Permit •
CITY OF TIGARD MECHANICAL PERMIT
.A
DEVELOPMENT SERVICES
PERMIT #: MEC2006 -00166
DATE ISSUED: 4/24/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S135DD -00600
SITE ADDRESS: 11831 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: HOFFARBER TRACTS NO.2 LOT: 040 JURISDICTION: TIG
Project Description: Replace (4) gas packs, push -pull. Valuation $ 30,500.
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CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: 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: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
YOUNG'S FUNERAL HOME INC Description Date Amount
11831 SW PACIFIC HWY
TIGARD, OR 97223 [MECH] Permit Fee 4/24/200E $508.25
[TAX] 8% State Surcha 4/24/200E $40.66
Total $548.91
Phone:
Contractor:
ARROW MECHANICAL
10330 SW TUALATIN RD
TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS
Contact #: FAX 503- 691 -1879
PRI 503- 692 -1565
Reg #: LIC 5193
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.
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Issued By: . c2 4. 46 --.
Permittee Signature:
Call 503 - 639 -4175 by 7:00 a.m. for inspections that •P n: s ay.
This permit card shall be kept in a conspicuous place on the job site until corn • • of the project.
Approved plans are required on the job site at the time of each inspection.
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Mechanical Permit Application • FOR OFFICE USE ONLY
City of Tigard � ', v i ;' Received _
`. g t �� r . j • DateiBy f L�J / Permit N G _ • /
13125 SW Hall Blvd, Tigard, OR 97223 1
Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 4,r- DateJB Other permit:
In3pection Line: 503.639.4175 . s f - / /,, •, 4 4 j J, Date Ready/By: El See Page 2 for
Internet: www.ci.tigard.or.us Notified/method: r Supplemental Information
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ID New construction !G i Addition/alteration/replacement Mechanical permit fees' are based on the value of the work
❑ Demolition ❑Other performed Indicate the value (rounded to the nearest dollar) of all
mechanical materials, equipment, labor, overhead, and profit.
y g ::'...2...:. r _ ?. i., - - .�r. 4) ) \5 J - 4 � :tir XS ' r ,: r! V , , a O 0 to
1- and2- familydweling lam usural Accessory building Y:t /c,i ., Y , f r� . . y`� t ,.. ^T ,i :
.� Commett;tal/md ❑ ccessory dmg : w r � , � ..-_ rs .._ ,, : -■ _=•
❑ Multi- faml ❑ Master bin'lder ❑ O For special information use checklist.
t Description � Qty. � Ea. � Total
.v?r c . _, (e) 4 !: r1 ! 4 i:: - § ); t F P t y � ! k' .. ,) tJ ` Gi t'.,:. � 6 ' . r ;� -.1.1,"--:' ' Heating coollag
. .. �t' ._.i ... � . : .. t -_ '.' ._.:art ;.S`ae . .._ .� .: .�.., L- ..y "':
Job site address: //8 / S I�AGJ .. / c_, ,GI Air conditioning or heat purr
City/State/ZIP: / � (requires site plan showing placement) 14.00
Ci
h' 7-7„A , OA 9 7zZ- Furnace 100,000 BTU (ducta/vents) 14.00
Suite/bldgJapt. no.: I Project name: I ��0A L Furnace 100,000+BTU 17.90
o U // La S Gay 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
Subdivision: Lot no.: Flue/vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
a.- .��3r����; i , Al t kst n T : 8 p �
. - s :�'u
- • �. 4 �N
' ' Water heater 10.00 I
.xs�•- 7� . a. +s..xr ��. .s ..• fLS"'�b �i.ii Y ' �t�.:
1/L L -; a5Pte�� , 7 ' n
Gas fireplace Ent or water heater or gas
10.00
+-/ /
J�. l /...444 PA C,l < S Flue vent for
10.00
l 0i 5a UAI -- S / 'Xr✓� 9L Log lighter (gas) 10.00 .. � /(. -l• ( (4/"? Li c9ck- r) Qot/ Wood/pellet stove 10.00
Wood fireplace/insert 10.00
Chimney/liner/flue/vent 10.00
s• .L . .,.. . ..A; z M :_.4 : 2: 5 �: 74"41 1 • Other. 10.00
Name: U 0V<,/ &S vA/' L /.1 Environmental exhaust and ventilation _
Address: f t g 3 / s w P _4 p/ / 1�� Range hood /other kitchen
t equipment _ 10.00
City /State/ZIP: 7U , ox. q 7 Z Z3 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (Sc 23 e . , (.- Fax ( ) toilet compartments, utility rooms) 6.80
„ >w r 1 ate( ti"N3`� Z. A rtt a,,.._7 Y7rr0� 4.- AAttidaawlspacefans 10.00
• Business n:. C: A g 111
Other: 10.00
A ! Fuel piping
Contact name: 7 i2J7 F; I - 1-.A1 R • $5.40 for first four, $1.00 fo r each additional
J Furnace, etc.
Address: /6.3 30 5 V 7L/i{-LL! / 1 g) Gas heat pump
City/State/ZIP: -7 A, Ld />� 97.6 6 Z ' . Wa1Va.cpendedhmitheater -
Phone: (�3) 6, 9' / F ax: : ( ) (0 •- (g7. q
Water heater
E-mail: Fireplace
Range
r ''.; L T A r ',.; 3 7 k i- �' n ^t r ss, C - " < Barb
Business name: A 2Qbt .1/ M _ Clothes dryer (gas)
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Address: s _ r•
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Cit Subtotal
Phone: ( ) Fax ( ) /- , `
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Plan review M permit fee ($72.50)
eview (25% of permit fee)
CCB lie.: 51 / State su rcharge (8% of permit fee)
vg, 9/2-41 l _ _ TOTAL PERMIT FEE
Authorized signature: Aft y Thb pew appUcatkm expires If a permit Is not obtained within 180
I days after It has been accepted as complete.
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006 -00160
I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/24/2006
Phone: (503) 639 - 4171 �v �� 4� ti � ���
Inspection Requests (24 Hrs.): (503) 639 -4175 : -.,.� I '__..
INSPECTION WORKSHEET FOR DATE: 6/9/2006 TIME: 7:02AM PAGE: 59
SITE ADDRESS: 11831 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: HOFFARF3ER TRACTS NO.2 LOT #: 040 TYPE OF USE:
PROJECT NAME: YOUNG'S FUNERAL HOME
DESCRIPTION: Replace (4) gas pacl, push -pull. Valuation $ 30,500.
OWNER: YOUNG'S FUNERAL HOME INC, PHONE #:
CONTRACTOR: ARROW MECHANICAL PHONE #: 503 - 6921565
Inspection Request Scheduled For: Date: 6/9/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 031367 -01 503 - 793-5027 Y
Corrections /Comments /Instructions: hb
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C " 44, ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
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�%�w . IL CALL FOR INSPECTION ❑ ADDITI NAL FEES ASSESSED
Inspector: Date: 1 Ct Phone #: (503) 718- z4z3