Permit M o CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES
PERMIT #: MEC2006 -00040
�I
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 1/24/2006
PARCEL: 2S 4/2006 02800
SITE ADDRESS: 09620 SW RIVERWOOD LN ZONING: R-7
SUBDIVISION: COPPER CREEK STAGE 3 LOT: 068 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:
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
PATRICIA OGLE Description Date Amount
9620 SW RIVERWOOD LN —
TIGARD, OR 97223 [MECH] Permit Fee 11241200E $72.50
[TAX] 8% State Surcha 1/24/200E $5.80
Total $78.30
Phone: 503- 639 -1476
Contractor:
SUNSET HEATING & COOLING
0607 SW IDAHO
PORTLAND, OR 97239 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 234 -0611
FAX 503- 234 -0439
Reg #: LIC 161085
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Issued By: t� Permittee Signature: S ,P p \ _
3 � ar m � `r'
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Jan 23 06 05:18p p . 2
Mecatanical Permit Ap. V ED FOR OFFICE t SF oNi.‘
City of Tigard
--. I A Received
Li Date/By V ..' - k
• :-.- Permit No. \ .**".„._ ..._ a t j
4/
13125 SW Hall Blvd., Tigard, OR 97223 M Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Ai\ l,,i 2 li 2uulA.,-.4.,„0,1 ,.'., Date/By: Other Permit:
Inspection Line: 503.639.4175 ' . t -,.j.' 41 Date Ready/By: EN 0 See L'age 2 for
rn
Inteet: www.ci.ligard.orus Gr ry of Notified/Method: Supplemental Information
1 0 DIV ISION
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Mechanical permit fees' are based on the value of the work
0 New construction El Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
El Demolition 0 Other: mechanical materials. equipment, labor, overhead, and profit.
:-..!:,, , ,,,,.....e.mti - 4::$,—....,..., ,....,,,..„ .: .-,,,,,, .. , ..,,, • . - , - - v...-- ', .,-. . - , v-,;f ,,,- *4. 37., ,,--,- )4§,,-,5 . ,x ; . ,: .
)6, I and 2 dwelling 0 Commercial/industrial 0 Accessory building
For special information use checklist.
n Multi-family 0 Master builder 0 Other:
Description I Qty. I Ea. I Total
, Z• 11: 4.,'•: ., P 3 0:=4:1-*P,414,6#4#0 . tl Hen ti ng/cooli ng
Air conditioning or heat pump
Job site address: (..11 c, sl r.,„ \ viae L.,,,
(requires site plan showing placement) 14.00
_
-
;• 0
1
City/State/ZIP: -I- I ,,,, - - 7,. 1) 7
,..., l'--..... t--' 1.7 i 1 4--4-----' Furnace 100.000 BTU (ducts/vents) 14.00 (4 .....--
._./ Furnace 100.000+ BTU (ducts/venis) 17.90
Suite/bldg./apt. no.: Project name: C
Gas heat pump 14.00
Cross street/directions to job site: .i 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: Lot no.:
Other: 10.00
Tax map/parcel no.: Other fuel appliances
c % Water heater 10.00 .• .
..-- •:. fgrAPP307.0.3Ackf
/..
. Gas fireplace 10.00
i ,
V ou, ,, { ut....-01)/tAiti C Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) • • 10.00
Wood/pellet stove 10.00
Wood fireplacc/insen 10.00
. "--;.. '•:".,' - ' ' ' .4.r.1, . 4147
.,'..,..'''„' " '.., ' -(...';•';',''-Z;ZilV,;,sg:%tra.L-j,,2:- e/
,. Chimney/liner/fluvent 10.00
4-.) : C 4Rg 4 q;P:E .X1 .4O. FI I. Al.a. t:gAi2
Other: 10.00
. 1 - 1 eh, ,
Name: 0 V (4.tyl ( 4(■_ L. f;P e_.,.. Environmental exhaust and ventilation
. .
‘.,
Range hood/other kitchen
i I
Address: ) 4 i , 7 () A) .., - c, 1 I( 0 t , , ./ t.liv 7, I ,, L i -
L Lk ; , ) - I 1 e ,,\ ,1 equipment 10.00
City/State/ZIP: I oc-- t le ti-i i _. 3 Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: q -7 5) ti:) A - 1 LI - 1 ike; Fax: ( ) toilet compartments, utility rooms) 6.80
Attic/crawlspacc fans •.: i ... :-. . . : 10.00 . .
• •
. •.
Other: 10.00 _
Business name:
Fuel piping
Contact name: . 55.40 for first four; 51.00 for each additional
Furnace, etc.
Address:
Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E-mail:
Range
.. • : • ..:',: .:.'... T"Iz;•"., .01a.tt. Barbecue . •
•• ,,, - .3.;:rz.,:‘ R.:4 ...;g4 ato.t.i *.'44%
Business name: Sunset Heating and Cooling Clothes dryer (gas)
Other:
Address: 0607 SW Idaho Street ,Mtleilgffi*C20:it.77.31#14":71i,aSt-L;Atig:ik
City/State/ZIP: Portland, OR 97239 Subtotal H. —
Minimum permit fee (572.50) 1 2_ sv
Phone: (503) 234-0611 Fax: (503) 234-0439
Plan review (25% of permit fee)
CCB lic.: 161085 . State surcharge (8% of permit fee) 5 :-tF
----->" - - • .
1 k..._Q_
. TOTAL PERMIT FEE / cs. 74:
Authorized signature: 3
This permit application expires if a permit Is not obtained within 180
days after it bas been accepted as complete.
(?‹.1i..., . (1.___.
Print name: Shauna D'AmbioSia I Date: i 1 V • Fee methodology set by Tri-County Building Industry Service Board
i 12/03 440-4617T (11/01/COMME-13) . . .
,-... __. ..---. ....
CITY TIGARD -
BUILDING DIVISION PERMIT #: ME.c;'}fla, 00040
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/24/2006
Phone: (503) 639 -4171 Aoli l I
Inspection Requests (24 Hrs.): (503) 639 -4175 ..,_,111• R_ l�
._
INSPECTION WORKSHEET FOR DATE: 2/2/2006 TIME: 7:02AM PAGE: 74
SITE ADDRESS: 09620 SW RI VERWOOD LN CLASS OF WORK:
SUBDIVISION: COPPER CREEK STAGE 3 LOT #: 068 TYPE OF USE:
PROJECT NAME: OGLE
DESCRIPTION: Replace furnace.
OWNER: OGLE, PATRICIA PHONE #: 603 - 639.1476
CONTRACTOR: SUNSET HEATING & COOLING PHONE #: 503-234 -0611
Inspection Request Scheduled For: Date: 2/2/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 026131 -01 503- 234.0611 N
Corrections /Comments /Instructions:
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PASS ❑ PARTIAL APPROVAL El CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI NAL FEES ASSESSED
Inspector: i 1 Date: Z 0 k) Phone #: (503) 718 - �kZ5