Permit l A ` 4t ' .�„ ,'V CITY �� ® , ' D MECHANICAL PERMIT
'=' ;' COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00271
DATE ISSUED: 5/11/2007
'f.00
:TIGARD! 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
00ft g PARCEL: 1 S134BD -08000
SITE ADDRESS: 11652 SW PENN CT ZONING: R - 4.5
SUBDIVISION: PENN LAWN ESTATES LOT: 008 JURISDICTION: TIG
PROJECT: HELD
Project Description: Installation of heat pump and 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: 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:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
HELD MOLLY Description Date Amount
11652 SW PENN CT
TIGARD, OR 97223 [MECH] Permit Fee 5/11/200i $72.50
[TAX] 8% State Surcha 5/11/200 $5.80
Total $78.30
Phone: 503 -524 -4637
Contractor:
FOUR SEASONS HEATING & A/C INC.
1005 INDUSTRIAL PARKWAY
NEWBERG, OR 97132 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -538 -1950
FAX 503 -538 -0165
Reg #: LIC 97152
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.
Issue• s : �� A` L /J, 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.
May 111 03: 15p Malcolm Lamb 5035380165 p.3
t. a 1 r it h 0 y .- - . rya t { t , p , , _) , e ,,4„,,„ (t,�_r ,, . � „1 i>>'s + "'1 R' ,r
" ,,: , i a r ' p ` ,„ i � �T'.'” ,,r I'OR OFFICE USE ONLIA
Mechanical Per>C Ap:Rl><cati�n City of Tigard Received 5 Al S Permit No.: ME _ - co
Dater) Ll! •
13125 SW Hall Blvd.. Tigard, OR 3A 972 � Y 1 I 20 Pla R eview
Phone: 503.6394171 Fax: 5O3Sn8 It�fi4) 4r Oki l}rte %Iiy: Other Penni':
Inspection Line: 5113.639.4175 � - . ' '� .: . Qate Ready/By, Juris • 1 0 Sec Faye 2 for
Internet www.ci.tigardnr.us t / ' / ' I a j Notified/Method: Supplemental information li '' 'r.'"."'".1.1-‘! •%^•��(' Tlfkt Y'�A ,
L.._. '- • :TYPE OF WO
R COMMERCIAL FEE* SCHEDULE - USE CHECK:
1=1 New construction Addition /akcrdion /replacement Mechanical pcnnit fees* are based on the value of the wnrl:
perfonned. Indicate the value (rounded to the nearest dollar
El Demolition ❑ Other: mechanical materials, equipment, labor. overhead, and pr if
Value: S
CATEGORY OF CONSTRUCTION
RESIDENTIAL EQUIPMENT ( S\'SCEbMS TEE S''
uul 2-family dwelling ❑ Commercial /industrial ❑ Accessory building /or special information ease chrrl;li; /
111 Multi - :tinily ❑ Master builder ❑ Other: Description 1 City. 1 Ea.
JOB SITE INFORMATION AND LOCATION Hcatingfcooling _
Air conditioning or heat pump
Job site address:, 1 (^5� L � .- (n quires site plan showing placement/ ' 14.1111
City /S tate /ZIP: 11/ ..1 . 9 ' -"-D,.-- Furnace 100,000 BTU (duetsivcnts) 1 14.tili
Furnace I00,(104 BTU (etocts.vcntsl 1 7.v0
Suite /bldg. /apt. no.: Project name: Gas heat pump 14.01i
Cross street/direclions to job site: Duct work 14.(,0
Hydronic hut water system 14 WI
Residential boiler (radiator or
hydrunic) 12_0' )
Unit heaters (fuel -type, not electric)•
in -wall, in -duct. suspended, etc. j 111.011
Flue/veutsfor any of above 1 1 00111
Subdivision: Lot no.: 1
Other: 10.00
Tax reap /parcel no.: Other fuel appliances
DESCRIPTION OF %YORK Water heater 1 0.00
-4 Gas fireplace 10.00
�' - „. ` QA urY .-:F\ t-}`-vs".\• Flue vent for water heater or gas
fin.-place 10.1in
� i I\ \ k- {j• \C1� Log lighter (gas) 10.00
Wood /pellet stove 10.111)
Wood fireplace /insert I0.0n
Chimney /liner /flue/vent 15 OWNER ❑ TENANT
Other. 1 (t-1)0
Nan - - _ Environmental exhaust and ventilation
Range hand /other kitchen
Address: `\ I�S "ea. , e_ l ^ - equipment 1000
City /State /ZIP: --- IL ,r 9^ .9 r -D--D---- Clothes dryer exhaust 1 0.011
\ Single -duct exhaust (bathrooms,
P CC tea , mi Z--k I7 Fax: ( ) toilet compartments. utility rooms) rh,YO
k. la -APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
- Other: 10,00
Business tivue: -b t � �S P C 'et/O.__ Fuel piping
Contact naive: - 47,—\1��N. � $5.40 for first four; $1.00 for each additional
Furnace, etc.
:address. 11:),.b--"S Li■,\ b ----- "at✓1 .t."1 :\
Gas heat pump
•
City /State /ZIP: \„ �..��I - _ .A. \ -- s — D ........„ j Wall /suspended /unit heater
Water hatter
Phone ��1� S3� lg � � Fax: :J
Fireplace
E -mai I: Range
CONTRACTOR Barbecue
5 C_ Clothes dryer (gas)
Business m ne: a I „ a 'Cr s (....N ...„.„ .... „....,„ ; � � %% -j \� / Other:
Andress: \ y j- 3.--- r � - Q,_ «�c).(_ Y.4. 1st MECHANICAL FERMI' FEES"
City/Slate /ZlP: .p��(_0 -P ��Z . q fl I •�� Subtotal ,'L$,c0 � __ Minimum pcnnit fee (573.50) -1-Z,SC
Phone: t2 T 6- 1 9S-C.)-4 Fax: ;)'� -- ' 1 b Plan review (25 %ofpenuit (cc)'
CCH Iic.: r [ \ `3 g . State surcharge ( ofpennit fee) j 5
TOTAL PERMIT FEE "m.20
a �-` uy This permit application expires if a permit is not uLlainrd ..ithi
A 111hUr1 %Cd Slt�nal llr': days atter it has been accepted as complete
Pri nail � C. r �. :=tv _��ts_- i ce , >� ' �- Q' � Date -Ilk 4 -u-7 * Fe methodology set by Fri Building Industry S r 1).
1 Ituiid'iae• pcnnit. sift'. PrnnitApp.dnc 1 2•0} /') " .1.10- 46171(I1.02 C'OM•Wlilt)
CITY OF TI (3ARD
BUILDING DIVISION PERMIT #: MEC2007 -00271
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/11/2007
Phone: (503) 639- 4171.�"19m�i� ,v! /
Inspection Requests (24 Hrs.): (503) 639 -4175 &J ='� �L H / a + AO() 7-0001 7 /
INSPECTION WORKSHEET FOR DATE: 6/13/2007 TIME: 7:01AM PAGE: 97
SITE ADDRESS: 11652 SW PENN CT CLASS OF WORK:
SUBDIVISION: PENN LAWN ESTATES LOT #: 008 TYPE OF USE:
PROJECT NAME: HELD
DESCRIPTION: Installation of heat pump and gas furnace.
OWNER: MOLLY, HELD PHONE #: 503-524 -4637
•
CONTRACTOR: FOUR SEASONS HEATING & A/C INC. PHONE #: 503. 538 -1950
Inspection Request Scheduled For: Date: 6/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 049939 -01 503 -624 -4637 N
Corrections/Comments/Instructions:
l
tea_
n PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: 6" a?----07 Phone #: (503) 718-
May 11k 03:15p Malcolm Lamb 5035380165 p.2
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Proper `
lines
a .
garage
Held