Permit C ITY OF TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00503
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/13/2008
PARCEL: 2S114BB -14300
SITE ADDRESS: 10454 SW KENT ST ZONING: R -12
SUBDIVISION: SWANSONS GLEN NO.2 LOT: 084 JURISDICTION: TIG
PROJECT: FIDDES
Project Description: Removing and replacing gas furnace 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:
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:
Owner: FEES
GORDON & DEBRAH FIDDES Description Date Amount
10454 SW KENT CT
TIGARD, OR 97224 [MECH] Permit Fee 10/13/20C $72.50
[TAX] 12% State Surch 10/13/20C $8.70
Phone: 503- 639 -7692
Total $81.20
Contractor:
MILWAUKIE HEATING & COOLING
PO BOX 220216
MILWAUKIE, OR 97222 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -557 -5562
FAX 503 -557 -0790
Reg #: LIC 104102
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: `L::� Permittee Signature: G�� ^Cfv
Call 503.639.4175 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.
, ct 13 08 11:27a Milwaukie Htg & Clg 503 - 557 -0790 p.1
4
I1Ytchanical Permit Ap � , FoR,oFF.10E USE ONLY
City of Tigard .,
114 13125 SW Hell Blvd Tigard, OR 9t' Platc/By. Al ' %�- T ;�
Plan Review
Date
Phone; 503.639.4171 Fax: 503.596.1460 fi ®® Other Permit:
T.FGAl2Q Inspection Line: 503.639.4175 Dale Read t3
Internet: www.tigard or.gov Q ' y 0 See Page 2 for
0�� �' � Notified/Method: SupplemenmlInformation
I 19 Le
TYPE OF W % � � COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees" are based on the value of work
❑ New construction ® Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit
CATEGORY OF CONSTRUCTION Value: $
® 1 - and 2- family dwelling ❑ Commercial /industrial RESIDENTIAL EQUIPMENT !SYSTEMS FEES*
❑ Accessory building
For special information use checklist.
❑ Multi family ❑ Master builder ❑ Other:
Description P j Qty. Ea_ 1 Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Joh site address: JO 1 i3 - S./J J� �- Air conditioning or heat pump
r 1 e +t S' 7 (requires site plan showing placement) - 14.0D
1 -
City /State/ZIP: - - . , r , • z Furnace 100,000 BTU (ducts/vents) I 14.00 /tj_(�
Furnace 100,000+ BTU (ducts/vents) 17.90 '
Suite/bldgJapt.no.: Project name: _ C
/ 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
hydronie) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.0D
Subdivision: Lot no.:
Flue/vent for any of above i 6.80 t�l
Other: 10.00 $
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
r ,-�^ . -._. Gas fireplace vent 10.00
�a.S �U trVLGIL�, Fiueventfor water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
f�L
PROPERTY OWNER Chimney/liner /flue /vent 10.01
❑ TENANT
) Other: 10.00
Name: GC Ir. d tt iii is Environmental exhaust and ventilation
/ Range hood/other kitchen
f
Address: b U/5 y s___Go- k e 41' 5 i equipment 10.00
City/ State/ZIP: • j7.4 Lynd Q •e. 9122-4/ Clothes dryer exhaust 10.0D
I t Single -duct exhaust (bathrooms,
Phone: ( 5 j ci._ 76 9 2 Fax: ( ) toilet compartments, utility rooms) 6.80
® APPLICANT ® CONTACT PERSON Attic /crawlspace fans 10.00
Business name: Milwaukie Heating & Cooling Inc. Other: 10.00
Fuel piping
Contact name: Terry Klink 55.40 for first four; 51.00 for each additional
Address: P.O. Box 220216 Furnace, etc.
Gas heat pump
City /State/ZIP: Milwaukie OR, 97222 Wall/suspended/unit heater
Phone: (503) 557 -5562 . Fax:: (503) 557 -0790 Water heater
Fireplace
E -mail: milwaukieheating @msn.com Range
CONTRACTOR Barbecue
Business name: Mihvaukie Heating & Cooling Inc. • Clothes dryer (gas)
_ Other:
Address: P.Q. Box 220216 MECHANICAL PERMIT FEES"
City/ State/ZIP: Milwuakie OR., 97222 Subtotal
Minimum permit fee ($72.50)
Phone: (503) 557 -5562 _ Fax: (503) 557 -0790 Plan review (25% of permit fee)
--- 7 , 1 ,'
CCB lie.: 104102 State surcharge (l2% of permit fee) _ _6% ? __ _ __ _ _
Authorized signs
IJ , TOTAL PERMIT FEE �JQ .0
�y This permit application expires if permit is not obtained within 180
e: /
r ! Jays after it has been accepted as complete.
n .. �• -.�• 'T -• - -• yr -.-r• I T.d..• �nmo I • r�r, mcthndnln,v g,t by Tri-Cnunry RurtAini, In- Inctn- Se.rvir., Board
CITY ���� ��N���&���� - ' -
��uw n OF mm���mnu��
BUILDING DIVISION PERMIT ~~~°"~~~~""°~= ~�"°"~~"~°"� #: h4EimO8.00503
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/13V2008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 a�.W 111.
INSPECTION WORKSHEET FOR DATE: � TIME: � k4 PAGE: 1O/�1/3OO� 7�OO�� 47
SITE ADDRESS: 10454 SW CLASS � �/ �ENTST �
SUBDIVISION: LOT TYPE OF � SAAN80WS(�LENM0.2 #: 0G4 �
PROJECT NAME: � F|DDES
DESCRIPTION: � Re/nwvingandrep|ajnggaofumnocmmndvmndng.
P HONE#
OWNER: � PHONE #: F\DDES.(90R00N&QEBF��N1 603-639-7892
�
CONTRACTOR� k�fLWAUK|' �MEAT|NG&C[)0L|N(� #: 803'567_6567
Inspection Request Scheduled For: Date: 10K21/2008 Pour Time: J\
8 �
p
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 070991'01 503-5575562 Y
Corrections/Comments/Instructions:
/~ �E
`_~~�«� ` `~`*�` (
� A-mrss ri PARTIAL APPAOVAL F-| CANCEL 1 ACCESS
|| FAIL El CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: 33 Date: e Phone #: (503) 718-2923