Permit •
C ITY OF TI GAKD MECHANICAL PERMIT
��� I DEVELOPMENT SERVICES PERMIT #: MEC2005 -00653
G"�' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/13/2005
PARCEL: 2S 103CA -00201
SITE ADDRESS: 13235 SW HOWARD DR ZONING: R -4.5
SUBDIVISION: WOODCREST NO.2 LOT: 015 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:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
JAMES MCGOFFIN Description Date Amount
13235 SW HOWARD PL
TIGARD, OR 97223 [MECH] Permit Fee 10/13/20C $72.50
[TAX] 8% State Surcha 10/13/20( $5.80
Total $78.30
Phone: 503 - 590 -9179
Contractor:
SUNSET HEATING & COOLING
0607 SW IDAHO
PORTLAND, OR 97239 REQUIRED ITEMS AND REPORTS
Phone: 503- 234 -0611
Reg #: LIC 161085
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Issued By: ��� Permittee Signature: si;)
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business daa .
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Oct. 13 05 09:09a p . 2
V ,
1 v.. s • - \ EN ..
Mechanical Permit A orb__ : EP ,' FOR OFFICE I SE ONLV . . ... .
13125
City SW Hall Blvd., Tigard, OR 97223 n .,. ?..
of Tigard Received , ---. . A ....--
Date / d 7 7)5 er- 'ern"' NA\N o
::Z ,S(65 (hog
[ o. i 005 .. Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 1 V t- ' r 1 G A Other Permit:
::iTil' . Date/By:
Inspection Line: 503.639.4175 Orr( OF .' ' ..„,„... 1_.,. Date Ready/By: iuriv Ed Sec Page 2 for
Internet: wwwci.tigard.or LDIN DI
us VI ' . Not i fi ccVMethod: "7 ( Supplemental Information
0 New construction Addition/alteration/replacement
Mechanical permit fees* are based on the value of the work
E1
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition I=1 Other: , mechanical materials, equipment, labor, overhead, and profit.
Value. S
: : • .... 4 #..c . CIW:::9 , 0 3 `C#9:$igtZ . ;: ` X:O.U . i4i-C;&a:;...i ,.. . . .., ... .. : .. . ... . .. .
IIRSIDENTIALE011ii'MENtl. SYSTEMS FEES
V. *.
.. .
A . l- and 2-family dwelling P Commercial/industrial 0 Accessory building
For special information use checklist,
0 Multi-family • El Master builder El Other:
Description 1 Qty. Ea. Total
• • '• ' -...:' ' . JOB, 81 0 . 11\TFORMATIOWAiNb.: - LOt.,;ittorC.W.4.e.ORCO:t . : Heating/cooling
, (A Air conditioning or heat pump
Job site address: i 2 r
11?) --; t ,C]:7„ (1/4 ,7\ if+Cy,t)",)(k.ra 1 - (requires site plan showing placement) 14.00
City/State/ZIP: 11 . V 00 Furnace 100.000 BTU (ducts/vents) 1 - 14.00 ?i4'
‘,...) Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bIdglapt. no.: Project name: Mau E1
Gas heal 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).
in-wall, in-duct, suspended. etc. 10.00
' Flue/vent for any of above 10.00
Subdivision: Lot no.:
Other: 10.00
Tax map/parcel no.: Other fuel appliances
.• ...:- : -..-:::-...::',.. . . - - , •: DEsciurr,E*00i'.:-VIttOOKAM7.:Aiia::::'1.:::::-.:•;:;';:::::°: Water heater 10.00
/1 Gas fireplace 10.00
14 ,•Ptitt,,.l? : 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
,• .••• - .. • .. Chimney/liner/flue/vent • 10.00
.1; ';i•:::t...::-.111TR°PERT./[:•9...E.k::':4",:'.g.01;1•0:'4i:g.:.4.1',';-'?•:.94;14.*OM:WAPN.:;:59a Other: - 10.00 I
Name: -- J - 01 7 16- .) fut f. 1, • Environmental exhaust and ventilation
Range kitchen
, ...5
Address: . 7:2 2 -- .:e::,) : ..b.- R-L,A,c-,,,,,,{ equipment _
2 ,
10.00
City/State/ZIP: --T ..- CellaHP.3 Clothes dryer exhaust 10.00
, . 5 , Single-duct exhaust (bathrooms,
Phone: ("0 r--.A 07 Fax: ( ) . toilet compartments, utility rooms) 6.80
EIAppLICANt";214:::MV.:),En.:2:R0 ::!.0*A01**140:1!;;:.::i.:070: Attic/crawlspacc fans 10.00
Other: 10.00
Business name:
Fuel piping
Contact name: S5.40 for first four; S1.00 for each additional
Furnace, etc.
Address:
Gas heat pump
City/State/Z1P:
Wall/suspended/unit heater _
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E-mail:
Range
P0 Barbecue
Business name: Sunset Heating and Cooling . Clothes dryer (gas)
Other:
Address: 0607 SW Idaho Street
'. 0 . e.. ; g -; f.:**..0.:. - .*414 . ..4 11 *#00..!; . .., .!..- •:.I
City/State/ZIP: Portland, OR 97239 Subtotal 1(.4--
To . ;
Phone: (503) 234-0611 Fax: (503) 234-0439 Minimum permit fee ($72.50) 7;2
Plan review (25% of permit fee)
CCB lie.: 161085
State surcharge (8% of permit fee) C40
-- c'\ --
TOTAL PERMIT FEE
Authorized signature:
This permit application expires if a permit is not obtained within 180
.11 4 ) k-- .
days after it has been accepted as complete.
Print name: Shauna D'Ambrosia Date: 10 1 l' i aio lc • Fee methodology set by Tri-County Building Industry Service Board
iAliguilding WcrrnitsVAEC•permitApp floc 12/03 4401617T ( I 1/02/COMIWEB)
.... .......______,______ ....
CITY OF T1iGARD 6 �� � � ` «���
BUILDING DIVISION t''� " PERMIT #: MEC2005 00653
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10 /13/2005
Phone: (503) 639 -4171 an i(i
Inspection Requests (24 Hrs.): (503) 639 -4175 :_..
INSPECTION WORKSHEET FOR DATE: 11/7/2005 TIME: 7:05AM PAGE: 54
SITE ADDRESS: 13235 SW HOWARD DR CLASS OF WORK:
,, SUBDIVISION: WOODCREST NO.2 LOT #: 015 TYPE OF USE:
PROJECT NAME: MCGOFFIN
DESCRIPTION: Replace furnace. / J/
R V
OWNER: MCGOFFIN, JAMES PHONE #: 503- 590 -9179
CONTRACTOR: SUNSET HEATING & COOLING PHONE #: 503 - 2340611
Inspection Request Scheduled For: Date: 11/7/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 020435-01 503 -690 -9179 N
Corrections /Comments/ Instructions:
.4/(47t/A .24-Sd -24/— 5 4D
7 )4/ 7 / .
-
Li
PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
9t( M t\ ' Inspector: , Date: 1 ' �� Phone #: (503) 718-
/