Permit J. !
A
CITY O F T GARD MECHANICAL PERMIT
•
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00206
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/17/2007
PARCEL: 2S 111 AA -06500
SITE ADDRESS: 14374 SW 90TH AVE ZONING: R -4.5
SUBDIVISION: GREENSWARD PARK NO. 2 LOT: 051 JURISDICTION: TIG
PROJECT: KETO
Project Description: Furnace install.
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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
KETO, ROY + JILL Description Date Amount
14374 SW 90TH AVE
TIGARD, OR 97224 [MECH] Permit Fee 4/17/2007 $72.50
[TAX] 8% State Surcha 4/17/20W $5.80
Total $78.30
Phone: 503- 624 -5870
Contractor:
OREGON HEATING & AC
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -538 -2953
FAX 503 -537 -2172
Reg #: LIC 172126
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: ��dA Permittee Signature: 777
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.
Apr 16 07 02:44p Oregon ,Heating & A/C 503 -537 -2172 p.1
Mechanical Permit Ap lication , FOR OFFICE USE ONLY
�C; of Tigard ❑ ❑ ❑ h
Received Permit No.
Met n "J b' � � 1 � Date/By: 4O O I � ✓ 4 OM/✓ 7 --.. .
1
13125 SW Hall Blvd., Tigard, OR 97' 3 . � as> " Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 '� Other Permit
t Date /By:
Inspection Line: 503.639.4175 —AIL 1_ I! Date Read /B H Sec Page 2 for
Internet: www.ci.ti ard.or. Ready y:
Supplemental APR 16 21 ,1. N otifie diMethod: Su lementallnformation
; '
F .
._ ... �O `j� COMl)fERCIAL FEE* •:SCHEDULE =USE CHECkZIST
❑ New construction cID , u itet wain epl cen 14 permit ermit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
Value:
:,:,,,•:,: `. -- • CATEGORY OF CONSTRUCTION
:. :RESIDENTIAL.EQUIPMENT / SYSTEMVIS.FEES * '
® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- famil ❑ Master builder ❑ Other: Description I Qty. Ea. Total
' )10B SITE INFORMATION AND LOCATION ` ... Heating/cooling
Air site address: `({.5''LI J q' Ave, g conditioning lshowing cites site an howin leent ) 14.00
City /State /ZIP: `� a j C nay Furnace 100,000 BTU (ductsivents) , 14.00 14- 00
tt f} Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.:- Project name:
Gas beat pump 14.00
Cross street/directions to job site: Ductwork 14.00
Hydronic hot water system 14.00
• Residential boiler (radiator or .
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: Lot no : Flue /vent for any of above 1 10.00 tO. w
Other. I 10.00
Tax map /parcel no.: Other fuel appliances
::: ....:........ ,. , , . SCR[1'•.1'IOlY O>• ;NpUIiK' , = � , ` : : : ...:::: ;. : ; : :. ::`.: ' : . ::
Water beater
10.00
tr ae
H pp �� rr Gas fireplace
va-c- iriStQIt Flt -C70, t -Clue 1IC'.IniI ( Flue vent for water heater or gas
'U • fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/ins ert 10.00
y mer /flue /vent
10.00
PROPERTYOWN.ER.: .:,;:' .. `:':::: ;••.: :..'; :- i ®;TENAiT
C mne
Other. 10.00
Name: Cam) c T1 , l K Environmental exhaust and ventilation
Address: O - F r 1 Range hood/other kitchen
14 �-E a Ave equipment 10.00
City /State /ZIP: i �{ C7 Clothes dryer exhaust 10.00
Teo n ` " °��� Single -duct exhaust (bathrooms,
Phone: (53) ea�i - t8 Fax: ( ) toilet compartments, utility moms) 6.80
i craw
;:.: !:.::, ;p ar�eLlcaNr.> ': '. _ : ; °.::;::; : ; ;:. q coh�r�.c2 ;,: ntc s pa ce fans
Other. 10.00
Business name: Oregon Heating and Air Conditioning
Fuel piping
Contact name: Rnsineilea $5.40 for first four; $1.00 for each additional
Address: PO Box 397 Furnace, etc.
Gas heat pump
City /State /ZIP: Dundee OR 97115 Wall/suspended/unit heater
Phone: (503) 535 -2953 Fax: : (503) 537 -2712 Water heater
Fireplace
E -mail: rashelle ®oregonheating.com Range
C
ONTRACTOR Barbecue
Business name: Oregon Heating and Air Conditioning Clothes dryer (gas)
Other:
Address: PO Box 397 r , :. •. *,:'
MECHANIC.... PERNIIT.FEES
City /State /ZIP: Dundee OR 97115 Subtotal
Minimum permit fee ($72.50) 7 o 5(")
Phone: (503) 538 -2953 Fax: (503) 537 -2712
Plan review (25% of permit fee)
CCB lie.: 17a 4 a 6 State surcharge (8% of permit fee) 5. gp
TOTAL PERMIT FEE - jg„in
This permit application expires if a permit is not obtained within 180
Authorized signature: days after it has been accepted as complete.
Print name: orriate vj�J( fir ` te> Date: 4. . Fee methodology set by Tri -County Building Industry Service Board
u Buil ling \Permits \MEC- PermitApp.dec 12,03 — 440 (5 l /02'COM /WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00206
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/17/2007
u �
Phone: (503) 639 -4171 II��I) ,i di'
1
Inspection Requests (24 Hrs.): (503) 639 -4175 J.
INSPECTION WORKSHEET FOR DATE: 5/21/2007 TIME: 7:02AM PAGE: 32
SITE ADDRESS: 14374 SW 90TH AVE CLASS OF WORK:
SUBDIVISION: GREENSWARD PARK NO. 2 LOT #: 051 TYPE OF USE:
PROJECT NAME: KETO
• DESCRIPTION: Furnace install.
OWNER: KETO, ROY + JILL, PHONE #: 503 -5870
CONTRACTOR: OREGON HEATING & AC PHONE #: 503 - 538.2953
Inspection Request Scheduled For: Date: 5/21/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Me .ge
699 Mechanical final 048710-01 503 - 538 -29 Y
Corrections /Comments /Instructions:
1 ( --
o I
d
)01 PASS ( I PARTIAL APPROVAL ❑ CANCEL I NO ACCESS
n FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED •
Inspector: �� .• Date ` 6 7 Phone #: (503) 718 -2YZ
CITY OF TIGARD _
BUILDING DIVISION PERMIT #: MEC2007 -00206
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/1 7/2007
Phone: (503) 639 -4171 /%nnn62IW
Inspection Requests (24 Hrs.): (503) 639 -4175 . -�
. INSPECTION WORKSHEET FOR DATE: 55/7 /2007 TIME: 7:00AM PAGE: 5!i
SITE ADDRESS: 14374 SW 90TH AVE CLASS OF WORK:
SUBDIVISION: GREENSWARD PARK NO. 2 LOT #: 051 TYPE OF USE:
PROJECT NAME: KETO
DESCRIPTION: Furnace install.
OWNER: KETO, ROY + JILL, PHONE #: 503 - 624 -5B70
CONTRACTOR: OREGON HEATING & AC PHONE #: 503 - 538 -2953
Inspection Request Scheduled For: Date: 5/7/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 047717 -01 503. 5382953 Y
or ections /Comments /Instructions:
it , 8- 66,1e• k uoy L s — /Z- 2 - 2 - 4 1,* ‘ , /4" C�- i •i—
c -" - ...6425; "- i v,=; 64-,e e — (D ,izTi /4-4-7/....Sc— _
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•
n PASS PARTIAL APPROVAL ❑ CANCEL l I NO ACCESS
AIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: S— — 67 Phone #: (503) 718- ey"--'