Permit A' CITY OF TIGARD MECHANICAL PERMIT
PERMIT #: MEC2006 -00196
DEVELOPMENT SERVICES DATE ISSUED: 5/12/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1 S134C6 -11700
SITE ADDRESS: 12207 SW MILLVIEW CT ZONING: R -4.5
SUBDIVISION: MILLVIEW LOT: 017 JURISDICTION: TIG
Project Description: Replace furnace.
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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: •
> 10000 cfm:
Owner: FEES
LARRY KENYON Description Date Amount
12207 SW MILL VIEW CT [MECH] Permit Fee 5/12/200E $72.50
TIGARD, OR 97223 [TAX] 8% State Surchar€ 5/12/200E $5.80
Phone: 503 - 590 - 3113 Total $78.30
Contractor:
•
A- ACTION HEATING
18240 SW TV HWY REQUIRED_ ITEMS AND REPORTS
ALOHA, OR 97006
Contact #: PRI 503 649 - 3524
FAX 503 649 - 6095
Reg #: LIC 78369
•
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 • - -001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699
or 1- 0- 332 -2344.
Issu d By: 'i , ` L �� d I , Permittee Signature '// / :41.0 &L
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.
•
Mechanical Permit Application FOR OFFICE USE ONLY
Received `
City of Tigard E tt i) '14 V � Permit No.: DU - DU 19
C r V E® R e
13125 SW Hall Blvd., Tigard, OR 97 Gv G Plan Plan R plc
Phone: 503.639.4171 Fax 503.598.1 b0 t'' i ; Date/By:
Inspection Line: 503.639.4175 200 1 i ( Date Read; /By: rue 61 See Page 2 for
A
Internet: www.ei.tigard.or.tts MA 1 _ t-` °s=^� Notified/Method: .60 . Supplemental Information
TYIP.Tt11lIVbIiU COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
L IN U DIVISION Mechanical permit fees' are based on the value of the work
❑ New construction A on/alteration/rephwement performed. Indicate the value (rounded to the neatest dollar) of all
❑ Demolition ❑ Other mechanical materials, equipment, labor, overhead, and profit.
Value: $
CATEGORY OF CONSTRUCTION •
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist.
Multi - family ❑ Master Master builder r ❑Other: Description I Qty. 1 Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Al,' V /� Air conditioning or heat pump
Job site address: /aad J. u). Al i I Eed arx£-
t (requires site plan showing placement) 14.00
City /State/ZIP: 7;54,4/S / 0 R, q 7 .:9- p1 Furnace 100.000 BTU (ducts veins) / 14.00 /460
Furnace 100.000+ BTU (ducts/vents) 17.90
Suite/bldgJapL no.: Project name: k v6A/ Gas heat pump 14.00
Cross street/dircetions to job site: Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronie) 14.00
Unit heaters (fuel -type, not electric).
in -wall, in -dud, suspended, etc. 10.00
Flue /vent for any of above 10.00
Subdivision: I Lot no.: 1
Other 10.00
Tax map /parcel no.: Other fuel appliances
• DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
Re- /z '! D,(G / ,e /Ac. / 4-C C 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
,PROPERTY OWNER I ❑ TENANT Chimney /liner /flue/vent 10.00
Other. 10.00
Name: f pp kl� t l p Environmental exhaust and ventilation
0° ^ 7 � - 1 /� Range hood /other kitchen
Address:
9_ 7 6 . t ej . t'tl % // ✓! L` 13 C e7L.t., equipment 10.00
City/State/ZIP: - 7. a e Q ' 4 - 7.9 -,1- 3 Clothes dryer exhaust 10.00
l / Single -duct exhaust (bathrooms.
Phone: ( Spa - 3//
3) Fax ( ) toilet compartments, utility rooms) , 6.80
g. APPLICANT ❑ CONTACT PERSON Atlie/crawlsnacc fans 10.00 { A
Business name: Giiaer. 10.00
! `J A- ACTION - HEATING & A/C i•tvd piping
Contact name: ,Shill t e17EZ�7o0eA- 1$240 SA TV. HWY $5.40 for first four; $1.00 for each additional
Address: ALOHA, OREGON 97006 Furnace. etc.
Gas heat pump
City/Slate/ZIP: Wall /suspended/unit heater
Phone: ( S,t?) / i f q' --.35-c2/ I Fax:: (5 ) 6,L S .. 66 95- Water heater
�J ` Fireplace
E -mail: - Range
CONTRACTOR Barbecue
A -AU I IUN HI:AI INU & A/C Clothes dryer (gas)
Business name: 18240 S.W. T.V. IWY Other:
Address: ALOHA, OREGON 97006 i MECHANICAL PERMIT FEES*
City/State/ZIP: Subtotal / 9, 0 6
P fw3 � �` 9 66,95-- Minimum permit fee ($72.50)
Phone: ( ) `F'�7 C1 , 7 I Fax: 6 ! 9 - Plan review (25% of permit fee)
Cell lie.: 7B' 3t,, State surcharge (8% of permit fie)
TOTAL. PERMIT FEE `l C1 30
Authorized signature' -` x - / �/ D /
mi., permit application expires if a permit i Q f s nor obtained within 140
� ! l 10 s heen accepted as complete
/1141 2 - t4 .--. ! W�'i
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006 00196
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5!12/2006
Phone: (503) 639 -4171 �yl i i
Inspection Requests (24 Hrs.): (503) 639- 4175'I � ..
INSPECTION WORKSHEET FOR DATE: 7/11/2006 TIME: 7:00AM PAGE: 63
SITE ADDRESS: 12207 SW MILL VIEW CT CLASS OF WORK:
SUBDIVISION: MILLVIEW LOT #: 017 TYPE OF USE:
PROJECT NAME: KENYON
DESCRIPTION: Replace furnace.
OWNER: KENYON, LARRY PHONE #: 503- 590 -3113
CONTRACTOR: A- ACTION HEATING PHONE #: 503 -M9 -3524
Inspection Request Scheduled For: Date: 7/11/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 032884 -01 503-590 -3113 N
Corrections /Comments/ Instructions:
EL- i # .- Gr€i.0 /1- . 4G S 84 -0 99-
6 tea, !' 1��,-
' ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CA L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: /1 G/7 Phone #: (503) 718 - 1.,