Permit "Nnitil:-- ., G ITY O F TI GAR r , MECHANICAL PERMIT
r ° w ` COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00742
� " DATE ISSUED: 12/20/2007
T,1GARD3 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
',° PARCEL: 2S114BB - 12000
SITE ADDRESS: 10463 SW TITAN LN ZONING: R -12
SUBDIVISION: SWANSONS GLEN NO.2 LOT: 061 JURISDICTION: TIG
PROJECT: LE MARCHANT
Project Description: Replace gas furnace and venting.
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: 1
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 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
TANNA LE MARCHANT Description Date Amount
10463 SW TITAN LN
TIGARD, OR 97224 [MECH] Permit Fee 12/20/20( $72.50
[TAX] 8% State SurcharE 12/20/20( $5.80
Total $78.30
Phone: 503- 245 -9261
Contractor:
SPECIALTY HEATING & COOLING
7500 SW TECH CENTER DR #130
TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS
Contact #: FAX 503 - 598 -0718
PRI 503- 620 -5643
Reg #: LIC 66578
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 OU NC by
calling 503.246.6699 or 1.800.332.2344. r,
Issued y: �� ■ , Pe rmittee Signat — . y = < / <ri._-JA.,_
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.
V ,
DEC /20/2007/THU 12:33 PM FAX No, P. 001
Mechanic *l Permit Applic. 1 N S t ( ti ''
City Of Tigard , 11 �( )-. Received Permit
13I25 5W Hall Blvd., rig- 'S u ^ 1a Date/By; /.2- ADO hlee21D7- eo7 ..2
Phone: 503,639.4171 Fax 5�:: "r'. , 60 .xa •=i, I r 1, Plan Review Permit:
Inspection Line: 501639.4175 Da te/By:
pe c 1�O t 7. r ' Date Rea /B r ' • Internet: www.ci.ti ard.or.us (('' = -- ' of S See Pape l Information
B *,,k. t' f � Q� Notified/Method; 1 Q . Supplemental taformation
e .11
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[] New construction a 'N 'r dition/alteration/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition [ ❑ ,p Other: mechanical materials. equipment, labor, overhead, and profit.
P"a u71`! t.�l�a l �r 5. 1•5Y. C yR..,=f5001�,1 (�1 L:.h„+I .0 i r 6 c Fr: 747:F= a 0:75 Value: $
L 1- and 2- family dwelling [] Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi family ❑ Master builder ❑ Other
Description I Qty. 1 Ea. 1 Total
r i 1 , NA m ' „ /�ma -E t a� .rry° t i a j" a ny tv {4s. } a s:
�l, 1 i . L 1 4- <1: ?i r 'r h i - ,., ;1, 41' -- ,, 1�.3t1 ,. h �a� '. 0� ln. CSI, 1 vY�. „-w g �.< �7 �1 � ti Heating/cooling
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I /�� / ae Air conditioning or heat pump
Job site address:
1 b U. Io 3 5 t 1 tt . (requires site plan showing placement) 14.00
City/State /ZIP: �l tt OR, R 1 to q _ Furnace 100,000 BTU (ducts/vents) j 14.00 c/
Suite/bldg. /apt. no.: I Project name / Furnace 100,000+ BTU (duots/venls) 17.40
1 e , r e-ha �[-[. 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 (fine1 - type, not electric),
in - wall, in - duct, suspended, ctc. 10,00
Subdivision: I Lot no.: Fluc/vent for any of above / 10.00 lb
- Other: 10.00
Tax map /parcel no.: Other fuel appliances
,� h +r �¢T -t�;.� ta'vri`•� 'lc, i -r �{rft;- � A� -'rc -b [ v,< n S,rk'< !. k 1 i "�v �iI. i 1<i r�i�i) t. �' �7
2 71 ;17 t �t,� 7 1.2tlt vl 4ry' I ,!2�ii[; Jnl.'.alar�.Jv�I.�ul`r A1ia6 1, . ,, 1 ' 1 A 0 i S..iLZitui:...iv Ewt..,, � W ater heater 10.00
Gas fireplace 10.00
L. / i /� ffi 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
�^ 'c r f. `i , r " P 0 �, a , , .. 1 :, ri ,H .4 : c r Chimncyllincr /fluo/vcnt 10.00
;�r_-<.lr d t fi J S� 10 /l�k i ti1 :7;N 4 T . 1 ; ? r; 7, Or 1) , t∎ ,W<1a�j a :to∎ , •h
.3.... z .. :7. ,1 - _.>t ..v. r.. 1.7 v r...c r . d =limn. _./n..:. .1rt, 4t,., z lst<. 5�..,.'mcr. 1:...1 E. :4:J Other: 10.00
MINEN IIIMW, 4.7 Environmental exhaust and ventllat
L•
1 " ► -T / l� Range hood/other kitchen
Address:
6' 4 L3 5 & [ ( tidal'? < equipment 10.00
City /State/ZIP: 7 <trt Q es ( 7i Clothes dryer exhaust 10 -00
Single -duct exhaust (bathrooms,
Phone: (5b3 .. e?Jb / Fax: ( ) toilet compartments, utility rooms) 6.80
1 ' 7 , m .r n 0 +n y ! "y' ' �.� ' y .,•r., w � y , � ■ ,t y: q . l yu ace fhnns 10.00
Attidcrawls
GIs`•'`' r ., iti) "4'`• . r;,'..,-,P 4 i 'r.. m it l �r . n & a ,'A F . 7 6, r y tv j l 5 0� P- C —ri , I � 0 9 t (' r i ,' o p _
..a, ..hl G: . ti,:..teaw. -..0 SFth.!<rFr ,ae <iE,. �!:l
t Other: 10.00
Business name: � f�P�� ' Oil 1� 1 Fuel pipi
Contact name C �'"' 55.40 for first four; 81.00 for each additfona
Address: 7 ob 5th Teak /' ne , ' eas heat etc.
Cr< !~,f” 4, / Oas heat pump
City /State/ZIP: '""ri G� - , Wall/suspended/unitheater
Phone: ( ) 15 I Fax: ; ( )
Water heater
Fireplace
E -mail: Range
_
�� t . `t iFe r»-i i l v ' +., If . 'r r 77 0 .+ } Z { C (0 al„. , a ;; 1 . ` r i . r{�d r V +C $ ;.t Barbecue
. l fir`.#
d ' a1��,�,� r�' .,d ° �. r 3s... ::1 ��. j.S�,c�'1''�td."� 41 t � ��.r.. + . S.t,. S71t,w,is1 . + -•�.rs Fir..,. �: �nr a «�1
Clothes dryer (gas)
0 1:, Other:
, - + - MV ire <i "CY 01:. 1 '' s 1+ 4 : ax v 1 E) O' ✓'"-
1 i t t c
", �a�i aslCC ;r i °�`1 3M d�i.tt Sa4 :Sa .:+
4
City /StatefZlP: j i r S r e pR '47_9101,3 Subtotal
I �C �1 Minimum permit fee ($72.50) rya <�� Phone: 6 ) I2p �' 3 I Fax: `5QJ' 511 8 - �� 1 g Plan review (25%ofpermitfee)
COB lie.: 6 6 '1 2 State surcharge (8% of permit fee) 5 g/)
TOTAL PERMIT FEE -7g. ,,36
Authorized signature: ,t This permit
q application expires ire permit is not obtained within 180
"Am r l days after It has been accepted as complete.
Print name: y r i • Date: /.2124 1 `a. 02_1 • Fee methodology set by Tri- Country Building Industry Service Board
1; mBua ding 1FormiodgeC- Pertno App .dec ILO] 410 -4617T(11 11 /02/COM/WEB)
CITY,OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007- 00742
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/2012007
Phone: (503) 639 -4171 /0�i�p41011I1 "
Inspection Requests (24 Hrs.): (503) 639 -4175 /V CC v 0 7 -
INSPECTION WORKSHEET FOR DATE: 2/28/2008 TIME: 7 :00AM PAGE: 52
SITE ADDRESS: 104+3 SW TITAN LN CLASS OF WORK:
SUBDIVISION: SWANSONS GLEN NO.2 LOT #: 061 TYPE OF USE:
PROJECT NAME: LE MARCHANT
DESCRIPTION: Replace gas furnace and venting.
OWNER: LE MARCHANT, MANNA PHONE #: 503-245-9261
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503 - 620 -6F 3
Inspection Request Scheduled For: Date: 2/28/2008 Pour Time:
Code # Inspection Description Confirm # . Contact # Message
699 Mechanical final 065623 -01 503- 246 -9261 N
Corrections/Comments/Instructions:
waw (-@ /< i7-66 - C�
❑ PAS ❑ PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: A, Date: --0-8 Phone #: (503) 718 -