Permit C
CITY TIGARD MECHANICAL PERMIT
+'I DEVELOPMENT SERVICES PERMIT #: MEC2005 - 00429
a11 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 7/18/2005
PARCEL: 2S 115AA - 02200
SITE ADDRESS: 10548 SW KENT ST ZONING: R - 4.5
SUBDIVISION: DOVER LANDING NO.2 LOT: 061 JURISDICTION: TIG
Project Description: Furnace replacement.
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:
GAS 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
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
PARKER, ETHAN & JAIME Description Date Amount
10548 SW KENT ST [MECH] Permit Fee 7/18/200f. $72.50
TIGARD, OR 97224 [TAX] 8% State SurcharF 7/18/200E $5.80
Phone: 503 -598 -9908 Total $78.30
Contractor:
A - TEMP HEATING & COOLING
16000 SE EVELYN ST REQUIRED ITEMS AND REPORTS
CLACKAMAS, OR 97015
Phone: 503 650 - 9602
Reg #: LIC 71878
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.
r
Issued By: � Permittee Signature: 671 , 1 ,(x . 411 in---
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.
IIR :A -TEMP � �t FAX NO. :5835572990 Jul. 15 2005 01:30PM P2 /2
Mechanical Permit 4,. t 1 1 4 JED FOR. OFFICl: IISE ()NI .1' �p
Received P ermit Na.: h e _.,_005 %21
City of Tigard
Date/By: g os' 6e �l '
13125 SW Hall Blvd., Tigard, OR 97223 i - 005 plan Review
Phone 503,639.4171 Fax 503.598.1960 AUL j, 0 L /lr..,r Z r Date/By: Othc parltrit:
Inspection Line: 503.639.4175 AR = ,>I,�, . I ll 1 Data Ready/By: Turin, T See tialte 1 for
Internet: www,ei.tigard.or.us GI�Y Of T .I IG ,� � Notified/Method', - f. Supplemental information
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Addition /altcratio r Mechanical permit fees* are based on the value of the Work
II] New conslrtictioll
performed, Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.,
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FA: 1- and 2- family dwelling r Commercial /industrial 0 Accessory build
For special W0lmRrinn use checklist,
❑ Multi- fwnily 0 Master builder ❑ Other: Description r Qty, Ea- 1 Total
SJ .
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al onciing
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,, i li "' + �P, r. 'Ina i 5 In r .�w+P ,n tnti Ywri. i 4 !�.r , �S� Ali �01 r d'h dAdlt.�bl.�d IAA.• l,l l Yludl Air conditioning oI heat pump
Job site address S� a (rcyairoe site plan ehowi�plaoemanQ 14,00 •
City /State/ZIP: (l y- O...- 7'7 Furnace 100,000 BTU { il 14.00
`
�/ �/ Furnace 100,000+ BTU J (du vents) 17.90
Suite/bld /a t. no.: Project name: el Y _ e- f { 4,00
�N Gas heat pump �, Cross g• P street/directions to site: Ductwork 14.00
^•- ..- Hydronic hot water systertt 14.00
Residential boiler (radiator or
- - r hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, induct„ suspended, etc. 10,00 _.
' Flue/vent for any of ahnve i 10,00 (O_ O
Subdivision: } Lot no.: - Other; 10:00
Tax map /parcel no.: Other fuel appliances /`� D
r , F d S l Nr p i t l I P, S7.5 ,^, ri rVH i Sn IF,r +,t r i 1 (I ip Ul 'F` a j l5 i °k' il' 3 a fvr�it ,i j , , Water heater __... 10,00 O.O
� r bit ,! t � tt ;isai 'hlo.l M .;:os' Att, + � i i .!� a..2: 0 /1mr. _• 1.
( t i'• i d iV 1 SI 'd F)r na1.,,W.±^n,k7, , ra ,r, n t h i�t,i,lL' 41>, , D U P, 1)1, }�'r ,t %,� d, wlv,r (has fireplace 10,00
aL . t. �o t� , .' � . Y ( J. (' „� Flue vent fbr water heater or gas
' fireplace 1 0
... .- _ w lighter (gas) . 10.00 ,
Wood /pellet stove - 10.00 w -
"- J �^ Wood fireplace/insert , 10,00
V ,�. v "r Yr%•R ^7. r• ^ir5t ^i 9 X 4 T� t tJ' l t'�i 14� l i' 4}-iwt i.pr }in.i7'�r� A" r, Y1 ir,0: r s q E vi i ,Hr ll s rl ^ IrrI N Chimney /liner /f uee/vent 10, ��
M j i 1 rO i f !ll 7 j I F'i , d btu' •i,i 6 1, y 4 4, r )t } . c t l
•
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r r�W �} I�m..r �t4ts.Gve in i> ke6il on . d,) r I !. '} i i ,f p, >A,.6 10.00
.._ - ..
Name: 1% 4:e' ' • . '3 tjAL r __ Environmental exhaust and ventilation
� Range hood /other kitchen 1
Address: l D� R , ��'� � equipment 10,00
Clothes dryer exhaust 10,00
City/State/ZIP; _
1 4 t �/ Single-duct dryer
exhaust (bathrooms,
Phone: (Gbs) rL 1130 ' Fax ( ) toilet compartments, utility rooms) 6,A0
y rr n +rr w i f {s}� Ir �)t11 g¢S) 1 i {If(ry l' n n r n r�nRAS »,
rlrl + S� { { {ll,' Auia /arawla sue fans 10.00
e 7 1 " ( i b ' .`at nR ii�viil k•1,)w t . ;d�Ni�3fd�r1!f n� N133G rs PfreSif� 2 (tf,FPATT i r i A q , ,� ' id^ 3 „,, fw �?l�l —
t 1,: ,r Other: 10.00 ... --
Business name. (- ' �D Ck.- , r Fuel piping
-
Contact name; -, for first four; $1.00 for each additional •
- "�� , Furnace, etc.
Address: �- L- r Gas heat pump .,. .
City /State/ZIP; r ) Wall/suspended/unit heater -„
Water heater
,-
Phone: ( ) Fax: : ( ) Fireplace y
E -mail: Range •- .- -
i.. r � r Yr i CI ra: ^n� Iz + a r'Iri, r } 3 "'l {i9 jtf " `' r � i; i' � �; "l E3nrbccue
' k I , l
iti ' •' . ,�5 f l ei 11 1,M lv „t, R r'2, 4r, ?? d 115►WY,, r . ) ,, ;l(f .--
Clothes dryer (gas)
Business name; .:' Q .y � . � �k`J i .C.t �E�)��C�k�� Cloth
C' <` a '� P' t, +) �° } %< G S v, r ', i < �n(ev , �.rn r fir m niarvarva i t } r �k11,....:!. q
Address: ® = r_. f ,u Q -F.Q: /� c i m1i1b, � , Iikol it.l
. /krvii 4� , ir m t b +!1r, ook U 'uo ,1 . 1 ,i , it�� ' Yi A . .
Subtotal , - • I 1
City / State /ZIl'��\ CA -� .tn - ( .- ) e2� L5 - — mum M ni permit fee $72,50) 1�: •
i i
Phone: (W73) („0_: t 0 �- I Fax: -(7503 t— K � rj, 0 L Plan review {25% of permit fcc) -
CCB Tic.: 1`1 `cj J W - - State surcharge (R % of permit fee) -_ , -
1 TOTAL. PERMIT FEE ✓
Authorized Signature; b4U/L_ l n M'I '.1 This permit Application expires if n permit iz not obtained within lid
days after It has been accepted as complete.
7. • Fee methodology act by Tri- County Bidi !ding Industry Service Board
Print name:, ` f I, Date:
-,n.,; .u„°tn.r,,iit,A nrC- PcrmitAnn doe 12107 a4n- anr (1 I /oa/C'oM /wee)
. C
CITY OFTIGARD
BUILDING DIVISION y y PERMIT #:
fbfEC2005 -00429
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/8/2005
Phone: (503) 639 -4171 . I
Inspection Requests (24 Hrs.): (503) 639 -4175 ..
INSPECTION WORKSHEET FOR DATE: 8/2312005 TIME: 7:06AM PAGE: 47
SITE ADDRESS: 10548 SW KENT ST CLASS OF WORK:
SUBDIVISION: DOVER LANDING NO.2 LOT #: 061 TYPE OF USE:
PROJECT NAME: PARKER
DESCRIPTION: Furnace replacement.
OWNER: PARKER, ETHAN & JAIME, PHONE #: 603 -698 -9908
CONTRACTOR: A -TEMP HEATING & COOLING PHONE #: 503 - 650.9602
Inspection Request Scheduled For: Date: 8/23/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 014096.01 503 - 650 -5014 N
Corrections /Comments /Instructions:
c—
at 11. ?, c-T e '= fi24,z/4.24
PASS n . PART_IAL_AP_P_ROVAL_ n - CANCEL _ _ .( I_NO ACCESS
FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: g --- P oh ne #: (503) 718-