Permit CITY TIGARD MECHANICAL PERMIT
i DEVELOPMENT SERVICES PERMIT #: MEC2006 - 00045
' lll 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 1/24/2006
PARCEL: 2S1 14 B B -03000
SITE ADDRESS: 10065 SW KENT PL ZONING: R -4.5
SUBDIVISION: PICKS LANDING NO.1 LOT: 044 JURISDICTION: TIG
Project Description: Replace furnace with like kind.
CLASS OF WORK: OTR 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:
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
MARGARET MCMAHON Description Date Amount
10065 SW KENT PL [MECH] Permit Fee 1/24/200€ $72.50
TIGARD, OR 97224 [TAX] 8% State Surchar€ 1/24/200€ $5.80
Phone: 503- 494 -6349 Total $78.30
Contractor:
OREGON HEATING + A/C INC
PO BOX 397 REQUIRED ITEMS AND REPORTS
DUNDEE, OR 97115
Contact #: PRI 503 -538 -2953
FAX 503 -537 -2172
Reg #: LIC 125815
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and
all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not
started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires
you to follow.rules_ adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010
through' OAR 952 -001= 0.100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699
or / 1- 800 - 332 -2344. ,
Issued By: % /z; Permittee Sign�ur? _ �' /•mil
Call 503 - 639 -4175 by 7:00 a.m. for inspections that busines day.
permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Jan 24 06 01:25p MS Rentals, Inc. 503 - 537 -2172 p.2
anical Permi e_o :
• T , 1 "'1 i1«: 4 FOR OFFICE USE ONLY . : •
'. 4 . 7 :: 9 1 Receive PermitNo.: /
�,J / a � 6 //gems 6 City of Tigard ;, ��x R ec e ive
13125 S \\ Hall Blvd., Tigard, OR a72' ' I Plan Review Other Permit:
Phone: 503.639.4171 Fax 503 598 1960 l
4 206 t 1 ‘ Date/13y.: )LLZ . 8 Sze Page 2 for
Inspection Line' 503.639.4175 A N 2 Q.f�r Date RendylBy: 1 �
Internet: www_ci.tigard.or.us
H I Nolified'hletnod: Supplemental luformabou
"tip'
.1
'..*Ir �(lg`: COMMER S+EE* ICI-IEDL'LE. :- U CIiFf'KL;IST.'..
Mechanical permit fees' are based on the value of the work
❑ New construction lift ,I iii on /alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, overhead, profit. •
CaTEGORY.OF'CO ,
sgVal�$ labor,
.. .
. - ; :ItESIDENTLAT EQL�IPII�N;T'J S�iSTEVfS I`1✓
Ev- nand 2- family dwelling ❑ Commercial /indust:-ial ❑ Accessory' build g For spec al irformatior. use checkli
❑ Multi - family ❑ Master builder
❑ Other: Description I Ow_ I Ea- I Total
_ Beatin cooling
"JOB,SIT'E LNT012M_AT'ION _�'D LOCATION, .'`. ".., "_..',.,..`, :,,-.� :.: Beating /cooling
Job - �� 0,./k4--- ^ p eq conditioning ho heat purse
Job site address: (0\ J\ fr (requires stt plan showing placement) 14.0[) Furnace 100,000 BTU (ducts /vents) � 14.00 t(4"." City /State ZIP: j,t_ G 7/�i —! Furnace 100,000+ BTU (ducts /vents) . . 17.90
Suite/bldg /apt no.: 1 Project name: Gas heat pump i 14.00
Duct work 14.00
I J ;
Cross street/directions to job site: Bydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fihel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Flue/vent for any of above 10.00
Subdivision: I Lotno.: Other I 10.00
Tax map /parcel no. : Other W a beater
fuel
er appliances
.., ......,.:•.:...:..:. ,,;.:. _ . - . „..,: :: _
Water b t ap � 10 00
10
- -:_DESCRLP.T.TON O �.,. ..- ......., _ ,..•,..., � .00
• _
. r -. .... ,.:.., •... •...... fireplace
..... Gas I
Flue vent for water beater or gas
NO- fireplace 10.00
�! W f Log lighter (gas) 1 10.00
U) - Wood/pellet stove 10.00
�1 �]7 � Wood fireplace/insett 10.00
10.00
( :.,_. rne-lflue /vent •
''` :�E O .. : � t---tt TEI! i��'I'- ;' :e``, :'= ":;' I
`� , A , . Environmental exhaust and ventilation
PIN
Name: , � ` Range hood/otherkitchen
Address: 1--- eq uipment 10.00
1 -J � 10. 00
�] t 6 Clothes dryer exhaust
City/State/ZIP: O ) ( ,
Phon e \J 1-g-' (0 g4 Fax: ) toilet compartments, (bathrooms
ms) I 10.00
( Attic /crawlspa - e fans
li AI PLIC.3hT .. ❑"C ONTACT I? Othe 1 10.00
Business name U r/ oa a f (3Ll ,4 - Lt �`� Fuel piping
Contact name: '� 1 l �'
85.40 for first four; $1.00 for each additional
_ ,
F urnace, etc.
Address: ) A , r . . r Gas heat pump
City/State /ZIP: A O / AI . . V ' I ` � L �� Wall /unit beater
— �� / Water heater
Phone. t ) JS.P Fax: : ) t L 2.. Fireplace
E-mail •
. Barbecue
n � .. ,( •
:. :, ..... ` ... : n ` U� Clothes dryer (gas)
Business name: 1' Yn / '} �� � � Other.
Address: A f� . :. -- „•;: MECILANTCI4LPEI2s�['. PEES`;; ; : • ;`
A41 (f � / -� r Subtotal
Ciry' /State /ZIl : �f 1 V �' L . Minimum permit fee ($72.50)
Phone: i'1 7- . Fax I Fax 2 7-, Plan review (25 % o£aennitfee) v 'll
• CCB lie. :
State surcharge (8% o£permit fee) 7 V
,
— — — —
TOTAL PERMIT FEE - ' i i
I This permit application expires if a permit is not obtained within 180
Authorized 5 attire: . 0 1 1 JO . 1 1G!L--,- days after it has been accepted as complete.
a -
. - r a L i n I Date: ' i 0 _ , I. I ' Fee methodology' set by Tr. County Building Industry Service Board
CITY OF TIGARD � � ' 5 on. 1 0 3��'��
BUILDING DIVISION L 6'h.suzni Low. A. PERMIT #: MF::t.°200 x.000 a'
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 ./o §a ` . 1/24/2006
Inspection Requests (24 Hrs.): (503) 639 -4175 Jr __..
INSPECTION WORKSHEET FOR DATE: W1712006 TIME: 7:06Am PAGE: 114
SITE ADDRESS: 10066 SW KENT PL CLASS OF WORK:
SUBDIVISION: PICKS LANDING NO.1 LOT #: 044 TYPE OF USE:
PROJECT NAME: MCMAHON
DESCRIPTION: Replace furnace with like kind.
OWNER: MCMYIAHON, MARGARET PHONE #: 1
CONTRACTOR: OREGON HEATING + A/C INC PHONE #: 503
Inspection Request Scheduled For: Date 2117/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 027030 -01 503 - 530.29E3 Y A-wL
Corrections /Comments /Instructions:
e,(//01 A.‘ele- 7 2
PASS ___❑_PARTIAL_AP_PROVAL__ _ _ ❑_ NO_ACCESS
❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
I n s p e c t o r : ' ' Date: 2 It r 4 l.' Phone #: (503) 718- 2,1 de)