Permit ,� , e �� CITY OF TIGARD MECHANICAL PERMIT
14 COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00470
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/18/2008
PARCEL: 2S114AB
SITE ADDRESS: 09275 SW MILLEN DR ZONING: R -4.5
SUBDIVISION: KNEELAND ESTATES NO.2 LOT: 095 JURISDICTION: TIG
PROJECT: CANTANESE
Project Description: Installing furnace and gas piping for furnace.
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: 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: 1
Owner: FEES
CANTANESE, JOSEPH R Description Date Amount
9275 SW MILLEN DR
TIGARD, OR 97224 [MECH] Permit Fee 9/18/200E $72.50
[TAX] 12% State Surch 9/18/200E $8.70
Phone:
Total $81.20
Contractor:
ADVANCED HEATING & AIR COND
5825 SE FOSTER
PORTLAND, OR 97206 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 774 -0161
FAX 503- 774 -4391
Reg #: LIC 98573
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:
ad e
Cal .639.4175 by 7:00 a.m. for inspections that business say.
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.
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Mechanical Permit Appiicati
City of Tigard�s' E / Re ceived
1 3125 S W Hali Blvd. Ti k Rec Per N O,: �,,� .0 M
NI - : 4! Bard` '503.598 OR 97223 Ji here{ 41.L. i
Phone: 503,639,4171 Fax: .160 p ry y . Ptan Review
Inspection Line: 503. 639.4175 A. 7 Z it,, Date/By: Other Permit:
1' s G �: t.:: 7 lx Dale Ready/ By: 7 uth
Internet: www.tigard-or.gov El See Page 2 for
:ar... ...,... Notified/method: trooc oo OfA❑AOOOrm
OQ
� Y ;:_ =se �: ; tr � � ; 1� , u imi1 ' �i a {1 sir -
_; •?; .tea Y , ., fi - 9C!t :I a ki-
❑ New construction Addition'''.
ddition/alteration/replscement Mechanical permit fees* are based an the value of the work
. o Demolition ❑ Other: performed. Indicate the value (rounded to the nearest dollar) of all
mechanical
:,1,.._ _ -- t .� ; _ ? .' _ _ -- „ • _ e , materials, equipment, labor, overhead, and profit
:-,.,,.. ::-::-.: r - _ " 3? :IJ : =1"•liii'=-`'rr;`c
, .. �! :� :�l�;fr _ {'�i��` c Value:
a 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building il +a , �_ _ 1 f `�
t7 ' : r,:., „;r
0 Multi - family ❑ Master builder ❑ Other: For species! irlformcr[ton use checklist.
-.. .. . - a Dt8
...........
•r.: Description
.. ... ... ...... .... .,..., ..;, r , �� 7d�r 1� : ....•.' - ,*3 �W`c: k: :i�l ,::.... Heating/cooling : ,. ,._._. ' 5:::: d a °?r iSr Vnr=: Heating/cooling S' , t i• 1 �l �
Job site address: 9 75" z '� i fi 4, 1-2,z_
Air conditioning or hem pump
rLJ�wd (requires sin plan showing placement) 14,00
City /State /Zip: 7-75 t�� Furnace 100,000 BTU(ductslvents) ( 14.00 iy CC)
Suite/bldg./wit no.:
` Project name: Furnace 100,000+ BTU ( ducts/vents 17.90
' g,.)� A) g...... )
Gas heat pump 14,00
Cross street/directions to job site: Duct work
10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric).
in -wail, in-duct, suspended, etc. 14.00
Subdivision: r Lot no.: Flue /vent for any of above 6.80
Tax map /parcel no,: I men 10.00
Rk='.°'.i :., : ;r•- - - ;gr,.. , -{� " "; __ _ - appliances
:
„ W - 1 Other fa
u
,, g
W hea
.... ... ....... .- ._ -- e. >�;.,.��;,:-..ls- ,: ;.._ , .T' - ;ti.- .uia`i w �, Y . 10.00
�^y� & 1 7 4 Gas fireplace 10.00
ki t ��t Flue vent for water heater or gas
fireplace 10.00
Log tighter (gas) 10.00
• Wood/pellet stove 10.00
• Wood
•'.', �� - 'il, u At t
,, ,. -- fireplace/insert
........ _., ., � ., :..: :;� i. ,. l; ' �;.. , .�.. ., �;.1� i � �� - imne ue /vein
Name: 0e 1 D 00
, ..;;,.. � _ s ::�. ;;� r -r- .�... � � Oth
Environmental exhaust and ventilation 10.00
Address:
9 t/ ! i I }�� Pr Range hood/other kitchen
i Yt l F/ equipment 10,00
City/State/ZIP: -'~•` t g 2_2-,/ Clothes dryer exhaust 10.00
r Single -duct exhaust (bathrooms,
!�..� `
Phone: ( 3 to Fax ( )
- ._; 1 Y,r. Ys - , - _ ° toilet corn,: 1 nts, lath rooms 6.80
.« -:_�1 : - '" � � l} t : . ,, g 1 p, 1 `4 ii - rt, Atticicrawls ace fans
, Yn):� x �;3i; -' e .. .�.. a:.:7 - P 10.00
Business name: Other: 10.00
_ - - c - _ . _._• -- Fuel pipinft
Contact name: /
=` $5.40 for first four. $1.00 for each additional
Address: �� . � / J Furnace etc. .' C ,
JZIP: Gas heat pump
City/State
` �� #(7,.. -_ O Wall /suspended/unit heater
Phone: ( _,SOP alV -4,Y4-/ Fax: : (1. 0 3 ) 775 5/.07/ Water heater
E-mail:
Fireplace
;:(i' -�,iP,;: - - "�11 _ •.aay. nL- �;, °.m-..a .. Range
.it'd'
r 'r �: :n,: %:_:> :sue_' -"J" �§ »r '�R;if is %;
,. - _ s
��i: _ ai:iiFf'g1'kifi '=r^s- *_'SiIH''' =T: "T a�. = iid1'e, Barbecue
II
Business name: Add �1�� y i / �� fr Clothes dryer (gas)
Address: 30 5 ��[, �j Other
�F �.5�tz � . ,i i � � `aK'r :.r t CO.C64 ,1 s
City /State /ZIP: ? � .
CYO ? �f Subtotal
one: 77 t�/Is / I Fax: !) 7` _ t�c'���i ► i
Ph
CCB lie.: Teri 73
Plan review (25 %ofpermit fee)
OO State surcharge (12% of permit fee) - All
' TOTAL PERMIT FEE within i'�
. %
Authorized signature: �/ " This permit application expires if a peewit is net obtained ed within 180
Print name: if �„ „!�� ■ / „ - Date days after it has been accepted as complete.
v: /7u-� Date: 9./7—d � 7.�d • F ee methodology set by Tri-County Building Industry Service Board
IA Beitding 511/19/07
940- 46171 (11/02/CONMEB)
z'c TSC+717LLEOS 91.1Iild H G 3I.JUMQE1 WdSOtS 8002 LT daS
CITY OF TIGARD
BUILDING DIVISION
PERMIT #:
MEC2000-0470
9/16/2008
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171
I d
nspeoh (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
10/9/200a 7:01AM 20
SITE ADDRESS: CLASS OF WORK:
09275 SW MILLEN DR
SUBDIVISION: LOT #: TYPE OF USE:
KNEELAND ESTATES N0,2 095
PROJECT NAME:
CANTANESE
DESCRIPTION:
Installing furnace and gas piping for furnace.
OWNER: PHONE #:
CANTANESE, JOSEPH R,
CONTRACTOR: PHONE #:
ADVANCED HEATING & AIR GOND 503-774-0161
Inspection Request Scheduled For: Date: 1W9/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 076475-01 503-774-0161 Y
Corrections/Comments/Instructions:
" 4:f tiA. i N tavz, 46 5 /44 jai
„.-
-, -
I PASS I I PARTIAL APPROVAL , El CANCEL EI NO ACCESS
FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: . Date: /b — 9--O 8 Phone #: (503) 718-
. .