Permit V CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00740
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/20/2007
PARCEL: 1S134AB-03100
SITE ADDRESS: 11460 SW SPRINGWOOD DR ZONING: R-4.5
SUBDIVISION: ENGLEWOOD LOT: 088 JURISDICTION: TIG
PROJECT: DEGUZMAN
Project Description: Furnace install.
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: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS: 1
Owner: FEES
DEGUZMAN, GREGORIO B + YOLANDA M Description Date Amount
11460 SW SPRINGWOOD DR.
TIGARD, OR 97223 [MECH] Permit Fee 12/20/20( $72.50
[TAX] 8% State Surcha 12/20/20C $5.80
Total $78.30
Phone: 503- 430 -5324
Contractor:
ROSE HEATING CO
9945 NE 6TH DR
PORTLAND, OR 97211 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 283 -5183
FAX 503- 283 -5070
Reg #: LIC 2084
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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: a 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.
y 1' , 119/2007 08:38 5032835070 ROSEHEATING #1423 P.002 /002
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Mechanical 1 th{ t1H1WIU ^ .g r01z Ul I (1. tiL ONI%
City of Tigard . ) T ,d( .x LA Rammed
a„ o , I a e�� • ./ O� L'
13125 SW 110 Blvd_ Tiestd, OR • • trxr/ey
rhonc 50,039.4171 Fax: 503.598 j 7 6 1 T �, OtberPerwie
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ineeden finer 303.634.4173 1 -` 1 _ oy,e 9 - , Savp 1E1 Sty , a air
loran= www.cittgard.orus tainviseini
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❑ No. cOnttuotion k' Additional - , ; , i; Mechanical permit fees' are based on the vaioe of the wok
palmated. L ate the value (rounded to the mow dollar) of WI
13 DetIIo6tion ❑ Other
mechanical ttrsatiais. cgaipmgtl, bbd . v.abcad. sad vivfr.
; ' 4`!'1r' ': '. .''• •'.CATEGORY. olf:C ..:::: ,. _ ' Values
• :.ttEi511 /1 VtIX��RQ dii`r- /SYTIlti»r71 tA''; 1
I- and 2.fmaily dwelling ❑ CommerciaUmduserial 0 Accessary building
for medal Inforinaika use
MI Multi-ramily O Macr builder ❑ Other:
moo^ f Qty l ea. i rotas •' • • . ` • :. •• JOS•:SR'E INFORMATION AND LOciAtai `r ; :`'` : -, ' . - .
. Fleming/cooling
fob site address: 0 / I . , ` Air coatl8taaial or bat pump
pu' A. 41/04 � (mama me rose *emu olosemem) 14.00 r
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Cih'�dZI
tatY: I Ii �. I *► J 1 __ . Forage 100,000 BTU (aomrrveaot) ` 14 -00 1410t
Fnrnce 100.000 BTU (decttnena) 17.90
Suite/bldg./apt no.: O 1 a . 4 `. _ 114_, Gras Ilea* pump 14.00
Cross streetldia'eaices lb job sue: Duct Wank r )4.00
thunie hot water system 14.00
Rcsidrnaal bunts' (ndiatvr cr .
Wrack) 14.00
Unit natal (tueltype, not electric),
in•.•all. ia.dae, riapended. etc. 10.00
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Subdivision: Lot no : Floc/vent for any of above 10.00 .
Other 10.00
Tax map/pared no.: Other reel appliances _
r.- - ' . ' DESCP, fIOl4' OYWORK. 3., , . ... - -• wider heater 10.00
- - Gas fireplace 10.00
Flue vent for water hoar or gas •
ILA / , - 1A1 r . _ greplies 10.00 .
Log War (gas) 10.00
Wood/Della stove 10.00 -
. Wood fzep)re/Am t 10.00
p t►leoraliiEir C+evrrsit :; ; �': .. `.D hritty1rat ::. ,,': ChimaeyilMedihtdveat 10.00
' (hbot t0.00
Name 1 ll , I , Vi ii.L Ai _
ear a_ and ventilation
Address: iEll J ) A , . /� r otherl6grsea 10.00 • equipmaT
City/State/ZIP: . 0, 4 it i i I ^ • Clothes tiger exhaust , 10.00
M �+ Si:ale -duet Wolin (bammoms.
. Fax: ( ) arlet commune:so, smithy Looms) , 080
• ' - - ] Ar.Puc&NX ' • - S •CONTACTS PERSON - - - = : i Auic%ow1epsce tans 10.00
5 _ otbrr 10.00
Badness Darr: Fadplpbg
Contact name: _ ` s t j . ` i g 1 _ S S A Erse four; 51-00 for each addipeaa
Add= f L.6 ‘0-30_ ,
• Gras haymow •
C i t y / S t a t e / 2 1 P : I ' ) i 1 4, 1 / E t {` ' WaWYsaspcndod/raiit heni
Phone: 60 0.2,3 sicx?s) Fax : 602Y as3 ..So/ D - , _ -
E -main tit. :AL / / C 0 ". /.X i ( iii in'tei - • i -
: 'i i::•. _ ('FO Basheeue • .
• Rosiness name -. 0 s / • h l., l QotbcS *Yet ( R u ]
Addres$ f O lie , i pt • " .: ";:14 844CA S6" �
Cay/StatcfZ1F r t; . / if. i ` / Sitbaoal ( , 40
reeler (1S
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� l _ Minimtmpes fee(S7230) f pe !ba. _ Mae ( I 1/ 0, is ( i t.214.7 Y �� _. utt K pew* fee) fee �
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CC81ie j
.; ` lan <« O _ _ s +ime(9%orp.e:11500 jir r ♦ r TOTAL PERMIT FEE (�
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Authorized 5lgnaiw v- 4 .,/ ,' r .a L � days aRak bar bee mesed anompims
Print RIMS' .1 . ,Meir % rdea Dale: jai/hie • Pee mehod.lagy Sat byTr Caouy Otataa7 yService
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CITY OF TIGARD - ..
BUILDING DIVISION PERMIT #: MEC2007 -00740
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/20/2007
Phone: (503) 639 -4171 .IC
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/1Q/2008 TIME: 7 :04AM PAGE: 32
SITE ADDRESS: 11460 SW SPRINGWOOD DR CLASS OF WORK:
SUBDIVISION: ENGLEWOOD LOT #: 088 TYPE OF USE:
PROJECT NAME: DEGUZMAN
DESCRIPTION: Furnace install.
OWNER: DEGUZMAN, GREGORIO B + YOLANDA M, PHONE #: 503-430-6324
CONTRACTOR: ROSE HEATING CO PHONE #: 503 - 283.5183
Inspection Request Scheduled For: Date: 1/14/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
G99 Mechanical final 063131 -01 603 283.5183 N
Corrections/Comments/Instructions:
` ec, L ■ .. - . 7 I • ,, __ • at 4-..._ -
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: I Phone #: (503) 718 - /