Permit I, q CITY O F I G� ® MECHANICAL PERMIT
•
- COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00080
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/19/2008
PARCEL: 1 S136CA -90022
SITE ADDRESS: 10900 SW 76TH PL 2 ZONING: R -
SUBDIVISION: TIGARD WOODS CONDOMINIUMS LOT: 002 JURISDICTION: TIG
PROJECT: KIMBLE
Project Description: remove and replace gas furnace.
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
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 0
> 10000 cfm: GAS OUTLETS: 1
Owner: FEES
PAULA KIMBLE Description Date Amount
10900 SW 76TH PL 2
TIGARD, OR 97223 [MECH] Permit Fee 2/19/200E $72.50
[TAX] 12% State Surch 2/19/200E $8.70
Total $8t20
Phone: 503- 639 -2506
Contractor:
A- ACTION HEATING
18245 SW TV HWY
ALOHA, OR 97006 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 649 -3524
FAX 503- 649 -6095
Reg #: LIC 78369
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 Permittee Signature: 7/75Cil/
Call 13.639.4175 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.
Feb 18 08 09:18a A- Action Heating, Inc. 503 - 649 -6095 p,1
Mechanical Permit Application
FOR OFFICE USE ONLY
of Tigard Received
- City _ _
14
n 13125 SW Hall Blvd., Tigard, OR 7.22; ® Dale;By: it, Mr 13 Permit �`o. :/ —+
4J , i' ; 41 . Phone: 503.639.4171 Fax: 503. 8�[6t3. Plan Review
TIGARD Inspection Line: 503.639.4175 Date/By: Other Permit:
Internet: www.tigard- or.gov FEB 1 9 2008 Date R y: Juri st Su See Page2 for
Notified/Method:
Supplemental Information
TYPE OF(W OF TIGARD COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ New constR utiDn Additional RUM r c I A S I ®N Mechanical permit fees* are based on the value of the work
performed- Indicate the value (rounded to the nearest dollar) lar) of all
❑ Demolition ❑Other:
mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: S
X 1 - and 2- family dwelling 11 Commercial /industrial RESIDENTIAL EQUIPMENT /SYSTEMS FEES*
0 building
❑ Multi- family O Master builder ❑ Other: For special information use checklist
Description 1 Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION
Heating/cooling
Job site address: 1CP co 1 '1 / _ (LfJ �r J I
J /-� f Air conditioning or heat pump
(rcqui7es site 'a t an s howin placement
City/State/ZIP; /� g P } 14.00
t � Q � ( � f` � 1 9 i_r � Furnace 100,000 BTU (ducts/vents) f 14.00 iq pc Suite bldg. /apt. no.: Project name: Furnace 100,000+ BTU (ducts/vents) 17.90
Cross street'directions to job site: Gas heat pump 14.00
Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall. m -duct, suspended, etc. 10.00
Subdivision: Lot na.: Flue /vent for any of above 10.00
Tax map /parcel no.: Other: 1000 1
Other fuel appliances
DESCRIPTION OF WORK
Water heater _ 19.00
VP '4— t/� pp Gas fireplace 10.00
J C • (-{ ce___ Flue vent for water heater or gas `
B a 5 �-- I -f� c--€_, fireplace _ _ ]0 -00
Log lighter (gas) 10.00
Woodipellet stove 10.00
Wood fireplace /insert 10.00
XPROPERTY OWNER I ❑ TENANT Chimney /lineriflue/vent
_Othe 10.00
Name: 'Po Other: 1 10.00 1
16 m qe _ Environmental exhaust and ventilation
Address: J ( r T D /� ( 4
CiCity/State/ZIP: // equipment 10.00
S� (ID
- 7 22 Clothes dryer exhaust I0.00
Phone: �Q� .�} �/�/ - Fax: ( ) Singe -duct exhaust (bathrooms,
��1� toilet compartments, utility rooms) 6.80
❑ APPLICANT HEATING & $t A/C ❑ CONTACT PERSON Atticicrawlspace fans _ 10.00 •
usiness name: A- ACTION HEATING � Fuel i m 10.00
B
Contact name: 18245 S,W. T.V. HWY p p I
$5.40 for first four; $1.00 for each additiaoal
Address: ALOHA, OREGON 97006 Furnace, etc. 1 i q�
City!State /ZIP: Gas heat pump
� Wall/suspended/unit heater f
Phone :)� - 3�L� Fax:: �3 L01-161 _ G�OgS Water heater
E - mail: 1 u f Fireplace
- be
C tt Barbecue
Business name: A- ACTION HEATING & A / C Clothes dryer (gas)
Address: 18245 S.W. T.V. HWY Other:
City/State /ZIP; ALOHA, OREGON slaos MECHANICAL PERMIT FEES �JJ����
Subtotal I I �
hone: ( ) Fax: ( ) M inimum permit fee (S72.50) 71 ,
A f P CCB lie.: 0 �_ pe) Plan review (25 % of permit fee)
State surcharge (416.ofpermit fee) .f C)
A. a__ TOTAL PERMIT FEE _ J C
Authorized signature iaA �� ��[�l.l� /�/^�� Th is permit application expires if a permit is not obtained within 180 K up
l\ {t /� + days after it has been accepted as complete.
r Print name: n P 1 1 Dater �,+ ! Fee methodology set by Tr - County Building Industry Set Board
1: � hennUApp.doc ` I}V/MG `
440 -46I 77 1 1 /02 /C0 4rW'EE)
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: MEC2008- 00080
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/1W2008
Phone: (503) 639 -4171 ini rNd4�1
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/14/2008 TIME: 7:00AM PAGE: 54
SITE ADDRESS: 10900 SW 76TH PL 2 CLASS OF WORK:
SUBDIVISION: TIGARD WOODS CONDOMINIUMS LOT #: 002 TYPE OF USE:
PROJECT NAME: KIMBLE
DESCRIPTION: remove and replace as furnace.
OWNER: KIMBLE, PAULA PHONE #: 503-639-2506
CONTRACTOR: A- ACTION,HEATING PHONE #: 503- 849 -3524
Inspection Request Scheduled For: Date: 3/14 /2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
. 699 Mechanical final 066512-01 503-235-B363 Y
Corrections /Comments /Instructions: �
C -2,9 v t r�� e., / .. , c - - — -.l u,�-e t -A ,k-S' / • - (2j
C' 'lti ot', .2v A clvIloa 1 JIL- . '' rf /i GZt'i— -1-0
* r u6 46G # 52Z - .f P-.4, 'i/ G'c" -e
/
f SS 1 1 PARTIAL APPROVAL ❑ CANCEL 1 1 NO ACCESS
IZ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 1 - !v`, Phone #: (503) 718
�� OF TIGARD CITY n�� nm����u��� �
BKKKLbKN ' DIVISION PERMIT #: kJEC2008-00080 .
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/ 19/2 D0 8
Phone: (503) 639-4171 Ailk i
Inspection Requests (24 Hrs.): (503) 639-4175 "� ~ ���
INSPECTION WORKSHEET FOR DATE: 9/31/2008 TIME: 7:O1AM PAGE: 44
SITE ADDRESS: 10900 SW 76TH PL 2 CLASS OF WORK:
SUBDIVISION: T|GARD WOODS CONDOMINIUMS LOT #: 002 TYPE OF USE:
PROJECT NAME: K|N1BLE
DESCRIPTION: remove and replace gas furnace.
OWNER: KIW1BLE.PAULA PHONE #: 603'G39-2506
CONTRACTOR: A ME*T|NG PHONE #: 503
Inspection Request Scheduled For: Date: 3/31/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 067396-01 505-639-2506 Y
Corrections/Comments/Instructions:
.
.'
4 pi PARTIAL APPROVAL 0 CANCEL El NO ACCESS
| | FAIL CALL FOR INSPECTION [1] ADDITIONAL FEES ASSESSED
Inspector: �&v�' � Date: ~° Phone #: (503) 718- `2—t10