Permit CITY OF TIG
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MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00704
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/4/2007
PARCEL: 2S112CA -10600
SITE ADDRESS: 07505 SW ASHFORD ST ZONING: R -4.5
SUBDIVISION: RENAISSANCE WOODS LOT: 032 JURISDICTION: TIG
PROJECT: TRANE
Project Description: Replace furnace
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
MATT TRANE Description Date Amount
7505 SWASHFORD ST
TIGARD, OR 97224 [MECH] Permit Fee 12/4/2007 $72.50
[TAX] 8% State Surchar€ 12/4/2007 $5.80
Phone: 503- 684 -9686
Total $78.30
Contractor:
TRI COUNTY TEMP CONTROL
13150 S. CLACKAMAS RIVER DR
OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 - 557 - 2220
FAX 503 - 557 - 0919
Reg #: LIC 72623
This permit is issued subject to the regulations contained in the Tigard Muniapal 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 di red questions to OUNC by
calling 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature:
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.
D =a --2007 03:19P FROM: T0:5035981960 P.1
0 200 Mechanical Permi k 16 " a FOR OFFICE USE ONLY'
City Tigard Date/By: t' / / « 7 3 Permit Ntji p / OO 7 - 00704
13125 SW W Received Hall Bivd., Tigard, OR 97223 r . ^ P lan R eview / ^ V
Phone: 503.639.4171 Fax: 503.598.1960 Other P erm i t:
�J /l r q ;;id0,4a't 4t ' I r Date/By
[nspection Line: 503.639.4175 , st .j •0. ,. Date Ready/By: ® See Page 2 lot
Internet: ww.ci.tigard.or.us "ry - Notified/Method: / / Supplemental Information •
:; `ArS,:,' :Q7,i':..t' i., :: :61%0:•' ,, * !? ,.r. . . ' `:4.: ' r ; .i . r i t;O414gc44.EEtfr1''SC riti,E USEiCHECKLIST
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❑ New construction X Addition/alteration /replacement Mechanical permit fees' are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
tr ", i, OF
Value: •S1 Y! .
IS"' �. �' +,:�, ",; •yMCAi1'1r(:ORIr x CON�� • i)� s ' C10N' ' . .. . , _ ., ,
y f, _a:
a.�a � ,.., a ;.. r •.:. , �..,, ; " .'�.,., , <i.:,:: ,- ....' • ; For pct use checklist.
FEES*
. ,,..- ...• . �., .,.'- DENT ,fA.LIEQ);1�MEN'lj'! EES*
I- and 2-family dwelling ❑ Commercial/industrial ❑ Accessory building r s e al information u heck
❑ Multi - family ❑ Master builder ❑ Other:
Description I Qty I Ea. I Total
4 : :,i- ;'. : ;;F ys.^r �(ra:r4. B,' 1..1 ,I, #017 Ql '�A'lvp tr6,0e T,�QN' ' Heating/cooling
l
Job site address: +� C j W 7 ► t 7 1 *` t_ t y��1- Air conditioning heat pump
44�r .As 1f/{v d VI t (requires site plan showing placement) 14.00
City/State /ZIP: - T OR "• Furnace 100,000 BTU (duets /vents) 1 14.00
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
Flue/vent for an of above 1 10.00
Subdivision: Lot no.:
Other: 10.00
Tax map /parcel no.: Other fuel appliances
bt4 ,� ,`l,7� 1t r�� a , y, i s ` iu ^ ;u i „ i:o a, - �{ . � : !, " 5 , •r;.6i:i. " '�: Water heater 10.00
1 r -''d,. ,P r�` gl•y, `( . 7 tb��,j. �LI(..">?'!1.45 , I if tf ♦ iiili �5G'1 :F , , P ; 6 ,1' „. a. ' �t. ' .. i ; - n 1:: y 41, Ott F tWilla �t7 .A'- i'' � N i'�N�' �.IN!fH dn'tln�i: 1� ;.r�: flry �i 'U
Gas fireplace 10.00
Flue vent for water heater or gas
fireplace 10.00 .
Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace/insert 1000
t7. _a rlr a IE `" ,Z11100l � :! , 44-0 Other: 10.00
�
• Other: 10.00
Name: 0 l ) Environmental exhaust and ventilation
Address: }C Range hood /other kitchen
equipment 10.00
City/ State/ZIP: Clothes dryer exhaust 10.00 ,
Single -duct exhaust (bathrooms.
Phone: (bib) y64-511(16C9 Fax: ( ) toilet compartments, utility rooms) 6.80
L' ]', I:S' ° +: f cAt: :;;. i� 'A " +: l "' i:',l v; nif•�, ". , q"r"S', �: ,. i ":t; A[[IC /CTaW1Space fans 10.00
Nir[. Ili.; _iverl,r .c, iii.v.ii, "it[§4.m:
..lr'�`.:.: '•-1''9l}.:.y•0 :
,'. 1 .Li"F i.Y;. t,tu:A;, .
,, Ii k r ,
. Other: 10.00
Business name: -in atc- n Caulty cn (�}I'TitO, Fuel piping
Contact name: 7 $5.40 for first four; $1.00 for each additional
>
Address: {. 1 00 (3 C lack1 Ri alf p#' 1 vC) Furnace, etc.
Gas heat pump
City/State/ZIP: C:r 'ciej 1 C ( 11. e l� ( 721 Wall /suspended /unit heater .
Phone: ( .;?)) ' 9 0 Fax: : ([1%3) 3�� 7 i l q Water heater ,
�'� C ( Fireplace
E -mail: Range
;� ^"t'.' „'y;r" ry �y,'�. f�• s y t, ,y,. V�. „ +, n,,'�. r,,,,r, „ , s , i 14 1i,4r .: ..: • ',
i'U nt• , ; ,' '.�.t -ZP, '"lt '4'&at i i' . : .„.` .. *; e"i4 4.v. , tM:,y ,t.. ii '+,r•t'itti+: , �•�' .Y" } ,fi Barbecue
_
-�^ 1 / /� ( -y I Clothes dryer (gas)
Business name: 1 �f (tat)" ` ?) l 1, %1 t l � 1 r
j y- ) ry l Other: 1
Address: '� i f� �� f�.� l r��l / Uf r iii rr� i 4 ; : ME C: EIAN . ,.. it: :P E RMIT FEES!'
Ciry/ StateJZfP: �)y- >( +I1 Ui C . (1 7C,r� Subtotal
�rr IY �)) -�� �I ) n I Minimum permit fee ($72.50)
Phone: (�� ) �S L Fax: (G j �� 1 �� l t
Plan review (25° rn of permit fee)
CCB lie.: -72:10 o? 3 State surcharge (8% of permit fee , L �b0
�,:1 TOTAL PERMIT FEE
C Z ( f �4 This permit application expires If a permit is not obtained within Igo
Authorized signature: . �Iry, • days after it has been accepted at complete.
Print name: Nai 1(` A,'1Q, jQl { ) Date: i2.0101 ' Fee methodology set by Tn- County Building Industry Service Board
. 1
CITY OF-TIGARD
BUILDING DIVISION PERMIT #: MFC2007-00704
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12J4/2007
Phone: (503) 639-4171
I ir
Inspection Requests (24 Hrs.): (503) 639-4175 ...... W i 1
INSPECTION WORKSHEET FOR DATE: 12/21/2007 TIME: 7:03AM PAGE: 78
SITE ADDRESS: 07605 SW ASHFORD ST CLASS OF WORK:
SUBDIVISION: RENAISSANCE WOODS LOT #: 032 TYPE OF USE:
PROJECT NAME: TRANE
DESCRIPTION: Replace furnace
OWNER: MATT TRANE, PHONE #: 603-6049606
CONTRACTOR: TR! COUNTY TEMP CONTROL PHONE #: 503-557-2220
Inspection Request Scheduled For: Date: 12/21/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 061974-01 503-557-2220 V
Corrections/Comments/Instructions:
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/ PASS 0 FAIL PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
fl FAIL FOR INSPECTION
A n ADDITIONAL FEES ASSESSED
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Inspector: ., .. Date: /1—Ji- Phone #: (503) 718-
, ,. •