Permit „.
CITY TIGARD MECHANICAL PERMIT
PERMIT #: MEC2006 -00038
� 1 � DEVELOPMENT SERVICES DATE ISSUED: 1/23/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 103AD -01000
SITE ADDRESS: 10665 SW PATHFINDER WAY ZONING: R -4.5
SUBDIVISION: PATHFINDER LOT: 001 JURISDICTION: TIG
Project Description: Install gas furnace & heat pump, gas to gas.
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:
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
ALEC KATZ Description Date Amount
10665 PATHFINDER WAY
TIGARD, OR 97223 [MECH] Permit Fee 11231200E $72.50
[TAX] 8% State Surcha 1/23/200€ $5.80
Total $78.30
Phone: 503- 644 -9420
Contractor:
HEAT RELIEF CO
1311 NE 116TH AVE.
PORTLAND, OR 97211 REQUIRED ITEMS AND REPORTS •
Contact #: PRI 503- 260 -0077
FAX 503- 261 -9814
Reg #: LIC 122424
•
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: _se
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 23 2006 1:44PM HEAT RELIEF 503 261 9814 P.1
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Zechanical Permit AnDlicpt>
:ity of Tigard Received F emdt ,
R t 6 Da r ' 3 714 � - ;.i�06 �
3125 SW Hall Blvd., Tigard, OR 97223 1 OQ I , in : , i `. DatHBy: (J' _
lone: 503.639.4171 Fax: 503.598.1960 N . Other Pamir .
spection Line: 503.639.4175 Lt. •,� I i
f Date Rea
teener: www.ci.tigard.or.us - _ d' /B Y ' kris.
Goo N � 0� Notifled/Medlod: -/ fr I la See Paget for
Supplemental laformadoo
!tin
{"Itt1tili . w'.}` 941: , ., 1 I :1',-.'''''''':;:-.‘ :'' ;'!''i-i... r , ,, ); .j " I CI.? .' 1
] New construction ..' Addition/alteration/replacement Mechanical permit fees• arc based on the value of the work
] Demolition Other mechanical Indicate the value (rounded to the nearest dollar) of a
mechanical materials, equipment, labor, overhead, and profit.
aY 7i 3 i': SP, ,
jr T hr ��_... � f .: 6 r ,. - `If. , � I I 'y: a � i � ��i ,.‘,d:!!!-11,!:,,, 5
rh f 9�'dr.•°r Ntl _ >er / . ..': � i:.. . .a. _ a 1 1 ' ' . i
4 - and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building „_
'
Multi - family ❑ Master builder ❑ Other: For special information use checklist.
Description I Qty. I Ea. I Total
1', i ra } i(IP. t i H ; r 1 7 I f Ue c Ii
ob site address: /D4 (s- A f piO Air conditioning or heat pump
ry (requires site plan a hawingplacetmtt) 14.00
i1y /Stale/ZIP: 1-16, O C q 7 2 3 Furnace 100,000 BTU (duets/vents) i 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
;uitrlbldg. /apt. no.: I Project name: Gas heat pump I (4.00
• .ross street/directions to job site: Duct work 14.00
Hydronic hot water system 14.00
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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
fax map /parcel no.: Other fuel appliances
: ;t1;t 4 ff z , li r 4 1 Water heater 10.00
:d nri x7l tS ., } '., � :: ° ` r t i ,':', : 4: : 3 2 ;. ! .r
s , S / , a i ri /'� �^_ _� — 1 ` S W Gas f ant r 10.00
d
lV (� Q (p ,N_A � 6[ Flue vent for water heater or gas
P t - ldk� I U e„e S fireplace 10.00
t Log lighter (has) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
l i5, _r 7 r .,: . ,..;;;;F ; , - ' . ::,i;! - ' Chimney /liner /flue/vent 10.00 ■
._. , `. ;. : r,: r ..,... c r.....: Other: _ 10.00
'lame: l C e ( C l ; �� Environmental exhaust and ventilat
4ddress: . Range hood/other kitchen
equipment 10.00
- ity /Staie/ZIP: Clothes dryer exhaust _ 10.00
P ) Fax: Single -duct exhaust (bathrooms,
hone: ( f
3 , Li . ( ) toilet compartments, utility rooms) 6.80
,
,,�,}��,� ti w° F ' > '
•��is�L"�i�:i -+l . �.,.r. ... t S} ..5. e 1 . . . .. s , Attic /crawls ace fans 10.00 y P
Business name: . e .,,,....}. e .,,,....}. R,t2�� Other: 10.00 !4
Fuel piping
Contact name: mark Lie. ett«cxSt 0 $5.40 for first four; 51.00 for each additional
Address: t 3 I I N a- ' J ( Furnace, etc. i
Gas heat pump
City/State/ZIP: a r el/A , Q . '1).)-O Wall/suspended /unit heater
Phone: (5tN ) 4 X77 I Fax:: (szg ) «ary Water heater
Replace
E-mail: Range
y ®�� t ,. �i ,fi � .,.� . , . 1 � - , , .I
" "i ,;41 k: P t �' �.,4 . h :i. C : roe . l.. v .u' ,1,rii. t a . :. t r ,..' Barbecue
Business name: �A� fZe v Clothes dryer (gas)
Other.
Address: (( Nis r G"8 �
City /State/ZIP: a ,velf t:7R €4-7.2.0 Subtotal
Phone: ( ) LQ . 00 7-7 , Fax: (g2 ) ,,l6d� //Y Minimum permit fee (572.50)
Plan review (25% of permit fee)
CCB tic.: l aji.taif State surcha
rYe (8% of permit fee)
/ TOTAL PERMIT FEE
A uthorized signature: This permit application eipires If apermdt 6 not obtained within 1SC
L days attar It has bees accepted as complete.
Print name: Plaikrk Aefrik."C c—o Date: 1 -3-3 _04 1 • Fee methodology set by Trt- Oowtty Building Wintry Service Board
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A C.4iEAT PUMP — UNJT SITE PLAN '
CONTRACTOR ..or Oiru.
® Gtr TO BACK PROPERTY
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SIDE PROPERTY LINE .
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Gtts:oMER INFORMATION
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CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MEC2O06- -00031
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 103/200G Phone: (503) 639 -4171 w ,'4hl�1
Inspection Requests (24 Hrs.): (503) 639 -4175 - "LL.
INSPECTION WORKSHEET FOR DATE: 2/3/2006 TIME: 7 :02AM PAGE: 55
•
SITE ADDRESS: 10665 SW PATHFINDER WAY CLASS OF WORK:
SUBDIVISION: PATHFINDER LOT #: 001 TYPE OF USE:
PROJECT NAME: KATZ
DESCRIPTION: Iiwtall gas furnace. & heat pump, gas to gas.
OWNER: KATZ, ALEC PHONE #: 503 - 644.9410
CONTRACTOR: HEAT RELIEF CO PHONE #: 503-260-0077
Inspection Request Scheduled For: Date: 213/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 026210-01 503.644.9420 N
Corrections /Comments/ Instructions:
.. 1 , )
PASS 11 ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL C ' OR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 ■_ Date: � Phone #: (503) 718 - z--.. ��