Permit CITY TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00327
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/24/2008
PARCEL: 2S 104CA -04700
SITE ADDRESS: 13574 SW MICHELLE CT ZONING: R -7
SUBDIVISION: HILLSHIRE LOT: 047 JURISDICTION: TIG
PROJECT: JANSEN
Project Description: Replacing furnace and A/C.
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: 1 DOMES. INCIN:
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
KEVIN & LISA JANSEN Description Date Amount
13574 SW MICHELLE CT
TIGARD, OR 97223 [MECH] Permit Fee 6/24/200E $72.50
[TAX] 12% State Surch 6/24/200E $8.70
Phone: Total $81.20
Contractor:
AMERICAN CONTRACTING
7855 SW OLESON RD
PORTLAND, OR 97223 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 407 -8538
FAX 503- 244 -9556
Reg #: LIC 152797
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.': 175 by 7:00 a.m. for inspections that busine- c' y.
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.
Jun 23 08 C2:46p American Contracting, Inc -(k1S0 503-244-9556 p.2
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','Ll Mechanical Perm it A pplication 6
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City of Tigard .1yeceived f_ , ,
Pcnnit No
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- 4 1:$12:5 SW Rill Blvd., Tiu,afd. OR 97222 r ,:c. VI. „,11 IPIA11 lt,Vii.IN
: lk I P11011C: 503.639.4171 Nix: ti02,.59 0 8.19 -. ,,.-c . I. )1in
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Jo:pet:Nun Line: Y.1.3,639.4 I 7o 171;i1r ReAcIplly: 1.1111 53 Sl'P INRC 7. fur
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Internet: www.liba01 N. olthcdwethod. TX6 Supplemental Information
TYP E OF WORK COMMERCIAL FEE" SCHEDULE - USE CHECKLIST
-
Mcdtililiwil pvr il lit fccs" arc ham:don Ilic value, of 1.1tu work
17 New erMstruction Xildil i Litt lila I LT.. ti onirepl act:meld
performed Indicate the value (rounded to the nearest dollar) of all
• C Demolition I: Other: mechttrocal material, equipment, latior, overheml, and pro n ■ ,
vzi ne:
CATEGORY OF CONNTRUCTION $
RESIDENTIAL EQUIPMENT/ SYSTEMS IIES"
I. and 2 dwelling c (;,,Immercialiindu.trial El Acessory building r-
Vor ,special iq ihrougion ve checklist
CI rvIti I ti-lan1i ly 0 Master builder 0 Other; Description Qtv, Fa I Total
JOB SITE 1NFoRmATiON AND LOCATION licating/coolirtg
t i : Air ekvIdilluffille, 01 hol i) di
Job silo Of Itiross: k 3 4 G. i..t., v v o c. e Li t e■ ; (requires site phut 4how,q p eincill) i 1.1.00 t
-
C ity/State/111 7 vvt k--e( 1 0 . C 1 g)-?) Furnace 100,000 DILI nItivErVveat,a - / 14,00 /
Furnace 11.10,0001 1111/ itIticht" \.mil,l 17.90
SoilLtillItie„tnpi. on.: Project lime: ays 3 e z4. 1, s, en
c,a, heat pump 14.00
Cross strect/directiomloijob site: Dud work 10.00
- -- - - .
14.00
.)cl -C-cirrts . i I 6
• )
I 11 /4.k /gat- .
Residential boiler (radiator ot
■
14.
1.4/ / i' L.0 i..
.S Lect',0 ,;,1 -4-() hyrk.nnic)
(In it heaters (tilei-type, not electric), 00
ti L2 Ct. in-wall, in-duet. suspended, cte. 14.00
Flutivent fur any of above 6 80
Subdivision: Lot no,:
-- , . Other: 10,00
Tax inaptpareel no.; 5i,br.i LA-. y EL . i. (-i Cs,/ nn Other fuel mpplimnres _
'-4 '
DESCRIRYTION O r WORK Vv'iaur lit:Ater 10,01)
ties lircplace 10.00
iee---1 1 ti.‹..-C-01 g--t Ol - CU 0 cte...1 a Klict flue vent for water heater or as
A , fireplace 10.00
Log lighter Otis) 10,00
_yy oodipollet stove 10.00
Wrod fircplaceTinsen 10.00
'
4 PROPERTY OWNER -1 CI TENAN'I' L'hironevil i ;will kie.Ne III 10,00
Other:
10.00
N1.1111C: 41 4 ,L , 6 1, k 1 • a yi /1 r E n v i ron n 1 e 1 it n I exhaust trid ventilat
— • • Range hood/other kitchen Addrcsr. Address; / 3 6`r21.1 _5'14) 41 cc I cl equipment 10.00
Ci1y"State/7,11'; .
) Li a. J-d 012_ cf-7 , 2, Clothes dryer exhaust 10.00
...e _ Sin?,le-thiet exhaiist (hathroomi,
PlifLt 3) 5 - 7 —67,9-.3y h ( ) toilo cciw wilil i,,,,,,,,
6.
8 0
- _ ..
APPLICANT i 0 CONTACT PERSON Art ickraixIspnt: Peens 10.04
• Otha: 10.04
Business Annie; A..- , o_ 1 , ‘ C i.._, .„.e ,..-%.....), ,. t In c
_Fuel Apilig
Contact name: Ai q„.., Y Jr .S5.40 for first four; SI.00 for each additional
Furnace, etc.
Address:
(las heat plan!)
City1Stntc/71P: __ — Wallisuwended/unit heater
.... ___ ...
3Y " FAX: : ( ) Walcr hcatnr
-- Fireplace
E•ilial I:
1
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CONTRACTOR. Liorhoeuc
‘
RuNitiess namo: 4" - Clothes dryer ;gzei)
—
• , ..i. , -4.41 Other:
Other: 7 ' - ,
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MECHANIC PERMIT FEES"
— . .
Ci iy,'Statt:/ZIP: p d' / 9K 6 ( )--,)--3
Subt ;Z ( --
Mirlimurn uernnt fee 11;72.ni /
Phone! (5j 3 ) / 4.,, 3f--- 1 . --7 TT- Plan review (25`;^; of permit fee)
CC'll lic.: /5 -7 . 7 (,1fri41‘,..) State sureharre (12'ill, urnermit lee)
horized n
riteire: c, , --; 4/64-9
4„.1"_
l'r i ill. name:
7 / TOTA I PFRM IT FEE ./ , 2-0
. rid,7 purmit •pitlic uti on expir. if prnm ■thin 1S;11
il ;;;IIIIt Atli i n r vv
Aut
days After It has Iwo acccpted as C0111 01 CI C.
0. /42_ ,V7,25" . 1 tnelliodolegy m.11,>. !r-Lourily Uuildiliglthitoiry herrn, Ilord
IA11..11,tinterormi1 \ %.11T-1 1)1/10/1 ''Ii (1 I /02100 WW1 :14
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Jun 23 08 02:46p American Contracting, Inc 503-244 -9556 p.3
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CITY OF TIGARD
BUILDING DIVISION PERMIT #:
IYIEC2008-00327
DATE ISSUED:
13125 SW Hall Blvd., Tigard, OR 97223
6/24/2008
4,
arg
Phone: (503) 639-4171
' Inspection,'Recuests (241-Irs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 8/15/2008 TIME:
7:00AM PAGE:
17
SITE ADDRESS: 13574 SW MICHELLE CT CLASS OF WORK:
SUBDIVISION HILLSHIRE LOT #: 047 TYPE OF USE:
PROJECT NAME: JANSEN
DESCRIPTION: Replacing furnace and NC.
OWNER: JANSEN, KEVIN 8, LISA PHONE #:
6
CONTRACTOR: AMERICAN CONTRACTING PHONE #:
Inspection Request Scheduled For: Date
' 8/15/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message •
Mechanical final 074221-01 503-407-8538
Corrections/Comments/Instructions:
PASS 0 PARTIAL APPROVAL pi CANCEL I NO ACCESS
FAIL 0 CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED
Inspector: 41M, Date: er Phone #: (503) 718-
CITY OF TIGARD. , •
, f .
BUILDING DIVISION
PERMIT #: MEC2008-00327
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6124/2008
Phone: (503) 639-4171 4,ffitilti lir
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 7/9/2008 TIME: 7:00AM PAGE: 35
SITE ADDRESS: 13574 SW MICHELLE CT CLASS OF WORK:
SUBDIVISION: HILLSHIRE LOT #: 047 TYPE OF USE:
PROJECT NAME: JANSEN
DESCRIPTION: Replacing furnace A/C.
OWNER: JANSEN, KEVIN & LISA PHONE #:
CONTRACTOR: AMERICAN CONTRACTING PHONE #: 503-407-8538
Inspection Request Scheduled For: Date: 7/9/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final • 072347-01 503-407-8538 V
Corrections/Comments/Instructions:
142 51/0/,,e-7-' r4gil2 oleiAti
- 0 .-- .7.- ,10--- Lt /
, --7 /,,,„ • -......._ ..._______...._._...
5- /54-857 ?/t-iAed‘.---
1 I PA_— APPROVAL [II CANCEL 0 NO ACCESS .
FAIL . CALL FOR INSPECTION
A El ADDITIONAL FEES ASSESSED
/
.---
Inspector: • , Date: "7 - F.--B Phone #: (503) 718--2,4,_