Permit CITY TIGARD MECHANICAL PERMIT
� DEVELOPMENT SERVICES PERMIT #: MEC2006 -00044
°111 DATE ISSUED: 1/24/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 25111 CC -14000
SITE ADDRESS: 10215 SW HIGHLAND DR ZONING: R -7
SUBDIVISION: SUMMERFIELD NO.4 LOT: 191 JURISDICTION: TIG
Project Description: Replace furnace & A/C unit.
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: 1 DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
MARJORIE BATTLE Description Date Amount
10215 SW HIGHLAND DR
TIGARD, OR 97224 [MECH] Permit Fee 1/24/200€ $72.50
[TAX] 8% State Surcha 1/24/200E $5.80
Total $78.30
Phone: 503- 670 -8225
Contractor:
OREGON HEATING + A/C INC
PO BOX 397 •
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -538 -2953
FAX 503 -537 -2172
Reg #: LIC 125815
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:
Call 503 - 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.
Jan 24 06 03:09p MS Rentals, Inc. 503 - 537 -2172 p.3
r ,
4 Mechanical Permit A. 3 ECEIVED FOR OFFICE USE ONLY
Received n , / Z. Permit No.
City of Tigard JAN 4 2��6 Date /By: ' QQQ ���/'� I C'0.2 6 Od0V
1312 SW Hail Blvd., Tigard OR 97223 Plan Review ether Permit:
Phone: 503.639.4171 Fas: 503.598.1960 DaDate/13y. Inspection Line. 503.639.4175 (� M� I) � Dale Read ;By: Jan e. /' E Sec Page for
Internet: www.ci.ngard.or.us autumn F11 - ,/. � � =t Netified/Method: ■ 1 U Supplemental Information
tJ DITVIStON
SCH:LDUL:E.'.- USE-;CIIRCILIST -;
_. . .... .;..:..;.:•,,._ . ..,:.. - : . `, -. . , � - ,, CO1vLME ; RC TEUL.'FE7G" ..
T 4`P OT VS OI2IZ
Mechanical permit based ermit fees* are ased on the value of the work
❑ New construction ddition'alterationlreplacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit
. ... __ • -, ::--...::':'-::::::•:,'•-•':,. �
,'.CAd'EGQI2YOF:CONS ; . ...
; : Value: -:.
.. -`, IZESLD QUII'NJ�1� :T / SYST:E1viS ES'� • Fk;
and 2- family dwelline ❑Commercial /industrial ❑accessory building For special information use checklist.
❑ Multi-family ❑ Master builder ❑Other. Description I, Qty. Ea. Total
JOB SITE C FORMATION —AND—LOCATION.. _, ,.'', >: ";;, :. :;.. : ", Heating/cooling
r Air conditioning or heat pump
Job site. address: �� l� ( L. (reouires site plan showing piacememt) 14.OG ; r ,
A. City /State /ZIP: i 6 1 / `3- 74 Furnace 100,000 BTU (ductsivents) '. 14.00 p.; '
r t�� Furnace 100,000-1- BTU (ducts/vents) 17.90
i Suite /bldg. /apt. no.: .J P name: Gas heat pump 14.00
Cross street/directions to job site: Ductwork 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydrouic) 14.00
. Unit heaters (fuel -type, not electric), •
in -wall, in -duct, suspended, etc. 10.00
Flue/vent for any of above 10.00
Subdivision: ' Lot no.: • Other I 10.00
' Tax map /parcel no.: Other fuel appliances
•': . .... .:.:::- - .::.,.:..I , :FF heater 10.00
:-�,' .,..•:,._ .:,.- ..:,..__..._._. ,: , ....• : :.,DES CKII',TIOhr %OF: W „� - - ai�i f'} >;
..,.: . , • ::... - • , ....... .... ... 10.00
I ..., An ` .. Flue vent for water heater or gas
I iG / ' Y e / g � , ��J� � fireplace 10.00
f t ' ` ` t/ /'1 C�� Log lighter (gas) 10.00
1 ' d Wood/pellet stove 10.00
Wood fireplace/insert 10.00
me- /flLeh eni
10.00
I 10.00
Name: (W ( LI Environmental exhaust and ventilation
Ran_e hood /otherkitchen
Address: I DaK equipment 10.00
City /State /ZIP: Clothes dryer exhaust I 10.00
• - ” ► !i Single-duet exhaust (bathrooms, I
`�► ?' s ( ) toilet compartment utility rooms) 6.80
J � ( (l , tilt mpa
_ hone:`(,/ J� .? Fax: _. - :. -. .::.
Attic /crawls ace fans 10.00
kPbS,IC.:_. ': : " : :�;'; :� ; ❑�;;GONTA.CT: PERSOi`1z : :;
^, _ 10.00
_ \ n Other '
Business name X67 4 nL1 -I- (' � '�D ]' 11g'� Fuel piping
GV •
Contact name: _ n �,n 55.40 for first four; 51.00 for each additional
/') ) Furnace, etc. Gas heat pump
Address: \ Y
r Q £ 11 I L S _ WaWsuspendedlunit heater I
Phone,: 7 4� Cam ' ��� I Fax::(, ) -7 Z-i M- Water beater I
hrne. ` . _ Fireplace
E -mail Range
L T1 ACTOR . ^..' Barbecue .
•
Clothes dryer (gas)
Business name: `) )1 P /� • '1 I i • Other-
Address: , -b a `` I . . .. ,',:::-:.;..-1:1'.:::::':,.: '
NfECIIrTIC :4I NERIV1IF:k'I E Sy
rr � q ( `— Subtotal
Ail l V �,. ( :) 'al--
• 7 Minimum permit :fee ($72.50)
Phone -91 . _ Fax h �) t� :3-7 z' Plan review (25% of permit fee)
CCB lie.: �
t State surcharge (8% of permit fee)
TOTAL PERMIT FEE { .
� � / This permit application expires if a permit is not obtained within 180
Authorized 5 ature: I l>v:' . I, / days after it has been accepted as complete.
I /rj 1
Print name: ' i !Li , i Date: 7, `� ' Fcc methodology set by Tri- County Building Industry Service Beard
. . - ._. -_ 44n.e ei C "rvv rlt i ovC
I-
30 V
N
co
to
m
O
Li")
I
1 I
1
v '
N
o
� lec r i`c I , �� e5
I
o I __--- c,
c 14. St A /c—
aJ
( -u r rA c e
cn
. \
6 Ae_ Pq";r---.. ;
> .
a.
m
.>-,,
cn
o
56
0
co
\ \ \
o l
N
C 1
r0
<1,..) NI6 HL i\ tJ Di- .
CITY OF TIGARD
BUILDING DIVISION ,, _ _.
PERMIT #: MEC2006,00014
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1n4/200i;
Phone: (503) 639-4171 :60 a l t
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2/6/2006 TIME: 7:02AM PAGE: 67
SITE ADDRESS: 10215 SW HIGHLAND DR CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO.4 LOT #: 191 TYPE OF USE:
PROJECT NAME: BATTLE
DESCRIPTION: Replace furnace & NC unit
OWNER: BAT1"LE, MARJORIE PHONE #: 603-670-0225
CONTRACTOR: OREGON HEATING + A/C INC PHONE #: 603- 639-2963
Inspection Request Scheduled For: Date: 2/6/2006 Pour Time:
Code # Inspection Description Confirm # Contact # M - se
699 Mechanical final 026269-01 603-63a-2953
W
Corrections/Comments/Instructions:
t iNco '
...---
,1
k PASS 'A F " A L APPROVAL 0 CANCEL
A pi NO ACCESS
0 FAIL , 0, CA FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
'
Z- -. V-
■..... ..-------
Inspector: .-- Date: Phone #: (503) 718-
at*