Permit CITY .TIGARD MECHANICAL PERMIT
A & DEVELOPMENT SERVICES PERMIT #: MEC2005 - 00636
;R, 13 1 25 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/7/2005
0.4 PARCEL: 2S 112AD -00200
SITE ADDRESS: 06830 SW BONITA RD ZONING: I -P
SUBDIVISION: BONITA GARDENS LOT: 004 JURISDICTION: TIG
Project Description: New gas line for (2) existing unit heaters. Project Value: $2,000
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B 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: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
ROBERT D. SMETS Description Date Amount
PO
OR 97002 [MECH] Permit Fee 10/7/200E $72.50
[TAX] 8% State Surchaq 10/7/200E $5.80
Total $78.30
Phone: 503- 678 -3095
Contractor:
TRI COUNTY HEATING & AIR CONDITIONI
PO BOX 1991 REQUIRED ITEMS AND REPORTS
ESTACADA, OR 97023
Phone: 503 849 - 9207
Reg #: LIC 164335
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and
all other applicable laws. All work will 'be done in accordance with approved plans. This permit will expire if work is not
started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires
you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010
through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699
or 1-8 - 332 -23i•. •
Issu By: I / 4 Permittee Sig A>rf/!irM
Call 503- 639 -4175 by 7:00 a.m. for inspections tha •usiness • a .
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
L0/05.' - 09:17 FAX 5095981960 CITY OF TIGARD 0001
(.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard Received
131,25 SW Ra1181 Ti s7 � �l i1 p P � PermirN
�-, gsrd, OR 9 �' ®r.°° a.ee+sy: 1e a- N���o s y AOCp
Phone: 503.639.4171 Fax 50359:.1; t Plan Review
DetdB : pcbcrper,rd,:
Inspection Line: 503.639.0175 (� J "'i . ' I , }`' )
Internet.' www.ci.tigani.or.us OCT 0 6 2005 • ' - -- l7esR o ®5ee► t r
I NotiSeNMmbot Supplemeatar nsr'ormadan
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❑ New CCnstnicQan t wilit 12 nt Mt c}taniwl permit fees' are based on the value of the work
❑ Dem411UOp1 1 performed. indicate the value (rounded m the neorest clothe) of all
f ,�; ,, e y ^, mechanical matt:ials, equipment, labor, overhead, and profit.
:�s :�.- � �� t9`''t• Value S
.;.•� ,i 4,r ii$�a� k�:! i. ''f3 ' r ' �; IlE��? ;� =i�i?f >' iy-' .��� ro
17] ]- and 2- family dwelling Commercial/industrial ❑ Accessory building r m �' DUI... . >1:SYSTE]VlS= 6. .
❑ Multi-family ❑ Master builder ❑ Other: For specie! information use checklist.
« �. .
�•� Description 1 Ea. i Torah
M*:•i•:, `y:.il'r.: •I 1JOB 910 �1P11r�D�p y 05 -,i •'t. ;' Eratingfcoalinp,,
.'3,.. ,'Y''• '7 ".T:w� 1 v!`•� � - „ ,aa{� .' ! r9. jrsc�•h�i
Job site address: 6R.3 Q ,s w Oh ! Tae...— Air conditioning or heat pump
(requires site plan showing placement) 14.00
City/State/ZIP: l / t•- f1 p Furnace 100,000 BTU lducn/vemsl 14.00 ,
Suite/bldg/apt. /apt no.. Furnace 100,000+ BTU (duets/vents) 17,90
Project name: � e t += t S�O Gn hest pump 14.00
Cross street/directions to job sire: Duct work 14.00
llydronic hot water system 14.00
Residential boiler (radiator ar
hydnmic) 14.00
Unit heaters (fuel -type, not electric). '
in-wall, in -duel, suspended, crc. 10.00
Subdivision: no.: . Flue/vent for mayof above 70
Tax map/parcel no.:
Other: 10.00
Other fuel ,� .•.• a
1 .. ..1 "Iii.: :it !t1 0?•! 0 10e',**K 1fiil'/r•k:. F' :.a: • :.1 :__ T W ater heater 00
N e <.cr 5 L; K
k, �' r fireplace 10.00
t ► l i h � 0 t T Floc vent for water heater or gas
I� ='GG c- C �.S fireplucc 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10,00
rt l 1 Wood firspiacetinsen 10.00
. lit]?; i; ° . � :�u_,�zr5.:: _ ;,p::.._, Chinni /liner /llue/ve t
r:, t 1 1 1 ' .. ° :l a nn ;•'T4 .� ' s, ; I' eY n tO10.00 i
.. '� e:i'':'i:tua.u,U.' .alb -�LFS�L't:fif<5' Oh er. 10.00 ■
]Paine: _ r C0) _ f' k�r (),5;)(a - En virodett eatal exhaust and ventilation
Address: G x 6 y v� Range hood
�-
e�uiptnar /other kitchen 10,00
City/State/ZIP: /L/ ‘,..&3 6,-rTQ.e-e-/er-re4Je--. 0 Cl t
(�l Av ror� -
Clothes ID -O0
Phonr. (S ) 6 78— 3 6796— Fax: (Sin) QQ t i comp mae (bathrooms,
. x . 14 ,,. .: •.:_. q ,,
� 7p - 349s noire, comparnnentg, utility rooms) 610
.i �. r . �. : i t F r �.,� r r r: , i.,� 1
.raFd(, = . ., yeOtt '► ? ifi• i .l'Fii'.;,!!C1 ;i'E)10O1V a. i Attiderawlspace Fs" 10.00
Nosiness name: Other; 10.00
Fuel piping
Contact name:
$5:40 for first four; $1.00 for each additional •
Address: Furnace, etc..
•
Gas heat pump
Well/suspended/unit heater
. phone, ( ) Fax:: ( ) Weres heater
E-mail: Fireplace
' {J •'; :' ''17': - ' , . •. y� 'J ,... .
, � : t =s Barbecue -
S ::r • ,-- � � ''f: .. •I..•e., . !i1iSk�7:'! €.q�l!'4'd_ =' Barbecue
J3vsinasname: ' ` — Clothes dryer (gas)
r r , C.(9/ /i? / 7/ ice, ✓f 1 t�r r L hc....t i I�jrl �.
s Pe, �pX � / J OOther-. Other-. Addres
��7' LAG . «:(;al.Ee1I�ECA1VtGX►LPE5�4° r' '
Cify/State/Z PI er L`tc- e g '?76 Stibtotal 1
Phone: (52 3) Myer —tea -3) G.3a - y.3 6�
minimum permit (57a,so)
6'y3,5 ' t f Fax: o'7 Plan review (2
C:CB tic.: j + /' _ / State suteharge(6 ^/• ofpernvlfee)
TOTAL PERMIT )
Authorised sibnaruec �J This permit/prate/don emirs” If a permit is net obtained within rea
Mari airs, it bn been accepted es complete.
I Print IldUG J h r) , 5 "let.-r7 j t Date: l d Sys 1 • Pea methodology set by Tri -County Busldinb r ndatry 5crvire Board
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CITY OE TIGARD
BUILDING DIVISION - PERMIT #: MEC2005 -0063E
13125 SW Hall Blvd., Tigard, OR 97223 4.
DATE ISSUED: 10/7/2005
Phone: (503) 639 -4171 � I I I nspection Requests (24 Hrs.): (503) 639 -4175 i
W
INSPECTION WORKSHEET FOR DATE: 10/13/2005 TIME: 7 :04AM PAGE: 88
SITE ADDRESS: 06830 SW BONITA RD CLASS OF WORK:
SUBDIVISION: BONITA GARDENS LOT #: 004 TYPE OF USE:
PROJECT NAME: PREMIER SPORTS
DESCRIPTION: New gas line for (2) existing unit heaters. Project Value: $2,000
OWNER: WETS, ROBERT PHONE #: 603-678-3095
CONTRACTOR: TRI COUNTY HEATING & AIR CONDITIONI PHONE #: 503 - 849
Inspection Request Scheduled For: Date: 10/13/2006 Pour Time:
Code # Inspection Description Confirm # Contact .#. Message
610 Gas line 018236 -01 503-849-9207 Y
Corrections /Comments/ nstructions: 0 (e3 Z 00
Ai 1:---F ( , e dip r
0,
, ( " 7---- PASS ❑ PARTIAL APPROVAL n CANCEL • NO ACCESS
n FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
r �, ` c_,_
Inspector: Date: s Phone #: (503) 718-