Permit ww� CITY OF TIGARD
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MECHANICAL PERMIT
°' COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00101
DATE ISSUED: 2/26/2008
TIGA 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 112 BA - 05200
SITE ADDRESS: 14405 SW 80TH PL ZONING: R -7
SUBDIVISION: WAVERLY MEADOWS LOT: 004 JURISDICTION: TIG
PROJECT: YORK
Project Description: Replacing furnace and adding A/C.
CLASS OF WORK: ALT 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
GREGORY & DEBORAH YORK Description Date Amount
14405 SW 80TH PL
TIGARD, OR 97224 [MECH] Permit Fee 21261200E $72.50
[TAX] 12% State Surch 2/26/200€ $8.70
Total $81.20
Phone: 503 - 631 -8212
Contractor:
SUNSET HEATING & COOLING
0607 SW IDAHO ST.
PORTLAND, OR 97239 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503-234-0611
FAX 503- 234 -0439
Reg #: LIC 161085
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: ____Y � ���.�
Cal 503.639.4175 by 7:00 a.m. for inspections that busine s 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.
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Mechanical Permit AppliciOir -,- :,,n,', / : Ink tH.I li I I "1 i i».1 \ ,
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City of Tigard d VL ,-_-; _‘ :, , Re „ i ,„ iffarm • •
D .,..„„ y , , ., ,•., i ,,,,,.. Permit No.. /9),...e --cute
. ° 13125 SW Hall Blvd., Tigard, OR 97223 r: r - ,
DairiB Revi ew
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• Phone: 503.639.4171 Fax: 503.598.19b •!) ,',' / ' .
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Other Permit:
Inspection Line: 503,639.4175
Date Rcady/By: kris: El See Page 2 for
-•:, Internet: www.tigard-orgov CuTY C1' ':,L.i, ' J Notified/Method: Suppkmental Information
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7:::: ..ETJ.:an ' : " 2. 1, R7V.2 .. 7271.1: " * . ZIN: ; .:1K : ?5:i
Mechanical perrnit fees are based on the value of the work
0 New construction RAddition/a!teration/repIacement
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit
,`.1.".1'::t.--;:::::1.'.:;■'.:.Z'..':.:::•77.71",?T'i:.,...'i'li:TF.f.:37rir.5r;11fr`..'","W':-.i:i.:.1 'i'L'' '.: 1 .'• . 11' Value: $
:i
' li.S . . . . . ,.
M 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building
For special infonnation use checklist
0 Multi-family 0 Master builder 0 Other:
Description I Qty.1 Ea. 1 Total
u '„,,11:::,1,7::,.21 eg rA II .7 V 74 .. v .r4rirltrF ) ? 4 ".,•in.T.fttflr - 1 , ,VF:Ttni , ,VV : ',Rin' '••:., r'.* '1,- ..',-). fA4,7141,
' i;;;;;Ji.., i,„i% ,:i4c.1) :::4-i -,‘7,•',-,44r. Heating/cooling
Air conditioning or heat pump
Job site address: \ Li /..1 c, -.:> ----- )4„. , ,2 '',: Q.; '..---\-, ` , , k (requires site plan showing placement) , :k 1 1 4 4 . . 00 00 1 i i ' 1 '
City/State/Z1P: -- , ,_„.2......., (-D i.? z_-- Furnace 100,000 BTU (ducts/yents)
Furnace 100,000+ BTU (duem/vents) 17.90
Suite/bldg./apt. no.: j 1 Project name: \,1 c i , kL.
Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic hot water system 14.00
CD 6116' y ('),1,.J9, 005-c ive—.) cp-',4/1 Residential boiler (radiator or
hydronic) 14.00
IT( e-yrruvt i al it l eat .
ersdu(efut 14.00
dr/d6 e - u tY sp P e c n , d n e o d t tri c , e t e c e ),
Flue/vent for any of above 6.80
Subdivision:
Lot no.:
Other: 10.00
Tax map/parcel no.:
Other fuel appliances
_
, bif1 opt_)p*tgti,Ls„k O' Water heater 10.00
'-- : 7
-- . , '.' ' Gas fireplace 10.00
---- k.... ., '‘,.‘ c' c.-.... .::A , ' 1, ck _,-i,-. C. Flue vent for water heater or gas
fireplace 10 00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
• , - . Chimneynineralue/vent 10.00
KEY: .. i: ::::-."'• ' ';'.:-' ';'' f - oth„: -
10.00 .. ,
Name: (."---, ,,::_ ,,,,>....., \,/ (.. ,,,..... ic
Environmental exhaust and ventilation
Range hood/other kitchen
Address: i L it - i c, '-..: '....„,, , ),.:::, ic 0 '' Al equipment 10.00
City/State/ZIP. I \ CA C A.,/ (.. • •,.::•, • i..c - 1 • --- -. -- L- •-- i Clothes dryer exhaust 10.00
. Single-duct exhaust (bathrooms,
Phone: ( -J -:- -----1 Fax: ( ) toilet compartments. utility rooms) 6.80
0E1tio -:i: ,.,,-1;.1,..:2 :;,,:‘ ;:::.:,,a,."0 Attic/crawlspacc fans
Other. 10.00
10.00 _.
Business name:
F'ueI piping
Contact name:
S5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
Gas heat pump
City/State/ZIP:
Wall/suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E-mail:
V'I;v:LFASIK-7 Range 'i:.:--.-..,..:;•'.:',.';!'' vii i. : :: ::1 - 4 ) % ;: ' ' ' - =„ 1 .. . Barbecue
Business name: Sunset Heating & Cooling Clothes dryer (gas)
Other:
Address: 0607 Sw Idaho St
3
City/State/ZIP: Portland OR 97239 ,;:,, ,..T:..! '' ; . -.: . ..--:-.'''. .- 71,'•
Subtotal Z.,.,=_S '—
Phone: (503) 234-0611 Fax: (503) 234-0439 . Minimum permit fee ($72.50) -/ Z.. 3
Plan review (25% of permit fee)
CCB lic.: 161085
State surcharge (12% of pemlit fee) c< . 1 C
. ,. TOTAL PERMIT FEE , cf., i Z C
Authorized signature: ,,,,,'" , ,,,... ,, ..e.-- 7 c_, ,.., .,..-
- .41. ,.. 4 -- - L----.--- -- This permit application expires lea permit is not obtained within 180
days after it has been accepted u emnplete.
Print name: Casey Weser --::-.::-:-------- Date: 2.. 1 - z,L. i c <" • Fee methodology set by Tri-County Building Industry Service Board
1 : 93 undinglPermit3 1 MEC-PermitApp doe 01/19/07
440-4617T (11/02/COM/WEB)
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CITY OF TIGARD
BUILDING DIVISION r PERMIT #: MEC2008 -00101
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2 /2&200tt
Phone: (503) 639 -4171 4iq;�•'
Inspection Requests (24 Hrs.): (503) 639 -4175 Arrir
INSPECTION WORKSHEET FOR DATE: 5/8/200 TIME: 7:01AM PAGE: 46
SITE ADDRESS: 14106 SW 801'1 P1, CLASS OF WORK:
SUBDIVISION: WAVERLY MEADOWS LOT #: 001 TYPE OF USE:
PROJECT NAME: YORK
DESCRIPTION: Replacing furnace and adding NC.
OWNER: YORK, GREGORY 8 DEBORAH PHONE #: 503 -631 -8212
CONTRACTOR: SUNSET HEATING ft; COOLING PHONE #: 503- 234 -0611
Inspection Request Scheduled For: Date: 518/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 069552 -01 503.747 -4612 Y
Corrections /Comments /Instructions:
PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
r: Date: 6 Phone #: 503 718 - 2/2 Inspecto � ( )