Permit ■
'1" .
4 iii CIT 1 OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005 -00829
o ' DATE ISSUED: 12/19/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 104AC - 01000
SITE ADDRESS: 12930 SW 132ND AVE ZONING: R -4.5
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Replace furnace, add A/C.
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:
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
BURL MORFORD Description Date Amount
12930 SW 132ND AVE
TIGARD, OR 97223 [MECH] Permit Fee 12/19/20C $72.50
[TAX] 8% State Surcha 12/19/20C $5.80
Total $78.30
Phone: 503 -590 -3611
Contractor:
OREGON HEATING + NC 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: '� /[✓ , Permittee Signature: Sf? .� 91 \W
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.
Dec ,r 1 9 05 12: 03p 503-537-2172 P.2
. .. . . . .
• Mechanical Perini • p.. li a, 'o .•_ .T • - • FOR OFFICE USE ONLY •
E • •
City of Tigard Inti, II Iti Recelved
Dat6 s y .42 - N -05 ,.. PerraitisioNN,
13125 SW Hall Blvd., Tigard, OR 97223 Plan ReVICV:
Phone: 503.630.4171 Fax: 503.598.1960 • Date/By: Other Permit:
Inspection Line: 503.639.4175 DEC 1 9 2005 4 1t.: El.. i Date Ready/Bv: runs: Z See Page 2 for .
Internet: www.ci.rigard.or.us Notified(blethod: 1,1)(5" Supplemental Information
CITY OF TIGARD
: `.'..:(::ci
Mechanical permit fees* are based on the value of the wade
D New construction Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: ,_ mechanical materials, equipment, labor, overhead, and profit
• . . ,. Value: S
fi... •'''::••f :-.-,' .•:• . '': ::, ;..' .'' CATEGORY OF iCONSTRUCTION •• ••••l • !•:' • : - .:: - '• ••• -. •;•::.- -..; :•.1-•:-. ••••' • .,
• : .•. RESLDENTLAL EQUIPMENT. ISYSTEMS FEES..
' : " i
and dwelling I Commercial/industrial 0 Accessory building :" '"• '• " • • • -". - • •• - -• ' ••••.• ••• • "-- - -'- • ..• •••• • r ' :- • - -•-'• ' ' • - - •• - " I
I 1 For special information use checklist.
0 Multi-family 0 Master builder El Other: .. Description I Qry. Ea. I Total
:',..."ly:i: 16)i:;:sa:;f146kiii ',.**!;...1;01.4401.-::::.:f:.i..:;::':';:{i:1:-;':.'-.::::-...!:.::'.::-.:' He . • -' • • • '.'-
Job site address: I 90 5 . 251,0 1 .,, nell, Cl 7
C---. , Air e..ditioning , r heat purnp
..". • ..• p.an showing placement) k 4.00 I i-i-
City/State/ZIP: __
,1149,,
1 41 Q_-3 Furnace 100,000 BTU (ductslvenis) . I 14.00 kt
Furnace 100,000+ BTU (ductsIvents) 17.90
Suite/bldg./apt. no.: l Project name: Cras heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or I
. hydronic) 1 14.00
Unit heaters (fuel-type, not electric),
in-wall, in-duct, suspended, etc. 10.00
Flue/vent for any of above . 10.00
Subdivision: Lot no.: • Other. 1 I 10.00
Tax map/parcel no.: Other fuel appliances
:;•:,,l,/:'-..•;;:r:••;-',2tii,.::•,::;.,;.::,i,i.,.,:.:;,j•j!;;!.::.:i:i3_iitgdidy..iiiiti.k.,..,,,i5i4rifiiii.o.:0....;ivi:A.,.,.,:i,,.:-..,;;;;:,.,!g:N.:,,,-.;,,?...",, Water heater 1000 1
"• i' - l•.••;:•:' , •: 1 '11 , :+"•l'..ltl:::•:?.:/ , ' , .::■;: - :• - l!: , •/•: - : -,, ' , :l .•,,,.:•••••.. ,--.- :-..,,, :. •-.. ..:. -., •-:,,i
if U . , a_d_d 0A..{ Gas fireplace
Flue vent for water heater or gas 1 10.00 I
fireplace I 1 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
---, - • Chironeydiner/flue/vent I 10.00
n .e.•1•4i-.:igiii-V.ii.*I4k.:Nii•Oiki-A4.;`. :-..:.-7').i,;A'2,::.:!;,iffl.i:g-','..,iltf:',-"iii■Otii.::,..:,-;7i.11.4.1;. I 10.00
Environmental exhaust and ventilation
Name: ip asiviry
' Range hood/other kitchen
Address: )),64,? . 9 ) ,) 17 I 12- equipment 10.00
City/State/ZEP: . Arr 01 Qe93 Clothes dryer exhaust 10.00
Pho6 3 ) ;67
\.... 1,tj
Single-duct exhaust (bathrooms,
t I Fax: ( )
toilet compartments, utility rooms) I i 6.80
.:,..i.:F.•:::•:';•::.•-•J•1l'':::•''„1::,.... ....iii . Attic/crawisPace fans 10.00
Other. 10.00
I Business name al, r../ A fl ■_,-g_A '4- 0A;v Eaki3o, Fuel piping
- (• 4 '
Contact name: • Pl(t.n-e_. --) S5.40 for first four; 51.00 for each additional
Address: Furnace, etc.
1 .1 9) i -. l ... 34 r) •
Gas heat pump
City/State/ZIP: 0 -, Arvts (_ 4. fl 1 I. C Wall/suspended/snit heater :
P11 ) 4 ate. ...... Fax: : 13) - 7 2_,./ -.- - - 2,„
, Water heater
Fireplace
E-mail: Range I i
I .
C
::::::.V• l :::-.1:.:.'•,:•;:i.j.:-..l'...".!•.',?-1:^':..iA:ct(71::::3::::'1,::...f...:;:-:::-A:!-....-:::',;2,:: :.-..4:_:,...;.:,:::.;:-.::...,..,:,::.,:.,,., Barbecue :- -
Clothes dryer (gas)
Business name: (' )4,p__Aair t „,p_A)--irv ) 4.- (/IA.2)7 LArYtd
, ,
Address: P a) I Y .1 1 r) .
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''' -‘' '• ''''' . ‘• l;:!-•:-. 1 AN
d/ii PERMIT
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cir (6A116(ix_ 6 Clil I (..,S.-- i i Subtotal oil
t lvinmum permit fee (S72.50)
1 Phone.:23 "). • . , F - 53 2 i Plan review (25% of penzoit fee)
CCB lie.:
State surcharge (8% of permit fee) • - 1j 11.1
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Authorized si•ina hire: ' 1 }" 11 i ,n urjAk--,- , 2
, . _
. application expire if a permit is TOTAL PERMIT FEE K,.. 0
This permit a s not obtained W 18
l't
(AWA n L
- 1 - { ) :; k•--Pt4 6 ■ i Date: I 1 i .W1,----.-."-- days after it has been accepted as complete.
Print name AY
Fee methodology set by Tri-County Building Industry Service Board
O-.51 71 /5 1/32/COMPNEE)
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CITY OF TIGARD
BUILDING DIVISION
PERMIT #: ME:c2005.00829
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/19,i2005
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 . IL.
INSPECTION WORKSHEET FOR DATE: 1/11/2006 TIME: 7:01AM PAGE: 90
SITE ADDRESS: 12930 SW 132ND AVE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: MORFORD
DESCRIPTION: Replace furnace, add NC.
OWNER: MORFORD, BURL PHONE #: 503-590-3611
CONTRACTOR: OREGON HEATING + NC INC PHONE #: 503-Q6•2953
Inspection Request Scheduled For: Date: 1/11/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 02468401 503-536-2953
Corrections/Comments/Instructions:
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n PARTIAL APPROVAL c ANCEL El NO ACCESS
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. FAIL \ n CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: Date: .7 Phone #: (503) 718- L',4