Permit _ r
iii y CITY OF F T I GA I D MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00647
TIGARD • 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/5/2007
PARCEL: 1S133AD-14100
SITE ADDRESS: 12745 SW SORREL DOCK CT ZONING: R -
SUBDIVISION: SUMMER LAKE LOT: 022 JURISDICTION: TIG
PROJECT: KENISTON
Project Description: Replace gas furnace and water heater.
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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: WOODSTOERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1
> 10000 cfm: GAS.OUTLETS: 1
Owner: FEES
KENISTON, JAMES A + JOELYNN Description Date Amount
12745 SW SORREL DOCK
TIGARD, OR 97223 [MECH] Permit Fee 11/5/2007 $72.50
[TAX] 8% State Surcha 11/5/2007 $5.80
Phone: Total $78.30
Contractor:
AAA HEATING & COOLING
2915 NE MLK JR BLVD
PORTLAND, OR 97212 REQUIRED ITEMS AND REPORTS
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Contact #: PRI 503- 284 -2173
FAX 503- 284 -1552
Reg #: LIC 222
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: gl _,, / / /4' , /� l Permittee Signature: ff-7/7 e
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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Erm : 11/05/2007 10:58 #089 P.002/002
FIVED
119111
, ..
Mechanical Permi A '.-. • ii - i (az ( )1 li( 1 I'd um
City of Tigard Received „
Date/Ry: " V a a i i, Penult No.: c... „ 4 ....., 0 _,,,, i
13125 SW Hall Blvd., Tigard, chillY22P 5 2007
Plan Review
11 1 . Phone: 503.639.4171 N .59 67 I ili ARD Date/By: O
„ Inspection ther Permit:
1 ection Line: 503e91115
Date Ready/By: kW gi See Page 2 for
Internet: wvilarditrYLDING DIVISION
' Notified/Method: Supplemental Informadon
EgaEeragg2Ntaanr:::t:*r•WMtggtSkSWSARSSSS 1:= 1
0 New construction Addition/alteration/replacement Mechratical permit fees* are based on the value of the work
performed. Indicate the value (rotmded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit
[ i .7 . , ty "147073 .MMOW. , ..9 , 41E - WATIVI I MAkkarifiligrai l oSiM , Value $
L g I - and 2-family dwelling 0 Commercial/industrial 0 Accessory building -
For special kfontradon use checklist.
0 Multi-family 0 Master builder 0 Other:
Description I Qty. I Ea. 1 Total
IVORNIZOIA:LakTAMNYKsTIMEER . Heatin gtemling
Air conditioning or heat pump
Job site address: yvv.4 c 5i 5,, pc,,...v_ c4-- (VQ1lirCS site plan showing placement) 14.00
City/State/ZIP: T • A Furnace 100,000 Ecru (dusts/vents) 1 14.00 19
Furnace 100,000+ BTU (dueu/vents) 17.90
Suite/bldg./apt. no.: I Project name:
Gas heat pump 14.00
Cross street/directions to job site: „ Duct work 14.00
Hydronic hot water system _ 14.00
• Residential boils' (radiator or
hydronic) 14.00
Unit heaters (fuel-type, not electric),
in-wall, in-duct, suspended, etc. 10.00
Flue/vent for any of above , I ,_ 10.00 go
Subdivision: I Lot no.:
Other: 10.00
Tax map/parcel no.:
Other fuel appliances
VI_Oltatifeilfrt Z.47 - heater / 10.00 / o
Gas fireplace .., 10.00 i
4 t...s , f,...,.......- A i ...., t P., I/ Flue vent for water heater or gas ,
le 44-4 kr f e-ct i a fireplace 10.00
Log lighter 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
10.00 .
&__ - ,10. : ,1,1 7 i 1- 1 0 3, 0 0 , :z Chimney/liner/fluelvent .
10.00 _
.
Name: C.J Gk.-NI-4U Environmental exhaust and ventilation
Range hood/other kitchen
Address: kr) ,.. s s 4.,0 S',:.“ ,r,t O. c 4-- equipment 10.00 , l l
. ,
City/State/ZIP: Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) . toilet corn meats, utility rooms) 6.80
:11;..-:: 007 tif -; - AtdcicniwisPace fans 10.00 _ ..
Other: 10.00 .0
Business name:
Fuel piping
Contact name: jja c f .4. .2 1 A. 55.40 for first four; $1.00 for each additional
Furnace. etc.
Address: Gs.f 44./0/
Gas heat pump
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City/State/ZIP:
Wall/suspendedAmit heater
Phone: ( ) Fax: : ( ) Water heater -1
Fireplace
E-mail:
Range
afift.FAV.inggiFiReke.C* t rgfPacgMititWMIKW: Barbecue
Business name: AFlik. Vt_ea- (4ppluai Clothes dryer (gas)
Other:
Address: 2ct ( V\ , I A e i2 L./
7
_
City/State/ZIP: p 4.4. [p p_ o 21 z....
_
Subtotal 'V-/
Ph°ne: ( ' WA "'• •-k / I Fax: (t 2- minimum permit fee (572.50) 723:42
Plan review (25% of permit fee) . .
2.
CCB lic.: ao /0 A7 0 , 9
State surcharge QM of permit fee) c v. _ •
TOTAL PERMIT FEE _ 76
Authorized si This permit application expires If • permit Is not obtained within 180 •
gnature:
days after It has been accepted as complete. .
•
I Print rtame:Aii44_ 9, ( L . V.- I Date: 11....% --In I . Fee methodology set by Tri-County Building Industry Service &mud :1
CITY OrTIGARD
BUILDING DIVISION PERMIT #: MEC2007- 00647
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/5/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ''I �
INSPECTION WORKSHEET FOR DATE: 12/18/2007 TIME: 7 PAGE: 66
SITE ADDRESS: 12745 SW SORREL DOCK CT CLASS OF WORK:
•- SUBDIVISION: SUMMER LAKE LOT #: 022 TYPE OF USE:
PROJECT NAME: KENISTON
DESCRIPTION: Replace gas furnace and water heater.
OWNER: KENISTON, JAMES A + JOELYNN, PHONE #: not available
CONTRACTOR: AAA HEATING & COOLING PHONE #: 503 -284 -2173
Inspection Request Scheduled For: Date: 12/1W2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 061702 -01 503-284-2173 Y
Corrections /Comments /Instructions:
e riep cqL, L iivo ti ,EL -4 — 5 1 ¢ o 4e--J4 f>i-/LCvzv' / i=z /-,S
____45k,-,..._... � %.Lg L
❑ ASS El PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL gy, CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/ /
Inspector: Date: /g---1i---7 Phone #: (503) 71<