Permit CITY OF TIGARD
MECHANICAL PERMIT
:r COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00483
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/3/2007
PARCEL: 25111 AB -01700
SITE ADDRESS: 09230 SW ELROSE CT ZONING: R -4.5
SUBDIVISION: ELROSE TERRACE LOT: 013 JURISDICTION: TIG
PROJECT: BEARD
Project Description: Replace gas furnace, add central air and venting
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS: 1
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
NAT 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:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
• > 10000 cfm:
GAS OUTLETS:
Owner: FEES
JOHN + LYN BEARD Description Date Amount
9230 SW ELROSE CT
TIGARD, OR 97224 [MECH] Permit Fee 8/3/2007 $72.50
[TAX] 8% State Surcha 8/3/2007 $5.80
Total $78.30
Phone: 503- 639 -6882
Contractor:
AIR PRO HEATING & A/C
7405 SE POWELL BLVD
PORTLAND, OR 97206 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 771 -7871
FAX 503- 771 -5579
Reg #: LIC 72086
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: ,J4 i
Call 503.639.4175 by 7:00 a.m. for inspections that business d
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.
08/02/2007 15:15 5037715579 AIR PRO HTG PAGE 01
Mechanic Permit A Otil 's + t Fol. car• VICI: usE ()NIX
Received O
14 City Of Tigard Date/By Permit No. , a:90 _ (Jt7 Q
■ 13125 SW Hall Blvd., Tigard, OR. 97223
'EIVED
6� O Plan Review Other Permit;
Phone: 503,639.4171 Fax: 503.5 0 lante/By;
T I G1\ F13 Inspection Line: 503.639.41.75 Loo I Data Reedy/By; f ' 0 Seo Pago 2 for
Internet; www.tigard..or.g VI Notified/Method: Supplemental Information
A' r: U� I 1(..J ,)' / *,
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El Ncw construction % Addition /alteration/replacement Meohanicil permit fees* arc 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.
Value:
i ?lice ; ?' ?ii � ?!ii3�iT: ir'> > ' i;; �: {';
r•r rr :: ;::�: :r rr: �'ry »ray y�µ�
%l.- and 2- family dwelling 0 Commercial/industrial ❑ Accessory building
For special Information use checklist.
[] Multi - family El Mater builder [] Other: Description I may, I E 1 Total
:4 '`• °. x "11 ! k 1! i ' ` 0 „ i hill; > "' l IIcatin coolly l g
;�
-r conditioning or pump site address: f 1 0 .L) : Air orl g p p
(requires site plan shourinj5 ptnee:m=) I 14.00
City /Statc/7_IP: 7. ' , " Furnace 100,000 BTU (ducra/vents) 1 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg./apt. no.: , Project nano: Gas heat pomp _ 14.00
Cross street/directions to job site: , Duct work 14
Ilydronic hot water system 14.00 '
Residential boiler (radiator or
h rontc 14.00
Unit heaters (fuel -type, not eleolric),
in- wall, induct, suspended, etc. 10.00
Subdivision: J Lot no.: Flue /vent for any of above 10.00
Other: 10.00
Tax trap /parcel no.; Other Mel appliances
".;;t &iii %;a'si4 ; i:;���r,�;:r.' rr: .:•;:�; >:•r :, heater 10.00
:! "; :, :::,;: i4i;,.::.:;::.>;:ia ::.i i :i:,.:.' :;i :. Water he
?i2e's ?f :;;Slit;'::; '
.<lf� �lJl"Jf' '
r ?;i��:, ri? i'i;' <h' ' tr :����rirr�'r��:�,.,.,r, >.,.... ....,,,. r:. r, v.• r;. � ':,.::�� < s,r:
C. y Gas fireplace 10.00
I A C t, Flue vent for water heater or gas
• i
- fireplace 10.00
- - _Log lighter (wa 10.00
r^• cl
' (ts ._4�,o C • , L s. 1 i1 L(...) .s .„ S 1 6.../ r-r a Wood/pellet stove 10.00 ,
Wood fireplace/insert 10.00
C .,a "' „, '` Chimney/liner/flue/vent 10.00
yyy}y Y
: %:-;.':o ''.i'JSI “„ „, 5'•' ? r% iRgigii [ P i,:: r��,�r�r� : :::R:.0Irk:Ykkn : r>'i:j;E f rrci �i rrN;is;, :
::.�,..':,.,.:r:,,� ... : „rr ......... �..:............. �� ::r,,:,� „rr::::r- :r- :::r;::::: ,;:,:.�: ;- •.,;;,,r,.,. :,:;.;;•;.:' Other: 10r00
Name; aJ A „ LV k, 5 c .4 Environmental exhaust and ventilation
/ Range hood/other kitchen
Address: 9 3 O s j E/ ✓'.., 5 e . /.. f e�ui ,tent 10.00
City /State /ZiP: 7 C az er - _ - .,�._ ` _7 Z Z 44 _ Clothes dryer exhaust 10,00
� S /n$le.duct exhaust (bathrooms,
Phone: (5 ) 3 7 — ,I/ $ 8 Fax: ( ) toilet compartments, utility rooms) 6.80
V �! .00 w ce
1
1
Attac %r, l a fans 0
sp
;.. :.;.._: Other 10.00
Business name; /
4 sr-- G- S P. l a i Fuel piping
Contact name: $5.40 for first four; S1.00 for each additional
Address: Furnace etc.
Oas heat pump
City/State /ZiP: Wall/suspended/unit heater
Phone: ( ) Fax ;; ( ) Water heater
Fireplace
E -mail:
Range
y� ry.�y <: >:
4 :.
....._..: �::. ..:::.�.. :::..�. .... ..... : :': ::::•s•.�rfr: ass::: �,: r::..: 5:Sa:.:khMk;i;;;,.;:: Barbecue
,(� J r �'1� Clothes dryer (gas)
Busin n
ess ame: r - ,i g,.c F !� / cz,, C (CT / c
/G Other:
Address; mm +t-i:; ^r�:,yy4 ;ri;. 0 y.1# :; agizc iss ?: >!::s.: >:
City /State/ZIP: 11 Subtotal
Phone: (5 7 7 / -, 7 e - 1 Fax: ( S r,3 Plan review (259ti ) 7 i _ 5- 5 7 7 Minimum % fee ($72.50)
_ of permit fee)
CU13 lie.: 7 -2., <) 5 Slate surcharge (8% ofpennit fee) _
TOTAL PERMIT FEE
Authorized signature: — This permit application expires Ira permit is not obtained within 180
_a / days after it has been Accepted as complete.
I _ Print nam / l _ / i r L Date: Q _ 1 , - F'co methodology sat by Trii -- County Building rndustrry Service Board
I:V deny[\ Perrneh\MEC•Permimpp,aoe OM06/06 44 (r 1 /n2/C0M/wisp) /r / r 4- 5 <- � 4 CS 7 / / J T 7
y
08/02/2007 15:15 5037715579 AIR PRO HTG PAGE 03
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CITY OF _TIGARD
BUILDING DIVISION PERMIT #: MEC2007-00483
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/3/2007
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 `
INSPECTION WORKSHEET FOR DATE: 8/23/2007 TIME: 7:00AM PAGE: 51
SITE ADDRESS: 09230 SW ELROSE CT CLASS OF WORK:
SUBDIVISION: ELROSE TERRACE LOT #: 013 TYPE OF USE:
PROJECT NAME: BEARD
DESCRIPTION: Replace gas furnace, add central air and venting
OWNER: JOHN + LYN BEARD, PHONE #: 6603- 639-6882
CONTRACTOR: AIR PRO HEATING & A/C PHONE #: 503.771 -7871
Inspection Request Scheduled For: Date: 8/23/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 054361 -01 503 - 771 -7871 Y
Corrections /Comments /Instructions:
e org 511-- ye; dti 46- C zz-- 2 dok
ASS n PARTIAL APPROVAL n CANCEL NO ACCESS
n FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: _ --o 7 Phone #: (503) 718- Zci---4 -1