Permit a
C ITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005 -00043
- w+ 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/31/2005
PARCEL: 25111 CB -01306
SITE ADDRESS: 10410 SW DEL MONTE DR
SUBDIVISION: DEL MONTE SUBDIVISION NO.2 ZONING: R -3.5
BLOCK: LOT: 013 JURISDICTION: TIG
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:
CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: R
•
Owner: FEES
BISBEE, ROBERT LJBARBARA A Description Date Amount
10410 SW DEL MONTE DRIVE [MECH] Permit Fee 1/31/200e $72.50
TIGARD, OR 97223 [TAX] 8% State Surcharl 1/31/200f. $5.80
Phone: Total $78.30
Contractor:
TRI COUNTY TEMP CONTROL
13150 S. CLACKAMAS RIVER DR
OREGON CITY, OR 97045 REQUIRED INSPECTIONS
Phone: 503 Heating Unt Insp
Final Inspection
Reg #: LIC 72623
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.
Issued By: j Pfrt-) Permittee Signature: _ 1p,c, Q ,��
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
Jan 26 05 09:52a TriCount Temp Cntrol 5035570919 p.1
Mechanical Permit A I ~ t + FOR OFFICE USE ONLY '
City Ti and Received ✓ �/) / _ n �`
`1 g DateJBy / - . 3/ -O5 - p i Z :tv
Pert t o `J � ^//y l . , ea ay. ,�
13125 SW Hall Blvd., Tigard, OR 97223 JAN Phone: 503.639.4171 Fax: 503.598.1960 ■ JAS! 2 7 try V �+
21) L } Dan Review Other Permit: r �
Inspection Line. 503.639.4175 i Date Read /By saris.
Internet: www.ci.tigard.or us �� y Supplemental See Page l tor
qq pp p y � D houfjedlMethod �iCr Supplemental lnformadon
CITY OF I IGA
... ._:. •" -. •... ° ' ' t >.. _:.:,• • :'COMNIERCI.ATj_ FEE * =SC DEED UX:Ti =- USE
Mechanical permit fees" are based on the value of the work
❑ New construction X Addinorvalteratton /replacement performed Indicate the value (rounded to the nearest dollar) of all •
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit
I-%.",,-' _ OF:
CATEGORY 'GO:BRU
NS Value: $
RESIDENTIAL, EQUIPMENT / SYSTEMS FEES*
NI and 2 family dwelling '❑ Commercial/industrial ❑ Accessory building
CI For special information use checklist.
❑ Multi family ❑ Master builder
_ Description _ Qty 1 Ea Total
.. "c;cL " " SITE i..N OR_ MATION. A LOCATION �, -; " - Heati /cooling
Job site address: 4-1 / VY A I, - iy Air conditioning or heat pump
I . t • f ` 1 V ,I (requires site plan showing placement) 14.00
City/ Stare/ZIP: I q ` 2274 Furnace 100,000 BTU (duets/vents) 1 14 00
Furnace 100,000+ BTU (ducts /yens) 17 90
Suite/bldg. /apt. no.: Project name: 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),
to -wall, In -duct, suspended, etc. 10.00
Subdivision: Lot no.:
Flue/vent for any of above 10.00
- Other 10 00 .
Tax map /parcel no.: Other fuel appliances
r " , r - '. DESCR_ IPT.ION OF:. WORK • tm;i ,lia• Water heater 10 00
{� , ,� Gas fireplace 10.00
�_r-P Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10 00
Wood /pellet stove 10.00
Wood fireplace /insert 10 00
*'. :•PROPERTY '' OWl\ER: -: ; .0•° :s ; . Ti, Chimney/liner/flue/vent I 10 00
a te „. .:s ❑.ENA
TENANT ':.
RObe bie bee) I 10.00
Name: 1 w) Environmental exhaust and ventilation
Qn I � Range hood /other kitchen 1--- I
Address: ��. 7 equipment 10 00
City /State/ZIP: Clothes dryer exhaust I 10 00 j
Single - duct exhaust (bathrooms,
Phone: ( 6Oo 59 g "4Qt- Fax: ( ) toilet compartments, utility rooms) 6 80
- : L A PPL - l'- f;:. . " ,�� ..CO N T_ CT :PERSON - Attic /crawlspace tans 10.00
Business name. In CetQ ' Tcrp (60-tic Other. I 10 00 l
/ t ' "� ` 1 1 4 Fuel piping
Contact name: b i a le n $5.40 for first four; $1.00 for each additional
Address: (.• V 3 Cic as Rj ,� ! t f � ,t Furnace, etc
°1 r� U ill e ` Gas p
City / State/ZIP: ��' �'� 6.(704-5 � Wali /sussus ende ended /unit heater
Phone: (T I ) �J 5•7- 9 79c) Fax:. (52) 5G)7 -M 1 q Water heater
Fireplace
E-mail:
Range
y w` e�,t ; .k•> -- _ r * - .`.c :COlY>xRCT0IZ "" .4`;, `. ,$ ` ., ., :;.. 1 _ - Barbecue .
Business name:
T ri Coin Ter t1 f - o 1
cr � Clothes dryer (gas)
Other.
Address: Mil, s elaciqi mess t v rbri V- ;, },- ;:,, claANie' i iami - i:' FEE
City/ State/ZIP: Subtotal
Phone: ( )3) 55_ 27 Fax: (6 6 ~ 1 - i �, (25% Minimum permit fee ($72.5
Plan review (_5 of permit fee)
)
CCB lic : ?a ZS State surcharge (8% of permit fee)
i � �/ //� )��I•_�, TOTAL PERMIT FEE --Li"
Authorized signature: b This permit application expires 1f a permit is not obtained within ISO
( i �� r ^ days after it has been accepted as complete
Print name: _beQ vlf rLe / h_J(6) I Date. 1 - Fee methodology set by Tn County Building Industry Service Boarc
i\ BuildingiPerrruts \NMC- PrrnvrApp doc 12103 44 0 - 4 6I7T(1 I /02/COtrWJEBj
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC200 &00043
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/31/2005
Phone: (503) 639 -4171 J Inspection Requests (24 Hrs.): (503) 639 -4175 ..
INSPECTION WORKSHEET FOR DATE: 6/6/2006 TIME: 7:10AM PAGE: 82
SITE ADDRESS: 10410 SW DEL MONTE DR CLASS OF WORK:
SUBDIVISION: DEL MONTE SUBDIVISION NO.2 LOT #: 013 TYPE OF USE:
PROJECT NAME: BISBEE
DESCRIPTION: Replace furnace.
OWNER: BISBEE, ROBERT L/BARBARA A, PHONE #:
CONTRACTOR: TR! COUNTY TEMP CONTROL PHONE #: 503.5557 -2220
Inspection Request Scheduled For: Date: 5/6/2005 Pour Time:
Code # . Inspection Description Confirm # Contact # Message
Egg Mechanical final 006242 -01 503 -657 -2220 V
Corrections /Comments/ Instructions:
zcro ei - 0/4 S • z i 0 H FY ssU� S
C-0 YtA C(i(
m..411 ,____
\PASS P' 'TIAL APPROVAL El CANCEL ❑ NO ACCESS
0 FAIL ' ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
--/
C
Inspector: L Date: av Phone #: (503) 718 -