Permit in
CITY OF TIGARD MECHANICAL PERMIT
�,tj,3, DEVELOPMENT SERVICES PERMIT #: MEC2005-00793
00793
�" '� I- ' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 12/2/2005
PARCEL: 2 S 114 B B -04800
SITE ADDRESS: 10080 SW PICK'S CT ZONING: R-4.5
SUBDIVISION: PICKS LANDING NO.1 LOT: 025 JURISDICTION: TIG
Project Description: Replace furnace
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: 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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Owner: FEES
ROBERT J. MARCHANT Description Date Amount
10080 SW PICKS COURT [MECH] Permit Fee 12/2/200: $72.50
TIGARD, OR 97223
[TAX] 8% State Surcharf 12/2/200° $5.80
Phone: 503 -670 -0993 Total $78.30
Contractor:
TRI COUNTY TEMP CONTROL
13150 S. CLACKAMAS RIVER DR REQUIRED ITEMS AND REPORTS
OREGON CITY, OR 97045
Phone: 503 -557 -2220
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: 83/Z /A» l3 1 lr /C_ Permittee Signature: 0 A/'PL 1 CA Tl0 I�
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.
Nov 27 05 12:14a Tri Count Temp 5035570919 p . 1
,
.,. •;, IP
Niechanical Permit Application
City of Tigard 0
'Receiv .Z-or Permit No.: Ar ... P.'
13125 SW Hail Blvd., Tigard, OR 9 EC ED ed Ak Date/By:
Plan Review
Phone: 503.639.4171 Fax: 503.59 .1 60 amiwgr,r.tiii . Date:By: Other Permit:
Inspecaon Line: 503.639.4175 rif - ' 2t,t6 -il4 i
h' Date Ready/By: furls: El See Page 2 for
Internet: www.ci.tigard.or.us 1 !--! -' - NotifteelfMelhod: T 6„ Supplemental Information
t. iig::777" 4. '' r .. " -- F.f , : - :..t' IcTOWERCTAL.IEVr:;SCILED.TJL'E ='13SE;CHECKLIST •
0 New construction - .. '7 744 A j c& LPIC .7'. Mechanical permit fees' are based on the value of the work
'bon/alteration/replacement
• performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
:.:;•• .z;-;:::::::f..':' . ,,.. L, .. . -..L...... . ...• ":": : •• ••• -.-; . • -. • •
,..: • 'r i.. 7 : • ,,r ,...........--.. - - --: -•- .-. - - ',- - - - .-- ' " ' ' • " . • - . •- -
e ;. FEES*
N and 2 dwelling 0 Comrnercial/industrial D Accessory building ' - "'"' ' '''' ' - " - . . ' .' '
For special information use checklist.
El Multi-family 0 Master builder 0 Other: . Description I Qty. 1 Ea- 1 Total
-: 4i; -, :', :. - „.:': ; - Heating/cooling
Job
Job site address: 10 6w Coui- - •
Air conditioning or heat pump
(requires site pian showing placement) , 14.00 1
., .
City/State/ZIP: '18 2z . Furnace 100,000 BTU (ducts/vents) --.-!.., ( 14.00
_ Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: Project name: Gas heat pump . 14.00
Cross street/directions to job site: _I Duct work 14.00 I
- 1
Hydror.:c hot water system 14.00
1 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: Lot no.:
Other: 1 10.00 ; _
Tax map/parcel no.: Other fuel appliances .
iik, Water heater 10.00
: '-'-',- , 4•7:-...:...-1. .......... .,,-..- . - ... .. ...,.; - - . • .t.....i.,:. ... ..:4,.., t -.. ?,--, - . ...,,- •
IltPl-farnatri Gas fireplace
Flue vent for water heater or gas 10.00
' fireplace 10.00
Log lighter (gas) 10.00
_ Wood/pellet stove 10.00
Wood fireplace/insert 10.00
• - - ,- • ,' - • --- • --•- .---- --;....-. ... :.:-..,.- Chimney/liner/flue/vent 10.00 ,
•
' ; • . Z".'" ,- 1 4 ,4,4 x piliiii r rItM34 . facii15,11:".4: = - .! 4 '.: : ;: , 1,Ct1 , :tflijeliNii4i:M.;ft:4'..:;-;,.. ::; ;',
:::•7;=-1-,47;;‘,5,17--T, • . ,....---.- ..:.,.:r.t.
Name: di ,," ,• .•.`,.....:' ...:■ , P - . - • • • `...- • - " - '. • ' Other: 10.00 I
nbe rr ick Environmental exhaust and ventilation
Range hood/other kitchen
Address: ESarne equipment 10.00
City/State/ZIP: , Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: 60)) (ller-01.1(45 Fax: ( ) toilet compartments. utility rooms) 6.80
1.),F24
: ::...,,:;:v... A ttic/crawlspace fans 10.00 _
€.-.1's :!:.:' -r ... ,....T-1 "...:4.r..:,..'....;.•/ . !--■.., :..`:•:i'.. .• , i• .0: ,. - , .-.'•:',., • : .:. -. • .1 • • : -
Other: _ 10.00
Business name: Tn Cainti Temp COrtro i Fuel piping •
Contact name: S5.40 for first Cour, S1.00 for each additional
Address: ( 00 6. Clackanias KJ VCi CDri VC) Fumace, etc.
Gas heat oump / .
City/State/ZIP: er 014 CR_ q 7045 Wall/suspended/unit heater
.
Phone: (tOZ) 6r:1-7
D r ..- 2120 I Fax: : (ca) 5 q Fi Wreplace ater heater
E-mail: Range 1
. ,
1 -' 1 ''! : ".fi"-t e - t i:V . Zok 4.1 . 1 6' 1 = :. - 1,7 4'44a. l efs-.-.'''Vekti*id f it3Oitte.q .s f:Y. :a! ' i g$ 4 .4a - 4, - Nri'Ail ... .F , - -;)P .'1 Barbecue
7 ,1.,.: . ..::-te„i::_s",( --;‘, -x.V. :4?-itet...: ,........ .,,,, -....- .-. , ; '.. ;;A,... '.' ; r'' - -... ___
Business name: Tr co Lint L fonp Conti-ol Clothes dryerigas)
F)0
Address: ?)i G.ACMIT103 Rlkicrili \`C *■*
.,... ...
, 3:7.3'1,1•::.'".'-'...::f.:.ti.4t4:.***1.6*sv".._.,• •
City/State/ZIP: Creeen . eg CraY-b - mi
Subtotal
_ nimum perrnit fee (S72.50)
Phone: (a.5) 1 951-• ' .-222./.0 Fax: (C )C) 5 - 1 . Plan review (25% of permit et) • 6 P
CCB lic.: - 72,4 7 zs I State surcharge (8% of pc • e - ...,. . ...,
I . TOTAL P • FEE4111/Mgli
Z272_ 12700C • This permit application expires if 2 permit is o3
Authorized signature: - days after it has been accepted as complete.
I Print name: Dia ma3) ii Date: 12,11(66 - i . • Fee methodology set by Tn Building industry Service Board
: \MEC-PcrrnitApp.doc t:/O3 440-4617r ( I trovcomr.vuo
i..
CITY OF,TIGARD _
BUILDING DIVISION PERMIT #: MEC2005✓00793
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/2/2005
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12/12/2005 TIME: 7:02AM PAGE: 61
SITE ADDRESS: 10080 SW PICK'S CT CLASS OF WORK:
SUBDIVISION: PICKS LANDING NO.1 LOT #: Q25 TYPE OF USE:
PROJECT NAME: MARCHANT
DESCRIPTION: Replace furnace.
OWNER: MARCHANT, ROBERT PHONE #: 503 - 670 -0993
CONTRACTOR: TRI COUNTY TEMP CONTROL PHONE #: 503 - 2220
Inspection Request Scheduled For: Date: 12/12/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 023268 -01 503.557 -2220 Y
Corrections /Comments /Instructions:
"2 LcG77' ', / s so ,5 rte' q 2- & � •co CiGf
al 0..4.,/ T �u,2i‘f7 -Cc
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-