Permit 11 CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00348
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/14/2007
PARCEL: 2 S 102 D B -02000
SITE ADDRESS: 13255 SW BURNHAM CT ZONING: R -4.5
SUBDIVISION: BURNHAM PARK LOT: 014 JURISDICTION: TIG
PROJECT: GARDNER
Project Description: Replace furnace and add gas piping; install a/c unit.
CLASS OF WORK: ALT 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:
NAT 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: 1
Owner: FEES
GLORIA GARDNER Description Date Amount
13255 SW BURNHAM CT
TIGARD, OR 97223 [MECH] Permit Fee 6/14/200i $72.50
[TAX] 8% State Surcha 6/14/200i $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 By: 41111b /7 !J / Permittee Signature: SD Pep I j cf 6vt
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.
Jun 13 07 02:04p p.2
M eeha n cal Permit • ,4 o lc- ? gay 1 R: FOR OFFICE: IC1i i. '. i O'1.1" -
City of Tigard Received
Date ./13y: � I b h ill Permit No.: M _'. _ 60 i
13125 SW Hall Blvd., Ti OR 97223 JUN /
Phone: 503.6394171 Fax: 503.598.1960 JUN 2014 ,P Other Pe rmit: E _
Inspection Line: 503. 639.4175 ..4}!i Plan Review
Da telBy:
" �� 02
CITY O �� Date Ready/By: lads. WI See Page 2 for
q -
Internet: www.ci.tigard.or.us Of ` fil ' - Notified/Method: 6_ Supplemental Information
t
Y. •v
i. 1�:rr �t�t $�CHECI�.
" ❑New construction ® Additiontaheration /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.
'
�_ 'TEtaOYtY. UC :.
`sg >x °` V al u e : • . REBI i ' .S*
-, 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total
: JQB' SITE. T1ORMr1TIQNi AND :;C.1TlOt�'v " :',;: -`; `';; "
._ IO Heatinp/cooting Air conditioning or heat pump n _
Job site address: )E�w��...1 ��t / . . � � (requires site plan showing placement) �1 14.00 @`
City /State /Z_IP: ) i.` l ' 1 C " „ '7 - Furnace 100,000 BTU (ducts/vents) ? 14.00 ‘14
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name:^ ll..i' , l a "la.: i 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 any of above 10.00
Subdivision: Lot no.:
Other: 10.00
Tax map /parcel no.: Other fuel appliances
'= Water heater 10.00
)ESGRII'1'.IU1V; OF WORK `::! ' t: ; ' <' =: ?: _ .
:., :.. "_ ,.•. Gas Fireplace 10.00
(~•C -1 4 €;k i Q . L -i' }; a V - { L. .. , ....0 - -- / 1`7P-L2 -1 - t-ftu y s Yi.. Flue vent for water heater or gas
..1 fireplace 10.00
Log lighter (gas) 10.00
' Wood /pellet stove 10.00
Wood fireplace/insert 10.00
_ - - - Chimney /liner /flue/vent 10.00
P ROPEI iT I ' Q WL �iEIi :'':::D TE ALv,
5
- Other, 10.00
Name: /' I , -` vi i.l Environmental exhaust and ventilation
Range hood/other kitchen
Address: f '5 . ": ? t h • i irt . t
} t) t om.. ` .••• a ,. ' '1'} ( "'i.f : t equipment 10.00
City /State /ZIP: s + - ` �. ? Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone:(.( 5) (CIO .../ $ 11 L,, Fax: ( ) toilet compartments, utility rooms) 6.80
".; e _ Attic /erawls fans 10.00
- , . .❑ PLTCI�NT;" - '= � :- ° ::, _�; " %',
ri;..... „_.,_ . ,.,...... .. Other: 10.00
Business name:
Fuel piping
Contact name: $5.40 for first four; 51.00 for each additional
Furnace, etc. .../ ' ;1,.
Address: .
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail: Range
-
y� . :Gz 5. °k 'e � > :' `.i'.•fi:,Ajj,'2 _ -
- - ,.�;?;�.,,�6'�` � �' +..,,. - z:'�r«.• _ „*u " ",,.- .� .'� -a,., Barbecue
;'".'s. � - ..,.,., ,,�....�. , eT�. -,. _, ,, , nos. »,a�x,�r :r�J�'� _���Sa�k.- ar,- r :- .,w.,,,K.�
Barb
Business name: Sunset Heating and Cooling Clothes dryer (gas)
Other:
Address: 0607 SW Idaho Street 'iy, "L i r_ *; - (
F .4' ` .1� -..`ai r,: "i u :NXf�H'+ .;..�:: .a a.wy -v.a� ,,.. -if, Fv : :111 =j ' ; - -
City /State/ZIP: Portland, OR 97239 Subtotal 'r: t;,
Minimum permit fee ($72.50) `i„� lU/
Phone: (503) 234 -0611 Fax: (503) 234 -0439
Plan review (25% of permit fee)
CCB lie.: 161085 _ State surcharge (8% of permit fee) '�;F `r
� „ ,.,...I. :'
Authorized signature: • r TOTAL PERMIT FEE r ft:
"�, s <� t t € -/ �o''� - This permit application expires if a permit is not obtained within 180
( \ '' 1 - r' ' =' days after it has been accepted as complete.
Print name: Shauna p'AtniSrosia Date: (,L l ` s 5 • Fce methodology set by Tri- County Building Industry Service Boatd
r
i:\Buitding\ \MEC- Permit App,doc 12/03 440 -4617T (11 /02/COM/WEB) '
Jun 13 07 02:04p p.3
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A/C & H/P
Si Plan
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Sunset
HEATING ::& COOLING
Name: G40 , (� j
Address: 3a um m
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CITY OF TIGARD
BUILDING DIVISION ► PERMIT #: MEC2007-00348
$314,144 , 13125 SW Hall Blvd., Tigard, OR 97223 V DATE ISSUED: 6/14/2007
Phone: (503) 639 -4171 emu. InIA Ii
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/27/2007 TIME: 7:00AM PAGE: 65
SITE ADDRESS: 13265 SW BURNHAM CT CLASS OF WORK:
SUBDIVISION: BURNHAM PARK LOT #: 014 TYPE OF USE:
PROJECT NAME: GARDNER
DESCRIPTION: Replace furnace and add gas piping; install a/c unit.
OWNER: GARDNER, GLORIA PHONE #:
CONTRACTOR: SUNSET HEATING & COOLING PHONE #: 503 - 234 -0611
Inspection Request Scheduled For: Date: 6/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message �/J
699 Mechanical final 050989-01 503-2341 A r / ►' �'
Corrections /Comments /Instructions:
_r . la t A _ ! ■. 9a - , , :L..
?-5 `7--2 i" I"✓`
TO» If; /.; (I) - V??
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1
PASS n PARTIAL APPROVAL CANCEL NO ACCESS
FAIL I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED (047
Inspector: Date: 47 Phone #: (503) 718-