Permit „,
C ITY OF TIGARD MECHANICAL PERMIT
tr r” DEVELOPMENT SERVICES PERMIT #: MEC2006 -00320
pi II DATE ISSUED: 7/13/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2 S 114AB -09300
SITE ADDRESS: 09292 SW MARTHA ST ZONING: R -4.5
SUBDIVISION: KNEELAND ESTATES NO.2 LOT: 091 JURISDICTION: TIG
Project Description: Installation of furnace & A/C unit.
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: 1 DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
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
RUTH BEAUCHAMP Description Date Amount
9292 SW MARTHA ST
TIGARD, OR 97224 [TAX] 8% State Surcha 7/13/200E $5.80
[MECH] Permit Fee 7/13/200E $72.50
Total $78.30
Phone: 503- 639 -0661
Contractor:
TRI COUNTY TEMP CONTROL
13150 S. CLACKAMAS RIVER DR
OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -557 -2220
FAX 503 - 557 -0919
Reg #: LIC 72623
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: y �� Permittee Signature: yjj
0
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.
FPCU'1 :, FAX NO. : 5035570919 Jul. 13 2006 08:34AM P1
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• Mechanical Permit A.1,? '.k . (011,
FOR OFF USE ONLY City of Tigard 1 Receiver! _ _
13125 SW Hall Blvd., Tigard, OR • � DateBy: 3 D6 1 Penult N V ` �` 4 .
Phone: 503.639,4171 Fax: 503.$98.1960 20 06 plan Review _
Inspection Line: 503.639.4175 ,1` ° ` '' " Other Pe
�" ` t4_;l , ,)'�" Date/By:
melt:
Internet www.ei.tigard.ur.us � . n _ Dale Ready/By: Juris: el Soc Pa 2 for
�,9r ,s , : �.: y jn t , lV ° t c. \ !� rean�cwu� rp m0 tal J
u su l e U ararmastoe
-..L ? q• may' d, „ rif•tr ,:i
o New construction , + ■ don/alteration/replacement Mechanical p fees` are based on t he value of the work
❑Demolition Other: performed. indicate the value (rounded to the nearest dollar) of all
mechanical materials, equipment,
'J : r,. a ai Ya �,r. . ; • „� '' Nyy �, r.. . .. q pment, labor. overhead, and profit. � , s , -, I : : � :..l. ; ..V•a”: 1 •nr : °Ill 4::.: , Val": $
• '1 :1� : „• Y YL :' : :��Ci �si'.Y. ����`•.
l - and 2-family ° ,_,:, `'•�. ••.t,,. .
lydwelling 0 Commercial /industrial ;'; , 5 %`�5 °>, ..TFI`tT %
❑ Accessory building .
❑ Multi - family [f Master builder ❑ Other: For special information use cfer:klts•t.
tion
it ""..,j:..7 Descrip
% 24 ii .... ` Iii :4 °'• i "' .''' . G TI .4; . .. Q[Y. E3. Tutnl
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.: , . _. .. ,.. ,,>u,�.� •',r.;�; :G : :� •_.. • � :�� Hoatin eo0lla ...
• Job site address • • i . /� Air conditioning or heat pump .. Li
o ( site als showing placement) ' 14.00 1 I
City/State/ZIP: /� � � Furnace 100,0 9T (ducctg/veni, +) ( 14.00 I grn(1
Suite/bldg./apt no.: . Project name: Furnace 100,000+ BZ V (ducts /vente) 17.90
- - Gas heat pum 14,00
Cross street/directions to job site: Duct work 14.00
Ilydromc hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00 • - Unit heaters (fuel -type, nut electric),
in -wall, in -duel, su. ended etc. 10.0
Subdivision: - - 1 Lot no,: Flue/vent for any of above 10.00 —
Other: 10.00 .
Tax map/parcel no.: �� Other fad appliances .-
'.q,yYe �'P E a:•.. .. .,4�'•p -' s� ,i.vd'' w s - ,.�• :;: t t. . -
e J �
:rl..•.. i h. J .� . J' 1J lr y VK_(•)' . :: rep' :'�!',' E`'° Water heater �,. t . . _... � ..Y .,. ... _. �: ..ry'•h� t�..° ';�� : ^ 3 4'� :�„ . ... _ 10.00
� Gas firepl 10,00 •
�' C ' ,4 I C . , R , Flue vent far water heater or gas
fire. lace _ 10.00 _
- - -- Log lighter (phis) 10.00 __
. Wood /pellet stove _^ 10.00 _
Wood fireplace/insert 10.00
wart! a �F .,. :,,, ,: �..-. r •...r; :, te— Chrome /line /
. ,, ,� G.,a t� n r :.•• • : , , � ;;i „:; r ..... Y r flue/vent
't'ti'1�:S;r. :f.;, G, 0 ac, .. .��.. '� y ''fimr •, -• a.• ? :ti'.�� , :� ��.•�S�..� J..� -•
•
Y ....._
,,;,.; • ,..,. ...... .:�..ri :�•• ., : :�:I :J�R';� Other:
10.00
Name: , r -._ .
o I _ / Ai Environmental exhaust and ventilation
Address: �� -
Range boud/other kitchen
' ,_ - . --
_� -,� t uipmcnt _ 10.00
City/State/ZIP: _ Clothes drier exhaust ,. - 10,E -
Phone: / / / Fax: ..- -'— Single-duct exhaust (bathrooms,
fir ,�� / „ ( ) toilet compartments, utility rooms) 6,80
"c "...,- Attic /crawls ace a • ' ., .,..wr...4 : ; 1 ., !3 . 1. . '�rnG i rf :a' � '1I 1:- !K. .P fns in
. : t d•,!i�4•: � • ■
Tarp C � A I r , I i ,_ ) J a, : 00
Business name: Tri ` ... T / t att-o Fuel -.. ry 10,00
4 t t ll Fuel piping _
Contact nano' t
S5.40 for first four; 51.00 fur each additional
_.
Address: II •
es aa n C Furnace, etc. •, ..
F'�J �' JV l [ I [V L,Y Ul,) Gas heat pump ..„ ,•_ -_____
City/State/ZIP: n. on C R 0 ` WalUsuspended/unit heater
Phone: (0) 5157. 6.1-.1_ Fax:: ( 52 ) 5G ai I q water heater
q
E-mail: ri • Ince .,
� r � ^ Rage
,V� i' ,I d ,4 g 4 W. i 4?v�4 ' � eiM ci i; aY 'rff f;ect C i4k u .42 ,,.r ; a,•.ib i•`� i ' Barbecue ^ — --
Business name: To cci l f �L _ I CG6611 .1%;,.r...:•::.1.,- Clothes dryer -
r l rY (?++a) —
Address:
4 • 1(, Q t? )it t n g �, s '
City/State/ZIP: -0 ry �1 1 t �? ... Yl '.1!1'TT(1t°
Subtotal _, Q�
Phone: ( ) 55 _. �' ax. � LLJ 6 r �'7 , (� -_ Minimum permit fee ($72.50) •-•.i..2. -S') , 2. .` ,J:J (. Plan review (25% of permit fee) �T
CCD tic.: 7 , _ ., . ...._ ..---,--5-
2S V
State surcharge (8 %, of permit fee) ) ,
TOTAL PERMIT FEE -- 1 0 Q - - - 0
Authorized signature: .,Ara..,-Le �� Thu par= applitatton expires if a permit 1t not nbtaio wltnln 180
- days after It has been accepted 33 wrnpiete
Print name: f T�; dne 04 Date' i ' 1 ♦ 5) // • fee rneI11OdOlogy sat by Tri -County Building Industry Scrvine rinsed
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. CONTRACTOR NC -HEAT PUMP —=. UNIT SITE PLAN . 4— ::
a ....•• . - t . •. . "' ee
{.. ' •k TO BACK PROPERTYUNE 01r�f�o
N ".;. E �`
TO SIDE PROPERTY LINE
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' TO STREET • -
.. . CUSTOMER INFORMATION -
NAI'11E ..
• ADDRESS • .
PLEASE REFAX APPLICATION WITH SITE PLAN.
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CITY OP TIGARD S Am
BUILDING DIVISION - - • PERMIT #: MEC2006-00320
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/13/2006
Phone: (503) 639 -4171 :4 Inspection Requests (24 Hrs.): (503) 639 -4175
__..
INSPECTION WORKSHEET FOR DATE: 7/26/2006 TIME: 7:07AM PAGE: B0
SITE ADDRESS: 09292 SW MARTHA ST CLASS OF WORK:
SUBDIVISION: KNEELAND ESTATES NO.2 LOT #: 091 TYPE OF USE:
PROJECT NAME: BEAUCHAMP
DESCRIPTION: Installation of furnace & NC unit.
OWNER: BEAUCHAMP, RUTH PHONE #: 503
CONTRACTOR: TRI COUNTY TEMP CONTROL PHONE #: 503 - 557.2220
Inspection Request Scheduled For: Date: 7/26/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 033725 -01 503 - 557 -2220 Y
Corrections/Comments/Instructions:
___ 5 932s 2- • il-( C....,
. ` , ,; / a p /-
67e2S2_ Y /
cK, PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 974A... Date: 7 12‘ e Phone #: (503) 718- 2 7 QC>