Permit •
CITY OF TIGARD
MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2006 -00643
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/15/2006
PARCEL: 1 S136CA -02300
SITE ADDRESS: 10975 SW 79TH AVE ZONING: R -4.5
SUBDIVISION: FRIENDLY ACRES LOT: 026 JURISDICTION: TIG
Project Description: Replace gas furnace.
CLASS OF WORK: OTR 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: IT
REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR NIT S:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
KEITH MCDONALD Description Date Amount
10975 SW 79TH AVE
TIGARD, OR 97223 [MECH] Permit Fee 12/15/20C $72.50
[TAX] 8% State Surchar€ 12/15/20C $5.80
Total $78.30
Phone:
Contractor:
A -TEMP H EATING & COOLING
16000 SE EVELYN ST
CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 650 -5014
FAX 503 -557 -2990
Reg #: LIC 71878
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 OU NC by
calling 503.246.6699 or 1.800.332.2344.
Issud By: _ / Permittee Sig nat � ir6tivaie
Cali 503.639.4175 by 7:00 a.m. for inspections that busin- ss 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.
Achaniesil Permit r
ADDliq oi.t <writ.. r 1•SI
:
,
, ' City of Tigard Received
Pnu
alre:54' elt Ne.:11g r .# 04 .." CO •
,' 13125 SW Hall Blial., Tigard, OR 97223 DEC Pion Review
Phone: 503.639,4171 Fax: 503.598.1960 i 1 5 , 2
C F! , 4 : itvvd 1 1 4, Date/13r Other Permit:
Inspection Line: . 75 503.639,41
BUILDING D I IS (TN!
v :L L .. A II
Date Ready/By: ita .' el See Page 2 ter
Internet: www.eltigard.orms
TY O Pi U Notified/Method: /a Supplemental Information
/611-r- .1-7.' 14:;..,...
„ .
;:!■:!!,!;;:',".::::'.:!:::':'.n;:'.".,,, . ..:,.: , . • ,.,.. ilekt:Ok Nypitic: , . , „ : • • : :: :: ! .50*00:* - IinHO. fg P.0401
ee antu fees arc based clii the value of the work
0 New construction Additiordaltr..-ration/replacement M d peanut
performed. Indicate the value (rounded to the Matta dollar) of a
• Demolition 0 Other: mechanical maturials equipmentiabor, overhead, and profit. •
01 Valla: $
W ' : ' . ' . • : ' .
.. .
ii,isimotiAiszititti*.iik.14****00
1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building
For special Information use checklist.
0 IVIulti 0 Master builder 0 Other:
Description 1 Qty Total
,i i :..11:000.10,A*.:.:;iiiiiii. 06v.ry . . 'I'. • g,
e
Job sit address: 4 , • ....e
I 0 975- ,C) 79 ; PA 4-te 7 Air conditioning or heat pump
(requires site plan showing antomOra 14.00
City/State/ZIP: -77 6..A. ‘ 24,. 67712. .. Furnace i 00,000 BTU (ducts/vents) /
Fumu, 100,0004- BTU (ducte/vants) 17.90
• Suite/bldg./apt. no,: [ Project *inane:
Oas hind p44mp 14.Q0
Cross streetklirections tejob alto: Duct work. . 14.00
.. -..-------..- -
• Hydrorric hot water System 14,00
Reaidential boiler (radiator or
,
hydronio) 14.00
Unit heaters (tuel-typc, not electric),
•
- eff *yea.11it_t-duct, reopendod, eta. 10.00
• -
ar
' Flue/vent for any of shave 10.00
Subdivision: Lot no.:
_ __-.- Other: 10.00
Tax map/parcel no.: Other fuel a , lance•
10.00
- ..- ,-..,..: 7.71 :!: :;:::::' .. • - Igg3C OF: W9RK . Water healer ---- -
craS fireplace 10.00
i g. -- '7/•'__Z- Hue vent for water heater or gas
fireplace 10.00
-
Log lighter (gas) IIIII 10.00
4 2
------------- 3' / 7/72-• Wood/pellet stove 10.00
----
Wood fireplace/insert MI 10.00
. „
8otitiv ' ::.:„..: . . ..r:---.7-77 ....,: . :.; :, _. , , , ...,w 10.00
Eli fo.00
-
Name: / eld ( ( .,.. --- / V i el,„.Z ../...)
Environmental exhaust and vontilatlon .
-
---- ' - Range hood/Other kitchen
Address: , , arzzz: ._... „y ......c, - .... ,er,..,„,.
,,..tgAiRtnent 10.00
City/Statc/ZIP: ,e- .4. ) 7 7 Z- 2- 3 ' oat. &airy exhaust 10.00
Single-chid exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet ciimortmenta utility rooms) 6.80
"... ".;''' ' ';'' •1 0 AIPIPOWitkkkI ' • ' ' • ". - .: ;.. ..: :,::. . :.,.Evt .• . .„., ,... • Attio/orawlsoe fans 10.00
Other: 10.00
Busine mu
ss ne: , ...-..
Aa:EBAEHBATviajonxcoOL1NCVINC- lAuil piphtg .
Contact name: 16000 SE Evelyn St. SS.40 for first f0111 $1.00 for each additional
. .....,
Address: LlaCitanaS, OR 97013 . Furnace, etc. •
• - 503 650 5014 .......... - , ciag heat pump ....
City/State/ZIP:
W11/suspended/unit heater
Phone: ( - ) Fax: : ( ) . Water heater . _
Fireplace
E-ntail: ,./
. Range
........._
k ik.,•%,•; ,, , , q- ••,...••• • - '....... ..; - • • - 0301111ACI'OR: • Barbecue
- - .
Business name: Clothes dryer cos)
EMEI/EATINCLANDCOOLThip.INC-__ Other: . .
-
Address: ' 16000 SE Evelyn St. , . . • :141tetliAN ,iCA„..t 'P. gRa
City/State/ZIP: .. Clackamas, UR" 701•5 7------- - ----- ""' -
Subtotal -
...._
- '.......... 5 0 31 .1 6 1 93 1, 5 1 M.■■•■•■•■........................ 10 ..... 11 . 4
Minimum permh fee ($72,50) ,
Plume: ( )
.. -______ Phtn review (25% olperinit fee)
CCB tic.: 7/ g3 98 • .
Stale flucetyArge (8% ef permit fee)
. . , -_,,,. .
AM
' 1 TOTAL PERMIT FEE '.
u
,. .
Athorized a' atu - et
..// • . & , a../Z-e- 'e-'''(" This permit it
application eapites ire penult la not obiActed whin 160
Ala 0 altor it hag boon am led as uom kir. .
r _ c/e--4.D
_...,_
Ti=1 klidIZT : TO 91211Z1E ST ' 065E2..SS2OS : 'ON Xt:JA dW31. -Id: W0e1A
CITY TIGARD _ -Y -.
BUILDING DIVISION PERMIT #: MEC200BMOOf43
l 13125 SW Hall. Blvd., Tigard, OR 97223 DATE ISSUED: 121&&/2005
Phone: (503) 639-4171 _1111"941t
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12/28/2006 TIME: 7 :01AM PAGE: 48
SITE ADDRESS: 10075 SIAN 79Th AVE CLASS OF WORK:
SUBDIVISION: FRIENDLY ACRES LOT #: 0,6 TYPE OF USE:
PROJECT NAME: MCDONALD
DESCRIPTION: Replace gas furnace.
OWNER: MCDONALD, KEITH PHONE #:
CONTRACTOR: A -TEMP HEATING & COOLING PHONE #: 503-850-5014
Inspection Request Scheduled For: Date: 12/28/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 04155'3-01 603-639-8151 Y
6io QA-5 l., NZ
Corrections /Comments /Instruction 0- ,/ &
1 '� _ - ' -• • s — i dJ I L '7
/
1 PASS I I PARTIAL APPROVAL ❑ CANCEL 1 1 NO ACCESS
I FAIL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
,( Inspector: -,/ , ,, Date: 7P- 2g ac. Phone #: (503) 718-
F,
CITY GARD
BUILDING DIVISION PERMIT #: MF 2006- 00543
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/15/2006
Phone: (503) 639 -4171 /i��i�ti���� ��
Inspection Requests (24 Hrs.): (503) 639 -4175 .J.4
INSPECTION WORKSHEET FOR DATE: 12/271200 TIME: 7:00AM PAGE: 21
SITE ADDRESS: 10975 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: FRIENDLY ACRES LOT #: 026 TYPE OF USE:
PROJECT NAME: MCDONALD
DESCRIPTION: Replace gas furnace,
OWNER: MCDONALD, KEITH PHONE #:
CONTRACTOR: A- TEMP HEATING & COOLING PHONE #: 503 -650 -5014
Inspection Request Scheduled For: Date: 12/27/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 041525 -01 503- 639.8151 Y
Corrections /Comments /Instructions:
.1 ( 26 ' OA/ 6 /"dal a4 C4 -,294, .6� Lvz'� Lori) c -1L 47r-'
" . -5'r -7 - ,-- 4 s - Ai_ sd 5'z, e,,,n.L 1 J2 & 1 -a
-,44A s1- ` 7— \2L27
PASS 1 PARTIAL APPROVAL ❑ CANCEL fl NO ACCESS
IL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
4 Inspector: Date: / 2.– 2 7 - o Phone #: (503) 718- X4 - 5'' _
CITE' OF TIGARD
BUILDING DIVISION PERMIT #:EL$ 1010
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 p• V
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2' 2.3- 09 TIME: PAGE:
SITE ADDRESS:1 O C A 1 S S t.A.) . 19 - 0,, AV . CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: e.,0014 - e - t. EQ044
OWNER: PHONE #:
CONTRACTOR: A ' . PHONE #:
Inspection Request Scheduled For: Date: 2,•'7,3• 07 Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments /Instructions:
PASS PARTIAL APPROVAL I CANCEL NO ACCESS
FAIL 1 I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: 6-4 NO l Date: ' -'23`"O ) Phone #: (503) 718- 1 -- 1 1 L i 4