Permit CITY OF TIGARD
MECHANICAL PERMIT
!ri COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00491
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TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/7/2007
PARCEL: 25111 DC -03000
SITE ADDRESS: 15625 SW ALDERBROOK CIR ZONING: R -7
SUBDIVISION: SUMMERFIELD NO.8 LOT: 477 JURISDICTION: TIG
PROJECT: LYSTER
Project Description: Replace existing furnace and install a/c unit.
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
LYSTER, MARJORIE J Description Date Amount
15625 SW ALDERBROOK CIR
TIGARD, OR 97224 [MECH] Permit Fee 8/7/2007 $72.50
[TAX] 8% State Surcha 8/7/2007 $5.80
Total $78.30
Phone:
Contractor:
SUNSET HEATING & COOLING
0607 SW IDAHO ST.
PORTLAND, OR 97239 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 234 -0611
FAX 503 -234 -0439
Reg #: LIC 161085
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 :41111Pi` „„, Permittee Signa , i/ J II
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 07 07 01:40p p.3
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Mechanical Permit A p Received $
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S Permit No. M� •s - t'�1
City of Tigard Date/By:
13125 SW Nall Blvd., Tigard, OR 97223 � » : l i u C � f t 2O Plan Review Other Permit:
Phone: 503.639.4171 Fax 503.598.1960 0 ,,,, f ` - t may:
pe CITY OFT Page for Inspection Line: 503.639.4 I H lr '' j„ Date Rcady/By: Supplemental Information
Noufied/Method
et.0 and or t>s BUILDING DIVISION
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• ll �• $"'-a # e' , <. « . , ,. , .. Y:$ .: ,1,44 ...an -.s.. .. > it ,, ,
' tta.,. �.. " " " " ' ' permit fees' are based on the value of the work
�d S,t�`�.�:� '�. �3�,,.�� .... .r:. � ,r Mechanical pe
0 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.
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171 I - and 2- family dwelling 0 Commercial /industrial 0 Accessory building For special information use checklist.
0 Multi - family 0 Master builder 0 Other: Description I Qty. I Ea. I Total
s,, , k x V . •! i y ;trsLn g �,.3i,,,, v Heating/cooling
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-- • . ', f +..a' tiY<asua -s s.' rery xt siii.sas .s e stir ii ta.i'e+ t Brat s
;, Air conditioning or heat pump
Job site address: 3 i .7 '4; V n,. 7 z S c.U, )/ • t.. ) r`' „ 1 , : s'- - .. \ . ( f i L ... (requires site plan showing placement) ( 14.00 I Li
1 i ,. / .._ 14.00 1 �
Furnace 100,000 BTU (ducts/vents) `l t -
City / State/ZIP: \ t E " + s � a° Furnace 100,000+ BTU (duets/vents) 17.90
Suite/bldg. /apt. no.: f Project name: Li) '4 Gas heat pump 14.00
i.
Duct work 14.00
Cross street/directions to job site: 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
Subdivision: I Lot no.: Other: 10.00 '
'lax map /parcel no.: Other fuel appliances
: >� vgnS -ii ::- w' --' n r . +",a` Water heater 10.00
- - t : Z . ski i =:£i:> eg ..,', ,: a t. • . t & .<> I xS�i!,'is"F^v, r . 7..- t ., ,
w" •: f : - r.,, `.l ,. : : F` r•x sxn i"�J , 9 7; . 1' V , z °. r r +Wwa 10.00
-; �o: i�; 1 ";'.''k }I':... :R� : ::.• < :�• .,s' .., � r�:e+�$: ' r. Gas fireplace
t/ . �, Flue vent for water heater or gas
'k`C` i ?tC' t€ �: 1 ., G f fireplace 10.00
Log lighter (gas) 10.00
•
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
t Chimney /liner /flue /vent 10.00
. ., ,, x ? p ,. ; +,:e, a,?;�i ' �ts, � r) ;iw: +. c �i ��'a iti 10.00
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.� > '` °s':�,r' :, .,. ��tx 's�+�'4'a'31„�`�,,: �i;,�� i ?q w 'd ,•9tG;33ev., � f �� _ zzgl
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Name: i f t 1," (.') (.'/' r ef y , ; Environmental exhaust and ventilation
.\ + a Range hood/other kitchen
i t��. p i e r` r' ,j t "" equipment 10.00
R i- r °'.
Address: t _> 4.',-::,-.',) �1O :�.d z it.x�.'1 t.. 3 -'lF .. 'x_.:
Clothes dryer exhaust 10.00
City /State /ZIP: .) 4jt r . ` Single -duct exhaust (bathrooms,
Phone: ( I. 3) L "' . ') 1) 4/ " �,- Fax:
toilet compartments, utility rooms) • 6.80
nt ;, ,.x'., "t,,,;.".'"' A ttic/crawls ace fans 10.00
- - ��; :� : ;y �.,w 'KC;;y;,�ts. , r��. : :w fix",: ^.r' � ,.,`1 t " : �: = . : .? ; < s�'�-�' =; P
i i , - : ." is >: : :£ • -iste.i;bmi, - -, : i�; 4 -t a .,•,/i �. F ..,,1. 10.00
airy'.,.,w :. : :..r: ".1 th, -.. Other:
Business name: Fuel piping
$5.40 for first four; $1.00 for each additional
Contact name:
Furnace, etc.
Address: Gas heat pump
City/ State/ZIP: Wall /suspended/unit heater
Phone: ( ) l Fax: : ( ) Water heater Fireplace f
E -mail: Range `
u ., ,: ' 1 :" , � Ss �e I � "ter' �i7T4 �` � � Barbecue
-x- , s s> E a M iWt ,t 5 �Ag., niilr _ rTsit sn,a � er.e. �t iltaiS4 - 14.te ... Clothes dryer (gas)
Business name: Sunset Heating and Cooling Other:
(i Nib tr ' �,/ fi r. v ti � •
Address: 0607 SW Idaho StreetM tr t x- 1 s�? 3 -
kYFs,. M I1 t.., iFSE."•b� F^.6�L..:a°.- d�'�a..� '.' Y.:r tir
Subtotal � �,
City/State/ZIP: Portland, OR 97239
Minimum permit fee (S72.50) ° ,? ;,)
Phone: (503) 234 -0611 Fax: (503) 234 -0439 Plan review (25 % of permit fee)
CCB lie.: 161085 State surcharge (8% of permit fee) -_
TOTAL PERMIT FEE - 71;•::: 7 3 -
!
This permit application expires if a permit u not obtained within 180
Authorized signature: ; 4.`�� -- `*- - -"�"� days after it has been accepted as complete.
' D a te: -- c ,; t t' I "t + • Fee methodology set by Tri County Building Industry Service Board
Print name: Shauna D'Ami rosia ! �..,
1-\ Building \Permits \MEC- PermiiApp doe 12/03 440 -3617r (11/02/COM/WEB)
Aug 07 07 01 : 41p
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• A/C & HIP
Site Plat
Sunset
HEATINGA COOLING,
Name: ) 0'16
Address:
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HOUSE
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CITY OF TIGARD
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 �n ��fai,pl i �� )
Inspection Requests (24 Hrs.): (503) 639 -4175 �
INSPECTION WORKSHEET FOR DATE: I 0-7 TIME: PAGE:
SITE ADDRESS: / 54J Git4400 Lw- CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
A`'r2j ,ol
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments /Instructions:
C� Ova‹ ; t PA)5 S
Ave - 6 2o07 OD Lfq / Ft ` L ► kL IN
A „Air I C
•
PASS n PARTIAL APPROVAL n CANCEL I I NO ACCESS
I I FAIL CAL FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector: Date: 5 /"I ( Phone #: 503
p � ) 718 -
CITY OF TIGARD
BUILDING DIVISION a"laN2L PERMIT #: MEC2007 -00491
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/7/2007
Phone: (503) 639 -4171 Vilit
Inspection Requests (24 Hrs.): (503) 639 -4175 , :_..
INSPECTION WORKSHEET FOR DATE: 8/2212007 TIME: 7:01AM PAGE: 59
SITE ADDRESS: 15625 SW ALDERBROOK CIR CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO.8 LOT #: 477 TYPE OF USE:
PROJECT NAME: LYSTER
DESCRIPTION: Replace existing furnace and install a/c unit.
OWNER: LYSTER, MARJORIE J, PHONE #:
CONTRACTOR: SUNSET HEATING & COOLING PHONE #: 503-2340611
0611
Inspection Request Scheduled For: Date: 8/22/2007 - Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 064357-01 503 -620 -9175 N
Corrections /Comments /Instructions:
0
(jO Q
PASS I I PARTIAL APPROVAL ❑ CANCEL WNO ACCESS
OR
XFAIL %CALL F INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: rril Date: 7 0 Phone #: (503) 718-