Permit ill
� � � CITY OF TIGaD MECHANICAL PERMIT
: COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00086
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/20/2008
PARCEL: 2S 115AA -03800
SITE ADDRESS: 10591 SW KENT ST ZONING: R -4.5
SUBDIVISION: DOVER LANDING NO.2 LOT: 077 JURISDICTION: TIG
PROJECT: DAVIS
Project Description: Installing gas 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: 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
JOE & KATHRYN DAVIS Description Date Amount
10591 SW KENT ST
TIGARD, OR 97224 [MECH] Permit Fee 21201200€ $72.50
[TAX] 12% State Surch 2/20/200€ $8.70
Total $81.20
Phone: 203- 684 -8268
Contractor:
OREGON HEATING & AC
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -538 -2953
FAX 503 -537 -2172
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:0 / / Permittee Signature: /G��G/v
Call 503.639.4175 by 7:00 a.m. for inspections that business bay.
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.
i
1 -_ Mechanical Permit Application FOR OFFICE USE
City of Tigard Received
1 3 125 SW Hall Blvd., Tigard, OR _ 722_t _ c CEIVEl'u:Lew ��� t df i
' . "" 0 y 7 '_ Ph one: 503.639.4171 Fax: 503.598.1' 0
Date / By: other Permit:
TIGARD Inspection Line: 503.639. =(75
y 9 ZUU8 Dale Ready /By: Saris: Z See Page? for
Intemet: www.tigard or.gov FEB r CD Y Notified' ethod: Supplemental Infer matioa
ray OF FIGARD
TYPE OF W -R J niftRSfIIOIgI (){ • COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ New construction Addition/alteration/replacement Mechanical permit Pees* are based on the value of the wort:
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
• . CATEGORY OF CONSTRUCTION Value: S
ii!' 1- and 2-family dwelling ❑Commercial /industrial . RESIDENTIAL EQUIPMENT f SYSTEMS FEES*
[] Accessory building
❑ Multi-family ❑ Master builder Fcrspecialarformution use checklist.
❑ Other: Description Qty. Ea. I Total
JOB SITE INFORMATION AND LOCATION Beating/cooling
Job site address: J O.5` // .5 -) E /- s • Air conditioning or in placement) ! r Y II r (requires site p.an showing placement) I 14.00 ,
City/State /ZIP: T r r - 0/7 Z? Furnace 100,000 BTU (ducts /vents) / 14.00 1 ) t t'
Furnace 100,000+ BTU (ducts'venrs) 17.90
Suite/bldg /apt. no.: Project name: - ::::)p t J I Gas heat pump 1
Cross street/directions `a 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: Flueivent for any of above 10.00
Lot no.:
Other: ( 10.00
Tax map /parcel no.: Other fuel appliances
- - DESCRIPTION OF- WORK • . ' . . ' Water heater 10.00
Gas fireplace 10.00
- f A I 'L' t zf rl fi 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
ROPERTY. OWNER Chimney /hneriflue/vent 10.00
0
•
Name: ! Other. 10.00
Al ,/�, . l ( '2Yyi' Environmental exhaust and ventilation
Address: t 59i r � `l 19, et ,�/ Range hood/other kitchen
m / r equipment 10.00
City /State /ZIP: 77670-7-g0 t7� 7. 9 '] V Clothes dryer exhaust 10.00
6,539- Q Single -duct exhaust (bathrooms,
Phone: ( .�, 3s , / ! b Fax: ( ) toilet compartments, utility rooms) i 6.30
•
. .F� NFPLICANT . . ' ❑ .CONTACT PERSON Attic'crawlspace fans 1.0.00
Business name:
Other: 10.00
C � ✓ ' l'+t i g r fro 4 C, Fuel piping
Contact name: J�)l � $5.40 for first four; 51.00 for each additional
Address: C !i ` Fuc:ace, etc.
/� Gas heat pump
City /State /ZIP: ,. d i Lin 9 • 7 f/ 5 Wallisuspended/unit heater
Phone: ( 5.3S'-2 % � Fax: : / (5 ) 5=3 , 7 ;) 7„2-.. Water heater
E -mail Fireplace
C<< St Cf O I L ')7 ' g . Range
' CONTRACT O Barbecue
•
Business name: h p ,5 Clothes dryer (gas)
Other:
Address: MECHANICAL PERMIT FEES*
City/State /ZIP. Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee (572.50) - 42,5D
/ Plan review (25% of permit fee)
CCB lie.:
! 7:,�tg6' State surcharge (12% of permit fee)
p TOTAL PERMIT FEE (8i_-`
Authorized signature: \ This permit application expires if a permit is not obtained vvithin l80
_ days after it has been accepted as complete.
Print name:, A1: ✓ ✓✓ Dare: - 13 * Fee methodology set byTri- County Building Industry Service Beard
VEuildingmPermiu upC- PernuApp,e 04106 +5 440- 4617T{ I Ii02iCOM /WEB)
1. ZL1.Z dOC:CO 80 61. qeJ
CITY OF- TIGARD
ilk v A
BUILDING DIVISION PERMIT #: MEC200B 0O0E16
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/2012008
Phone: (503) 639 -4171 4 � ^ � '4nii ' �I &
Inspection Requests (24 Hrs.): (503) 639 -4175 -«i
INSPECTION WORKSHEET FOR DATE: 311412008 TIME: 7:00AM PAGE: 33
- SITE ADDRESS: 10691 SW KENT ST CLASS OF WORK:
SUBDIVISION: DOVER LANDING NO.2 LOT #: 077 TYPE OF USE:
PROJECT NAME: DAVIS
DESCRIPTION: Installing gas furnace
OWNER: DAVIS, JOE & KATHRYN PHONE #: 203-6844.3268
CONTRACTOR: OREGON HEATING & AC PHONE #: 503- 53B-2953
Inspection Request Scheduled For: Date: 311412008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
6% Mechanical final 066723 -01 503-538-2953 Y
Corrections /Comments /Instructions:
0 0 i c77-t CA-L. Tit.A_ Ai o t .- * S'- /S / zC gAicl-t<
(i1'ed-z-i 1' / i Al/ae
•
•
ASS PARTIAL APPROVAL ❑CANCEL n NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Dater— 14 - Phone #: (503) 718 -