Permit pr CITY OF TrGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007-00417
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/12/2007
PARCEL: 25111 CA -13000
SITE ADDRESS: 15136 SW 96TH AVE ZONING: R -3.5
SUBDIVISION: PP1990 -038 LOT: 001 JURISDICTION: TIG
PROJECT: TAKKO
Project Description: Replace furnace and AC.
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: 1 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:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
KRETZINGER, MARK L AND Description Date Amount
TAKKO, MARY A
15136 SW 96TH AVE [MECH] Permit Fee 7/12/2007 $72.50
TIGARD, OR 97223 [TAX] 8% State Surcha 7/12/2007 $5.80
Total $78.30
Phone: 503 -598 -9687
Contractor:
ANCTIL SHEET METAL CO.
4320 N WILLIAMS AVE
PORTLAND, OR 97217 -2952 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 281 -0752
FAX 503- 282 -5722
Reg #: LIC 8897
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.
f
Issued By: I " I _, ., Permittee Signature: ij ' ,/,d1 '
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.
Mechanical Permit Application rt)lt, t►rF h: t r. or i.l
Received
City of Tigard 1 111y: 7 ® °7 -6 Perm"' • - " �
1
4 13125 SW Hall Blvd., Tigard, OR 97223 EG t Plee Review
Phone: 503.639.4171 Fax: 503.598.1960 JUL Datc/By. other Permit,
I I C, A R n Inspection Line: 503.639 1 Date Ready/By: Jude Ed See Page 2 for
Internet: www.tigard -or.gov CITY F ,f Ifwi RD Notified/Method: Supplemental Information
a t^erna.v n.
S. `5 -w T's z ih ; 1 , , ; . D r et+'� c,..4.' � ,h .t .�. . ,,* i*- . - , � q ; C€ -
.. f . r t�, l r-,asu::, . ....,
W1{lapn s + Y. - i ,t,:Na i. :., e ' e:�hthl _U - it i { e`"� .: ,4:v. d{ts = -- : ix `�:t'£'t". t~: • 2 4 #. F ' {7 ^ :R - - .a l ai 3 �! ii il..i,.. o 1u at G ' =r "
i"i:�Y� v .. r`ri..e.v','3Y1�,.,,..ttt�, , i�- .- i3a�lt�`.et x s.- :.�t`..�m:�.. s #�:1�ca�al�'.�,7e.. m,: _.xi�S,�tG6:..� -4 f_�,..wA`'c.�e'�r 9'::;; � § •ia<*�. �. , � kS7l^±eJt... a° an'.. a£ - s��u`ai�e'��arn -n+ .,,�.,wf.».X.
El New construction lA Addition/alteration/replacement Mechanical permit 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.
=faw; .O A u , u t i;• t ' u .tu°"+T C vans ?RrrJ t . .: ,# *
. ,, , , v , ` 4 j a ' ? , t it , ' ' e,, @ - S v h f Zti , i t i ry �6 ` tiw i�l` �'t '1? a i ' C < 1 Value: g« i
. 3r.. �x :i,�?,t�e"..°T:., r. : {x ,.� : ......o.rv §'P.i_.. f :t,�a'�._ .d . . .;.r.�.4.k r�..zK .l Wit.. zs. .E� ekl r"�i�� r;.:,....,.ews��«: ti " kLY �,�..3j.�I,�» �[+ yNf� i ., . -�, `�/ - � 4 p rfi .�, L�dt�6�72 j<tar�
sr 111 1,,.1 a 1 e9 Iv.l ,1 3 k.:5gi+ Z,Nll i }
6 1- and 2- family dwelling I=1 Commercial /industrial ID Accessory building FZ'°
For special information use checklist.
Multi - family ❑ Master builder ❑ Other:
Description { Qty. I Ea. I Total
�� � �'.��.�ria�S�a, .4 a .. g !.�ss_ c'� .i A. s ri�.,�: u^�ams€e. �;a. ��k�o�, ki1cr7.��€.�_ . ,�'
,; i ; Heating/cooling
,,.� Air conditioning or heat pump
Job site address.
4 6 ' ill (requires site plan showing placement) 1 14.00 ,
City/State/ZIP: ' A oz. / 4)1-I Furnace 100,000 BTU (ducts/vents) 1 14.00
r Furnace 100,000+ BTU ( ducts/vents) 17.90
Suite/bldg./apt. no.: Project name:
r ! Gas heat pump _ 14.00
Cross street/directions to job site: 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, in -duct, suspended, etc. 10.00
Subdivision: Lot no.: Flue/vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
'it :R� C•f , 4,y L `^ v d sn.zv" i. t `ss a'y"; '''7 !: ^," ° a. i `,d Water heater 10.00
' p .. 'Y t d ` i 1�, : : & `I f t $ t .a "'4 : 5y i n
�ae... .8 € ,.....�_ a_.t. Ia ,.,r Gas fireplace 10.00
■
4A , . If II Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10,00
Wood fireplace/insert 10.00
rj, . , M . i; . a l i v , t �,, 1
�. , : wad x / } Chimney/liner /flue /vent 10.00
--T V z a m, $a.�,t.r+ a �,. s " "aa ° te; 11 i?'r r�z�� �f jkt t Y ' f
��M , ,.. -�..� ti�<.a.;:;:�ti � .�_.,� .��. �s.,�a :
_ s s�;._�:'�';a�, �..,�a.. u,.....�,e�,,.,... {�. w #.�._� _,a. _.., : other 10.00
Environmental exhaust and ventilation
Address: - D Range hood/other kitchen •
. equipment 10.00
City/State /ZIP: 4 v / ' �.„) Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: 3) - Fax: ( ) toilet compartments, utility rooms) 6.80 •
`;- x t. n K taf ' k x. 1i
sl x• ag° - ; us e - ,: , l - ; .` Attic/crawls ace fans 10.00
' 1 ^5 a g. •„,Mi .✓ W. e• .nttr t l ' ?i-t4�?.nQ ti ?? z r` , i'it.lis t cr F ' 4 1`l sM, ial p
Other: 10.00
Business name:
O Fuel piping
Contact name: . WA $5.40 for first four; $1.00 for each additional
Address: tap ♦., e Furnace, etc.
Gas heat pump
Wall/suspended /unit heater
Phone: ( Viggl, * � Fax: : ( 0 / . �� Water heater
le • Fireplace
• .1 I . Range
1tg ` b s .., . a ag
�. 44 Oi :v fi wp ,rf' lak F x ''�i l psi ;N,^
air b� • � �� s d t # s $ 1 ; � ? , aws a7 .r al �d 4 � � � �s : ..z.
Barbecue
45A&:'. uti.^ Raa_., v« S" Sfri'; �. ,e� .s- ,.<,�f�.Y-,...- .e.�eari^s t �"`��ff.S..�4... Jk s�6Ee;^'rn�kdu�ae ..�}�,�, �F�',�„ ,r...at4
Business name: fylAnjairMrMIIIIIIIII. Clothes dryer (gas)
AL
• Other:
Address P aGj rna 1 :afss { 3 • . P ie r,�t i 31I r
a,tii ,� i a€tca xtst iWjaia wc a4 �'.'. r1 eLa it � nhi, t"i`rhrtl. i
L l.il r itt�ilt Subtotal 0
Minimum permit fee ($72.50) '. ` p
Phone: ( ) Fax ( )
Plan review (25% of permit fee)
CCB lie.: � * State surcharge (8% of permit fee) 1
TOTAL PERMIT FEE `?5 , - 3
Authorized Signature: �s j
I J i l 7 1 _ ' This permit application expires if a permit is not obtained within MO
days after it has been accepted as complete
t 1t,j
Print name: "1n, 1n [ ,y Date: - ) 1 1 / J� • Fee methodology set by Tri- County Building Industry Service Board
' 15 +i
t:\ Building \PermitsWEC- PermiiApp 04 /06/06 440- 4617t'(I1 /02/COM/WEB)
£00 /T00lj XFd 6Z:9T L00Z /TT /L0
cq
- . A/C-HEAT .PU6�':•,.;. UNt't'SITE PEAK • •
.
•
02.?_Ctil . , /a . . '�?a'i'�c, C7t •
4320 N. Williams Avenue • Portland. a . 0 - h/ 1v - if ...... )
• egon972t7 .. .
1
•
•
•
�� .. - ____±
•
•
•
• IV SIDE PROPERTY LINE
. .
•
a.
ee{im.rarot ptbQe,i !tee .
4 .
. iV STREa�T
cMm iN fl 1614 - . •
, • 1444 .,..• Maj .1 .• 1 :.' • ..- -• • - .
•
y
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -01417
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/12/2007
Phone: (503) 639- 4171 ..�' tt b�p���y'�l
Inspection Requests (24 Hrs.): (503) 639 -4175 r..
INSPECTION WORKSHEET FOR DATE: 7/27/2007 TIME: 7:03AM PAGE: 91
•
SITE ADDRESS: 1 136 SW 96TH AVE CLASS OF WORK:
SUBDIVISION: PP1990 LOT #: 001 TYPE OF USE:
PROJECT NAME: TAKKO
DESCRIPTION: Replace furnace and AC.
OWNER: KRETZINGER, MARK L AND, PHONE #: 503 -598 -3587
CONTRACTOR: ANCTIL SHEET METAL CO. PHONE #: 503 - 2111 -0752
Inspection Request Scheduled For: Date: 7/27/2007 _ Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 052794-01 503- 558 -9687 N
Corrections /Comments/ Instructions:
'/ =L e.44/ bi i.A4Oic hALW . S— /5Z ` J -- vosa
PASS ❑ PARTIAL APPROVAL n CANCEL LESS
I I FAIL I I CALL FOR INSPECTION ( f ADDITIONAL FEES ASSESSED
/� Inspector: Date: 7-- 727 —d2 Phone #: (503) 718- Zbj