Permit CITY TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00441
1 ' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/19/2007
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PARCEL: 1S136CB-06900
SITE ADDRESS: 11235 SW 81ST AVE ZONING: R -4.5
SUBDIVISION: HERB + PEGGY'S PLACE LOT: 014 JURISDICTION: TIG
PROJECT: FISHEL
Project Description: Install new gas furnnace, a /c, ductwork, venting and gas piping.
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: 1 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: 1
> 10000 cfm:
GAS OUTLETS: 1
Owner: FEES
GREG & KAREN FISHEL Description Date Amount
11235 SW 81ST AVE.
TIGARD, OR 97223 [MECH] Permit Fee 7/19/2007 $72.50
[TAX] 8% State Surcha 7/19/2007 $5.80
Total $78.30
Phone: 503- 760 -5940
Contractor:
R C HEATING & AIR CONDITIONING
2345 SE 143RD. AVE.
PORTLAND, OR 97233 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 760 -5940
FAX 503- 760 -9514
Reg #: LIC 123660
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 B / / Signature: �f ,7�1/6 66
/�� // , �. Permittee Si nature:
. 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.
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Mechanical Permit Auplit t►o� '` : hl t( ra r „ 1 iy„, n t / 1I1 1 ll 1 1 1 -,.„,..,..,,,- 1 p 4 „ x �t
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City of 'Tigard Received
2 r .. I9 / c— �� Ycrntal Nn .. �C.� I 13125 Sw 1 radl blvd., Tigard, OR 9 L ( 3 � M —
Plan Review
y > ; Phone: SO3 (V 9 41 71 rRti 501.598. 19n0 uatdtil: t>tficr Permit:
., ti, Insprt:tion L ine - 503 619 41 75 CITY § i`: .;, aD Date Ready/11y: 'wit `iar. Pa t ins
, . , pa .r, , x, . .,,, Internet: www.lipard -of. goV BLIP 1.011',i0 DR 1S ;ON Notified/Method: ll 9u ietor,e. due
4;::)..:..;.: '' TYPE OF WORK COMMERCIAL, FEE.* SC41t1r'rl)UI.E - USE Cilf3
❑ New construction ® Addition/alteration/replacement
Mechanical permit fees' are based on the value of the wn t
perti,micd. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, eauir)rnent, labor. ova head, and moth.
( OF CONSTRUCTION
Value. b
RESIDENTIAL E U IPMENT / SYSTE ' t r .. ,;
® I - and 2 - family dwelling ❑ Commercial/industrial 1:1 Act essory building Q ' "r "` �' a
tor special information use checklist
❑ Multi - family ❑ Master builder ❑ Other:
Description —� - -- I Qty 1 F.n I_ total
g! 11` __
'` 1: � 6[ INFORMATION AND I. 00: A'C10N llcatin coolin
Job site address: 11235 SW tit Ave. Air conditioning or heat pump
_ (requires sire plan showing placement)._ 1 14.00 14.00
City /State/ZIP: Tigard, OR 97223 rumace 100,000 BTU (ducts/vents) 1 14.00 14,00
Matinee 100I,O001 11'111 (ihiers/vcnrn 17.90
Su1t 'bldgdttpt. no.: 1 Project name - -_ - - "
�. Gas heal pump 1400
Cross street/directions to juh site: Duct work 1 14.00 16.6b
l lydronic hot water system 14.00 ,
Rm. idt ntiat boiler (rndintnr ar
hydrwaic) 14.00
.----- - - -• -- - - - -. -. Unit heaters (fuel -type. not electric).
in -wall, in -duct, suspended. etc. 10.00
Lot nu: _ Flue/vent tar an rent above .• 1 10.00 lel .CIO
$ebdiviainn: I
.._ .....,_.... . ___ Other: 10,110 _
Tax map/parcel no.: Other fuel appliances •
'' DESCRIPTION OF WORK water heater 10.00
tins ttrcpincc 10.00
Install New Gas Furnace, (Central Air Conditioning System, Ductwork, Venting, Flue vent for water heater nr gas
and Gas ripe. fiat:plttc ;: Ir1
- -- .!L.__ _ -- 10 .(x)
Woad /peliel stave 10.00
Wnnd fireplace /insert 10.00
. ---
. Chimney/liner/flue/vent 10.00
. , , ?h • ,.. or :R11 OWNF.tk ❑ TENANT
Qthcr: _ _ 10.0(1
Name: Greg & Karen Oahe l;nvirranmenlal rwhau+d and vrnlilalinn
Address: 11235 sea aI Ave. Range hood /other kitchen
i+tuipmcrti .......... I (1 ,,
(City/State/ZIP: Tigard, OR 9722.3 Clothes dryer exhaust 10.00
- Single -duet exhaust (bathrooms,
sr,
Phone: (503)639 -9941 Fax: ( ) toilet compartments, utility rooms) .. . 6.80 ____
,. Vwl .... ” • . APPI I CANIC 0 t:()NTA(T PFaitiON Atticfcrawispacc fans 10.00
.-.. • _...- _.-,.. _.........._... _,.._ ...
Busier= narru: RC. Heating & Air Conditioning, 1nc. Other: _ -_ _..,_.. Ih,l1(1 M�
__ Fuel Oiling
Contact name: Rod di/or Kelly Carron $5,40 for Cast four' $1,00 far each additional
Address: 2345 SF, t43 Ave. ... _, Furnace, etc. -- _ -- _.._..... _. 1 5.40
—_ - - -- -- - -- claw heat pumps —_—
City /Statr/Z1P: Portland, OR 97233 WAITisi ndixiiunit hatter
Phtntc: (503) 760 -5940 Fax :: (503) 760 -9514 Water heater
t )lame
E - mail: rcheatintt(acomcast.net .
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CONTRACTOR Ilialteci : •
Business name: R.(.. Heating & Air Conditioning, Inc . (_Inthcy /fryer (gas) —
_......... _ - -- Other:
Address: 2345 SE 143 Ave_ 1- Es
- _ _ -- MECHANICAL PERMIT FEES'
City/State/ZIP: Portland, OR 97233 Subtotal
Phone: (503) 760 -5940 Pax: (503) 740 -9514 Minimum permit fee (572.5(1 72.50
Plan review (25% of permit fee)
CCD tic.: 123660 tirasti surcharge (8% o pct suit fc, ) � -
, /., 7
Authorized signature: j (� r This permit application expires Ira permit le not oblalaed irlthin 11111
y��A�yN�� �``'///'''��t• Ayrr,� ^ i days, after It hos been accepted RS complete.
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007- 00141
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/19/ 2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 EE 4a06 2- Qd 9y/
INSPECTION WORKSHEET FOR DATE: 7/25/2007 TIME: 7:02AM PAGE: 42
SITE ADDRESS: 11235 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: HERB + PEGGY'S PLACE LOT #: 014 TYPE OF USE:
PROJECT NAME: FISHEL
DESCRIPTION: Install new gas furnnace, a/c, ductwork, venting and gas piping.
OWNER: FISHEL, GREG & KAREN PHONE #: 503- 760 -5940
CONTRACTOR: R C HEATING & AIR CONDITIONING PHONE #: 503 - 760 -5940
Inspection Request Scheduled For: Date: 7/25/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message •
610 Gas line 052705.01 503-760-5940 Y
Corrections /Comments /Instructions: •
•
PASS I PARTIAL APPROVAL n CANCEL n NO ACCESS
❑ FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: f • Date: - 7— 2S - -o ? Phone #: (503) 718- 4"'
•
JUL -19 -07 08:46 AM ROD. CARSON /R. C.HTG &A /C 5037609514 P.02
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