Permit 1
A 111 C ITY OF TIGARD MECHANICAL PERMIT
' DEVELOPMENT SERVICES PERMIT #: MEC2006 -00007
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 1/5/2006
PARCEL: 2S 112CA -02500 .
SITE ADDRESS: 15225 SW GENTLE WOODS CT ZONING: R -4.5
SUBDIVISION: GENTLE WOODS LOT: 017 JURISDICTION: TIG
Project Description: Replace furnace.
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:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
• Owner: FEES
BRAD WOOD Description Date Amount
15225 SW GENTLEWOODS CT [MECH] Permit Fee 1/5/2006 $72.50
TIGARD, OR 97224 [TAX] 8% State Surchaq 1/5/2006 $5.80
Phone: 503 639 - 1299 Total $78.30
Contractor:
OREGON HEATING + A/C INC
PO BOX 397 REQUIRED ITEMS AND REPORTS
DUNDEE, OR 97115
Contact #: PRI 503 - 538 - 2953
FAX 503 - 537 - 2172
Reg #: LIC 125815
l
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 0 A ' • '01 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699
or 1 -8'.- 332 -2344.
i / - S/
Issu 1
By: ._ / _ /. .44 .1 / Permittee Signat i i / d llW
Call 503 - 639 -4175 by 7:00 a.m. for inspe • ns that busin s • ay.
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.
Jan 05 08 12:39p 503 - 537 -2172 p.l
Application FOR-OFFICEUSE ONLY '
1Vlecha]lical Permit App on Received
City of T ig ® ar �° �
Date/By. / / l�l n Z E /� / /
13125 SW Hall Blvd., Tigard, OR fi e.
Plan Rew a Other Penult
Phone. 503 6394171 Fax. 503.598 1960 }t Date;By
5 2p06,:
{{ • D Reacy /By. 1 i J g See Page 2 for
Inspection Line 503.639.4175
Internet- wwvv.ci.tigarrLor - 1 + � i Named /Method I do, I Supplemental Information
-TV nF TIGAR
;. p , ' lt " .; I CONIDITRCLAL, 'FEE* SCZ3 EUULI T USE, Ck1ECKLIST •
Mechanical permit fees* are based on the value of the work
t [1 New ' constructlon Additior %a1tteratlon/r eplacemer -t performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhe'a.d, and profit.
Value: 5
C ATEGOB.Y OF .CONSTRUCTION j ; .
SID11v TL�L :EQUIPMENT l.S� STEMS EES , 1- i
and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special informar:on use checklist
❑ Multi - family ❑ Master builder ❑ Other: Descnphon ` Qty. I Ea. 1 Total
;;• 30B SITE :INFOfM ON- AIND LOC•TI -,.•' Heating/cooling
`` : Air conditioning or heat pump
Sob site address T I ' / (requires site plan showing placement) 1=• ¶
...tai 1 `4.,
/ F urnace 100,000 BTU ( cucts/vents)
l 4.00
City/State / ZIP ' 1 Li ' • - - �� Furnace 100,000+ BTU (dusts/vents) 17 90
Suite/bldg./apt no.: Project name: Gas heat pump 14 00
Duct work 14.00
Cross street/directions to job site:
Hydronic hot water system 14 00
Residential boiler (radiator or 1400
hydronic)
Unit heaters (fuel -type, not electric),
m -wa11, m -duct suspended, etc. 10.00
Flue/ventfor azv of above I 10.00
Subdivision- I Lotno.: Other
1 I ID.00
Other fuel appliances i
a /parcel no.
Taxm p , " _ 1• _ _ - Water heater I 10.00
i sCi :ixo ''oa wbiiiE1 ,_:_ :. 10.00
: - . ,. .. .. . -.., . Gas fireplace
Flue vent for water heater or gas
e — fireplace 10.00
■ `y Log lighter (gas) 10.00
/ /
Wood/pellet stove 10.00
1 Wood p ellllet et s e/msert 10 00
Chimney /line: /flue /vent 1 1 10.00
'I! _ OPERT 6 ?S?N ER . - • .. '`1 { , •. f- el`---- el`---- :: ' `• El\ ,r,!• `, - Other. i 1 10.00 I
Ny
1 Environmental exhaust and ventilation
= �.• r / Range bood%other kitchen
Address:
R1 AMMIl ti t ' 4.' equipment 1 10.00
Clothes dryer exhaust 10.00
City /State /ZIP: •
r11 �� I Single duct exhaust (bathrooms,
G ` � � +� Z Q ( l toilet compartments, utility rooms) 6.80
Phone. c —(_ ( - c craw p ce fans
: , I 10.00
�° CI pER50N• Atti / is a 1000
:
. , _ 9'.PPLICAI�'T � _ • . _ ' Q >`CONT'A � - ,
- ,•: •�,�c _,,,, - •% ^ � Other. I
Business name LArC . ;/ u ,� "t- Fuel piping
' � 1 � � 55.40 for first four: 51.00 for each additional • Contact name: IIIJJJ O 1
9 � Furnace, etc.
Address' 1 1 ri- 34n
Gas heat pump
,+ �( ?\ c' jL \ 1 `- Wall /suspended/unit beater _
City/State/ZIP. � , �(�� J '- V v
� Water heater
• Phone - �� _ Fax: _ ) Fireplace
E -mail:
Range 1
C )TTIRAC'FORi _ Barbecue
,. � .,;
j (1,A)-y- ' /ice ,�
U t l/J Clothes dyer (gas) 1 1
Business name: / �+ ( Other
Address ♦ 4 - „ _ -- MECHANICAL PERMIT FEES'.• ; : ;.`
C\ / 7 Subtotal •••""
City / Statee/ /ZIP: �d�,(,I'l ' t L-�? I L4 Minims permit mit fee (u Subtotal
Phone:_ �• 1] E�'J � Fax l r 2,172- Plan review (25 °i° of permit fee) (t
l • t ' Smte surcharge (8% of permit fee)
•
CCB lic.: \ TOTAL PERlb FEE 1 ,
f 1 AA / � This permit application expires if a permit is not obtained wi in 0
Authorized sk attire 6 1 1 O ! I days after it has been accepted as complete -
if\�LA1�, !,° t-),�n I Date' • 16 * Fee mett hodologyset byTri- County Buidtog Industry Service Board
Print name: �
- _ _ 44r.4617T it l,0s/CO)t'1VEEl
2--*
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006-00007
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/612006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 JKA,A
INSPECTION WORKSHEET FOR DATE: 1/11/2006 TIME: 7:01AM PAGE: 76
SITE ADDRESS: 15225 SW GENTLE WOODS CT CLASS OF WORK:
SUBDIVISION: GENTLE WOODS �f #: 017 TYPE OF USE:
PROJECT NAME: WOOD
DESCRIPTION: Replace furnace.
OWNER: WOOD, BRAD PHONE #: 503
CONTRACTOR: OREGON HEATING + NC, INC: PHONE #: 503-538-2953
Inspection Request Scheduled For: Date: 1/11/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 IViecihanical final 024733-01 503-538-2953 Y at-L42,, 3 Z
Corrections/Comments/Instructions: 6
Z
1 PASS El PARTIAL APPROVAL Fl CANCEL n NO ACCESS
El FAIL 0 CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: Date: IA Phone #: (503) 718-