Permit CITY TIGARD MECHANICAL PERMIT
1 4 DEVELOPMENT SERVICES PERMIT #: MEC2006 -00395
I
DATE ISSUED: 8/10/2006
r_ 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 111 CA -03300
SITE ADDRESS: 09635 SW LAKE SIDE DR ZONING: R -7
SUBDIVISION: SUMMERFIELD NO.12 LOT: 653 JURISDICTION: TIG
Project Description: Replace furnace and install AC
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: 1 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
NOBLE LARRIE Description Date Amount
9635 SW LAKESIDE DRIVE
TIGARD, OR 97224 [MECH] Permit Fee 81101200E $72.50
• [TAX] 8% State Surcha 81101200E $5.80
Total $78.30
Phone: 503- 620 -2936
Contractor:
BRUTON COMFORT CONTROL INC
12855 SW 22ND ST
BEAVERTON, OR 97008 -5152 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 626 -7477
FAX 503- 646 -0126
Reg #: LIC 65296
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: X 1 , 4 , 1 i4 c. Permittee Signature: a----72/4-1/
_I' " }
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.
/
Sent By: BRUTON COMFORT CONTROL; 503 646 0126; Aug -9 -06 1:00PM; Page 1/3
.I4 eohiinilai Permit An' • cation 1 (r �: ( ) i I / t t i i. r \ I )
City to b P ewit No.: V _ : .„0&...15,030
13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503 - 66.4171 Fax: 503.598.196{) I I u Pern�it
„, t Otb:
Inspection Line: 503.639.4175 M UG I ) 200 /41 U.. : 0 S c Page 2 for
Internet: www.ci.tigard.or.us -- Notifi d/Methtd: .or Supplemental inhumane.
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Mechanical permit keg are based on the value of the work
❑ Ncw construction Addition /altcration/rcplaccmnrlt
El Demolition ❑ O ther: perthrmod. Indicate the value (rounded to the nearest dollar) of all
mechanical materials, equipment, labor, overhead, and profit •
,tv : > ti � ... 'xv` hr,� , 1 +leSita t 7M„:., 9Y Nii''' .,0.7P'iwg..ticlyn,t 4ilW. 10 I i t 4* t r it r u .., r sW 1, ' v,' a v: y Value: S
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'11 } s ig 7rktak I N YJ W i & ttti 'S14 W 1
i2. 1- and 2- family dwelling ❑ Commcrcial/industrial ❑ Accessory building Y3 4n0406 Y m
❑ Multi family El Master builder ❑ Other: For special Won:ration toe checklist
�;• ,t ,` ' ""nstr ,:r r t vial T A
r Description I Q t 1 Total
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'' WO Mali. -
�� C, . �. I . Air conditioning or heat pump
Job site address: r �.r L-i l C .. � , - , ulnas site 'tan adowln • . , emem 1111 14.00
City/State/Z1P: - I L - Furnace 100.000 BTU ducts/vests r' 14.00
Furnace 100 000+B11) ducts/vents Imo Suite/bldg./apt. no 1'roje i name: 17.40
Gas twat pump ■ 14.00
Cross stsizf/dineclions to job site: 01011.1 f I1 11U � DMA worts 14.00
11 . I . hot waters :ten 14.00
or \�[ �� . \ t 1 Residential boiler (radiator or MEM
• • 0 Y t. .. J h dronic 14,00
• link beaters not electric), - -
S l ! e 1 d r . in- . au, ,, etc. 10.00
Subdivision: Lot no.:
Flue/vent for any of above 10.00
Other 1 0.00
• Tax map/parcel no.: Other fuel appliances
;;i:ft,yr,o: Y,:y<k;' i'b9!f. *..i. ,y; , ! p' ./' pyalt:;W% ,. h''. '. • ).: : �'t
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� yFv. .ci;.:.$ Miler hCetC;l l - INI
-
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Flue .. 1 ace r ga 10.00
L.�C Flue vent for water heater or
\ ie) C__-/ fire lace 10.00
, i ,, 1 0.00
Wood/ r lot stove 1 0.00 --
Wood fireplace/insert 10.00
y °u 'htF 'U id ' .rA`NR1 , ef 41•..4 � .( :., d r. �{ •.� 7 Mn.W,.s,ry I . a
-•<. �A" )J• y h �` t. h "`� r „i d ° � !� 4 . �X� . , y �r ) , t ° Chi AInFJ'/lIUI:JVent 10.00
= S '�`: � ( \ ` f I 4 41 c p 1, "' •`k t .: . J ,''1%\ ( 1.+3 • '43Q.;`l n^ )tp t f A X3 _ n . '.H
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. Other: � 10.00
Name: Lo-- . ' . \- Emirorameetal exhaust mad ventilation
Address: ' 1CQ35 pS ) L L.. F-..tC_, . ` u r- angmhood/other kitchen 10.00
City /State/ZIP: 1 _ i • (r' Clothes . et exhaust 10.00
�_ is� i I� l toilet . exhaust (bathrooms,
Phon � . �` �a Fax: ( ) toilet crnn r animas. utvi rooms 6.80 1M
'∎;1 ∎4`' r Y � ! rl 71 t' \.✓ �7 . 1 S t / i > y, : 1 t�
il k y
:." ..r fr la4 ' *` ,:s x;, h' 4044 �., ,„^ a „. n w x � , <',, o m. + & n kn : 1,, 10 00
Business name:
10.00
Contact name: - 1 ch_e` � -k7 ^� .r-C�` l $SAO for first four $1.00 fur ezeh additional
Address: i `� `J `J �L1L`, Gas heat ate. �
�� Gas heat t „ r
City /State/LIP; ap / I 0 LIa al 61,3oilob wa1Utu. ■ - mat heater _ - _
P
w .- ax: Water heater
�i' + ` alas _ . - ew Fi lace _ --
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e .. ,1 ; 1s` 1 , ,, , s< .0 ` 0 , ,,. , •1 ' 61. 4
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A 4 v • +� a . ,y' 9^ Barbecue
Bubiness name: I � b� lfi 1 1 !�>• i ,. -. � cloves III ME
9 1FjA r•lrxvrc 1�"t ^AA`AC r /(3411 t' ° ''i;
Address:
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City /State/ZIP: - - r�! D e �� Subtat:t
Minimum permit fee ($7 ��'"��
2.50) P
+� / .. I Pl an review (25% of permit Fee) ----- CCB lie,: • *T surcharge (8% of permit see) �. lI
0411 � Tt)TA t[,. :RM1 I' b C r �)
Authorized signs rc - _ This permit application aspires if a permit is net obtained within 180
_ tizye ilitr:r it t.,■ teen .«epinl .s complete
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fit. 7 E I e 4 i reel/ 1
Sent .13y: BRUTON COMFORT CONTROL; 503 646 0126; Aug -9 -06 1:01PM; Page 2/3
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CITY OF TIGARD elv•
BUILDING DIVISION PERMIT #: MEC2006-00:196
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/10/2006
Phone: (503) 639-4171 /
„dot
Inspection Requests (24 Hrs.): (503) 639-4175 tip
INSPECTION WORKSHEET FOR DATE: 8/18/2006 TIME: 7:03AM PAGE: 51
SITE ADDRESS: 09635 SW LAKE SIDE DR CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO.12 LOT #: 653 TYPE OF USE:
PROJECT NAME: NOBLE
DESCRIPTION: Replace furnace and install AC
OWNER: LARRIE, NOBLE PHONE #: 503
CONTRACTOR: BRUTON COMFORT CONTROL INC PHONE #: 503-626-7477
Inspection Request Scheduled For: Date: 8/18/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 035225-01 503-626-7477
Corrections/Comments/Instructions:
izr_razi eprc., # 59661o/ St& 1._aes? ‘.4te,44,ari Ceect, i-r
2'<cS
_ _ I I L__ PARTIAL APPROVA . fl CANCEL pi NO ACCESS
FAIL fl CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: 7./7 Date: (5 Phone #: (503) 718- 'aitel-r-I