Permit / w
CITY OF TIGARD
DEVELOPMENT SERVICES MECHANICAL PERMIT
PERMIT #: MEC2006 -00272
I �►
13125 SW Hall Blvd., Tigard, OR 97223 503-639-4171 DATE ISSUED: 6/14/2006 PARCEL: 2S104CD -09800
SITE ADDRESS: 13706 SW TRACY PL ZONING: R -7
SUBDIVISION: HILLSHIRE ESTATES NO. 2 LOT: 097 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:
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
JULES & PE PLAVIN Description Date Amount
13706 SW TRACY PL
TIGARD, OR 97223 [MECH] Permit Fee 6/14/200E $72.50
[TAX] 8% State Surcha 61141200E $5.80
Total $78.30
Phone: 503- 390 -4619
Contractor:
ADVANCED HEATING & AIR COND
5825 SE FOSTER
PORTLAND, OR 97206 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 774 -0161
Reg #: LIC 98573
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: � `/.■ Permittee Signature: _x,e,
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business dat
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 A1 iii : _l i \\\ l iCC . FOI(O WI.uSEO•LY
City of Tigard 0 r... \ VI JBr: • — y o (
Derr v Penult Na 1� 4 _ i —, o 'l
13125 SW Hall Blvd., Tigard, •OR ' •�'+: • 1 Duda : u
Phase: 503.639.4171 Fat 503398'11' Plea 1r Oder Permit
bawd= Lida 503.639.4115 _ . I ,I,
,, -, [, U .. . Paw RadylBY :Set Page' for
maeattee w..r. of d�rd loran 11 1 1 21 J tibdtledlbletbod 0 st pProermtd ta(� rmstim
' New emanation , ❑ :. ,. _ 'fl; . ` Mechanical permit tees' are baed Ca the value of the work
❑ Demo6tioo ❑ V 12 . rebated. Indicate the voice (rounded to the nearest dollar) of all
mechanical meteria1, equipment, labor, overhead, sled profit
1 ' _ e. i ,if 1 Value: $ u•
iti 1- sad Z-firmily dwelling o Comotasia,Vmdustrial ❑ Accessory building ( "tt�'1''", , % $• _
ID Multi- faatrty 0 master bllilder For o of Wovmmion use the hlti.
y � �y'- 0 te a ' Description _ Qty. I Ea. I Total
s'i=u lileatiacJlooli Rtt
Air coedItiooing of heat mp
�.. d ! pequha t11e P1ee shoRi heft p pu lic cmepc) 14.00
Cleyatate/ZIP: • ' , ,... , 0 . i _ Emma 100.000 BTU (dam/versa) ' 14.00
Furnace 100,000+ BTU (die:tir+entt) 17.90
Suite/bldg./apt. too.: Project i a inc lion hat pump 14.00
(roes stroel/direeoon9 to job site Ductwork , 14.00
•
*drank hot water system 14.0()
Residential boiler (radiator or
hydtonlc) 14.00
Unit heaters (foal -type. not Electric).
ne-wall, In •duet, suspended, cte. 10.00
Subdivision: Lot a0.: i Pbrdrmc the any of above 10.00
Other! 10.00
.', Other fuel appliances
' �.: r; :� , ` 'f Water hag" 10.00
ti . cAX.�c.aa.Eirn,, E?rri �3 Oat fireplace 10.00
Flue vent for water heater or fees
fireplace 10.00
Log lighter (Fora) 10.00
Wood/pellet stove 10.00
Wood limplaedinaert 10.00
B re Mi !j thE itli lilleriauen
dvt 10.00
Other. 10.00
RM '..: Environmental midland and veablation
=� equipment 10.00
� �d� • , Rife: Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
' i Fax: ( ) WM compartments. utility TOMBS) -
6.80
T ,IF• 70 ° '3f. 9( • : �) f �M "' yA . L' • _kg. 21 Atdderavdspaee lhns 10.00
Other: 10.00
C:=77 ! i i _ N a Milifinill Fed eland
Comet name: , /: ; $9.40 for brut four, n.0 for each additional
>• Fats:", etc. i II CO
Gas hat e pum
aty/Starelffial sf / r /.5 f/2 Wall/suspended/um' hatter
CZETSIG727T/P1111MMTIIMEM1111 Water hate
F -mail:
Fireplace
,���� �p� y�tj' Range
1 ? t IMMI` FI Barbeeuc •
1 _ Clotho art (gas)
i r r .. OthOther: j�,, ,
/ I ritgfP '1 •,i;fu(i 1f��*Y th , •'. .'-1r,
aaty/State/Z[P: 1, si i � ! ..- , '• Subtotal Jam, 5 d
Minimum permit tee 1472.50) 7„ �
Ii
Plan review (2514 of permit fee) '
OM tic.: / .•
State surcharge (8% of permit fee) 7i i�r)
// TOTAL PERMIT FEE , 3 d
Authorized signature: - / �.J ml. parv,il ,pplcalius rapines if a permit b Riot amounts Wiehie 150
/ day, after 11108 bees accepted u codpiece.
Print mane:.1 // 4 2 /44-K_ Date: • Fee methodology set by Td- County Building Industry Service Bard 1 5
, adidloIW an'MPC- PennApp.ex 17!01 . e t rf i r Unite /w n)
T • d I6EbbLLEOS 91.1 I11:13H Q33W1:UAQE W1Jb'b' t 6 9002 ET unr
r
CITY OF - -
BUILDING DIVISION PERMIT #: MEC2006 -00272
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 611411006
Phone: (503) 639 -4171 13,41
Inspection Requests (24 Hrs.): (503) 639 -4175 �' °t'' I ..
INSPECTION WORKSHEET FOR DATE: 7/16/2006 TIME: 7:03AM PAGE: &
SITE ADDRESS: 13706 SW TRACY PL CLASS OF WORK:
SUBDIVISION: HILLSHIRE ESTATES NO. 2 LOT #: Q TYPE OF USE:
PROJECT NAME: PLAVIN
DESCRIPTION: Replace furnace.
OWNER: PLAVIN JULES & PEG PHONE #: 503 - 390 -4619
CONTRACTOR: ADVANCED HEATING & AIR COND PHONE #: 503- 7740161
Inspection Request Scheduled For: Date: 7/18!2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 033216 -01 503 -774 -0161 Y
Corrections /Comments/ Instructions:
6/A5-67 lA.. , , L,1-a ye ktiL A:L # 5 ?$2 .A,-,,,,cht de_2ev l T / -iei►i4
Fri PA ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CA L FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: ,.12f. Date: 7_ R -0 Phone #: (503) 718 -