Permit CITrOF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00361
TI ARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/11/2008
PARCEL: 2S103DB -07000
SITE ADDRESS: 11160 SW EDEN CT ZONING: R -4 5
SUBDIVISION: GENESIS NO 3 LOT: 055 JURISDICTION: TIG
PROJECT: BAKER
Project Description: Replace 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:
NAT 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 OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
JUDY BAKER Description Date Amount
11160 SW EDEN CT
TIGARD, OR 97223 [MECH] Permit Fee 7/11/200€ $72.50
[TAX) 12% State Surchai 7/11/200€ $8.70
Phone: 503 - 639 -8953
Total $81.20
Contractor:
SPECIALTY HEATING & COOLING
7500 SW TECH CENTER DR #130
TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS
Contact #: FAX 503- 598 -0718
PRJ 503- 620 -5643
Reg #: LIC 66578
This permit is issued subject to the regulations contained in the Tigard Muniapal 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
Issue By: 2m_ Permittee Signat e: Ar> /
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.
JUL /11 /2008 /FRI 09 :04 AM F,iX No. P.001 /001
Mechanical PcI•mit 'Application e CG7VCd n 6 � " ' u � "'de) `"
� wo . nrrlc r USE ONLY . {;
City of Tigard Per No .a�4 36 /
. a 13125 SW Hall Blvd., Tigard, 0 1�, Plan Review ?� v Date /By: Phone: 503.639.4171 Foe 503. 8 960 D ate /B : Other Permit
Inspection Line; 503,639.4175 t
T , �� _ 1 � 1 Date Ready/By �' See Pape 2 for
Internet: w�w,tigard.or.gov 1:1-f‘GN� rtiae Notified/Method- / e d S . Supplemental Information
t 1, .
TYPE OF t�1 , COMif_R�IAT,'',FE t "S,01-E'DIR4' - '',1J §X ,IE.0 ./ IST
Mechanical erroitfecs° are based onthe value of the work
❑ New construction ( 7AddiYibn /alt performed. I the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit
CATEGORY OF CONSTRUCTION Value. $
F.1.- and 2- family dwelling I: Commercial/industrial ❑ Accessory building E /'S YSTEIYI'FES'
For special trformatiorr use checklist
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling - -
10b Srte a Air conditioning or heat pump
Baker, Judy R08210 ( requires site plan showing placem 14.00
City /State Pumacc 100,000BTU(ducts /vents) 1 14.00
11160 SW Eden Ct, Tigard 97223 ----- Furnace 100,000+ BTU (duets/vents) 17.90
Suite/bldg
Gas hcat pump 14.00
Cross street/directions to job site: Ductwork 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14,00
- Unit heaters (fuel -type, not electric),
in -wall. in -duct sus.ended etc. 14.00
Subdivision: Lot no.: Flue /vent for any of above 6 80
, �-- - Other; 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
//,, ,� J - ' - Gas fireplace 10.00
"RP.p tcLe.-f° , j01.45 ULIu rV -te , _ 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 OWNER I 0 TENANT Chimney/liner /flue/vent 10 00
--- Other;
10,00
Nm °' " Environmental exhaust and ventilation
Baker, Judy 808210 Range hood /other kitchen
Address: P4 11160 SW Eden Ct, Tigard 97223 —_ - equipment 1 0.00
City /State/2 Clothes dryer exhaust _ 10.00
p Single-duct exhaust (bathrooms,
Phone:
(?0 3 7 $ c 53 F ax: ( ) toilet compartments, utility rooms) 6.80
_ A PPLICANT ❑ CONTACT PERSON Atticfcrawls•ace fans 10.00
/ Other: 10.00
Buatncts name: . peg. La-L ( -- 1 L S a ►, Fuel tin -
PP g
Contact name: $6.40 for first four; 51.00 for each additional
Address: � ,{, e ` 0 Furnace,
Gas etc. _
S heat pump
City /State/ZIP: �� 7t -3 Wall/suspended/unit heater
/ : ; q
Phone: (5 4a ' � � � ,� Fa (r7 Q , Z� 9 - l) L ? Water heater
_ Fireplace
E - mail: an d,— . . • / a I _ a ,, ! ii D ,I Range
CONTRACTOR Barbecue
Business name; / , 4 l , o D CIothes dryer (A�)
-- Other.
Address: / . 1 e Lii er ale / h MECHANICAL PERi1IIT FEES'
City/State /ZIP:" / C 9,lad- Subtotal
Minimum permit fee ($72.50) D
Phone: ( ) Fax; ( ) 7a • J
Plan review (25% of permit fee)
CCB lie,: G iy 5 2 $ State surcharge (12% of permit fee) 7 D _
TOTAL PERMIT FEE - . a )
Authorized signature: ,..47 This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
✓ Print name: S e,� /rn -i ,,, Date: / �I $ _j * Fae methodology set by Tri•Couaty l3eilding industry Service Doard
I \auilding\Permits\MEGPermitApp .doe n1/19 /e7 440- 4617T(11f02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2008-00361
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 711 112008
Phone: (503) 639-4171 /
‘41 4 , 211l i
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 9/3/2008 TIME: 7:01AM PAGE: 13
SITE ADDRESS: 11160 SW EDEN CT CLASS OF WORK:
SUBDIVISION: GENESIS NO. 3 LOT #: 066 TYPE OF USE:
PROJECT NAME: BAKER
DESCRIPTION: Replace gas furnace.
OWNER: I3AKER, JUDY • PHONE #: 603-639-8953
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503-620-6643
Inspection Request Scheduled For: Date: 9/3/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message / 1/1
699 Mechanical final 076006-01 603-639-8963
Corrections/Comments/Instructions:
432,
•
I 1 PARTIAL APPROVAL El CANCEL 0 NO ACCESS
n FAIL EI CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: laS Date: 3 Phone #: (503) 718-