Permit C ITY OF TIGARD MECHANICAL PERMIT
I DEVELOPMENT SERVICES PERMIT #: MEC2005 -00351
'� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/16/2005
PARCEL: 1S125DC-03600
SITE ADDRESS: 07059 SW BARBARA LN ZONING: R -4.5
SUBDIVISION: THE RAZBERRY PATCH LOT: 029 JURISDICTION: TIG
Project Description: Install a /c, replace furnace. •
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 .
RICHARD TURNER Description Date Amount
7059 SW BARBARA LN [MECH] Permit Fee 6/16/200E $72.50
TIGARD, OR 97223 [TAX] 8% State Surchaq 6/16/200E $5.80
Phone: 503 449 - 6260 Total $78.30
Contractor:
OREGON HEATING + A/C INC
PO BOX 397 REQUIRED ITEMS AND REPORTS
DUNDEE, OR 97115
Phone: 503 - 538 - 2953
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 OA' ! - 111 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699
or 1 -800- , 2 -2344. •
Issued Permittee Sign • ture: , .,9%/ �,,, ��✓
Call 503 - 639 -4175 by 7:00 a.m. for inspections th. I 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.
Jun 16 05 09:22a 503- 537 -2172 p.2
Mechanical Permit Application . FOR OFFICE USE ONLY •
City of Tigard Received , /lam aN permit No.: d ./1, "t036'1
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 e I �. Date / By: Other Permit:
Inspection Line: 503.639.4175 e'' i,I Date Ready /By: Jurist M See Page 2 for
Internet: www.ci.tigard.or.us Notified /Method 16 Supplemental Information
Y)P
• , " : r 7 :. E .'O T WO1tI:�_ : : ;: ; .: ,, : ; • ,'CONIhfER rEEx.SEHEDU7..E : :USE CH
,. Mechanical permit fees* are based on the value of the work
ID Ld
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.
,.. ,... ' '. CA ' ... TEGORYOF.. C ONSTRUCTION; ._., ,. ` ;`: .' .. -, : . : ' : :': . .. : ,
RES .., . ME , 7 SYS I E. . ... .
c1/1- and 2-family dwelling ❑ Commercial/industrial ❑ Accessory building
For special information use checklist
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total
.,
JOB,::
SITE INFO TION AND LOC;O'iri .'; '., - `' ; Heating/cooling
Job site address: Air conditioning or heat pump
�L\ , 10 ),f i �� (requires site plan showing placement) I4.00
City/State/ZIP: 4 ( � y7 ,( g 2,2- Furnace 100,000 BTU (ducts/vents) 14.00
�" Furnace 100,000+ BTU (ducts vents) 17.90
Suite/bldg. /apt. no.: ii Project name: Gas heat pump I 14.00
Cross street/directions to job site: Duct work I 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
Subdivision: Lot no.: Flue/vent for any of above 10.00
Other. 10.00 f
Tax map /parcel no.: Other fuel appliances
::::._ . , ..:: : - Water heater I .
..:........:.:..:::..,. ;., ... :DIESCItIP�ION. :O.F :;. :.QI2IC ..... .... . . .......
_ )1 � �1nn `� .� � : Gas fireplace 10.00
( j� ,�' V �.�ft' ! I. G u, 0 -� Flue vent for water heater or gas
fireplace 10.00
V L J f� J lia-a_ t Ax C�__ Log lighter (gas) 10.00
Wood/pellet stove 10.00
..:.. , .. .:. •
Wood
tner /flue/ ent
.' ROP . - TY :9!".WIt..' :;. . : `-'.; : _ °. ' '': : : :..$ : `E : ,, :i :i :.; .
W fireplace/insert
chimneys" � l0 00
.. .......... . . . . .. ... ...., .. Other: 10.00
Name: I I j''Jijjr !.t ' ' (/ n•? Environmental exhaust and ventilation
Address:( � U �/ � /� /1 ,L (Al Range hood/other kitchen
i tY equipment 10.00
City/State /ZIP: .t7 6,47 g Z <3 Clothes dryer exhaust 10.00
Phone: t" P I jj n Fax: ( )
li mi t ' U Single -duct exhaust (bathrooms,
toilet compartments, utility rooms) 6.80
c w s ace fans 10.00
;: : ,- '. > � ;' •; ' _:4YPI:ICANf : � ' :.: ! - `. ::° ,, >r : : <;r'.. ® ?; I
COV'I' ACT •PEIt50I�. �� : :';�., m P f
� �,, /� Atttcl 1
� ��) o� ; ... . U 1l.f�' . -. '` Other. 10
Business name r J (,uw �, Fuel piping PP g
Contact name: 1 • jr irL 6� $5.40 for first four; 51.00 for each additional
�, � Furnace. etc.
Address: Y 1p� °��Y� Gas heat pump
City/State/ZIP: �, � ( ' / f V- (, 11 ! I S.- ) ^� Wall/suspended/unit heater
ei( i )) Z 0 ‘ c, -1_5_3 3 v 1) 53-7 Z/ -2. Water heater
Phone. Fax: :
rep
E-mail; Range
•
>,- ::. :., : ..... ' :.. RACTOR " :; ..'., :._, -.. Barbecue
Business name; �' / l,�C - j� �. (J Vl r� " V t lG` I � {jam ,� Clothes dryer (gas)
Other.
Address: l� I t/ �
� �.a : :. : :;` ` :1VIECH.4NI :P�ItNII'T :DES * :. : :. ::` .;. ;:...:`
City/State /ZIP: r "1i, � ' ( v 1= 'in ( ( Z Subtotal
Phone:rr 7 F Minimum permit fee (572.50)
4 J O ��t F-5-3-7 l Plan review (25% of permit fee)
CCB lie.: I � State surcharge (8% of permit fee) rJ
c� ,K (._ N
fff
a w '"�'•OT}A FEE EE N. Authorized s" attire: � t 1 1C?'1 O) U -U.J'O i^ tr /! X � ,, Z I ( (� his permrF app rcaeon expires It a permit is not obtained within 18t1
()� t3�i v ( V o days after it bas been accepted as complete.
Print name: '),y1yti,P / (Ar yj rl f Date: * Fee r he ologyiset2y1jF.{F-County Building Industry Service Beard
is \Bwldine\PemitsMEC- PCmitAvo.doc 12/03 440.4617T (11 /02 /COM'WEB) CITY OF TIGABD
BUILDING DIVISION
Jun 16 05 09:22a 503 - 537 -2172 p.3
Jun 08 05 07:24a Oregon Heating 8, O/C 503 612 9486 p.1-
V
G1 i m
. Ix1
l c�
•
� r
W
V 1!
Q C 1
z .
cn
E �
cr
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2005.00351
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/16/2005
Phone: (503) 639 -4171 i /0/Il�tp
Inspection Requests (24 Hrs.): (503) 639 -4175 Ail
INSPECTION WORKSHEET FOR DATE: 7/29/2005 TIME: 7 : 07AM PAGE: 114
SITE ADDRESS: 07059 SW BARBARA LN CLASS OF WORK:
SUBDIVISION: THE RAZBERRY PATCH LOT #: 029 TYPE OF USE:
PROJECT NAME: TURNER
DESCRIPTION: Install a/c, replace furnace.
OWNER: TURNER, RICHARD PHONE #: 503 -449 -6260
CONTRACTOR: OREGON HEATING + NC INC PHONE #: 503-53B-2953
Inspection Request Scheduled For: Date: 7/29/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 012366 -01 503 -636 -2953 Y
Corrections /Comments /Instructions:
(
. dal,
112 PASS a 'ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL t4 C FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: " mil... " Date: 2-z,..os Phone #: (503) 718 -