Permit CITY OF TIGARD MECHANICAL PERMIT
�6 DEVELOPMENT SERVICES PERMIT #: MEC2006 -00127
r�l II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 4/4/2006
PARCEL: 2S111 CD -01900
SITE ADDRESS: 15613 SW SUMMERFIELD LN ZONING: R -7
SUBDIVISION: SUMMERFIELD NO.7 LOT: 346 JURISDICTION: TIG
Project Description: Replace 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:
3 - 15 HP: COMML.INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
LOIS WILEY Description Date Amount
15613 SW SUMMERFIELD LN
PORTLAND, OR 97224
Total * 7 f .3v
Phone: 503 968 - 2465
Contractor:
SUNSET HEATING & COOLING
0607 SW IDAHO REQUIRED ITEMS AND REPORTS •
PORTLAND, OR 97239
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 -: I- 332 -23-x-
Is- uedBy: , el „_ ;,L' Perm itteeSignatu " "� !/ '
•
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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Mechanical Permit A plication l OR 01.1 lc 1: i si: t'\I.\
City of Tigard EC IVED , Received Q� 1 Penni!No.: Htt /o 00 /
Date/By: a 0 i
13125 SW Hall Blvd., Tigard, OR 972 Plan Review Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 /4. i Date/By:
Inspection Line: 503.639.4175 �'� �� I 2006.....-• _rZ • � . . Date Ready/By: lam' ® See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: 4 1 a Supplemental Information
1 .ate - 'sue ..71 v •^ ` 77, 7 "' 1 !:, " 1 1 .1. � xs
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t�+a -� � ...- _.. .+x e ;_..:.1.:.` s:Mr° . ice. .. pennit a. .r.. a . s :r. . fc t w :.g'3£' ,
® A Mechanical permit fees' are based on the value of the work
❑ New construction
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
°p ere . '�"7 .F° i 4 'G 1 ' ticF' 1: Value: S
. t- P I L 1 F Y. : V z.: r•
- i:': L P�7��3N'�'�+'�', S :5�' ���� i , 2 z.^na �y.,.� �� ._.. r :'�.. ;,. 3 isr,.�,.. -.u... � .. ^;.'s Y - .,:..s� ,7,..e� :cG - ;<3' �Y>� ' a a ky; •'1•.:
z d '1 w4'i` .v 3;I.]
Q I- an 2 family dwelling ❑ Commercial/industrial El Accessory building ` ' "' ..
1 For special information use checklist.
O Multi family ❑ Master builder ❑ Other: Description ( Qty. I Ea. I Total
:t t;) i
.; 1 1 1 i• • i I I '� r 'r.t.�r.S: •• t:r. Heating/cooling,
:ea - 1 , 10 ^r<a ._ i set ee , .,1r :4_.e� x '!t '.:s_
f . C '' i • , Air conditioning or heat pump
Job site address:
i A p t �,ti j yi ON. y .) ( €••( -� (requires site plan showing placement) 14.00
Cit / State/ZIP: Furnace 100,000 BTU (ducts/vents) 1 14.00 ( k4
Y `�1( Ca . ; fi2Z
Furnace 100,000+ BTU (duets/vents) 17.90
Suite/bldg. /apt. no.: Project name: LC ,l p 14.00
Gas heat tamp
Cross street/directions to job site: Duct work 14.00
Hydmnic hot water system 14.00 J
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: Lot no.:
Other: 10.00
Tax map /parcel no.: Other fuel appliances
s . ;i - s "'a' Water heater 10.00
i \ 4= �Y- r6:!d%;^4; =.-{. °x`A �', ''�F ^, C" J �alS1. alF F3n_.Y- a
:.,i 5k.. 4 ;f ,2: 1V't . Gl k . } va C4 ' < .i Y... ti Y<R .F -.Ili}
Gas fireplace 10.00
L •
. ' , • A i : , Vi ,- ( . v: Flue vent for water heater or gas
ll-; - fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
io �T,� �fir), �,,, ,sr�{ ,. :.-; ...F 1 - ..... ,,: Chimney /liner /flue/vent 10.00
,� R Ci*I .,n h$1. Y ,. I$1 3 n\ : ?fig "',d. '.w 'Sti
u�. ��'x�t. �� Other: 10.00
Name: L r i 1 I S \N i ; ,L. Environmental exhaust and ventilation
Range hood/other kitchen
Address: 1 ` j 11 ') 5 u �`; i,1.i`)1 �r�'; `") f f L( � equipment 10.00
City / State/ZIP: t ! %' ( f 2: - f Clothes dryer exhaust 10.00
i ' t. t �-" I `" t Single -duct exhaust (bathrooms,
Phone: F� j) Cit(o S . '2 Fax: ( ) toilet compartments. utility rooms) 6.80
I7j = >�t,� '''. k,a Attic/crawlspace fans 10.00
Other: 10.00
Business name: .
Fuel piping
Contact name: S5.40 for first four; SI.00 for each additional
Furnace. etc.
Address:
Gas heat pump
City /State/ZIP: Wall /suspended/unit heater
Fax: Phone: ( ) ( ) Water heater
Fireplace
E -mail: Range
'' ;' s�i, a >v r , :, v ,- y .k "n1'`'_ ; �.,.^ .w Barbee
'''.. l%f'=� 6;; '#ail ^"is a � '`.: ' 1' " ,7::_. - , Barbecue
Business name: Sunset Heating and Cooling Clothes dryer (gas)
Other:
Address: 0607 SW Idaho Street t fs '_, „"
City / State/ZIP: Portland, OR 97239 Subtotal I L4 ■
Phone: (503) 234 -0611 I Fax: (503) 234-0439 Minimum permit fee (572.50) - 1Z
Plan review (25% of permit fee)
CCB lie.: 161085 State surcharge (8% of permit fee) a� '
TOTAL PERMIT FEE ' , t
This permit application expires if a permit is not obtained within 180
Authorized signature: -• - y „--' , days after it has been accepted as complete.
Print name: Shauna D'Ambrost " 11 v I Date: - :131 10(c... • Fee methodology set by Tri- County Building Industry Service Board
1 mudd .gtPamits\AEC- PermitApp,dec 17503 440 -1617T ( I 1 /02/COM/WE5)
CITY OF TIGARD
.
BUILDING DIVISION PERMIT #: MEC200S•00127
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/4/2006
Phone: (503) 639 -4171 I
Inspection Requests (24 Hrs.): (503) 639 -4175 . JA '
INSPECTION WORKSHEET FOR DATE: 5/31/2006 TIME: 7:07AM PAGE: 4•1
SITE ADDRESS: 15613 SW SUMMERFIELD LW CLASS OF WORK:
SUBDIVISION: SUMMERFIELD 110.7 LOT #: 346 TYPE OF USE:
PROJECT NAME: WILEY
DESCRIPTION: Replace furnace.
OWNER: WMLEY, LOIS PHONE #: 503
CONTRACTOR: SUNSET HEATING & COOLING PHONE #: 503-23K1-0611
Inspection Request Scheduled For: Date: 5/31/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 030814 -01 503234 -0611 N
Corrections /Comments /Instructions:
4 rg:.
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �71
p C.�`" q Date: �',��' D� Phone #: (503) 7i 8- Z�
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