Permit CITY TIGARD MECHANICAL PERMIT
#i� DEVELOPMENT SERVICES PERMIT #: MEC2005 -00155
c �' II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 4/6/2005
PARCEL: 2S103DA -00700
SITE ADDRESS: 13205 SW WATKINS AVE ZONING: R -3.5
SUBDIVISION: DERRY DELL LOT: 007 JURISDICTION: TIG
Project Description: Replace furnace & add A/C.
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: 1 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
HATCH, JAMES S /MARCIEL J + Description Date Amount
HATCH, KEVIN SCOTT TRUSTEES
13205 SW WATKINS [MECH] Permit Fee 4/6/2005 $72.50
TIGARD, OR 97223 [TAX] 8% State Surcha 4/6/2005 $5.80
Phone: Total $78.30
Contractor:
CARSON OIL COMPANY INC
3125 NW 35TH
PO BOX 10948 REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97296 -0948
Phone: 503- 224 -8516
Reg #: LIC 8388
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: j j cfr
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.
04- 05 -'05 15 :32 FROM- T -578 P002/002 F -720
_ , . MechanicalPer 1 A plication
Date received:5 A • Q Permit no.: V\ z c 7jil ij�
J4 ' . a _! City of Tigard. Project/appl.no.: Expire date:
Address: 13125 SW Hall Blvd R 97223
r3' of Tigard 8 9 005 Date issued: By: I Receipt no.:
Cl
Phone: (503) 639-4171
Cal y s [ J Aso file no.: Payment type:
Fax: (503) 598-1960 Q T
~ Land use approval: BUILQ�NQ DI V 9 RO Building permitno.:. lir
1 11' 1: 01 l'1:1011"1
- 5 ..
Y < •' & 2 family dwelling or accessory O Conilnercial/industrial . ' O Multi -family • • U Tenant improvement
'`s p ew construction l] Addition/alteration/replacement O Other:
JOB SI"IE I \F0101 COMMERCIAL \'AL1'A71ON SCIIEDULI:
''` Job address: . O 3' _ . Tndicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: / 7 O - Suite no.: value of all mechanical materials, equipment, labor, overhead, .
Tax map/tax lot/account no.: profit. Value $ .
=' • Lot: Block: I Subdivision: *See checklist for important application information and
-,�,3- , Project name: il iq?f "F ki . jurisdiction's fee schedule for residential permit fee. -
,City/county 7",r,,,.Ahj) I ZIP: ,,'' ,A._.._ I & 21,:1111 1)11 ET.L1 \G PERIII I" FILE SC111ULLL
' '' riptionand loco ' no work o p miles• ' S ..: i :,ND COMM! ;ItIC IAL 1.0L'IPa1ENI SCI IEDI:LE
t ',, 1� P-Al GIIF ' 110 /P API, 6" :1- • Fee(ea.) Total
• , 5 : Est. date of completion/inspection: 41 -2 Desolation r Res. only Res.only
r 4 ,- 'f Tenant improvement or change of use • -
•• s . ;.5;'..' , Is existing space heated or conditioned7AYes ❑ No
Air handling unit CFM p '
. con • don g : to • . n required)
,• {::Spy, �- • " Is existing space Insulated es O No _ t on of exuung ' ' system
q ML( ' I1: 1\1(';1L ( :ors. ‘CI :o err compressors
� ?Ilia. State boiler permit no.:
� liess name: C i t 'j l4 Vf L •I1p Tons BT0/I1
rteL,
. ° ; ' , , A d d r e s s : '' /. / mi l ? ... • O ff - CO 4 ' ? • - . - r7smo • • damp . • net smo , etectors
0.5.e. r City • • I ! -- • j Av ZIP: sgym ' eat . ump (site plan req - .
'•phone• .- • - r , f - : ,, % -mail: s p ace noses B
• � i ' t: ' — Including ductwork/vent liner O Yes O No
FiCCB no.: • r..3 z - w • / -, 4 ' , , 1 , FT relocate eaters- suspended,
p� +1,> J 4Gity/meho lic. no.: wall, or floor mounted • •
k , Mine ( p l e a s e p r i n t ) : -' A i . ; ' - - -' e n t 0r . J, I : ' ce other than , ace -
ig,n. era oar
•
?;: ( O \ "I':t('I' i'LRSO\
p AA BTU/11
5 ,' ) - its I � L Co •• ressors - - - HP . .
` r oxturess Ai , �- _ - e- ./S 5. , „, , r1 ., , . � yen 11 Y"■ . II: X'
,.> CatY: , .. • ' • ' fate: • ZIP:.. - ' - , = • A : liancevent • • .: •
j.. ; 1 . ,lie Fax: E-mail : . r' :; ., ate •
" ' G 011:�t'1t "r;* : r 1 .. :ic,e, , as iat •
�e+ , hoo d fire suppression system -
`i,;. ' �• . .5t7i J 0 L. C , . ', BxhauS -
.f�,`:* ``one,• � r ?: x� t[anwithsiagteduct ( bathfans)'• -
,,/ : - ' I3xhanst stem • . � heating or AC
�`�� >" E�� • ding address: � . ' : '. � .,�... � . � . , ::. �: . . . • .:' • .
eq 5` E _ 19'i ' . L • 4 ` y _ _ _ ZIP: a yp p ; , , No p to • 4 otla is •
'S 'z Ei ;Of - + 6 7- D rp% b-r� E- flail: . i4 \' i • •.ef , i.1. _ . .: don over ou eta • •
+� , >F I \ G I \ I.1. R • _.: p ; (achernatic required)
c . •
1. „, ' ,i f'',, a -4 , _. - , .. , • . . _ - : ►`l q app 1 orequipinenP .
>`..., .:.a ~'• "s : • • .. '' • ,,._ ^..i,- .Decorative fireplace • • ... - , . •
; ►; = r; one:: .� _ � JIr1F =TI •,. ov t ietsmve . •
'-plicant's signature: M f/ _'�' e
1 f' U ' h ' e , , t): 'd!4 i e P i e " t �e -
ti V , ,Na oil jmtrdicrioas mat cads. please call jurisdiction kw rs iofomiaduu. Notice: This permit application Minimum fee $
Permit fee $
- .
+ . •) ► is d . • O MasterCard
, "Y.
,, . � �-. / / expires if a permit is not obtained Plan review (at _ %) $
j `t; , & , within 180 days after it has been State surcharge (8%) ....$
0 ! f ' framed a. .eowa as moat card accepted as complete. TOTAL $ ) 7- 1.2, '
i•v,1: , :.e., ►.',, ,,mot m in us Amount
'':',, -� 1444617 (6410/C01,4)
04- 05 -'05 15:40 FROM- T -579 P001/001 F -721
A/C MAP
OVER 10'
OVER 10' it) OVER 10'
Hatch Residence
13205 SW Watkins
Tigard, OR. 97223
FRONT
SW Watkins
CITY OF TIGARD, • - S. or
BUILDING DIVISION PERMIT #: MEC2005-00155
13125 SW Hall Blvd., Tigard, OR 97223 ISSUED: 4/6/2005
Phone: (503) 639 -4171 � mru+eri h j ,
Inspection Requests (24 Hrs.): (503) 639 -4175 "I ��
INSPECTION WORKSHEET FOR DATE: 4/25/2005 TIME: 7:10AM PAGE: 83
SITE ADDRESS: 13205 SW WATKINS AVE CLASS OF WORK:
SUBDIVISION: DERRY DELL LOT #: 007 TYPE OF USE:
PROJECT NAME: HATCH
DESCRIPTION: Replace furnace & add A/C.
OWNER: HATCH, JAMES S/MARCIEL J +, PHONE #:
CONTRACTOR: CARSON OIL COMPANY INC PHONE #: 503- 224 -8516
Inspection Request Scheduled For: Date: 4/25/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 005008 -01 503- 224- 85001W) N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED
Inspector: Date: -. -2
— CS Phone #: (503) 718-