Permit ip v
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00162
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/1/2008
PARCEL: 2 S 114 BA -12800
SITE ADDRESS: 16435 SW COPPER CREEK DR ZONING: R -7
SUBDIVISION: COPPER CREEK STAGE 3 LOT: 093 JURISDICTION: TIG
PROJECT: DARR
Project Description: Removing and replacing gas furnace.
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: 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:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
BYRON & LINDSAY DARR Description Date Amount
16435 SW COPPER CREEK DR
TIGARD, OR 97223 [MECH] Permit Fee 4/1/2008 $72.50
[TAX] 12% State Surch 4/1/2008 $8.70
Total $81.20
Phone: 503 -598 -8435
Contractor:
A- ACTION HEATING
18245 SW TV HWY
ALOHA, OR 97006 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 649 -3524
FAX 503- 649 -6095
Reg #: LIC 78369
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503 246.6699 or 1.800.332.2344.
Issued By: ....., : ...0 Permittee Signature: /7-___,, �.=.,
Call 51 .639.4175 by 7:00 a.m. for inspections that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Apr 01 08 08:52a A- Action Heating, Inc. 503 - 649 -6095 p.1
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OF
City of Tigard 11!" :., . : . Received • 131.25 SW Hell Blvd.. Tigard OR • Dat{18y. �� (� '� erne xo ,
Phone, 503.639.4171 C 503.598 ,1960A — 1 ZOO$ 71anR{view `�� - �� ��
!! ri r, t l Inspection Liner 503.639.4175 DsteBy: Other Pamir":
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• - TYPE OF WORK • • ' - . . : : 'COMMEIfCIAU FEE',', s SCAED[JLE U$E QQ fST
❑ New construction in • ddition /alteration /replacement Mechanical permit feel +ore based on the value of the Ivor*
0 Der110Eidori Q :her palmated, Indicate the value (rounded to the nearest dollar) of all
mechanical materiels- ui enL labor overhead. and rofrt.
• . - . CATEGORY OP CONSTRUCTION •
Valu $
w
lo 1- and 2- family dwelling Q Commercial/industrial ❑ Accessory building f,= � Q>ItIP1k181V�fSXSiEMS FEES'
❑ trlti•family ❑ Mager builder ❑ Other
Forspeclallnforrnario� use checklist
JOR srr IN AND LOCATION. Description Qty. ! Ea. Total
r`t `''' I I3e<tinpJcoalinp�
Job site address: t � , , Air conditioning or hest put,
- (rcga'rrrs site , uctIh c 34 00 �
City /Slat LlP; R + A Furnace 100.000 .000 BTU (num/vprts) / 14 00 ) •-
Suite/bldg./apt. no.: Project name:
Furnace 1 .00,000+ BTU (doe7Jventr) 17.90
Cross saxes /directions to job site:
spa Gas heat pump 14.00
Alta work
/0.00
Hydronic hot water 9yseerre 14.00
Residential boiler {radiator or
hydrvnic) 14 00
Unit heaters (fuel -type. not electric),
in -well. in -duet. suspended, etc. 14.00
Subdivision; 1.01 nv : Floe/vent for any of above 6.80
Tax map/parcel no _ Outer 10.00
Other fuel appliances
• - •. DFSCREPTION Old WOW( - ' +'';=.•: -- - Water heater 1tin0 { 1
�+ • a-_ ' I r Gov fireplace ' l0 0D It
Flue vent for water heater or gas
^� 1 r In Q C . J __. .. fireplace. 10,00
Log lighter (gas 10.00 _
Wood/pellet stave 10.00
Wood fireplace/insert 10.00
PROPERTY- OWNER -•, . .... - •
Chimney/liner/flue/vent
//-� / E
❑ TENANT - 10.00
Name: j l A I Other. 1 0.00
mironruentst exhaust and ventilation
Address: ll Ranpeh4odlothcrkitehcn
CigrSrrterZlP: j 4 �,�. ectttiprneett 10.110
,! � infri31111111111111111 Clctthcs dryer exhaust Phl7ne�i r31 Fax: Single -duct exhaust (bathrooms.
10.00
�• a � � ( ) toilet compartments, utility moms)
. : ..'APPLICANT. : -- ` - -_ - , 1 G. 0
- - . D CONLACI .PER•901P.:: '; Attie/erawlspace [hers 10.. 00 •
Business name: Other, ( 10 00
Contact name: • R- ACTION HEATING & A/C Fuel piping
1U245 SM. TN. HWY >PorAntfittr; sl.00 for uchadditional
Address: f l a ! It 11 t III . Furnace.. etc. 1 e,'�
City /State/ZIP Gas heat
Wall /anvp 1
ended /unit heater
Phone: ( ) i Fax: : ( ) Water heater
E -mail: Fireplace
Rang{
.- COIY'ITIACI'OR• - - , • _ . - :" Barbecue
Business name: A ACTION HEATING & �' Clothes dryer (gas)
Address: ; t L , lj Other,
cityisrateJZl'P: ALOHA, OREGON 97006 = c � i zcAL RIiRMiL FEES'
Phone: iJ� • _ � ` /�( subtotal I q _/
T Fax: LI _- n� 1 M inimum perm fee (172.50) t ' •.
Plan review (25
CCA tic.: -- 7 '1 �-' % of permit fee) vv�� 1 Lo
State svrchargc (12�ip ofpetrtrit fee)
TOTAL PERMIT FEE , ? 1
Authorized signature: . , t TLb parrot' epytfesfina e rpiree i fs
.� 4.‘ Perrah la unrehearsed within t tra
Print 17arnc: , ��/ - - r darn after it ham 6t seeeptcd se camp /ate. • Date I • fee mathodoloor set by Tri Coun unty %Ali IndaaM Semen Board
Inaoks.Lop,”anMt.c.PmnG A pi4Qt pimpl7
140.4d 17T (I IA92(COV/WGp)
CITY ORTIGARD WI EG2ob g - 601 L2 1-
BUILDING DIVISION PERMIT #:
d
13125 SW Hall Blvd., Tigard, OR 97223 ISSUED:
Phone: (503) 639- 4171 yp 'II
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4���'/ (1 ' PAGE:
SITE ADDRESS: l 6 4 % CAL CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: it/IAA PHONE #:
6. 446
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspectio Description Confirm # Contact # Message
la AA Pc■ - %
Corrections /Comments/ Instructions:
��s7
L S 1 ✓z .
l \
PASS El PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718 -24
CIT TIGARD
BUILDIN 'VISION
Ad/ PERMIT #: MEC2008-00162
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/112008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 4/7/2008 TIME: 7:01AM PAGE: 16
SITE ADDRESS: 16135 SW COPPER CREEK DR CLASS OF WORK:
SUBDIVISION: COPPER CREEK STAGE 3 LOT #: 093 TYPE OF USE:
PROJECT NAME: DARR
DESCRIPTION: Removing and replacing gac furnace.
OWNER: DARR, YRON & LINDSAY PHONE #: 503
CONTRACTOR: A-ACT1ON HEATING PHONE #: 503-649-3524
Inspection Request Scheduled For: Date: 4170008 Pour Time:
Code # Inspection Description Confirm # • Contact # Message
699 Mechanical final 067983-01 E03 6913-8436
Corre' 'ions/Comments/Instructions:
V' 4./
Vvtd5 c.)4A e4
Uc/ •
0777
•
n PARTIAL APPROVAL n CANCEL n NO ACCESS
P FAIL CALL FOR INSPECTION n. ADDITIONAL FEES ASSESSED
Inspector: Date: 4 Phone #: (503) 718-