Permit CIT OF T I GA RD MECHANICAL PERMIT
5#1 DEVELOPMENT SERVICES PERMIT #: MEC2006 -00520
e1 � DATE ISSUED: 10/26/2006
13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 PARCEL: 2S112BC - 07100
SITE ADDRESS: 14576 SW 83RD CT ZONING: R -
SUBDIVISION: GETTY'S EMERALD ACRES ESTATES LOT: 004 JURISDICTION: TIG
Project Description: ' Gas furnace replacement.
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:
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:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
LIEBMAN, ALAN + FRANCI NE Description Date Amount
14576 SW.83RD CT -
TIGARD, OR 97224 [MECH] Permit Fee 10/26/20C $72.50
[TAX] 8% State Surcha 10/26/20C $5.80
Total $78.30
Phone: 503 -624 -2907 -
Contractor:
SERVICE NOW OF OREGON INC
621 SE 7TH
PORTLAND, OR 97214 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -445 -2440
FAX 503- 445 -2443
Reg #: LIC 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 or 1- 800 - 332 -2344.
Issued, By: df/ Laif.!".(.f� Permittee Signature:'
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.
;2006 12:06 5036557593 SERVICE NOW INC PAGE 01/02
.
janical Permit .Application . ` ti , ° `
y ., t ti r ^ joi or t 1S t �; ' ON I,V
y of Tigard s ' ... rtecef O ow 6 Permit No• _ - oGo i
25 SW Nall Blvd., Tigard, OR 97223 Plan ltev ew
4
,tone: 503.639.4171 Fax: 503.598.1960 �} 20
Inspection Line: 503 r. .639,4175 C 1 � � � "c Dale Ready /13y: Datclf3y: Other Permit: e1 t See Page 2 for
lotcmet: www.ci.ti ard.ous � _ - NolincdiMethod: Su plemental la formati an
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❑ New construction Addition /alteration /replacement Mechanical permit fees* are hosed on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition . 0 Other: mechanical materials, equipment, labor, overhead, and profit.
L. 1 q4c • wr :1y";s' -+:i- 1 :„t� r ; •M1 Value: $
t 1 ,NI . } 2 1,.�3�.Ritt,,A ,. ,Y I�r h , ;• : 1 , ;�.i • 11 7. i l r , ,1
♦•P. } rites l•1'!t14 fl t bl; �7 "�'eft'tf2'.f,`^• ,:, .d f t��tivay ')I YJd n 1`,- '"'rfial ■ , .Y'f .1,�•,r,7' o-:,i us r, 1 ;�J u � : ' - ..„. • � '� . i
, q .,,.I A t �:: ?-., '.rti ,. �.1 , ,i
. 1 at7
® 1- and 2 - family dwelling ❑ Commercial /industrial ❑ Acve o r y huilditig ��
For special inforrnolon on c/tecklisi.
❑ Multi- fitmily ❑ Master builder ❑ Other: Description L Qt i Ea. 1 Total '
'TO r .',1..0 T`;; ;$FQtti 4 #i9 igsb • ,O4'ri,9, :: 11e:ttin cnr,tin
lab site address; -J '� 051-314 rd � Air conditioning or heat pump
s j 0 •rcquir itc plan showin_ placement) 1111 14.00
City /St:YIC / %ll : 0 Furnace 100 -000 BTU ducts/vents) 14,00
Furnace 100,000+ BTU (duets/vents) - •�
Suite/bldg. /apt. no.: __ . Project name: L 1 .' '-) Gas heat pump 14
Cross street/directions to lob site: Duct work 14,00
•
Hydronic. Itot system 14.00
Residential boiler (radiator or
- hydronic) - 14.00
Unit heaters (fuel -type, not electric),
in-wall. hi- duct. sus .ended. etc. 10.00
Subdivision: Lot no.: Flue/vent for any of above , 10.00 l fa
- Other. 10.00
Tax map /parcel no.: Other fuel Appliances
. '•a t .i∎ g1Ar s. `g' i� " • � ' fti'l.Ti ON :: o'k : ' TZK' ; .: .,'i+:: ;..., Water healer x 0.00
alto , ...�.,,•::.! i.r, .,� ,;� <; , <''•��• .tt
..,. .,,. •, ..� .• ... ,. ..:: . Clas r • 10.00
s ! .H ■ i . L. • s I Hut, vent for water heater or as
P ` Ere lace 10.00
1 Lo 'idler gas) = 10.00
Wood/ elict stove 10.00 MIMI
Wood fttreplacclinscrt 10.00
°s,, ;ig: ;;; ' F1.: is i :,r., Chimney/liner/flue/vent 10.00
i'`t' "IlN7''- '
OthPir. 10.00
Name: rarer IrQ_.e (-->;f> b � ^ Environmental exhaust and ventilation •
,f 54(0 _b1.0 _b1.0 S- � _oy JCL �/ Range hood /other kitchen
Address: • t Y 50 � ?� • et ointment l 10.00
Clothes dryer exhaust 10.00
City/State/ZIl��. • � 1' %�2� i
t.•-- r • Single duet exhaust (bathrooms,
)?hone: ( • , )1 2 . - D 9_ Fax: ( ) . toilet compartments, utility rooms) 6.50
114447, t�T�F%i se- a e�}��jl'sw s'`_i�`� 'r �F " s :1 w p cfans
10.00
, ,4jiArhA is ,. C tr+ Mas AttiGcra is ac
� C) a L L CD A) (. Other: 10.00
Business na me; [� � Fuel piping
Contact name: 3 t \, 1 1/\ $5.40 for first four $1.00 for each additional
1 i urnacc, etc.
Address: •
- _ - - -- Cos heat pump
• City/State/Z11': Walt /suspcnded/unit heater
` '- - Water heater
Phone: ( ) Fttx :: ( ). • Fireplace
-
E-mail: Range
irl �� t;A,' � r ... ° ' ' 13ancecue
t'_ +; " �'' ..... t'�(1 "'/ '012 : ....
;• •,:,... Clothes dryer (gas)
Business name: Service NOww of Ore-on, Inc. • Oilier:
Address: C all � 6- i._411 P'Co `1 '• r •`;1: : ifii t 4i�`C'tIA •" t A'` r tir , •
city/Si utel7.11 : 1 �� Q dr a-' - Subtotal MIMI
Minimum permit fee ($72.50) ti It
Phone: x 03) uIAS - 1 _ui1 . 0 Fax: (50 LAqS • I1-13 Plan review (25% of permit tee)
CCD ~ lie.: e13 2 State surcharge (8% of permit fee)
7 TOTAL PERMIT FEE r , - � /i '
7,itr pii
crit dpptication wi
expires if a permit is not obtaine thin ISO
Autho 'z - • p FCC ntcthcs after if has b e i accepted as complete
Phut n in , /1 'r � ; lt 1 - V f Date: `• FM j� dolii y set by fri -County ltuilding Industry Service- Board
1. 1UVtldtogtveredlCMC - i'crmilndo.doe 12/03 a40- 4617r(11i02icanfnvt o)
CITY7pFTIGARD
BUILDiNG DIVISION PERMIT #: MEC200 &4)0520
I 13125 SW Hall Blvd., Tigard, OR 97223 . DATE ISSUED: 10126/2006
Phone: (503) 639 - 4171 I ' � I
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1126/2007 TIME 7:00AM PAGE: 54
SITE ADDRESS: 14576 SW 03RD CT CLASS OF WORK:
SUBDIVISION: GE1 EMERALD ACRES ESTATES LOT #: , 004 TYPE OF USE:
PROJECT NAME: LIEBMAN
DESCRIPTION: Gas furnace replacement.
OWNER: LIEBMAN, ALAN + FRANC! NE, PHONE #: 503824 -2807
CONTRACTOR: SERVICE NOW OF OREGON INC PHONE #: 503-445-2440
Inspection Request Scheduled For: Date: 1/26/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 042494 -01 503- 445.2440. Y
Corrections /Comments / Instructions:
1 C»2t C4-L Gu . „p ,c ,l.�k4L ` — qI6 3 Z ..r24- "rc/-/ ,20r,kr r 1e4t.
PASS ❑, PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718- .�—'�