performed. indicate the value (rounded to the nearest dollar) of all
❑ New construction ® Addition/alteration/replacement
mechanical materials equipment, labor, overhead, and profit
❑ Demolition ❑Other ,� Value S,
, f . L. •-^i- y,,, -� Asti :', :v-- vs'i.aI .` T; h 3 § - 1 ''x;.��, „ ° _ ,m i tt ` } " w� ^ ' -w =TB . vz \ rim i " Fr-p a -; c *:i
u, i ^v , it �('e -3.� r �..P : S.' . -�Y.�u rv: zap �_J+. E . . : .h , ^;i..�. ��� ###''''''''' a2V ,, :iy : a.i . ... ..�r r{-.
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:i_'t- ��.�97tw'iS./"::C . °'.., a p, -
M I- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist.
Multi - family 0 Master builder
Other: Description , Qty. I Ea. 1 Total
:qr , 4 �c , ,.t 11, k r,,, PIV•4• ni zn.i37. 't'.i ..11 -r . A . I{eatial ltooliaR
*2 ti • -M? i r r t ‘: t ° I.5 3 r ,r,•'• t. ,., - ' a .4 `
f" ° _" Air conditioning o h eat pump
""1"-t'' 'tt. ` ° � - +'�"' . ,mss , t174 e, t o -. LS placement) 14.00
� (requires site plan showing P
ra •' I �� y ' 4 ,
Job site address: (� 2._`.5 �� 1 'u Furnace 100,000 BTU (ducts/vents) 14.00 i l:r `
Furnace 100,000+ BTU ( ducts/vents) 17.90
- Project name: r` 'y�l Gas heat pump 14.00
Suite/bldg./apt. no.: Duct work 14.00
Cross street/directions to job site: Hydronic hot water system 14.00
Residential boiler (radiator or 14.00
hydronic)
Unit heaters (fuel -type, not electric), 10.00
in -wall, in -duct, suspended. etc.
Flue/vent for any of above 10.00
Subdivision:
Lot no.: Other. 10.00
Other fuel appliances
Tax map/parcel no.: 1.% Water heater 10.00
} - m ; ' rR a �„�a, � 3 ' . t. ti x. , r p as firep 10.00
'. c5.61 sr5 ` - Ham. lace
Flue vent for water heater or gas 10.00
1.1;:i i L,4 L l (t l fireplace
Log lighter (gas) 10 -00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
Chimney/liner /flue /vent 10.00
_ iw' ,13 ti, _.,.,, :,c• ';., g„ 10.00
..;,; .:s:._ �. - ..,,,_ - i 4 " -4n,: : :r !'•Y �S l . ' ;.t , a.,,,r' = x,M „s:a'A'''''''' Other:
„ .;: r,+fi.h' 1 - , �, r e.4;1 P�,., $stk�:��.>
Environmental exhaust and ventilation
Name: n - Range hood/other kitchen
jj - Ce I. i r• 1 ) k � , equipment 10.00
Address: l �
Clothes dryer exhaust 10.00
City /State/Z[P: - a 4 �, Single -duct exhaust (bathrooms,
Phone:
toilet compartments, utility rooms) 6.80
• L ,. Fax- )
(��) �- ��"� {> � 2 L I' ( 7-1' _.,�•,� °,�. �b Attic/crawlspace fans 10.00
�, vz y . r> ) q D 4r a 10.00
�,r V',�r�t.� a , r? :t � ..�5w,�� . ha.. Other. I
Business name: Fuel piping
SS.40 for first four; 51.00 for each additional
Contact name: Furnace, etc.
Address: Gas heat pump
Wall/suspended/unit heater
City /State/ZIP: (( Water heater
Phone: ( ) l Fax: ' ( ) Fireplace
E -mail: , Range
ii. `''';,> ° a ', .. te' s , a , »w . °",? x ,y', .. +, Y,e ,ii ?.e, -.•ti p,711 B k: ., I.; � � Clothes dryer
Business name: Sunset Heating and Cooling
Other
Address: 0607 SW Idaho Street 3 �t e.1,iiii. <. :Ssi. ,,,, v +;.:.0. -)„ x+3 ,, ixi
Subtotal Rt..�
City /State/ZIP: Portland, OR 97239 Minimum permit fce (ub
Phone: (503) 234 -0611 1 Fax: (503) 234-0439 Plan review (25% of permit fee)
State surcharge (8% of permit fee) S
CCB tic.: 161085 TOTAL PERMIT FEE Sf
This permit application expires if a permit is not obtained within ISO C5H r - I days after it has been accepted as complete.
Authorized signature.
I Date: C! t,�- l • Fee methodology set by Tri -County Building Industry Service Board
I Print name: Shauna D
iABuilding\PennitAvlEC- PermirApp. 12/03
440 -46t7T (t t/07JCOM/WEB)
V
CITY OF_ /GARD
BUILDING DIVISION PERMIT #: MEC2007•00572
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10111'2007
Phone: (503) 639- 4171°I�l
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2/29/2008 TIME: 7:03AM PAGE: 5
SITE ADDRESS: 07125 SW SHADY CT CLASS OF WORK:
SUBDIVISION: SHADY DELL NO. 2 LOT #: 043 TYPE OF USE:
PROJECT NAME: STINE
DESCRIPTION: Replace furnace.
OWNER: STINE, THOMAS ROGER AND, PHONE #: G03- 246.9418
CONTRACTOR: SUNSET HEATING & COOLING PHONE #: 'St1:5-234-0G11
Inspection Request Scheduled For: Date: 2/2912000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
693 Mechanical final 0�.�580&01 603.246.941f3 N
Corrections /Comments/ Instructions:
'� (341- 1 Ia -9 itec L -# 5 /4-� /2 2. - , , r t'nj, -
r ee
aiL r Si 1.0 3 t �o .f .:� �o /..,_ .
- 047-At,Q,
PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
II] FAIL A CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: "--- Z.9-e, Phone #: (503) 718-