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14252 SW MCFARLAND BLVD
CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2005 00144
'13125 SW Hall Blvd.,Tigard, OR 97223 503-639-4171 DATE ISSUED: 4/4/2005
PARCEL: 2S 110 BA-06000
SITE ADDRESS: 14252 SW MCFARLAND BLVD ZONING: R-2
SUBDIVISION: SHADOW HILLS NO.2 LOT: 043 JURISDICTION: TiG
Project Description: R-Iflacc fimiacc
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VL-NTS 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: nO
WOOD
STOVES:PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN >=10UK BTU: `<= 10000 cfm:
> 101;00 cfm:
GAS OJTLETS:
Owner: FEES
DAVID ROTH Description Date Amount
14252 SW MCFARLAND 1h1ECH] Permit I cc 4/4!2005 $72.50
TIGARD, OR 97224 I'AX] 846,State Surchail 4/4/2005 $5.80
Phone: 503-620-3598 �� _Total $78.30 J
Contractor:
OREGON HEATING +A/C INC
PO BOX 397 REQUIRED ITLMS AND REPORTS
DUNDEE, OR 97115
Phone: 503-538-2953
Reg#: LIC 125815
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This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and
J all other applicable laws All work will be done in accordance with approved plans. This permit will expire if vmrk is not
m 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 1-80 -2344.
Issu d By: 610& pL Permittee Signature
Call 503-6394175 by 7:00 a.m.for ins Fe(C9,ms txrsiness 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.
Hlor 04 05 07.- 2Ha 503-537--2172 P. 2
MechA:iical Permit.A� li '
Rneivcd
City of Tigard i.%Lu,Ry. ",. Permit Nu
11125 SW liall Blvd.,Tigard,OR 97223 - --—
Phone. 503.639.4171 Fax: 503.598.1960 ^ ')' t Plan Review Other Permit:
`t DMWBy
Inspection l ine' 503.639 4175 ('; Dote Ready/By rue 0 See Page 2 for
Internet: www.ci.tigard.or.us `:� Notitled/Mcthod: Supplementallaformattoa
- T l COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
[3 New constructionAdd t I tit u'et llatxment Mechanical permit fees•are based on the value of the work
perforated.Indicate the value(ruunded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,andprnfit.
CATEGORY OF CONSTRUCTION Value:S
RESIDENTIAL EQUIPMENT/SYSTEMS FEES-
-artd 2-family dwelling ❑Commercial/industrial ❑Asceasory buildingCl _ For rpecial information
rue checklist EJ Master builder El Other: Description _ Qty. 6a. Totol
JOB SITE INFOPMAT10N AND LOCATION Heating/cooling
04
Air conditioning or heat pump
!ob site aidress: I (requiresi - C site plan shuwinapLcement) 14.00 —
City/State/ZIP: It Furnace 100,000 BTIJ(ducttuvents)-� J I4.W T- Project
name: t-'- Furnace 100.000+BT_U ducttdveuts 17.90
3uife/hldg./apt.Ifo.: _ Nrojct name_ __ Gas heat pump 14.00
Cross stmet/directions to job site: Duct work 14.00
- H dronic hat water attnn 14.00
_.- Residential boiler(radiator or
h dronicL__ 1a.00
_
Unit hentens(fircl-type,not electric),
in wall,in-duct suspended,etc. 10.'`0
Subdivision Lot no Flucivem for an of above 10.00
Other. 10.00
Tax map/parcel no,: Other fuel appliances
— DE9CRIP11ON OF WORK water heater _ 10.00
- -- Gas fine lace 10.00
Flue vent for water heater or gas
J firmime 10.00
-- -
Log lighter(gas 10.00
Wood/fictlet stove 10.00
Wood fi lace/inscrt 10.00
PROPFRTY W r.R i ❑ TENANT Chinni /liner/flue/vent 100)
----- Other. - 10.00_
Name. Environmental exhaust and ventilation
Address: 1!4Range hoodrother kitchen
.L4 _ equipment 10.00
City/State/ZIP: 0 Clothes dryer exhaust 10.00 _
Single-duct exhaust(bathrooms,
Phone: Fax:( ) toilet compartments,utility rooms) 6.80
PPLICANT ❑ CO(TACT PERSON Attic/cmw_ps acc fans --- I0.Do —
_ � Other. I U.00
Business name: -- - -- --
- _ Fual Iltg____._a=.._
Contact name: 55.40 for first four;$1.00 for each additional
Address: Furnace,etc. _
Gas heat pump
H
City/State/ZIP: 5^ Walla axled/unit heater
Phone: ) Far.: )�`j"1 2 Z' Water heater
B-mail; Firc•.rlace
m C NTRACTOR barbecue
0 Business name: Clothes dryer(gas) -u
W Other: _
-J Address: i _ ,- _ - MECHANICAL PERMIT FEES'City/State/zip: - `l�� --� — Sub, —
`-- Minimum permit fee(57?.50)
Phone: 2� Fax ) �/Z Plan review(25%of permit fee)
CCB hc.: fr Stale surcharge(8%of pennit fee) ,
TOTAL PERMIT FEE
This permit application expires if a permit Is one abtnined within Igo
Authorised signature191nat__ days after It has been accepted as complete.
Print name' O eiri Dale: 1 61(�L�- ' fee methodology set by Tri-County Ruilding Industry Servico Board
nuilA�nc•.1'annitr\iFr'-PrnnitApp doe IS.ro+. IIaAoi7r(ivo2jCOrvw rrt
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2005.001.44
13125 SW Hall Blvd.,Tigard, OR 97223 DATE Ie:SUED: 4/4/2005
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPErTION WORKSHEET FOR DATE: 4/21/200!y TIME: 7:08AM PAGE: 93
SITE ADDRESS: 142.52 S'W MCI ARL.AND BLVD CLASS OF WORK:
SUBDIVISION: SHAIX)W HILLS NO 1 LOT#: 043 TYPE OF USE:
PROJECT NAME: ROTH
DESCRIPTION: Repixe furnace
OWNER: ROTH, DAVID PHONE #: 503-620 3598
CONTRACTOR: OREGON HEATING + A/C INC PHONE #: 503538.2953
Inspection Request Scheduled For: Date: 4/21/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
09 MAchanical final 0049(140,1 50353&2953 N
Corrections/Comments/Instructions:
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector. Date:Al / ; Phone #: (503) 718- _ ___