Permit CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005 -00177
� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 4/19/2005
PARCEL: 2 S 102 D B -05900
SITE ADDRESS: 13188 SW CHELSEA LP ZONING: R -12
SUBDIVISION: CHELSEA HILL LOT: 036 JURISDICTION: TIG
Project Description: 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: 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:
OTHER UNITS:
FURN > =100K BTU: <= 10000 dfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
ENGEL, SCOTT & JENNIE Description Date Amount
13188 SW CHELSEA LP
TIGARD, OR 97223 [MECH] Permit Fee 4/19/200`. $72.50
[TAX] 8% State Surcha 4/19/200e $5.80
Total $78.30
Phone: 503- 639 -7297
Contractor:
ARROW MECHANICAL
10330 SW TUALATIN RD
TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS
Phone: 692 -1565
Reg #: LIC 5193
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: I� eZ Permittee Signature:
Call 503 - 639 -4175 by 7:00 a.m. for inspections that bu es. i
This permit card shall be kept in a conspicuous place on the job site up it co •letion cf the project.
Approved plans are required on the job site at the time of each inspection.
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Mechanical Permit Application -,• • • • • ' •-• ' - .1;017.OFFItl,USEONIA" . •• - • -:. ' . ',
City of Tigard
Date/By: - 6) y k.-, Permit No.: E ( i ,a)5 * a j 77
13125 SW Hall Blvd., Tigard, OR 97223
Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 A
1, Date/By: Other Permit:
Inspection Line: 503.639.4175 ..61. - 41.' • Date Ready/By: P
Internet: www.ci.tigard.or.us Notified/tvlethod: NM Supplemental fo
eme Information
V *4 :4 4 tn ifk ras t ir. 4 44 )- &3 40 7 : 4 : :il:ii: ; ;;;!4 V ..Z 1 1 7: ": ? !4 ' . r, ''''' Iffril
0 New construction 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
El Demolition Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $
' i0 : 4 - : 74 ;. ' 44 ": 4?.41 :- 1: : : : :.:Afir0. 76 *.W,011W,S,:tW%-ali i , ' 2iCOON40414r.7 . !- - 74; Itc,v4v,g,,,,,
A
Ai 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building
For special information use checklist.
/0 Multi-family 0 Master builder 0 Other:
Description I Qty. Ea. I Total
4 Z*,iti7inajKoVp,fvo,,,-RNvfrovgfi,vfoozr:14Arlizv:::,,k% Heating/cooling
Job site address: 131'S/ SW (...44EL....6p, LP Air conditioning or heat pump
(requires site plan showing placement) 14.00
City/State/ZIP: -T, I / OR, 9 7 /...2.-S Furnace 100,000 BTU (ducts/vents) / 14.00
Furnace 100;000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: Project name: EN (.7L'
El...
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
ttalg,t:* 1 Gas f re 10.00
place 10.00
. R,,EPLAct EX 1&11 isl, b- 0 coo ?Yr' U C.TAS F estq-P,cE Flue vent for water heater or gas
fireplace
vy 0,14- r\1W 31) •. SoY (7p,s (2f2.roc-6 Logiigmer(gas)
/ 10.00
10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
Chimney/liner/flue/vent 10.00
Name: 5CDyT AND .3 LI\I(.70-- Environmental exhaust and ventilation
Range hood/other kitchen
Address: 12 3 c i_5-64 1.:...:, equipment 10.00
City/State/ZIP: A,F,t, OR '%I? 223 Clothes dryer exhaust 10.00
i Single-duct exhaust (bathrooms,
Phone: (5a Co (: 1 - Fax: ( ) toilet compartments, utility rooms) 6.80
'''. ' Attic/crawlspace fans
- - ,,I.:.,3'.' '.._ ., ther:
y 10.00 Other:
10.00
Business narde: .P IA ECM,A,N ( C1
Fuel piping
Contact name: „SF R.r...;1 Pi (-341/412-- $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: \ 0 S 5,1 I -, Ni jk o l 1\ ) a
Gas heat pump
City/State/ZIP: - i v p, LA--r) 1\1 , oz. 9 q-o4:72- Wall/suspended/unit heater
Phone: (503 ) ( - Fax : ( ) L I — 1-3.7-1 Water heater ,
Fireplace
E-mail: Range
.4 N; K44.**-,iel-n':::::?:?:',;itilit Barbecue
Business name: ISs7-9 1 6-.4.AINI I C,A,, L. Clothes dryer (gas)
Other:
Address: c 1\ ' P
Ots:M la,
City/State/ZIP:--- ( \-lit '....' A\ \) E Subtotal
Minimum permit fee ($72.50)
Phone: ( ) Fax: ( )
Plan review (25% of permit fee)
CCB lic.: 5 i ci > State surcharge (8% of permit fee)
At , TOTAL TOTAL PERMIT FEE
A uth d
orize signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
I ,_,._ . / i s ,
EA 6-4A R-1 PEJ3 4 19 o5
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2005-00177
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ' 4/19/2005
Phone: (503) 639 -4171 �i�oa,a °i�,l�i����� �I\
Inspection Requests (24 Hrs.): (503) 639 -4175 ':
INSPECTION WORKSHEET FOR DATE: 8/9/2005 TIME: 7 :05AM PAGE: 93
SITE ADDRESS: 13188 SW CHELSEA LP CLASS OF WORK:
SUBDIVISION: CHELSEA HILL LOT #: 036 TYPE OF USE:
PROJECT NAME: • ENGEL
DESCRIPTION: Replace furnace.
OWNER: ENGEL, SCOTT & JENNIE, PHONE #: 503-639-7297
CONTRACTOR: ARROW MECHANICAL PHONE #: 692-1565
Inspection Request Scheduled For: Date: 8/9/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 013073 -01 (7` 503793 - 6027_ Y
Corrections /Comments /Instructions:
, (67) -K-Z,C-fils att_. ift.14,04,0 1 hit4ez, .. 5 . .4-cl .Oli `-i2,41-,,i4X7
•
PASS 111 PARTIAL APPROVAL [1] CANCEL _ NO ACCESS
n FAIL Ni CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
;:
Inspector: Date:8 -- t;'/--z:72 Phone #: (503) 718-