Permit j
CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00478
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13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/5/2006 PARCEL: 2S104AB -10400
SITE ADDRESS: 12321 SW 132ND CT ZONING: R -4.5
SUBDIVISION: MORNING HILL NO. 6 LOT: 133 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
RON NELSON Description Date Amount
12321 SW 132ND CT
TIGARD, OR 97223 [MECH] Permit Fee 10/5/200E $72.50
[TAX] 8% State Surcha 10/5/200E $5.80
Total $78.30
Phone: 503 - 590 -0862
•
Contractor:
OREGON HEATING & AC(125185)
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: 0-7 ez - c(
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.
Oct 05 06 11:23a MS Rentals, Inc. 503 - 537 -2172 p.1
+''lo'Ietchanical Permit p FOR OFFICE USE ONLY
Received / T
City of • Tigalyd 1 'V' Rec �00 8_,6
Permit N. _ 0- x
13125 SW Hall Blvd., Tigard, OR 97223 J e
Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 OCT In if Date /By: Other Permit:
Inspection Line: 503.639.4175 v C 1 0 i r q Jul - f l Date Ready/By: H See Page 2 for
Internet: www.ci.tigard.or.us CITY Y Notified /Method: l Supplemental Information
V
t f OF TIGARD
. Typ or w6R,K, 1 v tpiuN • `COMMERCIAL FEE* SCHEDULE USE CHECKLIST.
Mechanical permit fees* are based on the value of the work
❑ New construction ® Addition /alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
. • CATEGORY OF CONSTRUCTION. • .. Value: $
.
RESIDENTIAL EQUIPMENT/ SYSTEMS FEES*
® 1 - and 2 - family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family 0 Master builder ❑ Other: Description Qty. I Ea. r Total
JOB SITE". INFORMATION AND LOCATION . .., Heating/cooling
- Air conditioning or heat pump
Job site address: r
O3 a 5 W \2 hCll (requires site plan showing placement) 14.00
City/State /ZIP: I=lk d DR qi ^ _3 Furnace 100,000 BTU (ducts/vents) i 14.00 1,y •00
+ � - Furnace 100,000+ BTU(ducts/vents) 17.90
Suite/bldg. /apt. no.: 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
FlueJvent for any of above 10.00
Subdivision: Lot no.:
Other. 10.00
Tax map /parcel no.: Other fuel appliances • O a er heater
.. D F V4'O
W t eat
Gas fireplace 10.00
4 V RC ,- cyN{► V R9 t° 4 Cit -Cum d. C t, Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
PROPER ... I - Chimney/liner/ flue/vent .
TY OWNER,. 0, TENANT .:.. .. • , � - Outer: 10.00
Name: Roy\ >Je.I so 1,-1 Environmental exhaust and ventilation
• Range hood/other kitchen
Address: 1 Q. 1 51.,,3 t3 2"a C equipment 10.00
City /State /ZIP: `; (3ta.Yd , Q7, an �--13 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( 5q 0 — C7$ -6 macr1 . Fax: ( ) toilet compartments, utility rooms) 6.80
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� APPLICANT . ,• • .. .. CI C PE RSON .. . : a ; P ce fans
Attict s a
Other. 10.00
Business name: Oregon Heating and Air Conditioning Fuel r 1n
Pp g
Contact name: C1\f.1.4l� $5.40 for first four; $1.00 for each additional
Address: PO Box 397 Furnace, etc.
Gas heat pump
City /State /ZIP: Dundee OR 97115 Wall/suspended/unit heater
Phone: (503) 538 -2953 Fax:: (503) 537 -2712 Water heater
Fireplace
E -mail: rashelle®oregonheating.com Range
CONTRACTOR
. • . . Barbecue •
Business name: Oregon Heating and Air Conditioning Clothes dryer (gas)
Other.
Address: PO Box 397 MECHANICAL PERMIT FEES*
City/State/ZIP: Dundee OR 97115 Subtotal
Minimum permit fee ($72.50) - 12.56
Phone: (503) 538 -2953 Fax: (503) 537 -2712
Plan review (25% of permit fee)
CCD lic.: 125185 State surcharge (8% of permit fee) 5.
TOTAL PERMIT FEE - re ,3Q
Authorized signature This permit application expires if a permit is not obtained within 180
• days after it has been accepted as complete.
Print name: R . `t t cp ti,,,,._ S 1 ,-, Date: 10_05 " Fee methodology set by Tri- County Building Industry Service Board
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� ~~~~"~~~°".~~° ~°"="~~"~~"~ PERMIT #: MEC2006-00478
13125SVVHaU8|vd..Tlga�d.ORA7223 DATE ISSUED: 10/5/20O0 •
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 -kJ- '11.!.
INSPECTION WORKSHEET FOR DATE: 11/9/2006 TIME: 7:02AkA PAGE: 67 `
SITE ADDRESS: 12321EW132NOCT CLASS OF WORK:
SUBDIVISION: MORNING HILL- NO. 8 LOT #: 133 TYPE OF USE: ,
PROJECT NAME: NELSON
DESCRIPTION: Furnace install.
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OVVNER: ( W iL��()N.F�C`y�� PHONE #:
CONTRACTOR: ORB8UN HEATING &AC(125185) PHONE #: 2953
Inspection Request Scheduled For: Date: 11/0/2006 Pour Time: >
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 039496-01 603-638-2953 Y
Corrections/Comments/Instructions: -'
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.
•
e5AS8 El PARTIAL APPROVAL ri CANCEL | |NOACCESS
| | FAIL ALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: ^ � Date: ii- 9--' CP Phone #: (503) 718-