Permit 1
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4•#.; CITY OF TIGARD MECHANICAL PERMIT
:'. COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00228
TIP ARq 131 SW Hall Blvd., Tigard, OR 97223 503.639.4171
DATE ISSUED: 4/26/2007
.. PARCEL: 2S112CB -08500
SITE ADDRESS: 15050 SW KENTON DR ZONING: R -7
SUBDIVISION: ASHFORD OAKS NO. 2 LOT: 099 JURISDICTION: TIG
PROJECT: FOX
Project Description: Replace furnace, add exterior A/C
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: 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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
FOX, JOHN NELSON + SHARON M Description Date Amount
15050 SW KENTON DR
TIGARD, OR 97224 [MECH] Permit Fee 4/26/200i $72.50
[TAX] 8% State Surcha 4/26/200 $5.80
Phone: 503- 624 -1166
Total $78.30
Contractor:
FOUR SEASONS HEATING & A/C INC.
1005 INDUSTRIAL PARKWAY
NEWBERG, OR 97132 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -538 -1950
FAX 503 -538 -0165
Reg #: LIC 97152
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: ( j ---- Permittee Signature: �� -e. �0y•----/
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.
, : A Malcolm Lamb 5035380165 p 3
[Mechanical Permit Applr , ; t z ,, roR oF ti� f :,
f( ) a f , � �" � < l rq
City of Tigard d a E` ' . � ) . � �i. - DU .
1 3125 SW Hall Blvd., Tigard. OR 97223 1 `" .,
Plan Review I Other Permit. 503.639.4171 Fax: 503.598.1960 ./nr 11((!‘ Dateaty:
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u tuns: E l Sec Page 2 far
Inspection Line: 5 et: www.ci.li 1 gard., .4175 APR f ) Dat Rca dy!t3y:
APR _�'" r Supplemental Information
Internet: - • .' y � � p Nalified,Mclhod;
TYPE Q.?I\i d K(J'r I iUL tt 1 COMMERCIAL FEE* SCHEDULE - USE CHECIaI
�i1 tD /Wkl y y ���t.T� �O Mechanical pcnnit lees' are based on the value of the ..1.ri
❑ New construction �Addi /�lte Fa1t4lDGltttPla'Ltc 11 performed. Indicate the value (rounded to the nearest dollar
❑ Demolition ❑ Other: mechanical materials. equipment, labor, overhead, and pn,li
Value: S
CATEGORY OF CONSTRUCTION
_ RESIDENTIAL EQUIPMENT / SYSTEMS rFE57'
1- and 2- family dwelling ❑ Commercial /industrial 0 Accessory building For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Dtscription I Qty. I E. 1
JOB SITE INFORMATION AND LOCATION Heating/cooling
Air conditioning or heat pump
Job site address: / ,j Y S C �7Lit.J 17 Wi-Chf\- (requires site plan showing placement) L 1 4.11(1
/State /ZIP: F urnace 100,000 BT (ductsivents) / 14)11) 14)11) Cil
y ( �ti i ^ ( :?� C: �n ` mil `
Furnace 100,000+ BTU (ducts vends) 17 96
Project name: -7 0(1 { —
Suite /bldg. /apt. no.: J L X Gas ht..0 pump 1
Cross sircct/directions to job site: Duct work 1 -1.0r,
Hydronic hot water system 14.0!!
Residential boiler (radiator or
hydmnic) 14 WI
Unit hatters (fuel -type. not electric ).
in -wall, in -duct, suspended, etc. (I0.01:
Fluelvcpt.for any of above long
Subdivision: J Lot no.: Other: I1.).1d:
Tax slap /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater (
` Gas fireplace
I (LW
f . t+ c._ 4 tl - 1 L -€ ,'4- - C LM t roYt e G'' Flue vent for water heater or gas Hui!'
t ircplacc
Log lighter(gas) , 111.011
Wood/pellet stove I 10.(11
Wood fireplace/insert 10.00
•
Chimney/liner/flue/vent (
-.VI PROPERTY OWNER ❑TENANT Other. 10.(01 I
Name: \Tc) V n -Fo h Environmental exhaust and ventilation _
Range hood/other kitchen '
Address: / — . ' \AI ( O I, equipment 10.titi j
Cil /Stale /7_EP:-•� p //rr,,/'1
Clothes dryer exhaust 1(1.10
y 1 ( '1.4�C ) l� t � � � �- )---(4 Clothes
exhaust (bathrooms,
Phtme: (( O°j) ( )_..14 - / I 6f Fax: ( 1 toilet compartments, utility monist 0 1) ;_
❑ APPLICANT scit CONTACT PERSON Attic /crawlspacc fans I (1!liLi_
Other. 10oti 1
Business name: FL Ul.1 ( "),(2ci_seyt. 5 sea i i.r " A I Fuel piping
Contact name: ; c„..0. , e.., .( k 6t J $5.40 for first four; 51.00 for each additional
Furnace, etc.
Address: 1 0 0 S (,i. 3 i\ d. si I'' Q L GA M{ 0- \/ Gas hart pump '
City /State/Zit': ( 4 r,� > 10 V li`! (mil !2 c( st f -.L Waltsuspcnded/unit heater •
V J f
Phone: ( 3) 3 ---- ? ) e - / U GI Fax: : (.Su3 ) "..S-I-3 t s S - 0/6 `;- Wald }tracer +
Fireplace
I
E -mail: 1 c.t. LA e -co 1" U b C� 0. SCM. S _ - Range I
CONTRACTOR Barbe
! Clothes dryer (gas) I_
Business name: F(r) GAh S .e a S (Ai, S .4,e,4; „,,,j l C Other:
Address: i oc S 5 1 & A :x r.. i tr t. n ( (Pk t.,..., v( MECHANICAL PERMIT FEES*
City /Stale /7_.IP: kf , o (� ei 1 � 3 Subtotal
(A� Cv' J 1 Minimum permit fee(S72.50) ; - 2 a ,
Phone: (S 5 3 3 - -lC( -CC Fax: (CO3 ) .5 '3 C f 6 j Plan review (25 %ofpennit fee) St
State surcharge (8% of permit fee)
CCl3 tic.: Cr > TOTAL PERMIT FEE I ?_:
�� This permit application expires if a permit is not obtained +.ht :
Authorized signature: ��� — - days after it has been accepted as complete.
■ � j 1 ` Fee ntclhnduingy set by - Fri-County Building industry Service B.
Print name :. ( ( _ I \ �_ .� (L l/1 1.` Date: - a 1 L
It,,iWiii, : i.,,„itr.1F.e. I•crn,ilAp 12.(11 - I•10-46 17'1'( 11•07('OM. \VI)II)
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