Permit "` � r CITY OF TIGARD MECHANICAL PERMIT
°' COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00549
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/7/2008
PARCEL: 25111 BA -02900
SITE ADDRESS: 09825 SW JANZEN CT ZONING: R -4.5
SUBDIVISION: MCDONALD ACRES LOT: 004 JURISDICTION: TIG
PROJECT: GERMANO
Project Description: Replacing gas furance and venting.
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: 1
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
MCWILLIAMS, JEFFREY W /JAN C Description Date Amount
9825 SW JANTZEN CT
TIGARD, OR 97223 [MECH] Permit Fee 11/7/200€ $72.50
[TAX] 12% State Surch 11/7/200€ $8.70
Phone: Total $81.20
Contractor:
AAA HEATING & COOLING
5017 NE GRAND AVE
PORTLAND, OR 97211 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 284 -2173
FAX 503- 284 -1552
Reg #: LIC 222
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: ,XA7 - - •• - ttee Signature:
Call ' = #: 39.4175 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.
•
11/07/2008 08:30 11503 P.001/002
coo-- From:
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11 2 2 P ermit Mec rermit A licatio Cf I • •. - 1.0A 01. 1111c1E. l),E ON LI ... , • -. .. •
. City of Tigard Received AT,7 • • O'
, • 13125 SW Hall Blvd., Tigard, OR 97223 D jf, yip Permit No „,.......„_. _
8 Phone: 503.639.4171 Fax: 503.598.1960 \\\ 0 \.! 0 1 5121
711
P1a A e ie
Date/By: Other Permit:
T 1 GA 0 Inspection Line: 503.639.4175
,..„,.c 1161‘10 Aste Ready/By: ia See Page 2 for
• Internet: www.tigard-orgov ( AIN vu . INI Supplemental InformaHon
- 1 N 61)111'1
7.11 1,1)391,*4 0 ,
Mechanical permit fees* are based on the value of the work
ID New construction 10-Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
ID Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
Kere . ggfagliMirgeaC)7 ;44: ,, _ ,,,,,,,,,,,,,,,„,,,, Value: $,,,,,,,
4 0 44 ) : : ' .
I - and 2 dwelling 0 Commercial/industrial 0 Accessory building
For special information use checklist.
0 Multi 0 Master builder 0 Other:
Description Qty. Ea. I Total
. 4- W:-;' , 0 1- . I . E l-,11 :1; 17-:;: WaiiTta r kil , Heating/cooling
Air conditioning or heat pump
Job site address: ef%15. 9.1 ::);,4-LtAir C-1•""
(requires site plan showing placement) 14.00
City/State/ZIP: '1,,,..ret ofL co 21-`1 Furnace 100,000 BTU (ducts/vents) 1 14,00 /
'
Furnace loopoo+ rrru (ducts/vents) 17.90
Suite/bldg./apt. no.: I Project name: C eepteu
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-wall, in-duct, suspended, etc. 14.00
Flue/vent for any of above t, 6.80 , p!.1) Subdivision:
I Lot no.:
Other: 10.00
Tax map/parcel no •
Other fuel appliances
• , -•- .- Witi;I 7 -7.g. Tia: 75 lT Water heater 10.00
- . , • Gas fireplace 10.00
__k&U,___6 "c••.4.• A ft +__V ejtt ‘A.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
ChilnneY/lineeflUeVent 10.00 ._
10.00
Name' ri,,,. ,, Et,. 44.t.4.46, Environmental exhaust and ventilation
Range hood/other kitchen
Address: qg2,5 51,4 ,_Te.r...,,a4, c 1 .--
equipment 10.00
City/State/ZIP: 'r
PUY .
Clothes dryer exhaust 10.00
I i
Single-duct exhaust (bathrooms,
Phone: Gi (g -.... k k , Fax: ( ) toilet compartments, utility moms) 6.80
- .
71.3: ,- 4 - RsTig - Fjp - E gitw;grogt, -.,, 7 •.i --. .fi , -7. , ...T ; ; - ai _Attickrawisp-e fans 10.00
Other: 10.00 •
Business name:
Fuel piping
Contact name: " Ai cf)4.2.2. A-- $5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
-
-
Gas heat pump
City/State/ZIP:
Wall/suspended/unit heater •
Phone: ( ) I Fax: : ( ) • Water heater
Fireplace
E-mail:
Range
_
Barbecue
Business name: A. p ik ettiv\ , ... it , :)c) k t‘iket Clothes dryer (gas)
Other:
Address: "Lek k \NE tAL i vA ,
City/State/ZIP: Feyvti /..., Subtotal -... 10. I,
r
Phone: :17;) -2 Fax: ( wer 2_24_ isv L. Minimum permit fee ($72.50) 71 r g-
Plan review (25% of permit fee)
,_
CCB lie.: *Z7_2_
State surcharge (12% of permit fee) 1 1 A)
Authorized signature; Urt:CAA...,. TOTAL PERMIT FEE / 4 -f- -
This permit applicati on expires If a permit is not obtained within 180
days after it has been accepted as complete. . '
Print name: VI (.....+1,Ar Lek %Mt-c.v.. Date: )14 • Fee methodology set by Tri-County Building Industry Service Board
t ■BuildtnePtrmits \ MEC-Permi1App.doe 01/19/07 440-4617T (I 1/02/COMWEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: mm2006,0050
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/7/2008
Phone: (503) 639-4171
.
Inspection Requests (24 Hrs.): (503) 639-4175 ,.,._..,_.%, • --..
INSPECTION WORKSHEET FOR DATE: 126/2008 TIME: 7 PAGE: 19
SITE ADDRESS: 09825 SW JANZEN Cr CLASS OF WORK:
SUBDIVISION: MCDONALD ACRES LOT #: 004 TYPE OF USE:
PROJECT NAME: GERMANO
DESCRIPTION: Replacing gas furance and venting.
OWNER: MCWILLIAlviS, JEFFREY W/JAN C, PHONE #:
CONTRACTOR: AM HEATING & COOLING PHONE #: 503_284.2173
Inspection Request Scheduled For: Date: 1 NE.d2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 . Mechanical final 078729-01 50a.CA1-5509 N
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Corrections/Comments/Instructions:
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1- PASS , I PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
7 FAIL n CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector . %
ir . Date: 1Z- 5 (OS Phone #: (503) 718-