Loading...
Permit 34 Ip '., CITY 01° TI GARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00246 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/1/2007 PARCEL: 2S110BB -00100 SITE ADDRESS: 14059 SW 119TH PL ZONING: R -4.5 SUBDIVISION: LOT: JURISDICTION: TIG PROJECT: JUSTICE Project Description: Gas pipe (3) locations: replace furnace, install a /c, install fireplace insert. 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: 3 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: WOODSTOVRS: FURN <100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 2 > 10000 cfm: GAS OUTLETS: 3 Owner: FEES JUSTICE, JANICE T Description Date Amount 14059 SW 119TH PL TIGARD, OR 97224 [MECH] Permit Fee 5/1/2007 $83.40 [TAX] 8% State Surcha 5/1/2007 $6.67 Total $90.07 Phone: Contractor: TRI COUNTY TEMP CONTROL 13150 S. CLACKAMAS RIVER DR OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS Contact #: PRI 503 -557 -2220 FAX 503 -557 -0919 Reg #: LIC 72623 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: Sep , / 'r 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- 1'8O07 03:30P FROM: TO: 5035981960 P.1 Mechani Permit Application FOR OFFICE uSE ONLY � City of Tigard • Received Date/By: Permit No.: d- '�EcZp• - c024(0 13125 SW Hall Blvd., Tigard, OR 97223, 1 '" `e 1 < : r tr .. ix,: f Plan Review Phone: 503.639.4171 Fax: 503.598.19 al Other Permit: Inspection Line: 503.639.4175 _ 2 � •l i Date Ready/13y: rte: El See Page 2 for Internet: www,ci.d fir gard.or.us � / �. Notified/Method: Supplemental Information _ rl �ca}`.� c � i � i , gyp t � \�ar.lj {., .. � " • t ita t` ' s'6:'i, 40 i . , �M ° ; r . .4, ���nn CIL�'2 "- � ltISL�CHEGFQ;IS1% Mechanical permit fees" are based on the value of the work • ❑ New construction i-4 Additi \ n/alteration / replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. µ,.cg .g.�+r �•.., t;� r �*j:::fy:,, � g��'��E4i, t �?'GO�C 7,Et7:jCTIO� �A.. � -, ,,, •r. A.i. � ,r � �•� ..y,. ., Tr,� •vkcr , c.•... 3 "�'N iSt �`�';f .. : �j -�Fi'r Value: $ 1..,� `��tES,1iD�!1rx;d�l:i�' QCIIFtMEN'� / ?$YS:PEI!'IS:FEES` l ,1- and 2- family dwelling ❑ Co ercial/industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Maste builder ❑ Other: Description I Qty. I Ea. I Total �, t .RY'• YN.. . .,. fD►. .a r7 "I . '6H:.• . n• �...l, , • ... .-r,� :»R :. � r . ,l... O O ;i >:,� , H entln coolln r. ��.r ... r.. �f � ���� ' _ ` �.OB,yS)uTN T , _ „' �AT �.`. 'TI. ... :4.'''',4°1'1.7.': PJ R �f'� Air conditioning or heat pump Job site address: _ 40 a .W l ; I t' 1 plod) Air sire plan showing placement) 14.00 14.A i) City /State/ZIP: i ' 4 , 4, Furnace 100,000 BTU (ducts/vents) 1 14.00 1[4 .CO 4 _ Furnace 100,000+ BTU (ducts vents) 17.90 Suite/bldg. /apt. no.: I Project name: • 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 Flue/vent for any of above ` 10.00 %O.0O Subdivision: I Lot no.: Other: 10.00 Tax map /parcel no.: Other fuel appliances ;,1 r;ve ^'�s, ,. x ,;•, :.- ,,;,; sii'i:'�tFt '"' Water heater 1000 (0. OD :42-'2,*--:::,;: .+aw --lie t' .IbIV ogiz• `y ,` i" ° A4 " y.. � ,n. , rs t5 n'i' rw c 1 i t'� n y. I0.00 (Q. CO ,,.,^ n /�,� G fireplace r �j O [ + if* I * I. ' J r as G Fluo vent for water heater or gas '`C"` ` ` s 1 ` fireplace 10.00 20 0:p 10.00 { L A ti ( I Lo lighter (gas) 1 � � no, poi B B Wood/pellet stove 10.00 Wood fireplace /insert 10.00 Chimney /liner /flue/vent 10.00 ; •I.;gjb7. W I t ' ' ROF R l''` a Wl E .',I. J!, : AFITgi 4i g • ; ` ` '',[ ;� NAPE ,,,.: :,r ,i ,w tar Other: _ 10.00 Name: '�°I � ' A i Environmental exhaust and ventilation Range hood /other kitchen Address: equipment 10.00 City/State/ZIP: Clothes dryer exhaust 10.00 ) � 21 � Single-duct exhaust (bathrooms, Phone: / Fes: ( ) toilet t compartments, utility rooms) _ 6.80 , .,:•..7 , ... , .. w4 . p I . ,... .7 �, r . a ,., -.. .,,r,_ Attic /crawlspace fans 10.00 ;., i,.. rw, .. ' ` . : :4i47.:$ '.r4r -wl, U :t is tt'�L.,Q1A ,�'.RS ©ly t � �' 10.00 � � ,,. , Other: Business name: Tr' ccurity T , control Fuel piping Contact name: S5.40 for first four; $1.00 for Li each additional - Furnace, etc. • Address: 16 6. ([(f p CO �r i Gas heat pump City/State/ZIP: (irOr �� N 0IL 87045 WalVsuspended/unit heater Phone: ( ) (3) 557 - 0q I. Water heater .� 5 7 ~ 1- I F Fireplace 1 E -mail: Range v ; 1. ;Eso * . w ( 71F4 a z!r t ( 1 afrt �� Barbecue ik , 'L .,.�:e ° ". ' ai • - t ?_ Px,l.�c,.> ..�f` rt it -� ,n . •�^ /^� /�� �,,� -yam Clothes dryer (gas) Business name: 1 r� rr /� ► U / I U1 t �{/�(O Other: .. . ���VV !. J . I 1 �� 1 V �., ��'Vii. wYN,6 it-i r_k ° •.+rK u ry� 'tf• }•_F- E':' City/State/ZIP: Address: ' I �c±� ,C$'A',�' fEa , .,�t,'�PE'>�_11I'4Pis±! Q p c(7I G Subt City/StaCity/State/ZIP: ) 55 �/P n O� `�L C ( /JJ M inimum permit fee (572.50) Phone: (S - 222.0 Fax: 00 6J•7 ^•O Plan review (25% of permit fee) CCB lie.: 7210 23 State surcharge (8% of permit fee) TOTAL PERMIT FEE 1 C/i, • w ■ ineLoCit______. This permit appilcadon expires it a permit is not obtained within t80 Authorized signature: ��('� r K . days after It has been accepted as complete. 1�! it v , ®4 I Date: 01 1 10x' • Fee methodology set by Tri- County Building Industry Service Board Print name: .�GLCI lX . ' 3 ..... D . A i S/ �! r ' . •• .. CONTRACTOR NC -HEAT PUMP --. UNIT SITE PLAN ..--, 0 . w Direct' n • w - TO BACK PROPERTY•LINE o _,; . - 9 0 3 -..Q, . -Cc eT 1 TO SIDE PROPERTY LINE . !z -fce'� rot* Pro perty Line - moo,$ /5 TO STREET /O #7 /c-. -r ._ o o co CUSTOMER INFORMATION `° NAME m . ADDRESS /0.5-? 7i) /11,4 /9 ..ef / / bkto oft. ?7Z7 /PEE REFAX APPLICATION WITH SITE PLAN. ru S © -.- ?Z/ - 2 ( 75 - 7 - CITY OF TIGARD , BUILDING DIVISION PERMIT #: MEC2007 -00245 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 511/2007 Phone: (503) 639 -4171 �pi Inspection Requests (24 Hrs.): (503) 639 -4175 ' ` ._ INSPECTION WORKSHEET FOR DATE: 5/17/2007 TIME: 7:00AM PAGE: 64 SITE ADDRESS: 14059 SW 119TH PL CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: JUSTICE DESCRIPTION: Gas pipe (3) locations: replace furnace, install aic, install. fireplace insert. OWNER: JUSTICE, JANICE T, PHONE #: CONTRACTOR: TRI COUNTY TEMP CONTROL PHONE #: 503-557-2220 Inspection Request Scheduled For: Date: 6/17/2007 Pour Time: Code # Inspection Description Confirm # , Contact # Message 699 Mechanical final 048481 -01 603-567-2220 Y Corrections /Comments /Instructions: el . . - - A- -_ p. _ `— ..f/D z - r� 1 V � b� / 1 . 1 PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: Date: 'S V 7 d'7 Phone #: (503) 718- ,-- - :- - CITY OF TIGARD , _ 4 ., BUILDING DIVISION PERMIT #: MEC2007-00246 .' 13125 SW Hall Blvd., Tigard, OR 97223 a lli th 41 t I .. DATE ISSUED: 5/112007 Phone: (503) 639-4171 ,,3101.jh / p. 45 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 5/10/2007 TIME: 7:02AM PAGE: 43 SITE ADDRESS: 14059 SW 119TH PL CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: . PROJECT NAME: JUSTICE DESCRIPTION: Gas pipe (3) locations: replace furnace, install a/c, install fireplace insert. OWNER: JUSTICE, JANICE T, PHONE #: CONTRACTOR: TRI COUNTY TEMP CONTROL PHONE #: 503-557-2220 Inspection Request Scheduled For: Date: 5/10/2007 Pour Time: Code # Inspection Description Confirm # Contact # M- -sage elks. 7 610 Gas line 048024-01 503-557-2220 Y CorTctions/ Comments! Instructions: - -- CO, U-Vli e1 4 1 6 6. k 3 j AAP C- 1- 6■1 5 (neA -,5 ' c■e.. I ) . • .. I PARTIAL APPROVAL fl CANCEL n NO ACCESS I FAIL El CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: i Date: V t Phone #: (503) 718- . , . . - . _ ' ' . . . ,. . , •