Permit CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00409
�) I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/17/2006
PARCEL: 2S109AD -07700
SITE ADDRESS: 14533 SW 128TH PL ZONING: R -7
SUBDIVISION: ELK HORN RIDGE ESTATES LOT: 003 JURISDICTION: TIG
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:
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
MAHATI REDDY Description Date Amount
14533 SW 128TH
TIGARD, OR 97224 [MECH] Permit Fee 8/17/200€ $72.50
[TAX] 8% State Surcha 8/17/200€ $5.80
Total $78.30
Phone: 503 -537 -2172
Contractor:
OREGON HEATING + A/C INC
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 - 538 =2953
FAX 503 -537 -2172
Reg #: LIC 125815
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: �%/ ` 4.4.4-.‘ L 99'j Permittee Signature: 2977 Permittee (1)i. G �T
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business d .
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.
Aug 16 06 03:50p MS Rentals, Inc. 503-537-2172 p.1
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''' Mechanical Permit A affiii„ ‘t
tp" ti " ,.
. ...._ .
.. . FOR OFFICE USE ONLY . ..
City SVv' Tigard OR 7223 ., of Tigard t - 1.-,-,. to P I Receive #
1 Dale/B a IIIIRMIIMI Permit Ne.: L c.-„,w ,'
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13125 Hall Blvd., , 9 Plan Revi
Phone: 503.639.4171 Fax 503.598.1960 Other Permit:
Inspection Line: 503.639.4175 AUG 1 6 21. ' At Date/8Y:
Date Ready/By: ) ,.. I See Page 2 for
Internet: www.ci.tigard,orus Notifed/tvf cthod: Supplemental Information
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, ..f/'''' 0 e - • r I Mechanical permit fees* are based on the value of the work
f=1 New construction CO-Addition/alteration/replacement 1
performed. Indicate the value (rounded to the nearest dollar) of all
D Demolition 0 Other: I mechanical materials, equipm. eat, labor, overhead, and profit.
Value: S
"_, ,,,..".:::'. • :•c "."''''-'..: '''''''''...• :••••'• - - ---- " ••• --- - - - • - - :'-' ••••' •: - - - - • • •
RESIDENTIAL EQUIPMENT i'.-S1:',E,..1■4§
Y1.- and 2-family dwelling D Commercial/industrial 0 Accessory building
For special information use checklist.
0 Multi-family II] Master builder 0 Other: Descriptor ' I Qty. I Ea. Total
'• ' • ''''''•-•
• ' • , • • • ,'-.... : ::•:'.': - ..::;!It.•::',•:' , .=;.; : :;;C : ::'' , • • "::Tioji::itt:,ifiSi64._3Adcii..." . .r::,064:1 ". .± . (*..:: - ::: .. ': .':.' :1"-'-':..'"'1.i.:.:::- .-..:•' I:leafing/cooling I
i
Job site address/473 2 3 1 .,. ,. .- 4_) /2- Z /-4 Air conditioning or heat pump f -"1"
l., (requires site plan showing placement) 1 14.00 /
I
City/State/ZIP: 77 . ,. i (0_ _ . Furnace 100,000 BTU (ducts/vents) 14.00
9 7 ,9 c,/
t) C. A....4 • Osivents) 17.90 I
Suite/bldgJapt. no.: Project name: Gas heat pump 14.00
Cross street/directions to job site: . Duct work I 14.00 I
Hydronic hot water system I 14.00 I
Residential boiler (radiator or
hydronic) 1 14.00
Unit heaters (fuel-type, not electric), 1
in-wall, in-duct, suspended, etc. 10.00 •
Flue/vent for any of above 10.00
Subdivision: Lot no.:
Other. 10.00
Tax map/parcel no.: Other fuel appliances 1
.i.. , - -. .... - - - 1 , ... , .., - ..r.; , .. - ,;f: , ..:. 1 1 , :.i.: . .f.: , ;..t...W::.: . . , :i.):+.=.5 5 . Water heater 10.00
,, .",
. ,:,,,,---,:,,,
Gas fireplace 10.00
//' 4 Flue vent for water heater or gas
fireplace 10.00 .
Log lighter (8 I 10.00
Wood/pellet stove 10. 00 I I
Wood fireplace/insert 10. 00 I I
- Chimney/liner/flue/vent I lo. oo I I
i'AIN ';A: Other 1 I 10.00 I
Name: J2262 /9- 7:1 / ei)/90 q I 1 Environmental exhaust and ventilation
Range hood/other kitchen
Address: / (2 / s-:_. y . _3 s- (i.4..) .7 1;2,-.-?_,,,,- , j_,
equipment 10.00
City/State/ZIP: 2 ,, , 0 ji .(2 . 9 7,,,, v Clothes dryer exhaust 10.00
'C .r
Phone: ( --- 6)3 5 j - ./0 - ;.5 , 7 (o Fax: ( ) Single-duct exhaust (bathrooms,
toilet compartments, utility rooms) 6.80
.. .!:' ' ' ' '.••?! . .:F . , ,1 2 ,, ': : .:i 1 :';. : ;::: : ::' ,• ,JJ•t.q.I . 04 ; :k : A.NT: ::•Z:i''..i.tr.';:•;:i;r••.i.•!:,-:I.!::::g4:;i•:'.••::;$;:KI.'fs_t6-.1,'.a0,':1*ii...6g`-.-7i.,`,::.;.'::'-e...';::.:':;: Attic/crawlspace fans 10.00
Business name ,
e4- C s- LW "e17
A . .... 4 t _. Ro , i__,L/ ,, Fuel piping 10.00
- . , , , A
Contact name: I A stawmusaia $5.40 for first four; $1.00 for each additional
Address:
Furnace, etc.
. i. A r -- '1
_ _.... Gas hear pump
City/State/ZIP: 401 PS-1 bV__ • (i, 1 S-- Wail/suspended/unit heater
. A- !
1
Phone Jo ) I 4 apa, ..... _ Fax: : 13) - 7 Z/ -+2- _ Water heater
- _ Fireplace
E-mail: Ranee
.:,_:•;t-rD:...::•,j.:,...:•;".f-rIr..::i••;•••...•1221:,.7:76;a.r. iA:eibi-'::':-.''1..'1-"'''."-'''''':''''''...•--.:-'!'...;':.:'''':';;:. Bal'Qecue
Business name: : ) 4r I ?. ; ") 1 ,..., 1 • 1 NA;Y. (Aytd, Clothes dryer (gas)
Other.
Address: • -2) • t ) h 1 ") .. ._
.
City/State/ZIP: 0 (A / 0 //jniLs _ Subtotal
1 Minimum permit fee (S72.50) -7,;? . .5 I
Phone: 03 s3 e
, a Fax i9 7 3 / S3 - 7 17 Plan review (25% of permit fee) 1
CCB lic.: I / • 1 S State surcharge (8% of permit fee) 57 ? 0
A . 1
ecilivQ:, ‘11...eu, TOTAL PERMIT FEE 7 .3 C
Authorized s ature:
This permit application expires if m
a perit is not obtaed in within ISO
.!
days after it has been accepted 15 complete.
. ,
Print name: cl_ArN"-- \I ' , -..4.0. Date: 1 87 l _ u ,--- Fee methodology set by Tri-County Building Industry Service Board
v
CITY OF,
BUILDING DIVISION PERMIT #: I EC200 &00409
13125 SW Hall Blvd,, Tigard, OR 97223 DATE ISSUg: 8/17/2006
Phone: (503) 639 -4171 "pelt
Inspection Request's (24 Hrs.): (503) 639 -4175 I __..
INSPECTION WORKSHEET FOR DATE: 12/19/2006 TIME: 7 :00AM PAGE: 34
SITE ADDRESS: 14533 SW 128TH PL CLASS OF WORK:
SUBDIVISION: ELK HORN RIDGE ESTATES LOT #: 003 TYPE OF USE:
PROJECT NAME: MAHATI
DESCRIPTION: Furnace install. .
OWNER: REDDY, MAHATI PHONE #: 503 - 537 - 2172
CONTRACTOR: OREGON HEATING + NC INC PHONE #: J03 -538 -2953
Inspection Request Scheduled For: Date: 1X19/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 041269-01 971- 242 -9966 N
Corrections /Comments /Instructions: L
'y I 0172.4 (' 1,14, i ,.e,n lL- Ar147, =L _, " 3 9 T �t' J - + Ao ay/ n4e ee. '7;--' // ,,. e
I' n PARTIAL APPROVAL n CANCEL I I NO ACCESS
❑ FAIL CALL FOR INSPECTION 1 ADDITIONAL FEES ASSESSED
Inspector: ./ - Date: / "z --/4 --C.z. Phone #: (503) 718- Z4�Z -S•"-
CITY OF-TIGARD : - ' -
BUILDING DIVISION PERMIT #: MEC200600400
13125 SW Hall Blvd:, Tigard, OR 97223 DATE ISSUED: B/17/2006
Phone: (503) 639 -4171 U
Inspection Requests (24 Hrs.): (503) 639 -4175 _ W
' INSPECTION WORKSHEET FOR DATE: 12/18t2006 TIME: 7:05AM PAGE: 17
SITE ADDRESS:. 14533 SW 128TH PL CLASS OF WORK:
SUBDIVISION: ELK HORN RIDGE ESTATES LOT #: 003 TYPE OF USE:
PROJECT NAME: MAHATI
DESCRIPTION: Furnace install.
OWNER: REDDY, MAHATI PHONE #: 503-637-2172
CONTRACTOR: OREGON HEATING + NC INC PHONE #: 503 - 538.2953
Inspection Request Scheduled For: Date: 12/18/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Me -=-:-=
699 Mechanical final 041216 -01 503 - 538 -2953 P
Corrections /Comments /Instructions:
CL.L'��
PASS PARTIAL APPROVAL CANCEL {6A NO ACCESS
tp- FAIL t CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: C..-flt[ Date: Z Off, Phone #: (503) 718 L(ca_g4