Permit C ITY OF TIGARD MECHANICAL PERMIT
I COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00010
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/5/2007
PARCEL: 25111 DC -11700
SITE ADDRESS: 15860 SW OAK MEADOW LN ZONING: R -7
SUBDIVISION: SUMMERFIELD NO.11 LOT: 613 JURISDICTION: TIG
Project Description: Replace furnace.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: MF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 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
FREEMAN, EUGENE B /EILEEN E Description Date Amount
15860 SW OAK MEADOW LANE
TIGARD, OR 97224 [MECH] Permit Fee 1/5/2007 $72.50
[TAX] 8% State Surcha 1/5/2007 $5.80
Total $78.30
Phone: 503- 684 -5284
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: Permittee Signature:
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.
JAN - 5 t 2007 09 : 16A FROM:
- •-, . s A° TO: 5035981960 P.1
i 7-* •
f '.' •
Mechanical Permit ARlEa0EIVE --) FOIt OFFICE USE ONLY .....
City of Tigard Received
13125 SW Nail Blvd, Tird, OR 97223 1
Date/Br I • ■--. di •12) Penult No.: M .,,,, , • 0 .. &lb ,, A.:
,
.ga i ft
Phone: 503.639.4171 Fax 503.598.1960 JI"'" 200 Plan Rev iew Date/By: Other Permit
Inspection Line: 503.639.4175 _al,%1 I I
Dote Ready/Ely: turIc . RI See Page 2 for
Inuznet www.ci.tigard.or.us UtY Ut I Notified/Method: Supplemental Information
• 1.1
elma,,y7-4.. A4, Tig . ..gr,-.•,,,,... - ,,..... , ...ig,„„. 2 15 ft -,
0 New construction 1:1 Addition/alteration/replacement e Mechanical permit fees* are based n on d the value of the work
perfomied. Indicat the value (roude to the nearest dollar) of all
0 Demolition El Other - mechanical materials, equipment. labor, overhead, and profit.
gigtigi: ( -,8 3-- 'Tdj) jZZI • -- (3 . t '''' t '11 .,- *,, ';',.: ",,;- •
- t.4 AB i Bi lENIS MB*
Igl, I- and 2-family dwelling 0 Commercial/industrial Ei Accessory building For special information use checklist.
0 Multi-family 0 Master builder 0 Other: Description I Qiy. _I Ea. I Total
. 3 1 ? ...•,:V "A,044.. '..- .' .' I. PA .9' . v C. ."'-';''' 2 .'...... Heatinwe°°Iing
Job site address: 161 ko 4 . I. 6 •A■Al • - Air conditioning or heat pump
(requires site plan showing placement) 14.00
City/State/VP: 1 ' 4 4
Furnace 100,000 BTU (thicoirvents) 1 14.00
ii Furnace 100,000+ BTU (ducts/vents) 17.90
•
SuitribldgJapt. no.: Project name: Gas heat pump 14.00
Cross street/directions to job site: Duct work . 14.00
. Hydronic hot water system _ . . 14.00
Residential boiler (radiator or
hydronic) 14.00 ,
- Unit heaters (fuel-type, not electric),
. in-wall, in-duct, suspended, etc. 10.00
• Flue/vent for any of above 10.00
Subdivision: I Lot no.: _Other: 10.00 ,
Tax map/parcel no.: Other fuel appliances
i ii' Aili,r ,-,: i :-.- - 4 i ' '-:•,...,
.-- .r.. :64;4, _.- . rx.o/.7. - /.•-1.... . - '..L - k.M'' ?3. _ :117,1V. . , _., r.I. , ..W F • T
Gas fireplace • 10.00
Flue vent for water heater or gas
Log lighter (gas)
Revl acc -Nrnaef, . , fireplace
_ 10.00
10 00
. , .
_
Wood/pellet stove . 10.00
. Wood. fireplace/insert , 10.00
Chimney/liner/flue/vent •
Name: ' . ... 4 . 1 - n fr<tinen Environmental exhaust and ventilation
Range hood/other kitchen
Address: 6/10C) . equipment _ 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
.
Phone: (VI Fax: ( )
laiS4-02Z4- Single-duct exhaust (bathrooms,
toilet compartments, utility rooms) 6.80
Attic/crawlspace fans _ 10.00
Other. 10.00
Business name: Tn cow Terlp CO • l
Fuel piping
Contact name: dilanc,ftpli • S5.40 for first four; S1.00 for each additional
I
Address: OM 6 Cisctc,kaina6 - Riverd)riz Furnace, etc.
Oas heat pump
City/State/VP CreeOn 0 •N oz q 7O4' heater
Phone: (.,.?)) -7
55 (-220 I Fax: : (603) .65-7...cpliq Water heater
Fireplace
E-mail:
•
nrig .rtei; f .4:: ] 1-..". ' "; '!. ' ' '
Barbecue
. .... ..4. ..., 'f_...', .'`.:',..!. Crl,_._ ■ ■t:d.t... - oLl'11:. A
Business name: -- ril w Temp ('�n-) Clothes dryer (gas)
Other: -
Address: 4 ••• 4 ■A il t a ■ I t " 'ilia-MMEE M , 7 a 1 3 :: .:' ' 4 . • ' ' •
Cit ° r ok_ CI 01, Subtotal
Phone: (68) 557-2220 I Fax: (00 657 . -eAlq Minimum permit fee (S72.50)
Plan review (25% of pemlit fee) --■'
CCB tic.: 72102,) _ State surcharge (8% of permit f4) r 7AO 4 , r ,
•;&
signat a-71--e /774,0e-g......._
... . TOTAL PERMIT F
Authorized signat I
The permit application expires if a permit is not e
. days after it has bees accepted as comp/Ma-
1 Print name: J ytyle M25.304 I Date: kipri 1 • Pee methodology set by Tri-County Building industry Service Board
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MEG2007- 000`10
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1/5/201 7
Phone: (503) 639 -4171 / od�
Inspection Requests (24 Hrs.): (503) 639 -4175 F -_..
INSPECTION WORKSHEET FOR DATE: 119/200' TIME: 7 :Q3AM PAGE: 7 1
SITE ADDRESS: 15860 SW OAK MEADOW LN CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO.11 LOT #: 613 TYPE OF USE:
PROJECT NAME: FREEMAN
DESCRIPTION: Replace furnace.
OWNER: FREEMAN, EUGENE B/EILEEN E, PHONE #: 503.634 -5784
CONTRACTOR: TRI COUNTY TEMP CONTROL PHONE #: 503.557 -2220
Inspection Request Scheduled For: Date: 1/9/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 041935-01 503-557 -2220 Y
C /Comments /Instructions:
e _..2G . 0 - ._•x , 4A-4.5
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ,f
Date: / ' --6'7 Phone #: (503) 718- _ 2+ -�� ------