Permit -
CITY TIGARD MECHANICAL PERMIT
14 DEVELOPMENT SERVICES PERMIT #: MEC2005 - 00110
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 3/16/2005
• PARCEL: 2S104CB -00300
SITE ADDRESS: 13445 SW ASCENSION DR ZONING: R -7
SUBDIVISION: HILLSHIRE WOODS LOT: 019 JURISDICTION: TIG
Project Description: Replace furnace and a/c unit.
CLASS OF WORK: 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
SWANSON, ROGER H + PATRICIA T Description Date Amount
13445 SW ASCENSION DR [MECH] Permit Fee 3/16/200f $72.50
TIGARD, OR 97223 [TAX] 8% State Surchar€ 3/16/200f $5.80
Phone: 503 -590 -8434 Total $78.30
Contractor:
SUNSET HEATING & COOLING
PO BOX 42289 REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97242
Phone: 503 234 - 0611
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 -3. - a4.
Issue. By: / �i _� Permittee Signat
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.
03/15/2005 04:46 0000000 , ABAB:AAAAAA AA PAGE 02
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�echalnlcal Permit A icati if ' I l i I: 411 i I( 1 3 I l l\ l 1
F
City of Tigard r J
Date/ : s" i s , Pe– N
/ .?,: ye' 6 , , 0 5- cr) //
I)BtC 1A
J 3125 SW Hall Blvd., Tigard, OR 97223 , plan Review
Phone: 503.639 -4171 pax: 503.598.J960 $ ..M � .' I Datelgy, • Other Penult;
Inspection Lino: 503.639.4175 . 1 i
Internet www.ci.tigerd.or.us _... Date ltaady/By: la See Po 2 far
G` Notified/Method: �i� Supplemeontal Information
._ `v
❑ New construction l.►, • Addition/alteration/replacement Mechanical permit fees" arc based on the value of the work
performed, Indicate the value (rounded to the nearest dollar) of all
0 Demolition ■ ether: mechanical materials, equipment, labor, overhead,, and profit.
Value* S
.,..... , ,..
#.4 - and 2- family dwelling ❑ Commercial /industrial [] Accessory building For speciR(irl/ormarion are checklist.
❑ Multi-family ❑ Master builder ❑ Other:
k r, r,�70' �1t +,u P r �, #\ t .1 ,,•.,,,,+ � , Description Qty, I Ea. Total
f r! f t f'd a f i .tae s rt ,nr <Vt .� ;:,:���: , d ye w t vw . 41 ^I
i, " fi v$ r !t at !a r 1 l ° :... < ,,of 1 or , t a:i t 7 F
s ...., a � N#rt u.' +1h.'L ll�;�$:1,„ ;a+[Sn z. '�s: tz.",S.v.,! ,.s!,•c..... � M. . s -. ,c , �,., +�• r r � �c:�� A...:..; sa.P, Gu�G;�� .[i coo l i nK
Job site address: • + Air conditioning or heat pump !� . .1 1 }'t (requires site plan showing placement) 1 T 14.00 I..
City/State /ZJP: ( I • / • 1 3 , Furnace 100,000 BTU (ducts/vents t 14.00 14-00
Suite/bldg. /apt. no.: + Project ztatife; '.^ Furnace 100,0004- BTU (ducts /vents) 17.90
•
W • 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
°— - - 0 Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: Lot no.:
Flue /vent for any of above 10.00
Other: _ I 10.00 ..
Tax map /parcel no.: Other fuel appliances
1
C Ii � yi JI rY ttl r t a7�,ac acN1 �r apt +klhirl l +cIe «r it r4 r r~
t � .. 4,..,P!' 'ii . rt9.' iNSaiiNg; t l ms : n ':ii sut.'7 t
r bi:71'P' 'Fk4c ' ,:, . : t Fillls'Ti,., fi i 3. ts, iitgOi v . , Water heater 10.00
Gas fireplace 10,00
Q.e A'*ct Le— -mot c.e ,D,,m199, et A).. Cjb71rj ' h 1 ,p-. Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/ .ellet stove 10.00 '
• Wood fireplace /insert 10.00
' a t n K � t, �+cl}r f l f 1 �+ l" 7 7 r 7.,; aie «H { 1, ep r rum o f Chimney/liner /flue/vent 10.00
i YD 1 a :;e44,+a nt: : + 39s olkilr,W;t G J�t +u 3 k-i z w il4tAS. "d140 �r 31;; ;, { rmfr'!k', V:q.64E;sa ±t ithr.o i2R
Other. 10,00
Name: 0, pk_ a i A b11 Environmental exhaust and ventilation
ut4� Range hoad/other kitchen
1
Address: i = ( t �� �� equipment 10.00
C ity /State /ZIP: -ii \ b • ' T a�, 3 Clothes dryer exhaust 10,00
w 1`� - Single -duct exhaust (bathrooms,
Phone: () 5410 g 46 t 4e5 1! L; Fax: y ( ) toilet compartments, utility rooms) 6.80
Y'i ;r tf6 , t' �Y' i alf ,,. illiy'! lk f7'17:' L �It itj�Mjif � � "�i i1rr,F3;d });:� „s:iIC'!ggrl! g;rKI. Nf � ' i i i rgr 4; e 7? 74.111 i— P7,. Artic /crawlspace fans 10,00
: imil: .0.4o,08 ,P,tm $1t' �t" Kit. 014r l't. : AC`:.1f .. m V.a:;a.4,= 6;4 J�,','.P'45 ?�!rltal -
Business name:
Other: 1 0.00
— Fuel piping_
Contact name: 55.40 for first four; 51.00 for each additional
Address: Furnace, etc.
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater Y M.
Phone: ( ) Fax: : ( ) Water heater
E -mail: Fireplace .
Range
. ,,n.;p uT0li'!ft. �1 "�F�M't;(a { r:: . .' �T d0 414.'410$1004'11-1111V:7-412,=7.-F::"'412
Barbecue
. ' W ..... ,v:•. i
Business name: Sunset Heating and Cooling Clothes dryer (gas)
— — — Other:
Address: PO Box 42289 i +' ; ”,
City /State /ZIP: Portland, OR 97242 Subtotal ,� ,D-0 Phone: (503) 234-0611 fax: (503) 234 -0439
Minimurn permit fee ($72.50)
- ... Plan review (25% of permit fee)
CCB lic.: 161085 State surcharge (8% of permit fee) 5.10
1,, ft TOTAL PERMIT FEE 3 ,3t,
Authorized signature: • ° . This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Shauna U'Ambrosia Date; l .• Fee methodology set by Tri- County Building Industry Service Board
s
i '•Avilding\Permu mEC Ape is /f)J
440 -4011T (1 r!ovCClnt/wg,g)
03/15/2005 04:46 0000000 ABAB:AAAAAA AA PAGE 03
,�. . . 1'
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A/C & H/P
Site Plan
Sunset
isnammemem
Name: Parr-CA S f /Joiv ,0.
Address; 1'-W /J5 5 (") ,ItScen -3c N
0
2c r HOUSE
CITY OF :TIQARD --
BUILDING DIVISION PERMIT #: IlEC2005"00110
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/16/2006
Phone: (503) 639 -417,1 �,uti�p�i�l
Inspection Requests'(24 Hrs.): (503) 639 -4175 . &
INSPECTION WORKSHEET FOR DATE: 4/6/2005 TIME: 7 :10AM PAGE: 81
SITE ADDRESS: 13445 SW ASCENSION DR CLASS OF WORK:
SUBDIVISION: HILLSHIRE WOODS LOT #: 019 TYPE OF USE:
PROJECT NAME: SWANSON
DESCRIPTION: Replace furnace and a/c unit.
OWNER: SWANSON, ROGER H + PATRICIA T, PHONE #: 503.690 -8434
CONTRACTOR: SUNSET HEATING & COOLING PHONE #: 503.2340611
Inspection Request Scheduled For: Date: 4/6/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 003696 -01 503-690-8434 N
Corrections /Comments/ Instructions:
t,G- cr(L( r4-L. tnA, u,.i o , ff 5 36 •-- ?-', g
%- ci rt.-4- .�
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-