Permit CITY T I G A R® MECHANICAL PERMIT
, I I DEVELOPMENT SERVICES PERMIT #: MEC2005 -00038
_411. `- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/25/2005
PARCEL: 1 S125DB -03803
SITE ADDRESS: 09620 SW 74TH AVE
SUBDIVISION: BOULEVARD HEIGHTS ZONING: R -4.5
BLOCK: LOT: 026 JURISDICTION: TIG
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:
GAS 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: G
Owner: FEES
MIKE GRIFFITHS Description Date Amount
9620 SW 74TH AVE [MECH] Permit Fee 1/25/200; $72.50
TIGARD, OR 97223 [TAX] 8% State Surchar€ 1/25/200E $5.80
Phone: 503 246 - 3810 Total $78.30
Contractor:
SERVICE NOW OF OREGON INC
404 SE BEAVERCREEK RD #228
OREGON CITY, OR 97045 REQUIRED INSPECTIONS
Phone: F Heating Unt Insp
5555 Final Inspection
Reg #: 7578 �1G 161582
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.
Issued By: /64/ � , � o� Permittee Signature: �yj . 4
u r
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
SENT BY: ; 503 655 7593; JAN -25 -05 10:58AM; PAGE 2/2
wiechanIQ' Permit Application
C "ih/? •t - ' }`OROFIisuusi' :ONLV ,
i(etei SW Hsll I)lvdiard Q] y Uute /Ry; 5_ 5_ 1ennil Nu. , 9ECEIVED
/ 60 Plan Review '1`' (/
Inspection Line: 503.639.4175 % y 1 1 ^ llatcIBy; Oilier Pcnt i1 `
JAN 25 2005 "'�`J1 r _
Internet: 4 vww,Gl.tt�ar(I,Of.us .iW Dr +l� ltcady /F3y /uric
1 0lSee huge2 for
Nnli cihl ll t.+ttalIufarmn
f eti /M of �- ./
} / Sa 1 TIER+ ` r10tt
�h .S� ii � ,r "1' � ^w . , . . �+i 1!ic�P �J - r Rr --•,
w tt1� .. lill1 i.y�`'!11 q, ('I_ f u ,i 1 1111 1t .r .:60IMt
• j � � ,tly I ,�s 13Y IISi,,l2'...,:' :li, 3itGT'i1C,, i" Cad ;r ��r.I.��� „!4)'f..„�r�;��`, i `a';
Y� ' � ■ t . . '''h`l ms rt
El New construction Pf i Li ion a tcratrnn /rcplacelnenr ('Mechanical permit fees” are teased on the value of the work
:nioI tai >tt • ❑ Other:
T 1' p" materials„ tlteq value equipment, lab d to the nearest and .
El of (t c. ,„ ,., , ; .. r ,,; , r. , �.; >,,.: -. I ;.;,�,,, �; k� lc - Thor, overhead, and rofit.
performed. I
11i 1 � � illaterials, C 111 [[lent, p
F R ! y, )ry, c� y nt It Ch 1ntL31 1
, t ; I i! { . ,y',Ur wit,.. 1 )32 '�ill1, , t l f >�r i t i' 1 ,,v 1pp, ), :r01 J1 `} VuIuC: $
►�� 1 - rend 2-family dwelling ❑ Cntnmcri i /industrial [] Accessory hull I k *11T;T IA 17 ''; r 4 } • S tS1 I r k ! ` i ` +A 1 1
Y (iii t)' . {' + ra v...
❑ 1vlulti- Iiinlil Y bui 1'or special irformatlor use checkl1sl,
ildc.
I.,.r ., „-({,air: - —
Description (fi
Descriti
e , . .;: i.,....,,�,,:_,.,Ii.E \ -.... ,.. yy. Ea. Total „ ,, ,,,,, , ,i ioi(srrl��`�iii�r .� "., ,_ ,.) „I��h��Jlz a T 1(� � � )�a� : `� --
Job site address: g 4 A ir conditioning ur heat pump
/� �`� � .. 1. l . ... �'l r (rcc 1 wre. ae OM showing pincclncnl) 14,00
City /Star.. : 0 4 � , rurnacc 100,000 }37'I) (ducts /vents 14.00
Suite /bldg.fapt. no.: Project name: Furnace 1 00,000+ 13 ducts /ve111s) 17.90
(ias heal pump 14.00
Cross street/direetions to job site: Duct work 14.00
-
"rr`� Hvdlunie hot water system 14,00
-- Residential boiler (radiator or
hydronic) 14.00
-- Unit Iteater.; (fuel -type, not electric),
in -walk in-duct, suspended, etc. 10.00
1=1ic /vent for any of above 10.00
Subdivision; Lot no.:
- 1 ....._ Other: 10.00
fax trap /pireel no.:
e c appliances
, Tai �� ,. dlc. �r ; ,.5.p„,.C.:. 11w; � - .. _ ..,._ ,. ...
r,,..., ,.:.:rr::
i,:a { !1 ,:.:> ,�4 .. s,.::..,.,..: �..",” ` ^ : ;;3;' Water
, ,,.1, 1...,.. t ,, .;l ; .. (s.��I t,1,,El ,lilf,,. , (��.'` : ;t�V(�)ltl <... 10.00
�
' 1 _ ... Hue � :Is lireplaue 10,(10
R1P444.8 - -. � _ � � 1
` _ J • vent for water heater or gas
/ f i re )lace 10.00
_. ....... b lighter (gas) 10.00
Wood /belle[ stove 10,00
Wood fireplace /insert 10.00
1 4 "� a � „. � urn a,�.v ec, , � �s,ttx. �., ¢'�.,.. ,.,, -�_
'ii,"a;,` '1!” (,:yl. `" .." i :„ ? ;,tn.... . — ,. Cltirlu1e' /li ner / t luc /vcnt 10.00
dlilf r tOkki ;" i'yi l4iti4?Z•V. T I;IAN'I` 10 00
s cu11 t' � 11} � ...._..r.lC.yj.,l1. , .,;,,. �.., ::' - : : .. ' '' __.. .:.'...'.1: � ....�. ,
,.. C3thcr: •
Name; '
��C. Environmental exhaust and vcntilatinn
-�„___. 5
12 t,lfe ItooiLulher kitchen - _."
. AddrCss. ni nicra 1(1.00
CityiStxtc /7.TP; Clothes (bye,. exhaust . 10.00
„.:__•. ..._._... ___...... _ - ._ -- - -- Single -duct exhaust (bathrooms.
Phone: + O Fax; ( ) toilet compar[rrlenls utility_roon,$) 6.80 •
Y` Aw - [ F 1 - r , " r .., n1 • . .
■
rr.
'y •' " y {�1�90} nd , I , • f Attic /crawls ace fans 10.00
Ya, t `� � ' �' < {��� r hYF � S`� lt,r,ili�l�14�S1 {E� €i�� E{; I Q �JV (lA(' i.,P1 LIL S C)!1 f ; ' , _.,...... �-
� �.< 1vr,< ,{ r, r ' 10.0(1 -j_
Business name;
fuel I)ipin$ .
Contact name: 95.40 for first four01.00 for earl] addltionn
I'itrnace etc.
Ad(ly$S: _
- ._..._..,.,.,..... -- _Gas heat pump
City /5lulr./L Wall /sit vended /unit heater
+,' ..- heater
Phone: ( ) 1 1'a:c :: ( )
Fireplace
E-mail:
Hurt 'r
u
., li yy,r Id j1a ;S'i " ...,.1:11Y' � ;: r.tl�(7'(.()lz , CIIC
-
_ -.. SdY ! )
(.autllc. Cr ,,,
Business 'mine: Service Now of Oregon, Inc Other: }
Address: 404 S. Beavercreek Rd 1 228 ;': ° :; . "'i ;T4 ,,,.•.7•,,,,,s,...,,,,,,, ;', ER 'i y t,.. K' '� 9.
,,, 1 V1
.-
S
O regon City, OR 97045 a ltot
City /titntc!?.lF': -
Minimum permit fcc (672.50)
I Fax; ( 503) 655 - 7593
-
Phone: (S 03) 655 -7558 Plan review (25 % of permit fec)
CC: f3 tic.; 61582
Staff SLIIL'tial'�C (8% of pet'1„If fee)
— 1'Q'fAL PERMIT FEE
Ti k 1 , 1 ap011cnrinn caiiir'65 i( u penr,lt Is not ublrii,laa i in ' 11 -4
•
-- — dt;,'5 lifter it LN5 been acCfpteJ vs Cnnl plete.
A llthar1zcd si gnattire:
- t,„ ,nCthpdulugy 60 hy'1 unt
' :'I- Cny Building InduSlry SCrvicc uusid
P_ ant name; Kathy ice ..,, Hate, + '� C
.iqp- atsn'• II I /n:rr:im1nt'r.h)
l:uiuilcing is \M' -:C -Pei mil tipp duc 17111■
a—' la -:cep
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2005 -00038
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/25/2005
Phone: (503) 639 -4171 it lit
Inspection Inspection Requests (24 Hrs.): (503) 639 -4175 ...'
INSPECTION WORKSHEET FOR DATE: 4/5/2005 TIME: 7 :09AM PAGE: 61
SITE ADDRESS: 09620 SW 74TH AVE CLASS OF WORK:
SUBDIVISION: BOULEVARD HEIGHTS LOT #: 026 TYPE OF USE:
PROJECT NAME: GRIFFITHS '
DESCRIPTION: Gas furnace replacement.
OWNER: GRIFFITHS, MIKE PHONE #: 503 - 246.3810
CONTRACTOR: SERVICE NOW OF OREGON INC PHONE #: F- 655.7593
Inspection Request Scheduled For: Date: 4/5/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
V 699 Mechanical final 003683 -01 503- 665 -7558 Y Corrections /Comments /Instructions:
/SMA
•ci bq, r ,� , / (� yUr�im ) J
f
C
___,
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: / hone #: 503
P � ) 718 -