Permit C ITY OF TIGARD MECHANICAL PERMIT
° g" DEVELOPMENT SERVICES PERMIT #: MEC2006 -00375
�.� �I DATE ISSUED: 8/7/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112CA -06800
SITE ADDRESS: 15374 SW THURSTON LN ZONING: R -7
SUBDIVISION: ASHFORD OAKS LOT: 022 JURISDICTION: TIG
Project Description: Replace furnace, install heat pump, replace water heater.
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: REPAIR NIT
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
MARC DANA Description Date Amount
15374 SW THURSTON LN
TIGARD, OR 97224 [MECH] Permit Fee 8/7/2006 $72.50
[TAX] 8% State Surcha 8/7/2006 $5.80
Total $78.30
Phone: 503- 968 -5493
Contractor:
SKY HEATING & AIR CONDITIONING
1635 SE NEHALEM
PORTLAND, OR 97202 REQUIRED ITEMS AND REPORTS
Contact #: FAX 503- 235 -0454
PRI 503- 235 -9083
Reg #: LIC 50244
•
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: J / ? f T Permittee Signature: Q , .Q, p n , p
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business day. `� y
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.
08/04/2006 12:33\ 60 i SKY HEATING PAGE 01
Mechani P ,1 ___t AUp i 2006 l•' 1►It Ol`I 1( 11 l til, ()\1.1
17 R t\„ / /� 94n
City Of Tigard R ,-, •• `,�� P ermit Na.: _ `l �l�orl/ o
13125 SW Hall Blvd.. Tigard, OR 9722 ,/ • a gu Plan Review , Other Permit;
Phone; 503.639.4171 Fax: 503.598�136u� . tIT n ;r'; i x ' 'i i ' DatelBy:
Inspection Line: 503.639.4175 I�`• ..4.. ., i Date Ready /By: 11111 l a S nine 2 for
Internet; www.ci.tigard.or.uS ' Notified/Method: Sapplemeiital Information
.. ;;.•,::• • •r ..•. .0111ti1 1 3CIEE451 : OE CHECM:3ST
Mechanical :..... IYiPI1; OT7 WOItK'a; : ,;:•;...;:...x, ;: : .,. . it a arc based the of the work
permit on a value o
❑ New construction ddition/alteration/replacemcnt performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition Other: .mechanical materials, equipment, labor, overhead, an protit
w;.a
1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist.
[J Multi family ❑Master builder ❑Other Description Qt La. Total
. • JOB;-S l('E'i.RVBORMVIik1'IO �►1Vb4;404:[i6. r }2 .a : ;C' ' . Heating/cooling
IA l � _ Air conditioning or heat pump 14,00 /
Job site address: ) cc 3 -714 < l vy u l'1 _ Air conditioning n an showing ea pl
c/ Furnace 100,000 BTU (duets/vents) J 14.00 /
City/State/Z1P: /' —7., 7 a J' Furnace 100,000+ BTU (ducta/vente) 17.90 _
Suite/bldg. /apt. no.: Project name: _Gas heat pump 14,00
Cross street/directions work 14.00 to job site: _ 1d 0U
H hot water system - 1 _ ---.
Residential boiler (radiator or
hydronic) _ 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc, 10,00
• - Fluefvcnt for any of above 10.00
Subdivision: Lot no.: _ _Other. 10 . 0 _
Tax map/parccl no.: • Other fuel appliances -
Wader heater ( l 0.00 ! b '
>b 0�!: W'. ?i: , J` ' ``. " ` • 10.00
Po- ' .,: � ; ' � � Gas fireplace
A J - u nR 4L - ,` • / Flue vent for water heater or gas
fireplace 10.00
/ L ' . /,./ li 1 0.
'AI 1. .. / . /I , I • - stn tct (pas) 00
Wood /pc ►let stove 10.00
Wood fiteplace/inscrt , 10.00 ,
Chimniner /fluCNent 10.00
PROPERT3f+ O W N ER .: ' ` ' . \ ;.'f is a ` " C i : " . '1 T .t':' .. - : :: : Other. 10.00 •
r - Enviroamentsl exhaust and ventilation Name: O?� S D" �'�� Range hood/othcr kitchen
Address: equipment , 10.00
Clothes d exhaust 10.00
City /Statcl7TP: ' Single -duct exhaust (bathrooms,
Phone: ( ) o /„ (.. - t -4 9 3 Fax: ( ) , f compartments, tutu y )
`ter O : -- c/crawlspa fans I i
toilet t rooms
Atli 10.00
/(P>sL rCAIYT [}: COlV )Ci#Cl' .)P LR,SON' " 10.00
r over:
Business name: -� D Fuel piping
Contact name: _ $5.40 for first four for each i dditiona
• Furnace, etc, —
Address: - _Gas heat pump _ •
City /Statc/ZTP: Wall /su mdcd/unit heater ,
Water heater
Phone: ( ) [Fax: : ( ) Fireplace - —
E-mail:
Range
- I s:t. :., ;p.3::` . _` Barbecue
Clothes dryer�a4)
Business name: Minn a � Otha:
Address: •� '' SIE3 C3 N1G►I:YERM)tT' .FEES,•• ;, ■
do. L r�� _ Subtotal
,
City /Statc)Z_TP: j)( an 4 7 ,4
CJ .- -1. - Minimum permit fee (u btota l 7 a.
Phone: ( ) �j cS — U 1 • ax • ( ) a, 3_c zl r / / - Plan review (25% of permit fke)
CCB lie.: State surcharge (8% of permit fa) �, Ito
-
TOTAL PERMIT FEE. 73r..1) Thin permit application expires if a permit is not obtained within 1 gf
C e — Authorized signature d>» after i f trai been accepted as wmpkte
r p �4 4 '/ In Z / I natr••Q-- [ 1_ T / _ I • foe methodology set by Tri-County ouildins Industry Service Board
I mint re.nn eCA.A \ T 1..v1 U 'j t �6 e
08/04/2006 12:33 5032350454 SKY HEATING PAGE 03
ROME LAYOUT /SITE PLAN
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CITY OF- TIGARD
BUILDING DIVISION PERMIT #: MEC200&00375
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/7/2006
Phone: (503) 639 -4171 OAP Inspection Requests (24 Hrs.): (503) 639 -4175 s_' _
INSPECTION WORKSHEET FOR DATE: 5/2/2007 TIME: 7:01AM PAGE: 97
SITE ADDRESS: 15374 SW THURSTON LN CLASS OF WORK:
SUBDIVISION: ASHFORD OAKS LOT #: 022 TYPE OF USE:
PROJECT NAME: DANA
DESCRIPTION: Replace furnace, install heat pump, replace water heater.
OWNER: DANA, MARC PHONE #: 503-968-5493
CONTRACTOR: SKY HEATING & AIR CONDITIONING PHONE #: 503 - 235 -9083
Inspection Request Scheduled For: Date: 5/2/2007 Pour Time:
Code # Inspection Description Confirm # Contact essage
699 Mechanical final 047438 -0 503 - 968 -5493
Corrections /Comments /Instructions: / 94,e
E, &e772,a I. Gft /AI0,c Adfr4te— 5- Ci G i .:
- _ ait - .' / _.. ffLiZa .'-
PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ) Date: 5=� G7 Phone #: (503) 718 -_�