Permit CITY TIGARD MECHANICAL PERMIT
i DEVELOPMENT SERVICES PERMIT #: MEC2005 -00638
Akot
,l I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/7/2005
PARCEL: 2S 102CA -00919
SITE ADDRESS: 13285 SW VILLAGE GLENN DR ZONING: R -4.5
SUBDIVISION: VILLAGE GLENN LOT: 019 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:
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
MICHAEL SWANDA Description Date Amount
13285 SW VILLAGE GLENN DR
TIGARD, OR 97223 [MECH] Permit Fee 10/7/200: $72.50
[TAX] 8% State Surcha 10/7/200E $5.80
Total $78.30
Phone: 503- 639 -7920
Contractor:
OREGON HEATING + A/C INC
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Phone: 503 -538 -2953
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.
Issued By: �� Permittee Signature:
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.
Oct O7 05 08:05a 503-537-2172 P • 1
. .. :
Mechanical Permit .1 0
• - __ C -7. j VEI- ' FOR OFFICE USE ONLY
City of Tigard
Mk Received
Datileov - 7 ....d 5.--,..7-c_ Permit No.V16c ( 75)
13125 SW Hall Blvd.. Tigard, OR 97223 PLIn Revicw
Phone: 503.639.4171 Fax: 503.598.1960 OCT ' 7 2005_4-4,!!4k(it Date/By: Other Permit:
Inspection Line: 503.639.4175 Date Ready/By: Juris: Si See Page 2 for
Internet wvrw.ci.tigartior.us CITY OF T ARif . Notified/Method: Supplemental Information
I6
BUYONENCY0004SICti*.4:;;;`..!...,:-.::_i':::":....;.;r: ;;..t..00**1-4:;E'#:***.+4*.;:.:P40#0440.::::1
Mechanical permit fees* are based on the value of the work
0 New construction Idditionlalteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit
6
.. >': : ;;")..' , .. : :: - ' ; ' - l' i , -.:'l_-."..•j,... - .T . :',..1pL' .i,ii6d,Ri::ok;0iigsfizijer•Oi■i'...',i;:a.-':..: :
LM r.;:::-.):;:00041 :0zit0.
1- and 2-family dwelling 0 Co mmercial/industrial 0 Accessory building
For special information use checklist.
0 Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total
701i OTTE',..10:OR*Tike' HeatinWcoolina ,
Job site address: 13.2 C C Ill V I 1 ) u tift.it et. Oy-_ - Air conditioning or heat pump
(requires site plan showing placement) 14.00
City/State/ZIP: 4 11 1-e4-4-4 il ---- i13 Furnace 100,000 BTU (ducts/vent) 14.00
( ' I Li -
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bIdglapt no.: I Project name: 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
... 1
, iA L
Wrig§::90:0,kWOWKSW:Ki Gas fireplace 10.00
2iViiqd Water heater 1 10.00
i .. , ;
- 4-4_ xci t/C ite--
i
Flue vent for water heater or gas
A
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
trAtial:414...f.1‘:.:•-;:q#,.11;;; ChiraileYilicergiudvent 10.00
r 10.00
Name: 7)j &h a .4_ „...--„ cv ,_ ke? Range hood/other kitchen Environmental exhaust and ventilation
Address: l (1-3 it it 614z -)(Girty, tA-e equipment _ 10.00
City/State/ZIP: p q--g7 3 Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
PhoneS1) • - 7 1 '2,0 Fax: ( ) toilet compartments, utility moms) 6.80 .
ii!-::::;' Attic/craw ace fans
g: •t6 oth= 1sP 10.00
Business nameOte6 a auf 4_ ct,),/- Goya
-.1 Fuel piping 10.00
Contact name: • V rt.541-6) -) $5.40 for first four; $1.00 for each additional
Address: e 6w.L3ciil Furnace, etc.
. Gas heat pump I
City/State/ZIP: ( V- 0 1, n i L S- Wall/suspended/unit heater
Phonegb3) 67-)S a0i I Fax:6 s3-7 z/--2... Water heater
, ' Fireplace
E-mail: Range _
- .ti r '..:4:6*i•r*:!i:::.:4;'.:;':,:::::.1,:r.,.::-:F:",:1):,';...:k:::i-i:,:::,.`;:', Barbecue
_
Business name: alt• / , • R 4_ NA„--y t joyLd Clothes dryer (gas)
other:
e r
Address:
V ) 7 '4/ r) •,,,,,,:',:i:.:-s.i7j.',1.;:i: ' Eikg
City/State/ZIP: it 6 V- C , ..I /I 1 Lc Subtotal
t Minim permit f (S72.50) ---,
Phone:63 3g c9146.5 Fax g0 r 6 . 3 - 7 Z 2_ P um ee - bz
lan review (25% of permit fee)
CCB lie.: ) d-V State surcharge (8% of permit fee) 5, vc,
TOTAL PERMIT FEE w1 . z *b
Authorized stare:
.d...) 61/1m.-- l r This permit application expires ifs permit is not obtained thin 180
bare: La) . :L. days after It has been accepted as complete.
In
Print Liam= , •yt1/4 4L446--n Date: * Fee methodology set by Tri-County Building Industry Service Board
ENBuildial0PermitsWIEC-PcruzitAoadac
17J03 440-4617T (11/02/0324/WE33)
CITY OF TJARD
BUILDING DIVISION PERMIT #: MEC2005 -00630
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/7/2005
Phone: (503) 639 -4171 C f
Inspection Requests (24 Hrs.): (503) 639 -4175 'ill.,
INSPECTION WORKSHEET FOR DATE: 10/18/2005 TIME: 7:10AM PAGE: 60
SITE ADDRESS: 13285 SW VILLAGE GLENN DR CLASS OF WORK:
SUBDIVISION: VILLAGE GLENN LOT #: 019 TYPE OF USE:
PROJECT NAME: SWANDA
DESCRIPTION: Replace furnace.
OWNER: SWANDA, MICHAEL PHONE #: 503 - 639 -7920
CONTRACTOR: OREGON HEATING + NC INC PHONE #: 503- 538 -2953
Inspection Request Scheduled For: Date: 10/18/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 018583.01 503. 538.2953 Y
Corrections/Comments/Instructions:
=c.,- is ...go,e‘ „1rd. ax 6 3.¢(a 4- ' ic4
CI fed, 1r /�,e4-74-ci
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL p CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: /41 aS #: (503) 718-