Permit (3 of ri ace-r-r# add,( - ',repfr ixisf e*.
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00410
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/6/2008
PARCEL: 2S 104AA -07200
SITE ADDRESS: 12785 SW KATHERINE ST ZONING: R -4.5
SUBDIVISION: BELLWOOD NO. 2 LOT: 113 JURISDICTION: TIG
PROJECT: BAKER
Project Description: Install A/C and furnace. 8/13/2008 ADDED flue wood fireplace insert and as piping for fireplace.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS: 1
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNIT$: 1
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
BAKER, DONALD D /RENEE Description Date Amount
12785 SW KATHERINE ST
TIGARD, OR 97223 [MECH] Permit Fee 8/6/2008 $72.50
[TAX] 12% State Surch 8/6/2008 $8.70
Total $81.20
Phone: 503 - 590 -4157
Contractor:
OREGON HEATING & A/C
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Contact #: FRI 503 -538 -2953
FAX 503- 691 -8556
Reg #: LIC 172126
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By• � Permittee Signature: 14*-
Call . : 9.4175 by 7:00 a.m. for inspections that busi e s day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Nifeehanical Permit Application 4� r()K OFFIC1' l;sE ()Ntx , = :, ':
lAi City. of Tigard • �� �p� Received
Datdey: f�UY penmt No.. M CC aoo g • D o 4110
11 13 125 S W Hall Blvd., Tigard, OR ;li, 6 s\ 1, plan Review C J
-. I''.' Phone: 503.639.4171 Fax: 503.5` *t.` •60 N A pace /By: Othorlerniic
T1iiAltf] Inspection Line: 503.639.4175 ' ' ' { �NGC' � �� Date Ready. -By: firs: See Page 2 far
Internet: www.tigard- or,gov 6 .$) Notified/Method: -- Supplemental Information —
,,�� c � t `, d l , {{ f fi 1 sc r � . � f{� (r E } { - ^ " rtP�d�` Y f r . r y 7 n �,, � 1 � w r lt t r tuF ., .� , 1
�ltlil N B ft Il ,B 1 : !1 1 i?' ' �,lcl ?ifd.iiit liVA f , i i lkil Il $ el�t , II B I ; iB�34 Jt i t �' Itdl ii l' I tlt V. igu'l l i t k ii ' I A � f
❑ Ncw construction Addition /alteratio replacement Mechanical perrwt fcca" arc basod on the value of the work
performed. Indicate the Va1uc (rounded to the nearest dollar) of all
❑ Demolition CI Other: mechanical materials, equi la overhead, and profit,
heta t it It {� qut r fT. 3 ma tit 1 M 1 g.t PPs '11 Value; $
', 1 i l i g s t t t ..:` EllNlti4� t{tliislrll' i b, t � l 4 °° I Ilill#� 4 0 ft • E �iat 1t t 1 a t tt. �' tat 1cs' : i lw
14 1- and 2- family dwelling Q Commercial /industrial ❑ Acurssory building twat �"
For special information use checklist.
❑ Multi - family ❑ Master builder El Other;
Description Qty. Ea. I Total
1 ? ,,' 1 P` 'f lit � 1 �tNt�� pry t )1 1a� 1'kS W � k u t�
Fig j
1 9 � �{(IB�
ll � tl ,' N 1' tu t•a binlntalurlGaba.r9[ r 11t It � , ' f ill ill igli Fieating/enaiing
r i g , 5 s Air iris conditioning or heat I 14.00 pump
Yoh site address: 1 V-0
O' � q S (requites :Man fshOW iAF,� placement)
Cit /State /Z1:P: ?' y r� / a R q —7 a . ' Furnace 100 000 BTU (ductt/vents) I 14.00 ` f y.0e
�} Furnace 100,000+ BTU (ducts/venrt) " 17.90
Suite/bldg. /apt. no.: Project name: C3 s - G3 3 I Gas heat pump 14.00
Cross street/directions „to job site: Duct work - 10.00
Hydtouic hot water system 14.00
- , Residential boiler (radiator Or .
hydronic) 14,00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, sus ended etc. 14.00
Subdivision: Lot na Flue /vent for any of above 6.80
. Other: 10.00
Tax map /parcel no.: Other tbet appliances
P t s I tt �if f s' rp � �tpi s t n , t±'a �' t er 10.00
P �i s'j 11 ill tlb.E a 6bil ra $l,i , �!1 `'t /'� ` 9 It r r }+ ! 1 1 1 1 ' Water heat
! ?_ Gas fireplace 10.00
/4 01 T ° X c A ,p a r' �v+' t 'I• M EC 4o4� - CO 41 ia Flue vent for water heater or gas
14” Vr ., I/ FZ.- eeLc e.€ i r s'r + / ` u e V -r 1 e 4- L _ 10 .00
ff q s. 42. 1 .. Log lighter (gas) 10.40
C� yc fT S -P ' I t to j y+ A I re O t'` `� Wood/pellet stove 1
$ u b �, r ed � o r ' / G , F-, n C. �• Wood fireplace/insert 1 w_ 10.00 10 . o
tt; i; 9 i� 1 {{€€ t . ` Chirnnr /liner /flur /vent 1 10,00 / D. et
t
i a . t i q r813 ra , t xl '' l iv . ��; ; `i � .. 1 g g r ' , min vi „ttgt. IL!' Other: 10.00
Name: ID a el o Fl a_ e n e e 13 a Ic e t• Environmental exhaust and ventilation . .
; Range hood /other kitchen .
Address
1d. � . ? S c W 1 <a -t->h e V• l w e S �} ` equptnent 10.00
City /State /Z1P: "7 4 a r . d I 0 1 6 1 - 7a 3 Clothcs er exhaust • 10:00
Single -dust exhaust (bathrooms,
phone: (rC 2 S 96,- W f 5 7 � Fax: ( i ) toilet compartments, utility rooms) 6.80
�; f,1 i t i ff r t ;.,l o n . ,� �, , T1 1:Tii Y 1 . f t m .1 t a i u d, 1, ' f,; . kttu /cmwlsp fang 10.00
Other: 10.00
Business name: O l^ e b .c n ti e x + i n , aaad A / 4 F riel piping
Contact name: 1 S F HA- B r; el o yt — — — . 55.40 for first four; $1.00 for each additional
,t-� ,
Address: P O 11 c. is ? Q Furnace etc
Gas heat pump
City /State /ZIP: rp cA rI,r� Q e g 7 1 I S Wa11/suspcndcd/unit heater
Phone: (so) G?- a 9 S 3 Fax :: (5 °:i 6`g , - “'s 6 Water heater
Fireplace IF.,.`
5 0
E -mail: Range
` � pp 4 1 r ,
! 1 t 131,11111 lritt i l aA cl'l t1 A }ao9 i ° t8 i ` �r I > : RI Barbecue'
�;; ;� l
l I1 rein )i�a wli �
Business nine: S /T Ai Clothes dYyer (gas)
yOthct° �ry �4t}} {{��� jk
Address: if1 ' � i4 1 #ldla + . .1.l7lllfif ' tI'1 €�1
City /State /ZIP: Subtotal 7 e $ a
Minimum permit fee (572.50) "7 e) ,c c-
Phone: ( ) Fax: ( ) —'
Plan review (25% of permit fee) _
CCB lic.: f -7 a 1 a 6, • State surcharge (12% of permit fee) g. I o
TOTAL PE1tMIT FEE �) • a0
Authorized signature: This permit application expires if a permit In not obtained ttithln 180
. days after it has been accepted at cornplete.
Print name: To O s try E+ e " vs, tot.... r Date: { /13/08. N j " Fee methodology t el by Tii- County Building Industry Service Board
r:\ aulding'Prmiti\MEC-PnseitA0p,doo 01/19/07 440 4617T(IAZ/COMWEB)
TO /TO 39dd 9NIld3H Noe3ao 9598- T69 -E05 CZ :CI 8002/E1/80
A 50
8 A. 0 4 a
Level 1
main
converted garage
storage
•
Job #: Randy Beers Scale: 1 : 81
Performed for:
Laker Page 2
Right -Suite Residenttat
6.079 R$R28586
2008Aug -03 11;$526
Projectl .rrp
E8 /Z8 39 d ONIld3H NO93dO 9558- Ib9 -E05 T5 TT 800Z/59/8B
CITY OF TIGARD ATO
BUILDING DIVISION A i ou PERMIT #: —
tvir C12008-00410
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/612008
Phone: (503) 639-4171 inopvikt lifl
Inspection Requests (24 Hrs.): (503) 639-4175
,,, -.....
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
9/24/2008 7:00AM 27
SITE ADDRESS: CLASS OF WORK:
12785 SW KATHERINE ST
SUBDIVISION: LOT #: TYPE OF USE:
BELLWOOD NO. 2 113
PROJECT NAME: BAKER
DESCRIPTION: Install NC and furnace. 8/1312008 ADDED flue, wood fireplace insert and gas piping for fireplace.
OWNER: BAKER, DONALD 0/RENEE, PHONE #: 60:5.9
CONTRACTOR: OREGON HEATING & A/C PHONE #: 503,539.29E3
Inspection Request Scheduled For: Date: 9/24/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Mess. , ,e ,
699 Mechanical final 075847-01 503-538-2953 Y
Corrections/Comments/Instructions:
lo '
Vi - , SS I _ I PARTIAL APPROVAL El CANCEL _ _ _ n NO ACCESS
I FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
- z_____
4, d q/2,y,)
zsoce
Inspector: Date: Phone #: (503) 718-
CITY. OF TIGARD
BUILDING DIVISION
PERMIT #: MEC2008-00410
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
8/612008
Phone: (503) 639-4171 „„ 40,441 11 Inspection Requests Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 8/19/2008 TIME: 7:00AM PAGE: 11
SITE ADDRESS: .12756 sw KATHERINF ST CLASS OF WORK:
.1:
SUBDIVISION: BELLWOOD NO. 2 LOT #: 113 TYPE OF USE:
PROJECT NAME: BAKER - --
DESCRIPTION:
,.. Install A/C and furnace. 8/13/2008 ADDED flue, wood fireplace insert and gas piping for fireplace.
I
OWNER: BAKER, DONALD D/RENEE, PHONE #: 503-s90-4157
CONTRACTOR: OREGON HEATING & /VC PHONE #: 503-538-2953
•-
Inspection Request Scheduled For: Date 8/19/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 07 503-538 Y
Corrections/Comments/Instructions:
, .
ASS I I PARTIAL APPROVAL El CANCEL 7 NO ACCESS
7 FAIL II/ CALL FOR INSPECTION E ADDITIONAL FEES ASSESSED
St
Inspector: Date: .9 / ? --e755 Phone #: (503) 718-
. .
CITY OF TIGARD
BUILDING DIVISION
Ak PERMIT #: MEC2000-00410
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 81612008
Phone: (503) 639-4171 b_ .
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: TIME: 7:00AM PAGE:
8/1912008 10
SITE ADDRESS: CLASS OF WORK:
12785 SW KATHERINE ST
SUBDIVISION: LOT #: TYPE OF USE:
BELLWOOD NO. 2 113
PROJECT NAME: BAKER
DESCRIPTION: Install A/C and furnace. 8/13/2008 ADDED flue, wood fireplace insert and gas piping for fireplace.
OWNER: PHONE #:
BAKER, DONALD 0/RENEE, 503-590-4157
CONTRACTOR: OREGON HEATING & A/C PHONE #: 503-538-2953
Inspection Request Scheduled For: Date: 8/19/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 - Mechanical final 074346-01 503-538-2953 Y
Co ections/Comments/Instructions:
. , ._ ., ..,... - to — II — ar z.
1
.."orG...4 z .. .- Ait," ' - -
—. .--- t 1
(/ --
PASS 0 PARTIAL APPROVAL r i CANCEL 0 NO ACCESS
[-- I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: ,
Date: g '7 — eg Phone #: (503) 718- 2-4-1
.../ ..-- .