Permit •
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00226
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/25/2007
PARCEL: 2S 102 D B -03600
SITE ADDRESS: 13411 SW CHELSEA LP ZONING: R -12
SUBDIVISION: CHELSEA HILL LOT: 013 JURISDICTION: TIG
PROJECT: SETTELMEYER
Project Description: Replace gas furnace, add A/C, connect to existing ductwork & gas line
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: 1 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
KEVIN SETTELMEYER Description Date Amount
13411 SW CHELSEA LOOP
TIGARD, OR 97223 [MECH] Permit Fee 4/25/2007 $72.50
[TAX] 8% State Surcha 4/25/2007 $5.80
Phone: 503- 786 -9522
Total $78.30
Contractor:
PYRAMID HEATING
PO BOX 1502
SANDY, OR 97055 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 786 -9522
FAX 503- 786 -3432
Reg #: LIC 59382
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: Permittee Signature: ____ey)
Call 503.639.4175 by 7:00 a.m. for inspections that business da .
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.
From:PYRAMID_HEATING 5038260689 04/23/2007 10:39 #634 P.003
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Mechanical Permit Applic4iter C rrrli O1111 : 1.:SI ()Ni.l
RecI eived
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f 13125 City of Tigard 5W Hall Blvd., Tigard, OR 97223 6 . � � oo� Plan Review 1
", : APR a o Te natcfBy. Other Permit:
I i n It i 8>a�@El(ion Line: 503,639.4175 V I T Y r (I r t D Date Ready/By: lain: Ea See Page 2 for
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Internet: w.tigard Notified/Method: Supplemental Information
BUILDING DIVISION
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III Ncw 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
❑ Demolition ❑ Other: mechanical materials, equipment. labor. overhead, and profit.
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For special iformation use checklist.
❑ Multi - family 0 Master builder ❑ Other: o
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Description
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Job site address: ISM k I C k �.� L Air conditioning or heat pump
(requires site plan showing placement) i 14.00 14.Op -
City /State/ZIP: - . 1 - 1 . c k e t - r c 1 0 c 2 - 0 1 "3 Fumace 100,000 BTU (ducts/vents) I 14.00 I4 , 00
0 Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: I Project name: Gas heat pump _ 14.00
Cross street/directions to job site: ( oyylg pL 1)uct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) _ 14.0
Unit heaters (fuel -type, not electric).
in -wall, in-duct, suspended, etc. 10.00
Flue/vent for any of above 10.00
Subdivision: 1 Lot no.:
Other: l O.OQ
Tax map/parcel no.: Other fuel appliances
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-'--, r „::ic,:-:- ::_.:,:.,:�,,a:,:.:::- 11-;::7:1:,, iP,..g . giiiiw Water heater 10,00
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04 [[ �� � - nn Gas (replace 10.00
A �0.$ 1 L WO / Q.l C) d A A. t7C 1 t- • Y -4.V; Flue vent for water heater or gas
COAA.Q C.t 'O <X &k CIU k iU USYk. 0,. ��'f1.� -. Log li ce 10,00
Loalipditer 10.00
Wood/pellet stove 10.00
- Wood fireplace/insert 10.00
, „ _ , rw. I,:,:,.. ,.,.,�::::a::�m, t , �nr(ow ,,,Rr uu Chimney /liner /flu&vent 10,00
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. .. 7117:: 1177. „ .,. Qthcr: 10.00
Name: I </Z-V l y r SQ - kf e h ilt1 t �V Environmental exhaust and ventilation
Range Address: 1 I I ..w ids( cc Loo , equipment � other kitchen 10.00 • .
City / State/Z1P: Ti a y O �. 9 - 3 Clothes dryer exhaust 10.00 ,
Phone: ( ) cj0r1 C3 L, [ _ l Fax: ( ) toile compartments, utility rooms) 6.80
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-f (� Other: 10.00
Business name: p v avyli 8. ,e_ 1 ✓l 8 avta `.co1 1 r1 Fuel plpin2
Contact name: t 4 In A 14 t.VY1,t Y4 (J • , $5.40 for first four; $1.00 for each additional •
Q p t> t sO Furnace, etc.
Address: � I � x Gas heat pump
City / State/ZIP: S c f O R _ l7 d J� Wall/suspender/unit heater
Phone: (93�) ' 4, x : (5p3) T 4R(o -34 Water heater
E Fireplace
0. LW�O. 1
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1
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Clothes dryer (gas)
Business name: Y 0..vSA t d 4 Q 4, y,8 a V16 Can\ 1 Yl L�
Other:
Address. o a DX�. I �a , ,,tt,,, •:;",_ • 1117 _ ........
S
City /State/ZIP: Q nek OR- q- OS S subtotal D$ ,, et)
Phone: (93) . r 95 i Fax: (S)3 ) 2-5q, -3 4 3 Mitiituum permit fee ($72.50) t7
( � Plan review (25% of permit fee)
CCB lic.: -1 3 g State surcharge (8 % of permit fee) S,t)
Q /YyL.<� xp res permit PERMIT FEE �w` t '�
Authorized signature: This perm application expires if A permit is not obtained within 180
j days after it hos been accepted as complete.
Print name: V0..yyu, -1-1 C Q _ yam& Date: t4 . ,7 ;, 0 I ` Fee methodology set by Tel- County Building Industry Service Board
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From :PYRAMID_HEATING 5038260689 04/23/2007 10:39 #634 P.004
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C90 t.
' The l est 0
CCB #59382 WASH #PXRA.MHC964P8
P.O. Box 1502, Sandy, OR 97055 Office (503) 786 - 9522 Fax (503) 786 -3432
LOT LINE: '
EVI 5 1LVt E
FIRST NAME: LAST NAME:
ADDRESS: CITY: STATE: ZIP:
134 11 SvJ aiiEL5 GA. 1,00PTIC o C2 q 72Z`3
INSTALLATION ADDRESS: CITY: STATE:
PROPERTY LINE
3o FT:
F
FT:
T:
& IL7`
5 FT:
•
PI PE1Y LINE N °�
OUTSIDE UNIT HOUSE FACES:
1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00226
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/25/2007
Phone: (503) 639-4171' 4:It + I
Inspection Requests (24 Hrs.): (503) 639 -4175 s __..
INSPECTION WORKSHEET FOR DATE: 6/18/2007 TIME: 7:04AM PAGE: 34
SITE ADDRESS: 13411 SW CHELSEA LP CLASS OF WORK:
SUBDIVISION: CHELSEA HILL LOT #: 013 TYPE OF USE:
PROJECT NAME: SETTELMEYER
DESCRIPTION: Replace gas furnace, add NC, connect to existing ductwork & gas line '
OWNER: KEVIN SETTELMEYER, PHONE #: 503- 786.9522 .
CONTRACTOR: PYRAMID HEATING PHONE #: 503 -786 -9522
Inspection Request Scheduled For: Date: 6/18/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 050384 -01 503-786-9522 N
Corrections /Comments /Instructions:
Ai cei7 et,:,criCin -i— r-= A.-z.- C1A( 1 (2) 'Vd d Lss"6 "S
•
I I PASS PARTIAL APPROVAL n CANCEL NO ACCESS
I I FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: i
A Date: '‘ — g—v7 Phone #: (503) 718- 2-$4
. _ - - _ . _ v • _ ' .
' CITY Off TIGARD
BUILDING DIVISION PERMIT #: j.EC2007 -00226
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4,p5/2007
Phone: (503) 639 -4171 -n' 1461f "(
Inspection Requests (24 Hrs.): (503) 639 -4175 °1L.
INSPECTION WORKSHEET FOR DATE: 5/212007 TIME: 7:01AM PAGE: 100
SITE ADDRESS: 13411 SW CHELSEA LP CLASS OF WORK:
SUBDIVISION: CHELSEA HILL LOT #: 013 TYPE OF USE:
PROJECT NAME: SF_TFELMEYER
DESCRIPTION: Replace gas furnace, add NC, connect to existing ductwork & gas line
OWNER: KEVIN SL I IELMEYER, PHONE #: 503 -786 -9622
CONTRACTOR: PYRAMID HEATING PHONE #: 503 - 706 -9522
Inspection Request Scheduled For: Date: 5/2/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 047330.01 503 -786 -3522 N
Corrections/Comments/Instructions: '' ..AA
/ G • iL62flG�9G•
❑ PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
AIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
J
Inspector: //A Date: - Z -0'7 Phone #: (503) 718 - �