Permit CITYOF TIGARD MECHANICAL PERMIT
iA
DEVELOPMENT SERVICES PERMIT #: MEC2005 -00721
,l- 6' 1 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/27/2005
PARCEL: 25101 DA -02100
SITE ADDRESS: 06960 SW VARNS ST ZONING: C -P
SUBDIVISION: VARNS ACRES LOT: 003 JURISDICTION: TIG
Project Description: Remove existing furnace and replace with like in same location.
Project Value: $2,634
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
ELE 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: 0 < =10000 cfm:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
HBA PROPERTIES Description Date Amount
6960 SW YARNS ST [MECH] Permit Fee 10/27/20( $88.60
TIGARD, OR 97223 [TAX] 8% State Surchar€ 10/27/20C $7.09
Phone: Total $95.69
Contractor:
ARROW MECHANICAL
10330 SW TUALATIN RD REQUIRED ITEMS AND REPORTS
TUALATIN, OR 97062
Phone: 503 692 - 1565
Reg #: LIC 5193
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 a • • -001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699
or 1 :00- 332 -2344.
Is ed By: , / l; 4 421 Permittee Signature: ,
Call 503 - 639 -4175 by 7:00 a.m. for inspections that • +': .
This permit card shall be kept in a conspicuous place on the job site ' 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 , Received
.
Plan Review
e /0 LIFO S....- Pemut No Netelcv t (5147.W
13125 SW Hall Blvd., Tigard, OR 97223 ,..•
Phone: 503.639.4171 Fax: 503.598.1960 A..
Date/By Other Permit
J• Inspection Line: 503.639.4175 ...Pljo#/lill.
. __.„... - - ,;. Dale Ready/By MI 121 See Page 2 for
Internet: www.citigard.or.us Nettled/Method Supplemental Information
' ' ''. '!-„.:: - '!. ; . ; '• :' . i ' 'I ' ,:r : ' 1 ,111 Z :V: ,k Irr. .1: , 4- .. 1r , ; ..':; , o;
0 New construction SO Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition r 0 Other mechanical materials, equipment, labor, overhead, and profit.
g.f4,f.';
Nolt Value: $ _ 42.
-io- .3 wroottig
ID 1- and 2-family dwelling 17 Commercial/industrial 0 Accessory building
For special information use checklist.
0 Multi-family / 0 Master builder 0 Other: Description I Qty. I Ea. I Total
4 ...,490 ti OW*,Z;Z:: ''. Healin
Air conditioning or heat pump
Job site address: lot i iLO < Gs) V412.145 S -- / -- (requires site plan showing placement) 14.00
City/State/ZIP: - 1 -
p ( 9 q 7-2-3 Furnace 100,000 BTU (ducts/vents) 14.00
/ Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bIdgJapt. no.: ZOO Project name: fi gA PRoPeo:ne, 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. Lot no.:
Other: 10.00
Tax map/parcel no: Other fuel appliances
. ..' -'' '':. --"-- '-'.. • - -, . --- , - ...jiikfzipi•loist . th. , ,:s . ‘..-' .., Water heater 10.00 I,
• . --• -- - , . . • .• • . r ., . - - •
Gas fireplace
)905 u._ mov 5c
Pu ', gEe /5-r Axi
tll:: rtdz,..-1,4(,e Flue vent for water heater or gas
A a 0 Rc Pt-AcEr L.)/ OA/ g /VG t") /00k fireplace 10.00
10.00
Log lighter(gas) 10.00
9 a 4 7 9 7 Fue/k/Ac-6" / S 'AMC Lo CA r/V/ Wood/pellet stove 10.00
Wood fireplace/insert 10.00
' ' ''. ' ' .. ' - ' ' ' l;t3-TtiiANT;.,3,,,:i--, ,,.,::, ,-,,,.: Chimney/liner/flue/vent 10.00
Other: 10.00
Name: /4 RA Piet)P672.-1riS Environmental exhaust and ventilation
Range hood/other kitchen
Address: ( ql,„ $L5) v A i zas 5 -I- zr 2_00 equipment 10.00
City/State/ZIP: 77t / 0/Z C i ? 2 _ 2_3 Clothes dryer exhaust 10.00
, Single-duct exhaust (ballrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
. '''"' .:- --.:: " ciViP.PtiCiiikiet '' •, ': .:•:---, '`."-•'''; 1:217 fiSaN ;-s -.. -: -__ Attic/crawlspace fans 10.00
tAi ik Fuel piping
Business made: 111z44. meemwp..A I Other:
10.00
Contact name: -j P//.....1...Atz, $5.40 for first four, $1.00 for each additional
Furnace, etc.
Address: /0 33o ,.s1 r oAL477/4 g n
Gas heat pump
City/State/ZIP: '
7 0 / 93-0 (02. ,
Wall/suspended/unit heater
f
Phone: ( co3) ( / e... , - / e 5 7 5 Fax: : (7.)3) t cif _fi)-7.1 Water heater
Fireplace
E-mail:
Range
-- . - k, '! - .A ?.',41.,'..3.-, • ::v4.- :-, B ar b ecue
i:, ' Ar.4. '1, :-.4.4;'77.1`..,-,117j,iatiNW3 ' ::'.
Business name: A
Clothes dryer (gas)
ke zci i ci e.i . t , A / 4.... 4 1 ......
. Other:
Address:
R OVE
City/State/ZIP: 5 A iv A A -S
Subtotal
Minimum permit fee ($72.50) g.Go
Phone; ( ) Fax: ( ) Plan review (25% of permit fee)
CCB lic.: S / Cr 3
I/11g State surcharge (8% of permit fee) .. 4,
Authorized signature:
:: a r
TOTAL PERMIT FEE .
This permit application expires Ira permit is not Distal al ISCr
.."
days after It has been accepted as complete.
4 $41* I •._.. I • r.. remIlwletlesr... row lar Tr;_reovrow Ass:IA.9w. TrrArrtel, VIMI;PO. Pet...A
OA Cr.' 1-33'-0 /../zy-
CITY T-IGARD 7 A
BUILDING DIVISION
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PERMIT #: MEC2005-00721
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/27/2005
Phone: (503) 639 -4171 11
Inspection Requests (24 Hrs.): (503) 639 -4175 ! 1111(11'
INSPECTION WORKSHEET FOR DATE: 1112912005 TIME: 7:05AM PAGE: 71
SITE ADDRESS: 06960 SW YARNS ST CLASS OF WORK:
SUBDIVISION: YARNS ACRES LOT #: 003 TYPE OF USE:
PROJECT NAME: HBA PROPERTIES
' DESCRIPTION: Remove existing furnace and replace with like in same location.
Project Value: $2,634
OWNER: HBA PROPERTIES, PHONE #:
CONTRACTOR: ARROW MECHANICAL PHONE #: 503-692 -1565
Inspection Request Scheduled For: Date: 11/29/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 022545 -01 503 -793 -5027 Y
Corrections /Comments /Instructions:
6L gieRr, t4,t. „a_ 5- 624-4-31 2
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SS ❑ PARTIAL APPROVAL ' ❑ CANCEL ❑ NO ACCESS
[1] FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
. Inspector: Date: / /--2- 5 Phone #: (503) 718-