Permit CITY TIGARD MECHANICAL PERMIT
I DEVELOPMENT SERVICES PERMIT #: MEC2006 -00201
44- ° �I II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/17/2006
PARCEL: 25111 BA -07800
SITE ADDRESS: 09471 SW VIEW TERR ZONING: R -4.5
SUBDIVISION: JUBILEE PLACE LOT: 006 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:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
PHILLIP MORAN Description Date Amount
9471 SW VIEW TERR
TIGARD, OR 97224 [MECH] Permit Fee 5/17/200E $72.50
[TAX] 8% State Surcha 5/17/200E $5.80
Total $78.30
Phone: 503- 684 -9347
Contractor:
OREGON HEATING + NC INC
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Contact #: PM 503 -538 -2953
FAX 503 -537 -2172
Reg #: LIC 125815
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.
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Issued By: Permittee Signature: _s_g f Ts?
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business ay.
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.
May 15 06 02:46p MS Rentals, Inc. 503 - 537 -2172 p.2
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Me Per ..11 QC U r' \\j '� \\ FOR OFFICE USE ONLY
City of Tigard —ti ) - Receiyed5 /.�— (� 1 � l:o � WJ�! �y�
Datafgy Permit V(J - o02 0 / f
13125 SW Hal Blvd., Tigard, OR 97223 Plan Review
Phone: 503.6394171 Fax 503.598 1960 t+ (i Date;By: Other Permit
Inspection Line: 503.639.4175 VIA 2�0� ■��. I� Date Ready,By: Jam' El See Pave 2 for
" ..,�
Internet: www ci - ngard_or.us Notified/Method 1 -76... Supplemental
�K T9 ORK (7 C �,r , , li f•ti _, COMMERCIAL FE *,' SCBItDULE, USE;CI3ECKLIST ,
' :, 1 t d� - Mechanical permit fees* are based on the value of the work
❑ New construction f Additior%alterationireplacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit
Value. $
— ' -, -' CATEGORY OP- CO>iSTRUCT1oN - _ - - -
RESIDENTIAL- EQUIPIVENT.,Sti
and 2- family dwelling ❑ Commercialiindustrial ❑ Accessory buildine For special information use checklist.
❑ Multi- family ❑ Master builder El Other Descnption I Qty. I Ea. Total
- •: - . ' JOB -SIZE IATORIVCATION' - - '- : - - ,. • Heating /cooling
' ,. \ Au conditioning or hear pump
Job site address: v (requires sue plan showing placement) 14.00 I
Furnace 100,000 BTU (ducts /vents) 14.00 ( q
Cityi State /ZIP: q---.3--e_./ -
Furnace 100,000+ BTU (ducts %vents) 17 90
Suire/bldg. /apt no.: Project name- Cras heat pump 14.00
Cross streetidirections to job site: Duct work 14 00
' Hydronic hot water system ; , 14.00
Residential boiler (radiator or
lydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc 10 00
Flue/vent for any of above I 10.00
Subdivision: Lot no.: Other I 1000
Tax map/parcel no.: Other fuel appliances ,
r_ _i - . -' i Water heater I 10 00
'f'`'' % " {:n_ t :i 'DESCl2IPTLONrOF' ?i(ORKi r 1 '3 " au.. 1 10.00
+._. x: ; ' _ :_' - - .� • . , � %. � lace .
' ti 6- e_ `C // St 1L.- . C flue vent for water heater or gas
J ,, Lr fireplace , 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplacerinsert 10.00
,"a;: -3 :tF, - -.Y: ' :_ Chimney/liner/fine/vent I 10.00
- PROPER';Y;e_i'Vh∎tER --.. ls
--1'' 'rrF r 'I' E1.4:11v' 7, -.f.;:. ; Other. I 1 10.00
Name: J Li Y M I V try C " Environmental exhaust and ventilation
Range hood/other kitchen ;
Address: t (�� equipment I 1000
City/State/ZIT': .J/■ L� �- a - (� Clothes dryer exhaust 10.00
L Single-duct exhaust (bathrooms, ,
Phone fg)3 (o 4 -- 7-- Fax' ( ) . toilet compartments, utility rooms) 6.80
n: , = ,,�/ PLZCAT - Attic /crawlspace cans 10.00
ild ,',' L� �; ❑�fCON�',AC1';PEI;SOhI;.'_l' :,:
- = s: -
-- ^ I Other. 10.00
Business name e-p A mot— ` y � ; Fuel piping
Contact name: i ( ) n, .e.: $5.40 for first four; 51.00 for each additional
i Furnace, etc. I `
Address: a ' i i c ++ Gas heat pump
City/State /ZIP 1_, n \ ' ' l t L s- Wall/suspended/unit heater I
Phone. 1/ -- Z ' Water heater , , 1 • • a ^) , Fireolacc I
E -mail Range
NTRaCTOR - . n -' _r� - BarbeClothcs ue
ryer (gas)
• �- r
&/1/ � � �, � �� /J �, � �,{M ,� e d Business name ' C / -/ } I� "U ! t G' . i
Other. ,
Address: •) , ` n MECHANICAL PERMIT ,FEES, *•'. ; .
City /State /ZIP: ' L'/1 1 ; V 14l I' (rS Subtotal l
_ Minimum permit fee ($72.50) S U
Phone: • i • I Fax j a- i , Z Plan review (25% of permit fee)
I CCB lie.: i- i. 1 State surcharge (8% of permit fee)
TOTAL PERMIT FEE 14-
j /� This permit application expires if a permit is not obtained within 180
Authorized s afore: do f l I, , l 4L_, , L `-' days after Jr has been accepted as complete.
I Punt name' �. �, • t c D a te: I ,. %i � t_ • Fee methodology set by Tri-Cauaty Building Industry Service Board
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CITY OF TIOARD
BUILDING DIVISION PERMIT #: MEC200 -00201
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5111/2006
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175 I �
INSPECTION WORKSHEET FOR DATE: 6/21/2006 TIME: 7:07AM PAGE: 52
SITE ADDRESS: 09471 SW VIEW TERR CLASS OF WORK:
SUBDIVISION: JUBILEE PLACE LOT #: 006 TYPE OF USE:
PROJECT NAME: MORAN
DESCRIPTION: Replace furnace.
OWNER: MORAN, PHILLIP PHONE #: 503
CONTRACTOR: OREGON HEATING + NC INC PHONE #: 503'536 - 2963
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Inspection Request Scheduled For: Date: 6/21/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 • Mechanical final 032032 -01 503-53B -2953 V
Corrections /Comments /Instructions:
- 61.6c.4 //4I !M,, �.co,+z- �ti�i�L. S 85 `,---
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: G –Z1— b Phone #: (503) 718- Ze-c
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