Permit 1, y CITY OF 'TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00011
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/9/2008
PARCEL: 2 S 104A B - 08 500
SITE ADDRESS: 13439 SW SCOTTS BRIDGE DR ZONING: R-4.5
SUBDIVISION: MORNING HILL NO. 5 LOT: 114 JURISDICTION: TIG
PROJECT: SMITH
Project Description: Furnace replacement.
CLASS OF WORK: ALT 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:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
SMITH, BETTY JO Description Date Amount
13439 SW SCOTTSBRIDGE DR
TIGARD, OR 97223 [MECH] Permit Fee 1/9/2008 $72.50
[TAX] 12% State Surch 1/9/2008 $8.70
Phone: 503 -590 -1968
Total $81.20
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: „IL « Permittee Signature: e
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.
r rill
1 J4 -8 -2008 02:33P FROM: TO:5035981960 P.1
RECEIVED
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard JAN 0 R 2008A Date/By: I - • - O ;, ; 1
13125 SW Hall Blvd., Tigard, OR 97223 CITY OG T lr A s Plan Review
Phone: 503.639.4171 Fax: 503,598.1960 1 �31f� � „ , ,,; r r+ DateBy: Other Permit:
Inspection Line: 503.639.4175 • ; . : - - Date Ready/By: liall 03 See Page 2 for
Internet: www.ci.tigard.or.us
BUILDING • . l , -- Notified/Method: Supplemental information
;,�,.,: II,"N, :�i itr`}i, ) l ; p f ,� ? {' . v ., � .:,T C!"1.'4 .. ;. r.''' '�1"'gr , -o , � ,
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❑ New construction Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
performed. indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
", ;';� ' ;.'4',1 "C�;'�'w liii 'tiFt' 1p,'�,i��.p, ; :0' 60ItiN'" k; :- ; ` r. ue: $
tfW w: ,s,. ;ri:.n:.+,.!.,.. .n...ao,4,. Lh' .. .,'i h a�w. nT,,, n.... ..',,,,. . ., - v': r''':. " ,_
r`,,.. .r. }- ' ,..' - - Val .�... . .
•-r r kD lt'�gS'>L{ [ tMEN'1 /$YSTEMS1rEES+
141 and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family 0 Master builder
❑ Other:
i h . �,,` , �, _ Description Qty. Fa. Total
Nzi .y i ' ' t , 10
'1
; 0 a , , ,ik .I'll '9;1;0 1Lb f; ,, 4,1. , Heating/cooling
Job site address: 154 W V J)r� Air conditioning heat pump
1 t (requires site plan shoho wing pleeetnenq 14.00
City/State/ZIP: lig ci. (1,122,3 Furnace 100,000 BTU (ducts/vents) ' 14.00
Furnace 100,000+ BTU (ducts/vents) 17,90
Suite/bldg. /apt. no.: I 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
Subdivision: I Lot no.: Flue/vent for any of above I 10.00
Other: 10.00 .
Tax map/parcel no.: Other fuel appliances
-
,� y 11 J'' ti • ,a1 , , P" 7 ° 4 4 �, idvev "r L9
: } ��, a r, t 14 M�` ,q t,,,.,/ f "'O) ' § �K i • tiit ,sa + �. a 10.00 Water heater
f� �+r�k,:�r...ik�� i M ii,i�7 �� .. �u, d- ,,,t.ra „,.�,.,��aaF'3��1�y;�'k� r. �'�.�;x.,,,:,� �.� �;�
Gas fireplace 10.00
Flue vent for water heater or gas
P' 3 e ,_ fireplace 10.00
.J� Log lighter (gas) 10.00
Wood/pellet stove 10.00
�r��s� aA Wood fireplace/insert 10.00
: D iv ! �i ` i =i' _3 ' 9k 1 p , , . . : , , .j ' Chimney/liner/flue/vent 10.00
I t Other: 10.00
Name: . . ,
Environmental exhaust and ventilation
Wirt)
1 ' Range hood /other kitchen
�'�yJLP
Address: v
equipment 10.00 ,
City/State/ZIP: Clothes dryer exhaust 10.00
D Single-duct exhaust (bathrooms,
Phone: ( ,J"� 0! tgUI t comp o Fax: ( ) � compartments, utility rooms) 6.80 80
'4 •`:.G ! 'iipi i '.n:, ,l,, .,.•."1" -m:1 ,1j'� •d• i,I �• .r . 1irry, t Q' ;iii :! Attic /crawlspacefans 10.00
:ii'gl 3'0. ,4... .. ..
1i- .- Yllit. u5-,c .4.!t. L .1 aga , 7 ' A�'T: .t'': r. i ,
Bus name: Tr, Cat) Temp (Or a lto II F th e r: I0.00
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: (, I a) 3 Ola('k( Ri �/tr'�IVl�t Gas heat pump
City/State/ZIP: Cret ? }) CI 1 (tQ- (1704c, Wall/suspended/unit heater
Phone: (SL:j) ti5 7•-1)70 I Fax: : ( ) 55 i q Water heater
_Fireplace
E- mail: Range
, .,,- , {1 • ; , .T g . ,.d, , � ll r r1� ',' .' . ,' , „i .'r. Barbecue
'
. ;, 1 r T.re F .;- ii,
., / � I ,.i J " : r " ,, . , •' , ' • I ' .', , . ;• I „ Iy� it 41 . -. _6^
Business name: Try Cast I -en' co) Y��'C! Clothes dryer (gas) _
,/� ric J, � �y ,s �/ Other: Address: 1?) (CJC.' `7 Ka 1 116.5 Pj ' r Nr i 1' Lr ni`. ?,Ili:' iI' K 1► + 7 F 1 i •
r,
City /State/ZIP: Ciy e • C,I 1 (J ek Cr( Subtotal
Phone: (F3)3) 5 I Fax (jQ3 5 -/ it� (1' ,
Minimum perrnit fee ($72.50) ''a
� � - Z.Z2 -� s F lan review (25% of permit fee)
ccB lie.: - 7210 zs ra c rote surcharge r ,
y f' TOT' PERMIT FEE. irr
Authorized signature: v-� Z� ?`f "Or 'This permit application expires If a permit Is not obtained within 180
days after It has been accepted as complete.
Print name: Na ti( at`(, j(){) Date: 11410% % • Fee methodology set by Tri -County Building Industry Service Board
- 7DM` ��'�
CITY OF TIGARD _
BUILDING DIVISION PERMIT #: MEC2008- 00011
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/ &'2008
Phone: (503) 639 -4171 itt 111111\ iInspection Requests (24 Hrs.): (503) 639 -4175 _ ..
INSPECTION WORKSHEET FOR DATE: 1/17/2008 TIME: 7 :00AM PAGE: 49
SITE ADDRESS: 13439 SW SCOTTS BRIDGE DR CLASS OF WORK:
SUBDIVISION: MORNING HILL NO. 5 LOT #: 114 TYPE OF USE: \`
PROJECT NAME: SMITH
DESCRIPTION: Furnace replacement.
OWNER: SMITH, BETTY JO, PHONE #: a03- 590.1968
CONTRACTOR: TRI COUNTY TEMP CONTROL PHONE #: 503 -557 -2220
Inspection Request Scheduled For: Date: 1/17/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
609 Mochanical final 063399 -01 503 -557 -2220 Y
Corrections /Comments /Instructions:
•
" 7 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
I/ O
Inspector: Date: Phone #: (503) 718- 0 __21.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ME_C200R -00011
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/9/2008
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 A
INSPECTION WORKSHEET FOR DATE: 1/15/2008 TIME: 7:02AM PAGE: 26
SITE ADDRESS: 13439 SW SCOTTS BRIDGE DR CLASS OF WORK:
•SUBDIVISION: MORNING HILL NO. 5 LOT #: 114 TYPE OF USE:
PROJECT NAME: SMITH
DESCRIPTION: Furnace replacement.
OWNER: SMITH, BETTY JO, PHONE #: 503-590.1968
CONTRACTOR: WI COUNTY TEMP CONTROL PHONE #: 503 -557 -2220
Inspection Request Scheduled For: Date: 1/15/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 063235 -01 503567 -2220 MO f it_-' ( Corrections /Comments /Instructions:
' _MIA/ VC LAS /a &i.--C 1 S Z
) . ,...„ 4:... ...„ A. 4 I. 1
•
U S 4. 4• s IAL APPROVeL ❑ CANCEL ❑ NO ACCESS
4 1 , 1 :7 112 . a CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
i
Inspector: Date: 1 S' 0 f3 Phone #: (503) 718- 241/L