Permit CITY TIGARD MECHANICAL PERMIT
gti DEVELOPMENT SERVICES PERMIT #: MEC2006 -00039
744 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 1/23/2006
PARCEL: 2 S 110 BA -062 00
SITE ADDRESS: 14230 SW VISTA VIEW CT ZONING: R -2
SUBDIVISION: SHADOW HILLS NO.2 LOT: 045 JURISDICTION: TIG
Project Description: Replace gas 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:
NAT 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
LOWELL SWANSON Description Date Amount
14230 SW VISTA VIEW CT
TIGARD, OR 97224 [MECH] Permit Fee 1/23/200€ $72.50
[TAX] 8% State Surcha 1/23/200€ $5.80
Total $78.30
Phone: 503 - 684 -3445
Contractor:
AAA HEATING & COOLING
2915 NE MLK JR BLVD
PORTLAND, OR 97212 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 284 -2173
FAX 503- 284 -1552
Reg #: LIC 222
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: Permittee Signature: c��
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business flay.
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.
) N. ' '
City of Ti Recetvert Permit No ! p
Tigard , co l \ -O 693 /
13125 SW Hall Blvd., Tigard, OR 9 Plan Review
Phone: 503.639.4171 Fax: 503.59 C �\ /aw 11 / , +� Date/B y: Date/By. y !/� Other Permit:
Inspection Line: 503.639.4175 --'"
fl ik l ( J ura ® S ee Page 2 for
7 Date Rea /B y: /
Internet: www.ci.tigard.or.us W Notified/Method: �l l3 Supplemental Information
JAN 2 3 200
COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ New construction
r � . t - f Mechanical permit fees* are based on the value of the work
[BM t t performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition [BM D mechanical materials, equipment, labor, overhead, and profit
Value: $
CATEGORY OF CONSTRUCTION
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use c /reck/tsr.
❑ Multi- family ❑ Master builder ❑ Other: Descnption I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Air conditioning or heat pump
Job site address: r LA 1,2 5 \ ,s1-,. v ,. t ...› C_' (requires site plan showing placement) 14.00
City/State/ZIP: r,,), eV-
1 1-2 `( Furnace 100,000 BTU (ducts/vents) 14.00 o
Furnace 100,000+ BTU (ducts/vents) 1 17 90 Ll
Suite/bldg./apt. no.: 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 i
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
- DESCRIPTION OF WORK Water heater 10.00
/� Gas fireplace 10.00 1
tttc, S ...`_,,,,, c rt T.,-C L / PI.,, 1( Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
Chimney/liner/flue/vent 10
PROPERTY OWNER I ❑TENANT Other: 10.00
Name: Li o. ,it (1 SW ay c � ,c/ Environmental exhaust and ventilation
Range hood/other kitchen
Address: i LI L 3,0 5 1..a V ; + V, c,_) L:1/4 equipment 10.00
City/State/ZIP: 1 ; c 0, C. 1Z Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (5 ) 3 ) (,,g 4 - 3'-i 4-i S Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT CONTACT PERSON Attic/crawlspace fans 10.00
Other: 10.00
Business name: Fuel piping
Contact name: 0 5 p.t - Z - i, A— $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: ZS T ti L M t. k 3,2 131 v) Gas heat pump
City/State/ZIP: ,- T -- %‘1 ,, A. 09-- 9 Z z'l Wall/suspended/unit heater
Water heater
Phone: (co ) 2 z - L Fax.. t'13 ( ) Fireplace
E -mail: Range
CONTRACTOR Barbecue
Clothes dryer (gas)
Business name: AAA � n� t O (JD II ` )77 Other:
0 24 / /
Address: s n E n? 11< �ie , 1 vd f MECHANICAL PERMIT FEES*
City/State/ZIP: d e q74.1,1 Subtotal 1'1
f � Minimum permit fee ($72.50) 72
'
Phone: (Re) 175 Fax: ( So3 ) 2 gilt /5 Plan review (25% of permit fee)
CCB lie.: gag_ State surcharge (8% of permit fee) s $i
TOTAL PERMIT FEE 7 g'—
This permit application expires if a permit Is not obtained within 180
Authorized ..:;. tare: days after it has been accepted as complete.
Print nat4te
•
/ /� Date: -- Z 0— 0(.0 • F ee methodology set by Tri - County Building Industry Service Board
:Inn :tAinotP...+necsMFr.Pnn.n Ann ,Inc 12/03 440-4617T (11 /02 /COM/WEB)
CITY_ OF TIGARD
BUILDING DIVISION PERMIT #: ME C200!3.00039
•O0039
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/2 1'2006
Phone: (503) 639 -4171 At, FI 11
Inspection Requests (24 Hrs.): (503) 639 -4175 :_..
INSPECTION WORKSHEET FOR DATE: 6/W200€ TIME: TUNA PAGE: 97
SITE ADDRESS: 11230 SW VISTA VIEW CI CLASS OF WORK:
SUBDIVISION: SHADOW HILLS NO.2 LOT #: 045 TYPE OF USE:
PROJECT NAME: SWAN SON
DESCRIPTION: Replace ga:. furrmace
OWNER: , WANSON, LOWE Ll., PHONE #: 9B-644.3 446
CONTRACTOR: AM HEATING & COOLING PHONE #: 503-204-2173
Inspection Request Scheduled For: Date: rJi /2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
€93 IvleclianicaI final 0.9402.01 5033- 2M.2173 N
Corrections /Comments /Instructions:
t%1-1 (MttL) c Fete--4_10 c7
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Lic
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FO ' INSPECTION ❑ ADDITI AL FEES ASSESSED
r 1I ,
Inspector: i Date: C/ Phone #: (503) 718- 2%-3
4