12300 SW NORTH DAKOTA STREET-1 IS 11SON Ja HiHON MS 00M
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12500 SW NORTH DAKOTA ST
CITY OF T1 C;A R D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERSUE#: MEC2005-00727
I 10/31/2005
13125 SW Hall Blvd.,Tigard,OR 97223 503-639-4171 DATE
PARCEL:
: 1 S 134C13-
B-04500
SITE ADDRESS: 12300 SW NORTH DAKOTA ST ZONING: R-7
SUBDIVISION: ANTON PARK LOT: 007 JURISDICTION: TIG
Project Description: Replace fireplace insert with like kind.
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:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15-30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30-50 HP: WOC.D,; OVES:
GAS PRESSURE: 50+ HP: CLO DRYERS:
FURN <100K BTU: AIR HANDLING UNITS OTHER UNITS: 1
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS.
> 10000 cfm:
Owner: FEES
ROGER& LA LANG De-Lription Date Amount
12300 SW NORTH DAKOTA [MECHj Permit Fee 10/31/20( $72.50
TIGARD, OR 97223 [TAX] 8%State Surchert 10/31/20( $5.80
Phone: 503-590-1638 Total $78.30
Contractor:
SUNSET HEATING & COOLING
0607 SW IDAHO REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97239
Phone: 503-234-0611
Reg#: LIC 161085
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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
W 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
o7suedBy:
3'44
I PermitteeSign tore:
Call 503-639-417!by 7:00 a.m.for Inspections the Iness day.
This permit card shall be kept In a conspicuous place on thejdb�(te until completion of the project.
Approved piers are required on thG job she at the time of each Inspection
Ur 28 05 09: 01a P. 2
,dechanical Permit A >t li ti V',
City of Tigard c>r.rsr t+anaMNa: ,. 7.77
13125 SW Nall Blvd.,Tigard,OR Haemo —�—
Phone: 503.639.4171 Fax: 503. �OQ� os.Prlrit
Inspection Line: 503.639.41175 ./ i'� Dow Radyfflkyf
Internet: www.ci-tigwd.or.us APV �— / M hldar M
❑New construction ®Ad4UkW/alteratioWrepIwement "= d&
Ibea*ars basad vailnt of On work
❑Dcmolinion ❑1h11er: t an Vahan( to tae naamat dollar)of all
Mopnult labor.ovsrfmd and omftt.
Valla 3
(
]-and 2-family dwelling ❑Commemial/industrial ❑Acceswry building imm
bMulti-family ❑Master builder []Other: For ia1 Mon�checklm.
Descrotim _ I Qly. Ea. Total
Han of,eaNOR
Job site address: nip
17 �� 'J Ll ("'y-f �'� .���,y�.� Air orheta
_ _ alk .is nt 14,00
City/State/ZIP: '��`, ��jl< L!7 Z L Furnas 100,000 BTU daeu&vm _ MAY)
— Ftunam 100,000+BTU daebhaata _ 11.90
Suite/bidg./apt.no.: Project name_l _ O�heat 14.00
Cross street/directions to jab site: Duct work _ 14.00
H_Ydrollic hot water system 14.00
Residential boiler(radiator or
h dronic 14.00
-- Unit!"as(W-type,not electric),
in-wall in-duct.suspended.etc. 10.00
Subdivision: Lot no.:
Fludvent for Ey of above 10.00
Other 10.00
H_
Tax map/parctl no.: Other fuel appllaaces _
Water heater 10.00
/ n Gas I tau 10.00 U
//]S L7 . —/'e �( Flue vent for water haler or gas
fi las 10.00
I, ighter(has) 10.00
1" let Stove 10.00
Wood fi _insert 10.00
Chimne /linerlAlydveM 10.00
Other. _ 10.00
Neme: Eavlronaatal eshaust sad veutlladen
Address: �r f Lid " Range hood/other kitchen
equipment 10.00
City/State/ZIP: 4 0,< _lodmdryer"haust 10.00
Single-duct exhaust(bathrooms,Phone: ?f'Vii) /(} .3 Fax:( 1 toilet comperitnents,utility roortu) 6.W
AtticAntwispn(lots I 1 10.00
Business name: Other: 10.00 --
Fuel laj�__
Contact name: 55.40 for not four;SIAO Ibr each additional
Address:
.,etc.
Gas heat
a City/Stale/ZIP:
Wall/suspended/unit hesser
-- --
NPhone.( ) `--- Fax::( ) Water healer
E-mail: Fircolace _
R.an
J_ Barbecue
Clothes dryer(gas
m
Business name:Sunset Heating and Cooling �__
WAddress 0607 SW Idaho Street 01ha:
J City/Slate/ZTP:Portland,OR 97239 _ SubbW
Phone:(503)234-0611 — Fax:(503)234-0439 Minimlan permit*ie(572.50) ;?
CCD tic.. 161085 emn
--
Plan review(25%of pit fog)
_ Sate surcharge(g%of pandt fee) rj
TOTAL tdRFUT"JE Iq I
Authorizedsignaturt 6an obtaloW watalalas
alkr k bes baa awspu d m cmpl@ e.
CPrint name:Shauna D'Ambrosia Date_' Z� V� � Fe►meebodobp rx t,Trbco wy t4a0Aiaa hwofty sarvim lloaed
i l8u11d1t4NPwr JUW4FC-PwmhA"dw 12MJ M41 17T(11/aLCo►e/WRn)
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CITY OF TIGARD
BUILDING DIVISION PERMIT M: MEC200!'r00777
13125 SW Hall Blvd.,Tigard, OR 9729^ DATE ISSUED: 101311M
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 12/2rM TIME: 7:19AM PAGE: 39
SITE ADDRESS: 12300 SW NORTH DAKOTA ST CLASS OF WORK:
SUBDIVISION: ANTON PARK LOT N: 007 TYPE OF USE:
PROJECT NAME: LANG
DESCRIPTIO' Replace fireplw.e insert vvith like Idnd.
OWNER: LANG, ROGEP &LARUE PHONE N: 503.59x1638
CONTRACTOR: SUNS'F.T HFATING, IL COOLING PHONE 0: X234-0611
Inspection Request Scheduled For: Date: 17/71200!5 Pau,r Time:
Code # Inspection Description Confirm # Contact # Message
699 Mfthanical final 022768-01 503.6W 1638 Y R°Q� PIS
Corrections/Comments/Instructions:
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�j PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
or----
lnspector:aA� _ Date: Phone 8: (503) 718- Z7
CITY OF TIGARD ___ ME:;HANICALPERMIT
DEVELOPMENT SERVICES PERMIT 0: MEC2005-00577
13125 3W Hall Blvd.,Tigard,OR 97223 503-639.4171 DATE ISSUED: 9/15/2005
PARCEL: 1 S 134CB-04500
SITE ADDRESS: 12300 SW NORTH DAKOTA ST ZONING: R-7
SUBDIVISION: ANTON PARK LOT: 007 JURISDICTION: TIG
Project Description: Replace furnace, install A/('.
FCLASS OF WORK: OTR FLOOR FURN: EVAP COO!ERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
S TORIES: BOILERS/COMPRESSORS _ HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES.INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15-30 HP: REPAIR UNITS:
FIRE DAMPER37: 30-50 HP: WOODSTOVES:
GAS PRESSURE: 50+ HP: CLU DRYERS:
FURN<100K BTU: 1 AIR HANDLING UNITS OTHER UNITS:
FURN>=100K BTU: <- 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
ROGER LANG Description Date Amount
12300 SW NORTH DAKOTA
TIGARD,OR 97223 [MECH] Permit Fee 9/15/201),c $72..50
[TAX] 8%State Surcha 9/15/20011, $5.80
Pnone: 503-590-1638 Total $78.30
Contractor:
SUNSET HEATING&COOLING
0607 SW IDAHO
PORTLAND,OR 97239 REQUIREf)ITEMS AND REPORTS
Phone: 503-234-0611
Reg 0: LIC 161085
L
2
0
This permit is Issued subject to the regulations contained in she Tigard Municipal Code, State of Ore. Specialty Codes and all other
3 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
0 Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these
U rules or direct questions to OUNC by calling 503-246-6699 or 1-800-332-2344.
Issued By: �[�,YLtJGL.� _ Permittee Signature: `
N I
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.
Sep 14 05 08: 22a p, 2
Mechanical Permit Appliviltio
C11) Of Tigard aaCemy. - -P-
1.1121
erm
1 J 125 SW Hsll Blvd.,Tigard,OR 9727 i Uaft Re -
ii Ihan Review J
Phone 503 639 4171 Fax: 503.598.1 V ^^ �oo r*&By. Other Permit:
Inspection Line 503.639.4173 , !t lAte Ready/By tm+r to See Psae 2 far
Internet www.ci tigard or.ux C Wilified'Method: Sappirmenlal laformotion
❑New construction ®Add itiv tion/replacement Mechanical p rmit fees'ore based on the value of the work
performed.Inds-age the value(rounded to the mm. i dollar)of all
❑Demolition ❑Other: mechanical mac isas,equipment,labor,overhead,and Drofit.
CAUGORY O>�. value:S
1•an • soryd 2-famil dwelling ❑Commercial/industrial Accesbuildi•ng •'.r�
E]Multi-family ❑Master builder ❑Other: Pelrapecb/Injornssfrlanare check!lrr.
fkscription Ei—
Told
.IOD WM WFORMATION,AND ljii 'f " Heatl cou>tla
Joh site address: 1 Z-�s SL- � yy}" a-ke�� Air arcs iteping owing pump , -
Irc vires site plan showing Placemen_ 11.00
Cil)/Slate/7.IP: `� �-i2�?� Furnace 100,000_BTU(ductsivems) _ 14.00 ILJ
Furnace 100,000+BTU iduas/vents) 17.910
Suite/bldg./apt.no.: Project name: / Gas heat ump _ 14.00
Cross street/directions to job site: Duct work _ 14.0(►
Hyeronic hot water system _ 1.100
Residential boiler(radiator or LL
I�dronic) 14.00 _
Unit heaten(fuel-type,not electric),
in-wall,in-duct,suspended,ale. 1000 1
T no.: -- Flue/vent for#m of above 10.00
Subdivision: I Lot — --__ _.._
-- - _ Other:
Tax map/parcel no.: Other fuel applLances ----
D68GRI(PIION' ! Water healer 10.00 --
n n
Gas fireplace 10.00
y 4 U,11 j,.i '-A LV (y l 7C fl L I'lue vent fbr water henter of gate --fireplace _ _ 10.00
—
Lop lighter(gas) _ 1000
Wood/ illi stove 1000 _
Wood fi placo/msert 10.00 _
Chimney/liner/flue/veni 10,00 ---
r k 'aFo „r,4: ; r z Other: _ _ 10.00
Nance: Vaney LxaiEnvironmental eshsuet and veatilatlote
Range hd/o(her kitchen
Address: ro
w t _ eg-ulpment _ 10.00
City/Stale/ZIP: G C�_l ZZ Clothes dryer exhaust - 1000
-- Single-duct exhaust(bathrooms,
Phone: sr/jU . 3 Fax:( ) toilet corn _—,utility rooms 6.80
_ []A }AC�"' 'Y a Attic/crawls fans -10.00
B.isiness home: Giber: 10.00----- ---- —
Fuel piping
Contact name: 55.40 for first four;$1.00 for each additional
IL Address: Furnace,ctc.
- Gas heat pump
F city/StattJLIW. _
_ Wal Ususpended/tmit heater
N Phone:( ) Fax;;( ) Water heater
r - -
Fireplace i-
t F•mail: �y Rangy
Barbecue
Business name:Sunset W Heating and Cooling Clothes dryer Oer:
J thAddress:0607 SW Idaho Street
City/State/ZIP:Portland,OR 97239 _ Subtotal ,
Phone:(503)234-0611 �T Fax:(503)234-0439 __ Minimum pernth fee(572,30)
- -------------- _ Plan review(25%of permit fee)
CCB Iic:161095 State s rmhatg (9%of permit fee)
-,
TOTAI,PERMmFEE
AUlhOfl7Cd signature: 1,w71ts permit sppumul"es reif•Permit b note"
,MaAtr-M�beta ecepaWwed rr)Mia Ia0
as compkle.
Print name:Shauna D'Asnbroah Date: (y l J • Fee methodolop set by TKCewaty Hdlifft Itideary Service gond
1%nui1dm11Trrmi1\AEC-Perml1App doe IMq 440461 TT(I 1M21C0WVWF5)
Sep 14 05 08: 22a p. 3
H/P
Site Plan
Sunset
Name:_ /±22
Address: SO Aw-^-f-
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CITY OF TIGARD O
BUILDING DIVISION PERMIT#: MEC20D&00577
13125 SW Hal; Blvd., Tigard, OR 97223 DATE ISSUED: 9116!'1005
Phone: (503) 639-4171
Inspec•',:, Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 10114/2005 TIME: 7:02AM PAGE: 129
SITE ADDRESS: 12300 SW NORTH DAKOTA ST CLASS OF WORK:
SUBDIVISION: ANTON PARK LOT#: 007 TYPE OF USE:
PROJECT NAME: LANG,
DESCRIPTION: Replace furnace, install AIC.
OWNER: LANG, ROGER PHONE #: 5035941638
CONTRACTOR: SL1NSn- HEATING 9 COOLING PHONE #: 503234-0611
Inspection Request Scheduled For: Date: 10/14/2005 Pour Time:
Code # Insps•ction Description Confirm # Contact # Message
I
699 Mechanical final 01809301 5035941638 N
Corrections/Comments/Instructions:
t'71
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 1 44�66 Sl—
Phone (.. 503 718-