Permit a
r., CITY OF TIGARD MECHANICAL PERMIT
PERMIT #: MEC2004 -00025
,L�I� DEVELOPMENT H BMEN9 r S o ERV SERVICES 639 -4171 DATE ISSUED: 1/22/04
PARCEL: 2S103DB -09800
SITE ADDRESS: 11490 SW SONNE PL
SUBDIVISION: GENESIS NO. 3 ZONING: R -4.5
BLOCK: LOT: 077 JURISDICTION: TIG
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:
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:
> 10000 cfm:
Remarks: Installation of furnace & heat pump.
Owner: FEES
BRUMMETT, RODNEY L + REBECCA S Description Date Amount
11490 SW SONNE PL
TIGARD, OR 97223 [MECH] Pemut Fee 1/22/04 $72.50
[TAX] 8% State Surchar€ 1/22/04 $5.80
Phone: Total $78.30
Contractor:
OREGON HEATING + A/C INC
PO BOX 397 �
DUNDEE, OR 97115 REQUIRED INSPECTIONS
Mechanical lnsp
Phone: 538
Heating Unt Insp
Reg #: LIC 125815 Final Inspection
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 No • - - '. - enter. Those rules are set forth in OAR 952 - 001 -0010 through OAR
952 -00 -0100. You ay obtain copies of these rules or direct questions to OUNC by calling
(503 46 -6699. '
Issu d By:
I A / -' Permittee Signature: 4/,/ iv-� / ��
Call (503) < 9 -4175 by 7:00 P.M. for inspections needed the n- business day
Jan 20 04 01:47p Oregon Heating and Air
. I 1. 503-537-2172 p.l
Mechanical Permit Application OFFICE USE ONLY
��ED Date received: no.: Permit no.: Wit „ ,• ..,, a , Jr
City of Tiga��CE Project/appl. no.: date:
City of Tigard
Address: 13125 SW Hall Blvd, Tigard, OR 97 Da issued: ,T�� Receipt no.:
Phone: (503) 639 171 . JAN 20 2 i ° / 1 (2 nr` se file no.: Payment type:
Fax : (503) 598 -1960 r
CITY OF Ti C ' _ b Building permit no.:
Land use approve ^ 11111,cio.calw r:u. -
. TYPE OF PERMIT
1 & 2 family dwelling or accessory 0 Commercial/industrial
t] Multi-family U Tenant improvement
U New construction 0Addition/alteration/replaccmcnt U Other:
.1011 SITE INFORNIA'1'ION COMMERCIAL VALUATION SCHEDULE
Job address: // '01 .4 _ . , / Indicate equipment quantities in boxes below. Indicate the dollar
Suite no.: • value of all mechanical materials, equip
Tl n profit. Value $
Tax g. snap p no.: /tax lot/account no.:
Lot: (Block: 1 Subdivision: *See checklist for important application information and
jurisdiction's fee schedule for residential permit fee.
City / ctuame: ` ii county: 1 & 2 FthIILY DWELLWG PERMIT FEE SCIIEDUI E
City / ..,A i 11711ERIC:II.IINDIISTRI: \1. f Ql!1P�IENTSCII I:DULF.
Description and l neat 1ND 00
on of work on premises: Fee (& Total
V ri / /frf Z. - _, , / _ don Qty. Res. only Res al y
Description Est. date ofcompletiou/ittspection: HVAC: g - --
Tenant improvement or change of use: Air handling writ _ .
CFM s one
is existing space heated or conditioned? 0 Yes 0 No Air conditioning (site plan required)
is existing space insulated? 0 Yes 0 No teratton o existing system
Boiler /compressors
MECHANICAL CONTRACTOR State boiler permit no.:
Business name 4 . /11C/ HP Tons BTU/11
Address: p61136 3 17 TFriRsmoke dampers/duct smoke detectors gS.Go
Stale :QJt? I ZI P: 1/7// Heat pump (site plan required)
City: . . 71 . ace • umer
S �
Phone: Fax: $ 2/ / E - mail: Including ductwork /vent liner 0 Yes 0 No
CCB no.: /.2_525V5 Install/replace/relocate heaters • - suspended,
• . City /metro lie. no.: wall, or floor mounted
Vent for appliance other than furnace
Name (please print): Refrigeration:
CONTACT PERSON Absorption units BTU/II
Chillers HP
Address: Compressors , HP
Address: Environmental exhaust and ventilation:
City: I State: 1 ZIP: Appliance vent
Fax: E -mail: Dryer exhaust
Phone: Hoods, Type I/ II/res. kitchcn/hazmat
OWNER hood fire suppression system _
Name: ,7" Exhaust fan with single duct (bath fans)
5 7,4) p/ Exhaust system apart from heating or AC
City: T ■
Mailing address: / / 4-/C) 94-/C) ( r Fuel piping and distribution (up to 4 outlets)
J Statq 21P: Q 7Z T ype: LPG NG Oil
Phone: •= rj� —, - ,p Fax: E-mail: Fuel .i in: each additional over 4 outlets
ENGINEER • recess p ping (schematic requir )
Number of outlets
Name: Other listed appliance or equipment:
Address: Decorative fireplace
City:
State: ZIP: p ert — type •
Woodstove/pellet stove
Phone: ��� ail: Other:
A!� Date: _ /,� - Other:
Applicant's signa ,��� Dt: _
Name (print): ,6 . . - - A 17,d-dli
Permit fee $
Not all jurisdictions accept credit cords, please call jurisdiction for mom information. Notice: This permit application Minimum fee $ �� ' �Q
Oedi ❑ MasterCard expires if a permit is not obtained Plan review (at °/u) $
G *p ire s
:Credit .___ Cora member: __ ' w ithin 180 days after it has been S surcharge (8%) $ S �
Name of cardholder as shown on credit card g
accepted as complete. 'TOTAL $ __2_7(,-32:1--
44(14617 (6100/CUM)
• Cardholder signature Amount
Jan 20 04 01:47p Oregon Heating and Air 503 - 537 -2172 p.3
Jog
OREGON HEATING & AIR CONDITIONING, INC. SHEET NO. OF
CCB
#125815
CALCULATED BY
P.O. BOX 397
DUNDEE, OREGON 97115 CHECKED BV DATE
(503) 538 -2953 fax (503) 537 -2172
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O PRODUCT 207
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION Business Line: (503) 639 -4171
/� BUP
Received . 02,1 Date Requested - AM PM BUP -
Location /1 / ! d • " � = / - ? - 1 Suite 4/ Z5
Contact Person C / .� fr( Ph (_ 5 2 � 2'S- PLM
Contractor U Ph ( �U C/9 SWR
BUILDING Tenan 44:. � � , .i . ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
If
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PAS T FgIL
CRANK ��
tear:* -
Rough -In
Gas Line
S•.• . - t ampers
1
3). PART FAIL
•
ELECTRICAL -
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE El Please call for reinspection RE: 111 Unable to inspect — no access
Fire Supply Line
ADA y
Approach/Sidewalk Date / Inspect Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL