Permit -`� CITY OF TIGARD
MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00468
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/3/2006
PARCEL: 25111 CB -01727
SITE ADDRESS: 10475 SW KABLE ST ZONING: R -3.5
SUBDIVISION: HOOD VIEW NO.2 LOT: 026 JURISDICTION: TIG
Project Description: Replace gas furnace.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: MF 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:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
PICKELL, HELEN C Description Date Amount
10475 SW KABLE ST
TIGARD, OR 97224 [MECH] Permit Fee 10/3/200E $72.50
[TAX] 8% State Surcha 10/3/200E $5.80
Total $78.30
Phone: 503- 692 -1565
Contractor:
ARROW MECHANICAL
10330 SW TUALATIN RD
TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS
Contact #: FAX 503- 691 -1879
PRI 503- 692 -1565
Reg #: LIC 5193
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:
• • • f Permittee Signature: A,,/
Call 503 - 639 -4175 by 7:00 a.m. for inspections tha
permit card shall be kept in a conspicuous place on the job sit til completio of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application D VEJ • FOR OFFICE USE ONLY
,City of Tigard R"`ivedes 0
, : Permit N f�/�.../� /,
13125 SW Hall Blvd., Tigard, OR 97223 OCT ®3 2006 Plan Y Owt/t/ t/v
Phone: 503.639.4171 Fax: 503.598.1960 Plan By: Other Perrot: _ .•
Inspection Line: 503.639.4175 .. CITY OF TIGAr . 4I Dat
.;(':I► ''-'" Date / NI See Pent for
Internet: www.ci.tigard.or.us BUILDING DIVIJIVIV Notifiecdd/Me Methoo Supplemental Information
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❑ New construction' ' Addition/alteration%replacement Mechanical pernut fees e are based rii tha value of the",work- of � . . performed. Indicate the value (rounded io tli'e'iiearest,dollai') of all
❑ Demolition ❑ Other mechanical materials, equipment; labor, oviiheiil, anil'pr■fit.
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a `tt1 �Y r e. .i@ 2 n 3 ter'F� ` 3: t �l4 x F
1- and 2- family dwelling El Cormet El Accessory building *� f _ . -_� •r ... �..: -,� _;
❑ Multi- family ❑ Master builder ❑ Other:
For special information use checklist. .
A Multi-family 0 Master builder 0 Other
�'�,r, .3...t? . $� •s . t'.-;``t i;. "�^``s.*, .s �•, .0 ,zt* -o-. 1 ro t- s.: .•tea c�-y x Description I Qty. I Ea. I Total
t) 'g u r0 i ." -.'' -'q 0 � a 8 �i 1 E 6 F '� �, ,.x`` .. .
� .�,".- �....���� .�•.�.1.� ?� � .rra.��.,;.�= �;���°€ ��„• �.�w.:��'�.� ai,: Heatirtg/cooling
Job site address: /b S (, J j � Sr Air conditioning or heat pump
� (requires site plan showing placement) 14.00
City /State/ZIP: I 1 -I 2n 5 9 7 ZZ(? Furnace 100,000 BTU (ducts/vents) .z 14.00
Suite/bldg./apt. no.: I �Project name: Furnace 100,000+ BTU (ducts/vents) 17.90
Gas heat 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
Subdivision: I Lot no.: Flue /vent for any of above 10.00
Other: 10.00
Tax map /parcel,no.: Other fuel appliances
��,.'�` -a*'xJ t `''�`,��`.- , ; m- - •�:.4, -::e - .r'r� ==� ° >:- : ssx:a.� 3 �r�.::.� �;n::�:.. �
'',-- • _, F D l tt . ° .: t " Water heater
:S� ��_ �����. - -w�` �. �'��� ^.�X?�Q� ��r��„�� 10.00 -
i /Q /� Gas fireplace 10.00
/�
/ U ,PA--t— r ��PL 3 t/1 Fl) A) A,C-E 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
�� a '`''' "`� �:� 5 Chimney /liner /flue/vent 10.00 •
i ` .e `€{a I'itUP;4 cwo��V �E u . �.., 'x ` , ' t 0 - us«�T;
Name: ) Other: 10.00
7L , e/"l / l Ck. Environmental exhaust and ventilation _
�
a hood/other kitchen
Address: / be-, 7 J S � /�
� A A L� S -
Range
I equipment 10.00
9
City/ State/ZIP: / (..,-A 2n () , 9 72.. 2J Clothes dryer exhaust 10.00
Phone: ( 3) .3 O 7i Fax: ( ) Single -duct exhaust (bathrooms,
p mss{, toilet compartments, utility rooms) 6.80
,::: :^ . ,£„ F ; „ [ , to .. Attic/crawlspace fans 10.00
Business name: ,.d /" Z x_ / l�� dQI.J Other: 10.00
Fu el pi ping
Contact name:
/ r•��y /L! 4,2_ $5.40 for first four, 51.00 for each additional
Address: / O 3 3 D ,c t.a/ � - r r' ' o Furnace, etc.
i'� "' = � Gas heat pump
City/ State/ZIP: A „� l , I (1 7 / ..,2 , g �ejt , t ' Wall/suspended/unit heater
Phone: ( ct3 9 Z ` l�.`. -5 Fax: ( ) ( 9 / _ / ('- h C Water heater
E -mail:
A / t l� Fireplace
'- � ro. �` i s#c `'£#ate. + 'xi3 r� .;; 3":tcrx� Q`€u. -7-az^ Range
��.�.�`rw: ��.�. }r,....a.::u :k�.a �a��<?�s�' `�"�§.....?�:�,�;� � ..?� ��rf Barbecue
Business name: /���/ /1// Clothes dryer (gas)
Address: v Other trxs,2a y x.•< •
City / State/ZIP: Pp__ . Subtotal
Phone: ( ) Fax: ( ) I. r Minimum permit fee ($72.50)
�� / Plan review (25% of permit fee)
b
CCB lie.: State surcharge (8% of permit fee) \
_ TOTAL PERMIT FEE 3
Authorized signature: ' / . , This permit applicatfoa ezpfies tf a permit [s not obtalued within 180
j ff� /� J days after it has been accepted as compl -
I n -.. ..
0 ---_. � 'f' g r I rs_._. /
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CITY A~� ~ . ,-
��mu n �.�w
BUILDING DIVISION PERMIT #: K4E<�2OO�OC4G@
13125SVVHaUBhd..11gand.ORQ7223 DATE ISSUED: 1D/�2OO�
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 �44~ AL
. INSPECTION WORKSHEET FOR DATE: 12/20C2008 TIME: 7 PAGE: 18
SITE ADDRESS: 10475 SW KABLE ST CLASS OF WORK:
SUBDIVISION: HOOD VIEW N[).2 LOT #: 026 TYPE OF USE:
PROJECT NAME: PICKELL
DESCRIPTION: Replace gas yurnace.
OWNER: PICKELL, HELEN C, PHONE #: 503_692
CONTRACTOR: ARROW MECHANICAL PHONE #: 503-692'1565
Inspection Request Scheduled For: Date: 'I 2/20/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 041I53-01 503-793-5027 N
Corrections/Comments/Instructions:
'/�
//
74ASS I | PARTIAL APPROVAL El CANCEL NO ACCESS
FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: ��/ ^� Date: /2-ZO--o67 Phone #: (503) 718-
.
~ �.
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: MEC2006-00468
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/3/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
' INSPECTION WORKSHEET FOR DATE: 11/9/2006 TIME: 7:02AM PAGE: 80
SITE ADDRESS: 10475 SW KABLE ST CLASS OF WORK:
SUBDIVISION: HOOD VIEW NO.2 LOT #: 026 TYPE OF USE:
PROJECT NAME: PICKELL
DESCRIPTION: Replace gas furnace.
OWNER: PICKELL, HELEN C, PHONE #: 503692-1565
CONTRACTOR: ARROW MECHANICAL PHONE #: 503-692-1565
Inspection Request Scheduled For: Date: 111912006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 039480-01 503-692-1565
Corrections /Comments / Instructions:
/44--
El PASS PARTIAL APPROVAL fl CANCEL NO ACCESS
'FAIL , CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: Date:// — Phone #: (503) 718-