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CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00582
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/5/2007
PARCEL: 2S 110 BA -06300
SITE ADDRESS: 14227 SW VISTA VIEW CT ZONING: R -2
SUBDIVISION: SHADOW HILLS NO. 2 LOT: 046 JURISDICTION: TIG
PROJECT: BROWN
Project Description: Replace gas furnace.
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:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
BROWN, KEVIN R AND MARY E Description Date Amount
14227 SW VISTA VIEW CT
TIGARD, OR 97224 [MECH] Permit Fee 10/5/20W $72.50
[TAX] 8% State Surcha 10/5/2007 $5.80
Phone: Total $78.30
Contractor:
A- ACTION HEATING
18245 SW TV HWY
ALOHA, OR 97006 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 649 -3524
FAX 503- 649 -6095
Reg #: LIC 78369
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 B / jJ/J / Permittee Signature: kah
Call 503.639.4175 by 7:00 a.m. for i ections that business d
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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.
I
,'t i• t
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Mechanical Permit A , . lice ,
Tigard �" � " � k 5 : FOR OFFICE gar 01.1 . -
City of Ti
g r ` S ti f •i. ;I Received
.
13125 SW Hall Blvd., Ti i ,.. Uate/By �0 / 5 /0? St../0 Permit No. Nip 7
Sid. . R . 1.! 1 , ' I t ' eczoO
7 -W ✓OG
Phone: 503.639.4171 Fax t3 960 Plan Review
Inspection Line: 503_1739.4175 ��� 200 . �� I''• Date/By. Other Permit.
Internet: www.ci,rigard.or.us _ DateReady/8y. r1f6. 1 13 Notified/Method: (/Method: See Poge 2 for
�} y 1 j �� 71 G Supplemental lnrormat
ISION COMMERCIAL FEE* SCHEDULE — USE CHECKL.IS
❑ New construction B t rlelt i . 1 ', . A ,:.. *..t,'.
• M ureplacement Mechanical
YJ�F permit fees` are based on the value of the work
❑ Demolition ❑Other performed Indicate the value (rounded to the nearest dollar) of I
mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
1- and 2- family dwelling ❑ Commercial/industrial RESIDENTL4L EQUIPMENT /SYSTEMS FEES*
j5
❑ Accessory building
Multi- family ❑ Master builder
❑ O l rlfornxrrion use checklist.
I JOB SITE IVFOR3I TION AND LOCATION ead
H Description For special Qty. , Total
Job site address: / , f Heating/cooling
OS. (�l l - 1 t '� .1 Air conditioning or heat pump
City/State/ZIP: � • (requires site plan showing placrmeatl 14.00
r ' i 13 O 2 / p� T 7 c- � Furnace 100.000 BTU (ducts/vents) ! 14,OD Air Suite/bld no.: 4
Project name: Furnace 100,000+ BTU (ducts'venrs} 17.90
Cross street /directions to job site: Gas heat pump 14.00
Duct work 14.00
Hydro/tic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -walt, in -duct, suspended, etc. 10.00
Subdivision: Flue/vent for any of above f b
Lot no.: 10.00
Tax map /parcel no.: Other: 10.00
DESCRIPTION OF WORK Water fuel appliances
Water heater 10.00
// D� Gas fireplace
10.00
„ Flue vent for water healer or gas 1
fi replace 10.00
IIIIIIIIIIIIMIIIIININIMIIIIIIMIIIIIIIIIIIIIII
Log lighter (gas) 10.00
Woodlpellct stave 10.00
W ood firepla nsort 10.00
PROPERTY OWNER Chimney/linerlfltrclvrni
10.00
Cec 10.00
Environmental exhaust and ventilation
COMIIMEINIMINInter
Address:
IIIIIIIIIIIIIIIIIIIIIIIIIIIIII
f l Rangehood/other
City/Sb(te/Zip- e.ui.meot . 10.00
- A O 2 _ t77 Clothes d er exhaust
10.00
Phone: . _ T — r e , 7 Fax: ( ) Single -duct exhaust (bathrooms.
(�
toilet c. 'ailments, utility rooms) 6.80
0 CON FA 1' PERSON Attic(crnvlsa fans ans
Business name: 10.00
M1 1 ■ ■
Other 10.00 :11► l
Contact name: :245 S.W. HWY Fuel i Tlir.g
Address: g r OH , 0 taw . II , 35.40 for first four; S11.00 for each additional
AA
1f NggUIIIIII
ph one; (� W'alUs .-, en ged/nnit heater _��
E -mail: Fax: : (SI) — 6_ 9,5 SNIIIIIIIIII
�-
CONTRA( TOR
[ten c - �
Business name:
Clothes
• Clothes (_as)
Address: .. • +• y • • Other:
City/State/4P: ALOHA OREGO 97006 MECH tNIC AL PERMIT FEES*
Phone: (_ i Subtotal EMI C ., - Fax: ( S 3 to C' _ 6 t f Minimum permit fee ($72.50)
CCR tic : 7C, c�tp Plan review (25% of permit fee)
State surcharge (8% of permit fee)
.. 5r 1 Auth:ari? sicnaiurc: i U �L' _ TOTAL 1'Elt14 FEE •
Print au rae: fir .__ been a Pe P wnrh,n 180
T —_� X tom; cmn
� .r— Z— Date: A �
• tobt •
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�' 7T1�1 °only Bui tdin Ind
•r;..,;i,.,. r,,,,�, , 11•; - 4.. -.,.. r.. g ezIry Scn•ICC Becrd
44.,- .01 , „ :'Ca 1.s%F%1,
L'd 9609- 6179 -£09 out 'Bw ;eeH uoi)oy -y dg£:170 LO CO PO
CITY OF TIGARD r A f
BUILDING DIVISION PERMIT #: MFC2007-00582
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/6/20Q7
Phone: (503) 639-4171 1 I
Inspection Requests (24 Hrs.): (503) 639 -4175 `.' ':_..
INSPECTION WORKSHEET FOR DATE: 11/7/2007 TIME: 7 :00AM PAGE: 64
SITE ADDRESS: 14227 SW VISTA VIEW CT CLASS OF WORK:
SUBDIVISION: SHADOW HILLS NO. 2 LOT #: 046 TYPE OF USE:
PROJECT NAME: BROWN
DESCRIPTION: Replace gas furnace.
OWNER: BROWN, KEVIN R AND MARY E, PHONE #:
CONTRACTOR: A- ACTION HEATING PHONE #: 503-649-3524
Inspection Request Scheduled For: Date: 11/7/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 069034 -01 503. 639 -8427 N
Corrections /Comments /Instructions:
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: / Date: 1/— 7- Phone #: (503) 718 - 1 /