Permit CITY TIOARD MECHANICAL PERMIT
4, DEVELOPMENT SERVICES PERMIT #: MEC2006 -10008
I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 3/1/2006
PARCEL: 25111 BC -00100
SITE ADDRESS: 14345 SW 100TH AVE ZONING: R -3.5
SUBDIVISION: TIGARDVILLE HEIGHTS LOT: 017 JURISDICTION: TIG
Project Description: Oil to 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:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
SAMUAL LEE Description Date Amount
14345 SW 100TH
TIGARD, OR 97223 [MECH] Permit Fee 3131/200€ $72.50
[TAX] 8% State Surcha 3/31/200E $5.80
Total $78.30
Phone: 503- 348 -6884
Contractor:
SERVICE NOW OF OREGON INC
404 SE BEAVERCREEK RD #228
OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 655 -7558
FAX 503- 655 -7593
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: Permittee Signature: c2 i� . 6e4 D
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.
02/2S/2006 14:22 5036557593 SERVICE NOW INC PAGE 01/02
?V.e Permit An llcatio M 7 ;
p :',T r: fi FOR OFFICE (ISE ()NIA
, City of Tigard Received Permit SW Halt 131vd., Tigard, OR 97223
Phone: 503.639.4171 Fax: 503.598. �t�Y:� ' 7 O(� �(',��6 ��
19 Other Permit:
i �D fl Review
E C' / G'" ` ^ 'jl� l " Date/13y;
Inspection Tine: 503. 639.4175 G �( `l Dolt Read I(j
Internet: www �� Y Y' Boris Bi Sc c Page 2 for
Noti (i cd/Method:
Supplemental Information
.
�t- � Ill
{ r i ..: r� ,j ;,`,'.`�fif E i`"?' a 4; �9 ��,,• :i .:mil e $ "(.` ` }ma ` 0. >< 1
' tt ci,. t . ' r�tq� �'± • • :: ., '14 � yr ,hq � . ��. r' =, ^'. �.t� 1�1 .1'.�(91T'r;l!��"���C•
['I�iJ 1 �(C�„ C S� r 44
Q New construction UdfickitkcyliallteaVaPteplacement Mechanical permit fees* are based on the value of the work
. 0 ❑ Demolition �t�o�NG pNIS10 performed. Indicate the value (rounded to the nearest dollar) of al
D ,, ,,,, � • y b' mechanical materials equipm Iabor, Overh and proFt-
, � �. �� .: � 'Sc ' r ...0 � H � . 0 , f _ +t; ,�' x4.,; r;. i i• �a "'':?:-'fit Value: $
1$1 I and 2-family dwelling : •' ; . ", +"I ; =7...4 r, e ~ , e _ r 10.'7- ; . ' ',1 •
y Ming ❑ Commercial/industrial N ❑ nccc sort building " , ,,. , ,,,,A � r ,. .
Q Multi- t�tmify ❑ Master builder Q Other: For specialInformation use checklist.
v. � .. hl " t1" °30f; $ T# ' 1F \�'O t F PVT) Description Qty. Ea. Total
• i6dh. . Li' 't T
. .::, rt„*,.. �. OCA'i"I t � / l
u� /00
IL O ticatint con Ind
Job site address: J `�f 3 5 � ._ Air c;pncfit or heat pump •
_ , (ra wires site plan ShOwinp placemcnl) 14.00
City /ytatc.l'�n': rc "� Furnace 10 {ducts /vents} j 14.00 ) 0.
Suite/bldg./apt. no -
Furnace 100,0004 BTU) ducts /oent9 i 7.
Project name E ( -_
Cross street/directions to -lob site:
G as he pump 14,00
Duct work • 14.00
l hot water system . 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit enters (fuel -type, not electric),
in -well, in- duct, suspended, etc. (0.00
Subdivision: I Lot na: Flue /vent for any of abov 10.00
Tax map /parcel no.: Other, 10.00
"4 ..; ,, . , . n .' Other fuel appliances
i; 'i ;, ' !..; . + AF. 't' , .:e1 - if'131oN`N(`!'F': :_..:. ,r, .. s ,..
,,. .,. . ,. �::. . ..}�:. . , . , .:. ' (�Ifj.i < ; , 1.44>a; Water he 10.00
ti Q I (ins tirepface 10.00
t (la c . f irm rl CC-- . � Flue vent for water healer or as
fitc 10.00
Loa igjner (gas) 1 I 10,00
- - _. —,., Wood /pellet stove T V 4 10.00
a :�,k
Wood fifc�
lace /insert 10.00
n '` ' .: ti t e r ., ,- ,',« s V,r.....; ,, 7,.;• >i� t : =" f v . 1 ` ::::, ;,y C himney /liner /flue/vent 10 00 —
;;.•': - - Other. 10.00
Name; , A Environmental c>shalt9t and ventilation
Address: / 9 • Range hood /other kitchen
f r _ equipment 10.00
City /State/ZIP: i ,_,,, _ . i /X_, D /��! / g9t)pu Clothes dryer exhaust 10,00
Single -duct exhaust (bathrooms,
Phone: � 5O'1 b ) � � - ,; ' 17": 17": ( T ) • #5- r /ag C toilet compartments. utility rooms) 6.80 _
?:.. a � t. -3 . kXS .� ltiC 7 $1,, 1 ?, '4"' " 7 . tr' "1 t p .;it' ` a i " 7Ii.1 Attic/crawlspaee fans 10.00
Business name: , / ' ■ D �� Other. 10.00
F ttcl i in
Contact name: �f i
�n ._i o i- R 5 _ . $5.4o for first fourLs1-00 for each additional
Address: Furnace, etc,
Gas heat pump
City /State /7,11: - Wall /suspended /unit healer
� � Fax: ( ) Water heater N • , -
Phone: (j 5S 5a3 t.SS - v.5 3 1.
E- rail: Fire lace
• Range
,jr, .V :rc` '', - .,, '4 r :-'' " .':... CONTIZ,.tn`. - . ' Barbecue
Business name; Service Now of Otegon, Inc.. Clothes dryer (gas)
_ _ Other:
Address:
404 S Beav'erc>reek Rd # 228 ,.
�a; ,W r
i�:;(►i}r.CX ��viCA[: l• blrr'.s't
/ Old C1 sr. v , ■ ::fie },..�e};'Y'; �''"'; �i�kac;
g City, O 9 7895 W-- Subtotal
City /St;ttell': Ore
Phone: ) Pax: (503) 655 — 7593 Minimum permit tee ($72.50)
(503 655 - 7558 Plan review (2$ %of permit fee)
CC8 lie.; 161582 _ State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized signature: 4 4 . " � this permit applicn crpires iF a permit iy not obtained within ISO
_
Print name: s after it his been accepted as complete,
jr � t� � � . � � 4, � Oa p 7 t e: ,� Fe,: mcthOdpipgy $ci by n i- comity Ilitilding Industry service Board
isu;uitd;ag∎Per maauarC- n. 12/09 440- 46( 7T(I1 /O2/COM(WEt))
CITY OF TIGARD
BUILDING DIVISION " • ,Y PERMIT #:/YItL' r ° � � ''� ®Dg
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 �f /fi��p'��fll� 1(1
Inspection Requests (24 Hrs.): (503) 639 -4175 ...' __—
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: i 443 Lic6 -- A/� CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE 6 71 �� � )4 /xi CONTRACTOR: 1 Ce4 PHONE #:
Inspection Request Sche led For: Date: q 7 O '7 Pour Time:
VV1.
Code # Inspection Description Confirm # Contact # Message
Gg9 Pi \ AP4-4._
Corrections /Comments / Instructions:
hla►'1C 4 z�,G d $' 7 1'6 --- Qr —
( W- r-e
X PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITION L FEES ASSESSED
p / � Phone #: (503) 718- -2-7p4
Ins ector: Date:
r
CITY OF TIGARD ..
IR M C_
BUILDING DIVISION . • PERMIT #: /1,06,? _l d pc p O
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 .#41 lh�gpd(�� i 1 1 I ii
Inspection Requests (24 Hrs.): (503) 639 -4175 .. / '
INSPECTION WORKSHEET FOR DATE: 3 /2 1} j TIME: PAGE:
SITE ADDRESS: / II 3 Li , j / (f 0 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 -.. 0 ' Pour Time:
Code # Inspection Description Confirm # Contact # Message
./.0 as6.-,42 (,, CS- - 7s - S (5?'
Corrections /Comm - nts/ lnstructions:
' --", --- I, d // s /: 0 C pm.
i .
4--; k - Pi' k )-)s/-valc-i
. �� 6 4 se--
•
n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: / Phone #: (503) 718- 24 Li