Permit C ITY - OF TIGARD MECHANICAL PERMIT
a i l DEVELOPMENT SERVICES PERMIT #: MEC2006 -10014
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 3/7/2006
PARCEL: 2S 109AD -02500
SITE ADDRESS: 14636 SW 130TH AVE ZONING: R -7
SUBDIVISION: WOODFORD ESTATES LOT: 017 JURISDICTION: TIG
Project Description: Replace gas furnance.
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: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
TERRY JONES Description Date Amount
14363 SW 130TH AVE
TIGARD, OR 97224 [MECH] Permit Fee 4/1/2006 $72.50
[TAX] 8% State Surcha 4/1/2006 $5.80
Total $78.30
Phone: 503- 620 -6609
Contractor:
BEAVERTON HEATING + A/C INC
5400 SW 170TH AVE
ALOHA, OR 97007 REQUIRED ITEMS AND REPORTS
Contact #: FAX 503- 649 -6446
PRI 503- 649 -1271
Reg #: LIC 118441
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: 3 l..e, c)\101,
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.
03/07/2006 09:04 FAX 5036496446 BEAVERTON HEATING AC fj001 /002
il/ fzuva ua:1L FAX 5035981960 CITY OF TICARD
v II 002
Me han c .1 Pe I ails Li), �. i.j on
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City of Tigard SD i T Ir., b ,
aa�/a ' d
13125 SW Hall Blvd., Tigard. 0 97223 ri t1 110 A 1'ermIfWQ, • ■ �/ �, j
Pliant): 503.639.4171 Fax 503,393.14{(�(� Plan s•"Im. `f
In6pectioa Lino: 503.639,4175 �1 „ = Yi War renPermit: Internet. wt+w_oi,tigard.w,us � : ,- - 4 � `� 1 titleReaQy�6v S tt tZ tal li
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pt 47 rfJ' ,,. v r
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❑ New cansbructloconstruction w :}. �,r.
��R . ��tefat Mechanical permit fees are based on the value o the wor
in Demolition [ Oth
peribrmad. Indicate the value (rounded to the nearoat dollar) of all
a.. 7.
;,. , ?- >": tm:H ,.*a;3 T
ti mechanical materials, •gi•men labor. overhead. and obi
�.L ..•• :r•- ..,'t. }:. , et:' "" '_pn'ai'.sa - "
g r�' , . , :r•\;: ;.:
s . 4,. .v... . :,1` ValuC_$ • 1- and 2 -family dwelling 0 Commercial/industrial ❑ Accessory building Vii " a t" a `a�T
❑Multi fhtnily 0 Master builder ibr specia/ in arToriat use
in Other:
Mall= ;'u,i,'I «e re, Description QtY. Total
i ' .. ' •:•' Q r '. . ' ,- " , o - - ..,•.• -_ ,. curia conlin
Job site address: 1 b 5
30 Air conditioning or heat pump
(iron. 0 hea _ 14.00
City/State/2R'; pr {A O� "7..."2- Plan a • 00 10 10 • • • 00 BTU TU duaesuo:lyeuta 14.00 t
t,(
apt. no.: Project cattle Furnace 100 BT daets/vants 17.90 MN
9uitelbldgJ
Rl �O �� Gas heat . amp 14.00
Croce street/directions to job site;
• tt w•
14.00
H .. oni • : dh t 4 00
_ Residential sResidential b bailer (t>idlaror or .
hydrocie 14.00 MI
Unit heaters (81el.rype, not electric). III
in -Nall in-d su. • =ad w., etc. 10.00 IIIII
Subdivision: Lot no.: Flue/vent ibr an of a • - ve lin 10.00 MIMI
•
Tax map/parcel no.: Other 10 I I
: P `^!�! :'*.1713r. .: / ; 1: ,r *Aber fuel a.. 1in „ es
fir✓ lot c D F Q ' Jvi s h {Ur 1 l , t , i14ti Cab .lade 10.00 NMI
Flue vent for int hooter or sag
7 ' . , �� ■ L ,11 ee - 10.00 ,
A Y
L• :11_• .:s 10.00
WO • • fillet stove NM 10.00 MOE
t.. Wood flreplavc/inaxrt t 0.00
": : , 'ia , . ;. ' '";c , ; +1 - . ,i "' % `.. , fi r :.i ^. R'y' :: `' ;F,; ° i Lily., /liner /fluelvent
r:. t . .,
�::d ;F a 10.00
��Vl r;.. •• Ch O f ker
Name: 10 00
0 n e , Environmental exbau ad yen ; lotion
'�� 0. C to S a S. Range hood/other tchea
i • acct 10.00 MI
City/State/ME': Clothes •. . etc ; 10.00
/� p
Phone: (St3) W 7-1) - ( 0 1
Single exhaust (bathrooms,
*� toilet com • , en min rooms 6.80
''d. Sla.:. a .7.1,,f Wit r"•y -.
:i ...' �' "r l" ; � ' a ;. Y
. ''"' . *• °,: ='' rr1"jrMMIIIIIIIMIMMI 10.00
Business Hama: . 4 Q }� {" 1 a - Other. _ 10.00
Contact name: N..) t Fa .1 . - . in • b At r (Gt,t r $5.40 for I rat fou $1 .00 for each additional
M t - Fuma • etc_
City/Stare/ZIP: ti h ► p 3' Ciaa neat . ' . MEE � h Wa1Us . - ded/unit heater Phone: ( 5b)) too t - ()-. • i I ax :: ('O5 A., 44 - . I Water hemta
&Ma l \ftni sS#htaks a I .f shot), C,3,,,, Pir'.ittaa
[:tp 2 'w ' ATM: 1 ' _ � _
.. ' �.:.:.(•' w ;9%'� �:i'�C. I(�h{'•V:::-5i . '
•:J t \���," „ y��i'� Li: : ,5::,'.,': .
4 � � - 'W �arbeCUe
Business name; OUrv1f 0.'S t) co .,-..,r
oaths • er c_ MI
Address: Othx
City/5tare/�1P: t. 1 . • : : w• a _ • :41; ., t; 'A; .�7 >,,S,,
Phone: ( ) Tvfinitrtrrrrl 6abtotal . .
permit f ee (572.50 -
C� tic: . Plan tcvicw (25% of permit fcc)
Strata surcharge 8% ofparmit fen) - 0
TOTAL PERMIT PEE ; ..
Authorized signature: '1 - .jam �A T46 permit appllration expireses It a permiermt is out obtatied within 184
days after It has beat accepted m complete.
pant name_ ' ‘
�l k t' ( � 111 . Date. 3 0/ (� lo s Fee methodology set by Tri•Couhty Bunning Industry Service Board •
B2 Aiding\4ermiu∎iec- smabllpp.d 1301 440.Idl,T(tt /02/COM/W®1
CITY TIGARD
BUILDING DIVISION PERMIT #:a6Q( –0 I y
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 :it t
Inspection Requests (24 Hrs.): (503) 639 -4175 « * __..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / ( 3 /� CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE
PROJECT NAME:
DESCRIPTION:
OWNER: • PHONE #:
CONTRACTOR: M O f - _ / PHONE #:
Inspection Request Scheduled For: Date: J — � ` - Pour Time:
Code # Inspection Description Confirm # Contact # Message
�O
94/ - I-) - 7/
Corrections /Comments /Instructions:
11111 /[a
I RIM •
I ✓HASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I I FAIL I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Or l Date: 3 ZO v� Phone . #: (503) 718 - 17