Permit CITY OF TIGARD
MECHANICAL PERMIT
COMMUNITY PERMIT #: MEC2008 -00105
O UNITY DEVELOPMENT
TIGARD; 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/28/2008
PARCEL: 2S 102CC -03200
SITE ADDRESS: 10340 SW HILLVIEW ST ZONING: R -3.5
SUBDIVISION: FRELEON HEIGHTS NO.2 LOT: 015 JURISDICTION: TIG
PROJECT: WESTOVER
Project Description: Oil to gas conversion.
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: 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
PHILIP & CHRISTINE WESTOVER, PHILIP S AND Description Date Amount
10340 SW HILLVIEW ST
TIGARD, OR 97223 [MECH] Permit Fee 2/28/200E $72.50
[TAX] 12% State Surch 2/28/200E $8.70
Total $81.20
Phone: 503- 620 -6846
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.
r
Issued B,4•1 ittee Signature:
Call . • 75 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.
.. " • . .:
•
Me Permit Application
. .
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City off Tigard �)
Il ,,
13125 SW Hall Blvd., Tigard, OR 97223 >Y• • I j f Permit No.:� J lo �-
■ . Phone: 503.639.4171 Fax: 503.598.1960 Plan Review t r (J
1 1 i A it 1 Inspection Line. 503.639.4175 Fi_ 6 ; , ` ; Datde Other Permit:
Internet: www.tigard or.gov ' ,. Date Rey /By: Jun,: I ® Page 2 for
Notified/Method:
09 i Supplemental Information •
. . ' re,xm e,+re^ �, -_.: e ^+��"�'i..,r,� mmlwat'�v^�5 -. _�raes,r+ ,qt � t
�Yna+uR.i'.iiflf,_1 _::. - ..2«,4YC!:,.. J Y. v�Y '. a:321✓AS} SiMA r ?..
❑New construction ��}; Addition/a!teration/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition 0 Other:
b mechanical materials equipment,
;;.• <, :f , 1, ye 1 73 .4 f e r eq P ent labor, overhead, and profit
s +�, Value: $ P
I �F�PC _A: "45. � ..5 .':. ... . . .'t T.l r, �lCxl3 (+;••.3. tir: '
m
1 - and 2- family dwelling ❑ ComerciaUtndustrial ❑ Accessory building x;
❑ Multi family ❑ Master builder For special information use checklist.
❑ Other
' t s - . ► r` •. Description
a / I .: • 3 a 1, ;�,ir w r 1 . ; i I , Ar 4 1 . _ Qty. j Ea. Total
�1.^w£aN^«L,.lkKwt?MWlhwdMb• ki e.(gtimEar��`' ti i i.}F i.�" 4c ;. "ej
,�'�(a�: =,' Heating/cooling
Job site address: L ` ' / • ////1/0v) /'�/ Air conditioning or heat pump
City /Statc/Z1P:
ill / / L ` -' ` "�; .J (requires site plan showing placement) 14.0
i (..\ C v-(-- \ i 0 (<=.. C.. 1 .3 Furnace 100.000 BTU (ducts/vents) I 14.00 /L! 0
Suite/bldg. /apt. no.: •J 1 Project name: 1,,,',_, :, t Furnace 100.000+ BTU (ducts/vents) 17,90
t.' ` ` ,
Cross street/directions to job site:
Gas heat pump 14.00
Duct work 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit healers (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14
Subdivision: Flue/vent for any of above 6.80
I Lot no.:
Tax map /parcel no.: Other: 10.00
r t Other fuel appliances
via let
. . .. . l , `.t . , . . �OE$CR P ON o : - , . , i ' ' re l 7tr 7%-, , `, ._ ' ?" Water heater 10.00
Gas fireplace 1000
o EE Flue vent for water heater or gas
1 0 ci (� 1,,.) C l.:_, i k L: ; \ 1 - I t: , i.•._ f ireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
PR�7''1�TY�'U NER ( ��(i Chimney /liner /flue /vent
( F
Name: l'i • t , 5� I j.. .• + I - ` '<Ux x. O117CT: 10.00
'
Il V \ �� \ 10.00
Andress: y 1 --
Environmental exhaust and ventilation
C - , �' c..-.., `) '� 4 1 � ✓+ h :w �, �� . Range hood/other kitchen
- / ` equipment 10.00
!,~ ` r , C. ( I•- (1 t` y
City/State /ZIP: 'C. ' Clothes dryer exhaust 10.00
Phone: (/ ,� C, `, 4 i Fax c ( ) `7 2_ Single -duct exhaust (bathrooms,
toilet compartments, utility rooms) 6.80
1 . ay40�.IQ. . .< (IIY4+ 1 ,,. .
t x ..i Attic /crawlspace fans 10.00
Business na Other: 1 10.00
me
Contact name: Fuel piping
55.40 for first four; $1,00 for each additiona
Address: Furnace, etc. 1 i `2:::-.--/ 0
City /State/Z1P: Gas heat pump J {
Phone: ( )
WalUsuspendcd/unit heater
Fax: ( ) Water heater
E -mail: - Fireplace
a r S'4 { "� x Range
h.0 r.tc:E,.,�')fi; -. l;: _.; Barbecue
Business name: Sunset Heating & Cooling Clothes dryer (gas)
Address: 0607 Sw Idaho St Other:
9• `lR . I
City/State/ZIP: Portland OR 97239 �' -y „e t`
Phone: (503) 234-0611
Subtotal A “( 0
Fax: (503) 234-0439 Minimum permit fee ($72.50) ;=' U - ft)
CCB lie.: 161085 i Plan review (25% of permit fee)
State surcharge (12% of permit fa) ` -7 L/
/ /,.. i
TOTAL P
Authorized signature. ;' G /l --- , l- '� This' PERMIT FEE (4 ) . 2 C • Permit application expire; a permit b not obtained within 180
Print name: Casey Wiser J, days after it has been accepted as complete.
Date: ( 7 I f / •( • Fee methodology set by Tri - County Building Industry Service Board
I:t auildin sWEC- Pemtit4pp.doe 01/19107
440 -4617r (1 l /02/CO.M/ W EB )
2 d de2:20 eo Le qaJ
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2O18- 00105'
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/2812003
Phone: (503) 639 -4171 4 A �,0t ?�
Inspection Requests (24 Hrs.): (503) 639 -4175 .. ' ' /V - a��
0 INSPECTION WORKSHEET FOR DATE: 3/12/2008 TIME: 7:00AlVI PAGE: 54
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SITE ADDRESS: 10340 SW HILLVIE ST CLASS OF WORK:
I.
SUBDIVISION: F'RELEON HEIGHTS NO.2 LOT #: 016 TYPE OF USE:
PROJECT NAME: WESTOVER _
DESCRIPTION: Oil to gas conversion.
OWNER: WESTOVER, PHILIP S AND, PHILIP & CHRISTINE PHONE #: 503 - €646
CONTRACTOR: SUNSET HEATING & COOLING PHONE #: 503
Inspection Request Scheduled For: pate: 31/2/2008 Pour Time:
' Code # Inspection Description Confirm # Contact # Message
610 Gas line 0661533 - 01 503.234 Y
Corrections/Comments/Instructions:
g,_ ,4ti �i ",e/ /rLi cr'i Gi'7O^-
r ASS H PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL , CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
i
r
Inspector: Date: - 3 —// ,rs Ez> Phone #: (503) 718- 7'/