Permit ~� a CITY OF TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00438
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/22/2008
PARCEL: 1 S125DD -08900
SITE ADDRESS: 09682 SW VENTURA CT ZONING: R-4.5
SUBDIVISION: WASHINGTON SQUARE ESTATES NO.3 LOT: 097 JURISDICTION: TIG
PROJECT: RUTLEDGE
Project Description: Installing furnace and water heater.
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: 1
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
RON & LINDA RUTLEDGE Description Date Amount
LINDA COY
9682 VENTURA CT [MECH] Permit Fee 8122/200€ $72.50
TIGARD, OR 97223 [TAX] 12% State Surch 8/22/200€ $8.70
Total $81.20
Phone: 503- 245 -0657
Contractor:
ROSE CITY REFREIGERATION
PO BOX 19207
PORTLAND, OR 97280 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 636 -5371
FAX 503- 655 -4669
Reg #: LIC 161325
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 / / S ri Permittee Signature: � cer75Cht/
503.639.4175 by 7:00 a.m. for inspections that busi s 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.
Aug 22 08 11:37a Rose City Heating & Air 503 - 655 -4669 p 2
Mechanical Permit E Applic• FOR OFFICE USE ONLY City of Tigard DatufBv: 4 v� S IA -- •a)
13125 SW Hall Blvd , Tigard. OR 9722 2 2OU P l an Rc� ices Other Fenno.
' ' ' ,t xe ;.ed ♦ • - Ph 501639 41 Fax 503.598 -I 2 L 00 Pl.,tn /B,•
Inspection Line 503 639 4175 Date tteady/lsv Jun E l s P age'_ for •
TlG.4ELD p OF �oufie ^✓.cited T" Supplemental Information u
Internet: w•ww•- tigard -or -goy C TIGARD ""
BUILDING DIVISION
TYPE OF WORK COMMERCIAL FEE' SCHEDULE — USE CHECKLIST
. Mechanical permit fees' are based on the value of the tsork
El Nem. construction g Addition /altemtionfreplacemcnt performed. Indicate the value (rounded to the nearest dollar) of all
❑ I7Cmolittott ❑ Other. mechanical materials, equipment, labor. overhead, and prolit Value: $ _—
CATEGORY OF CONSTRUCTION
RESIDENTIAL EQUIPMENT I SYSTEMS FEES"
1- and 2 -fanuly dwelling ❑ Commerciaifmdustnal ❑ Accessory building r br special information use checklist.
❑ Multi - family El Master builder ❑ Oilier. Des cription I Qty Ea. Total
JOB SITE INFORMATION AND LOCATION Ileatingfeooling r __
/ —
Air con or heat pump
Job site address: 9b 92 Sup IJentulq Gi; (requires site plan showing placement'. 14 00
1- unlace 100 -00(1 BTU (duets \gents) _ l 14.00 /y. Qt?
CityiStutc /ell' T q��eo (. � � 2z�
JJ Furnace 100.000+ BTU ;ducrs 17.90
Suitc'bldg.%apt. no. Project name' {D_ / rd Gas heat pump 14.01)
� "—I.Icci _ Duct taork i (I 00
Cross street /directions to job site. V
Hydronic hot water system L4 00
7 2nd / . /� e-� Residential boiler (radiator or
(/ / 1-1.7 hydron;c) 14 00
L c" / 6. U�'h Unit heaters (fuel-type, not electric).
in-wall, in -duct, suspended. etc 14.00
_ Flue/vent for any of above 6 80
Subdivision: Lot no. Other 10.00
fax mnp.patccl no.. Other fuel appliances
Water heater / 10.00 /0, on
DESCRIPTION OF WORK — Gas fireplace 10.00
9"0/ .._
.2-7,7,5 -e-4-;" Ur/JQL.< 'Cr , � - 1j7��l Flue se nt for water healer or gas
fireplace 10 00
GvA G,-- / tee, -� - - I op lighter (gas) 10 (XI
Woodfpcllet stow. 10.00
Wood fireplace/insert 10.00
• Chirnneyrlincr /tluch•ent 1(1.00
PROPERTY OWNER ❑ TENANT -
Other• 10.00
Name. R on d— �lill Ai - Environmcnfal exhaust and ventilation
Range hood'oth rkitchen
Address 9d, 92 5 w (J ra, .e.rp Gt— equipment 10 00
Cdv, %Statc!LIP. ZZ3 Clothes dryer exhaust 10.00
/ !ia.,z, J / Single -duct exhaust (bathrooms.
Fax ( ) toilet companmenis. utility rooms) 6 - 30
Phone: (spa) i s 2�/f = la.� ? AtticcraNdspacc fans 10 00
❑ APPLICANT ❑ CONTACT PERSON
Other: 10 00
Business name: Fuel piping
$5.-10 for first four, 51.00 for each additional
Contact name
Furnace. etc
Address Gas heat pump _ —
Citv;Siatc,7,IP- Walt'suspcndedmmt heater
Water heater
Phone: ( ) I Fax:: ( ) Fireplace
E -mail Range •
CONTRACTOR Barbecue l
Clothes dryer (gas) 11 ■
Business name" /e.,_5e G, �‘....- ern ♦ . O ther: I
Address p xi) !7 2'7 MECHANICAL PERMIT FEES*
/ Subtotal _ ...?,/, D D
CitciStatc 7.IP P��l�j� 6/( 772g0
� Minimum perm fee (u tal d _
Phone: (�O 6�� �.�7/ I lax S � (� .f� / Plan review t25 '! of permit fee) _
CCB lie 2 Z State surcharge (12% o 1 permit fee) 9, 70
lie /6/ ✓��' TOTAL PERMIT FEI; R/, 2a
i — - This permit application expires i r •r permit is not obtnined within 160
Authorized signature days utter it has been accepted as complete.
�
� .j ,C /_ ,-.4 Dale. ez/ �� * Fee melnodologv net hit In- County ISu,ldine InJurutr Seiviee Hoard
Pont name: r �
' ,',0uildhtp•P.mnls NEC - Pcrnata.p due 01119,07 44- 1617r( I ol•cuM.W1.B)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2000- 00438
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/22/2000
Phone: (503) 639 -4171 � ,�I�
Inspection Requests (24 Hrs.): (503) 639 -4175 .__l
INSPECTION WORKSHEET FOR DATE: 9/3 /2008 TIME: 7:01AM PAGE: 42
SITE ADDRESS: 05682 SW VENTURA CT CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE ESTATES NO LOT #: 097 TYPE OF USE: .
PROJECT NAME: RUTLEDGE
DESCRIPTION: Installing furnace and watet heater.
OWNER: RUTLEDGE, RON & LINDA PHONE #: 503- 245-0667
CONTRACTOR: ROSE CITY REFREIGERATION PHONE #: 503. -63/ I
Inspection Request Scheduled For: Date: 9/3/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message PM
699 Mechanical final 074951 -01 503 --636 -5371 Y
OM; n irk _ S��SS
Corrections /Comments /Instructions: e S` "
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C a s e 'C"
mN , vo r ,Le-V, `l it CL S ) s 3 3W am- -<e) e - zs -04e
)--rdpkvAivul c /ec4t : C Co.
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 0S Date: 3 See g Phone #: (503) 718 - %Z3