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Permit CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00615 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/23/2007 PARCEL: 1 S134BD -06300 SITE ADDRESS: 11495 SW SPRINGWOOD DR ZONING: R-4.5 SUBDIVISION: ENGLEWOOD NO.2 LOT: 151 JURISDICTION: TIG PROJECT: FLORES Project Description: Change out gas furnace with like kind. 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: Owner: FEES FRANK & KATHY FLORES Description Date Amount 11495 SW SPRINGWOOD DR TIGARD, OR 97223 [MECH] Permit Fee 10/23/20C $72.50 [TAX] 8% State Surcha 10/23/20( $5.80 Total $78.30 Phone: Contractor: AMERICAN HEATING INC 1339 SE GIDEON ST PORTLAND, OR 97202 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 239 -4600 FAX 503- 239 -7038 Reg #: LIC 33135 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. 4111 BY4 /4a/76 65 Q Issue By: / Permittee Signature: G / v 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. Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard A Received Date/By: 1 3125 SW Hall Blvd., Tigard, OR 97223 Plan Review 1/4611:171' "121 Permit No.: N , Other Permit: Phone: 503.639.4171 Fax: 503.598.1960 tst,ut,,,Air Date/By: Inspection Line: 503.639.4175 ..... 1 / Date Ready/By: t.r E?1 See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: e, / co Supplemental Information :-;.. :,-J.::: • A .om,:;,,,, ' 0 'Iri .:'1 t'''' r r , - - ••••• : • • '••':- •.• • - -• 'r ••• .'— - , r'r' . -. r '''''';r r' '' ' -- r Mechanical perrnit fees* are based on the value of the work 0 New construction E eplacemet Perforrned. Indicate the value (rounded to the nearest dollar) of all El Demolition El Other: mechanical materials, equipment, labor, overhead, and profit. ,4010000.1011,4641.WW00.4647,11;1641, ,/piritteirf(5g. 4,, WC.:t Value: $ 273 S ai- IA , v; T.A , N■• .., . ;: ,r, '1,:,-c A . ‘p,,,,...int.,A;u:51,1411,41.1g ,- ,t.lr. .i, , : ., iiiiiii . isiiiicAt ' Fit. gi 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. D Multi 0 Master builder 0 Other: Description Qty. I Ea. I Total r?saiViOnitlErgaggsse,:satympinicrogoefaitiokiR,p;iAlxi&,!i.:1 Heating/cooling Air conditioning or heat pump Job site address: ‘ k Lict s" S tA) .gril. 4,9011 Islay E (requires site plan showing placement) 14.00 •7- %- City/State/ZIP: T- 0 L. 9 7 2-7--33 Furnace 100,000 BTU (ducts/vents) 14.00 Furnace 100,000+ BTU (ducts/vents) 17.90 • Suite/bldg./apt. no.: 1 Project name: Gas heat pump . 14.00 Cross street/directions to job site: Duct work 14.00 Hydronic hot water system 14.00 Residential boiler (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 10.00 Subdivision: I Lot no.: Other: 10.00 Tax map/parcel no.: Other fuel appliances litafititritiplip.0 Water heater 10.00 Gas fireplace 10.00 C-W4 &I%< ' c---cn 1)14-e, . Flue vent for water heater or gas fireplace 10.00 't I Log lighter (gas) 10.00 • Wood/pellet stove 10.00 Wood fireplace/insert 10.00 401,Filiiii4kelffig#.0c64ygiterttipi0#1141:4142FIVIIM•05449-4r,F46. Chimney/liner/flue/vent 10.00 Name: Ftap .4 It-An,A... r-:.--uxues Environmental exhaust and ventilation or Range hood/other kitchen Address: kA, Lt ,) e2L '4Z-- s r,. P atth9-D AL. equipment 10.00 City/State/ZIP: VI c....44‘..h S "--• 41 1 ' 7 (bat 31-3 Clothes dryer exhaust 10.00 Single-duct exhaust hrooms, Phone: ( 5173 ) s - 2 ,4 _ Fax: ( ) toilet compartments, utility rooms) 6.80 Aal iiiiiMli.fiteak4itliV44,410114gliirediaei3OCitilW 114V-•-$V, A tti c/crawlspace fans 1000 .,,,,,,,,,,,,,, ,, r :-,e- .! ',, Other: 10.00 Business name: J\-t& eV ortr, Fuel piping Contact name: r SOONA,S $5.40 for first four; $1.00 for each additional Furnace, etc. Address: i 33 ©I S e - c--1! okay% s r . Gas heat pump City/State/ZIP: i>oflAisAkS 0 9 . Wall/suspended/unit heater Phone: ( ) 231 „. 9 k I Fax: : (5-03 ) z.3 41 —1 a 01 ,o Water heater Fireplce E -u... aLaitic-Pice.4*Git.P Irr Range . , t o • 3,•iti,, ,,,,,,,, ItigialingiONTACSIONIVA , alikm,voNgt , ,,,i13.1R:: , „io, Barbecue . Clothes dryer (gas) Business name: p vIre: - Other: Address: 1 331 S a, r_',.' heAm S -r-i . . tlitit.ii.VMOWOhigtg010.gt... . A _ City/State/ZIP: ? OIL, CO :I-Ca_ Subtotal Minimum permit fee ($72.50) ZA CO Phone: (50) ) zal - 41 .0 0 Fax: (5 tivi - c.)3 t..5 Plan review (25% of permit fee) CCB lie.: 33 Bs- State surcharge (8% of permit fee) 5, ge) TOTAL PERMIT FEE 7.g - 56 This permit application expires If a permit is not obtained within 180 Authorized signature: days after It has been accepted as complete. Print name: s.,, x, A/11-.4-eLit Date: i 0 -.22.-0i • Fee methodology set by Tri-County Building Industry Service Board C CITY OF.TIGARD BUILDING DIVISION PERMIT #: MFC2007.00615 13125 SW }tall Blvd., Tigard, OR 97223 DATE ISSUED: 10/23/2007 Phone: (503) 639 -4171 I A- Inspection Requests (24 Hrs.): (503) 639 -4175 s' `_ INSPECTION WORKSHEET FOR DATE: 11/9/2007 TIME: 7 :QQeM PAGE: 35 SITE ADDRESS: 11495 SW SPRINGWOOD DR CLASS OF WORK: SUBDIVISION: E,NGI.EWOOD NO.2 LOT #: 151 TYPE OF USE: PROJECT NAME: F LORES DESCRIPTION: Change out gas furnace with like kind. OWNER: F LORES, FRANK & KATHY PHONE #: CONTRACTOR: AMERICAN HEATING INC PHONE #: 503.239 -4600 Inspection Request Scheduled For: Date: 11/9/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 693 Mechanical final 059391 -01 503.209.4003 �^ -_ Y ` \) Corrections/Comments/Instructions: 4 1 2 _a...7 092 A44.206' -- 60-- sr' 3 / Z -.6253 e4-76..,---,- ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: // " F"O 7 Phone #: (503) 718- Z CITY OFTIGARD BUILDING DIVISION PERMIT #: MEC2007 -00515 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/23/2007 Phone: (503) 639 -4171 l' Inspection Requests (24 Hrs.): (503) 639 -4175 lit INSPECTION WORKSHEET FOR DATE: 11/8/2007 TIME: 7:00AM PAGE: 44 SITE ADDRESS: 11495 SW SPRINGWOOD DR CLASS OF WORK: SUBDIVISION: ENGLEWOOD NO LOT #: 151 TYPE OF USE: PROJECT NAME: FLORES DESCRIPTION: Change out gas furnace with like kind. OWNER: FLORES, FRANK & KATHY PHONE #: CONTRACTOR: AMERICAN HEATING INC PHONE #: 503-2394600 Inspection Request Scheduled For: Date: 11/6/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 059256-01 603-2334600 N Corrections/Comments/Instructions: ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 4 Date: 1/ —P. —e 7 Phone #: (503) 718- Z