Permit M " I CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2006 -00620
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/6/2006
PARCEL: 2S102BC -01800
SITE ADDRESS: 10330 SW WALNUT ST ZONING: R -4.5
SUBDIVISION: NO. TIGARDVILLE ADDITION LOT: 026 JURISDICTION: TIG
Project Description: Replace furnace & A/C.
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:
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
AMANDA SWINFORD Description Date Amount
10330 SW WALNUT ST
TIGARD, OR 97223 [MECH] Permit Fee 12/6/200€ $72.50
[TAX] 8% State Surcha 12/6/200E $5.80
Total $78.30
Phone: 503- 317 -8866
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: .c._ Permittee Signature: S -e, C;)Tu
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.
bEC •
-5 -2006 04:46P FROM: TO:5035981960 P.1
r it
Mechanical Permit Application FOR OFFICE USE ONLY .
City of Tigard E E�'@� ED Received r 'n' - fib rJ PenuitNA _ __ iO -D 02 f�
13125 SW Hall Blvd., Tigard, OR 9722 Plan Rnvtew
Phone: 503.639.4171 Fax: 503.598.1960 /,:,�,.,; Date/By: : Other Permit:
Inspection Line: 503.639.4175 U E C ®� 7006 s > �� �`I y
�� Date Rwdy/By: Jurn: B1 See Page 2 for
Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method: Supplemental Information
Egilmihr . , A - S. 1 'd}- : , s4 4l.". : t ±T ?P ..Q R�OR illw .. t � ' 1 w. ° ' ' y 3 .- • " BBS * SC ' " 40"=
e ❑ 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.
r' 'A an:q451* LE 'U ';C0 0gilielNdfr t'I ;" . _ Value: $
Ll - and 2 - famil dwelling - :SID49' eSvsI�tS FEES*
For special information use checklist.
y g ❑ Mas b i builder stria) ❑ Acce building
Multi - family ❑Master builder ❑Other:
yF + i r _ �.- } F "-- Description I Qty. I Ea. I Total
��y�, tU�A�QT;I�' ° °t=r' •• "' ,: Heating/cooling
Job site address: ` 3 7 0 (�` C 1 Air conditioning or heat pump f , ^
lJ`'� ` (requires site plan showing placement) 14.00 l('e
City/StahIZIP: / 4 i , b Crl Furnace 100,000 BTU (ductsveats) 14.00 ` c. ( )�
b , I Furnace 100,000+ BTU (ducts/vents) 17.90
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
hydronic) 14.00
Unit heaters (Ebel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Flue/vent for any of above 1 10.00 1 LIM
Subdivision: Lot no.: Other: 10.00 ,
Tax map /parcel no.: Other fuel appliances
Water heater 10.00
` y y / yy ��lI t��;; "lrl•cy11 3' '•
_ ' 4. a 'A . f . ,.j •) " � l:.wl RIR' •( p '. ' p' P.
�•LS-�'�, �i(�l.IA ' . 1 ' T''� `k J1�9 � .•� 'ir T � .,.i . � , A'�,4: +� Gas -,•
� �Q� I I ''nn fireplace 10.00
1/1(1 i4 ,( � nt ace_ ' .10- c 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
� C;� m ,�� v + it .P. _ • •, ti ,'...,P Chimney/liner/flue/vent 10.00
C : • a,,! a n EC cRi^ .. iri ; c a : l !III :. 'rt,. : other 10.00
Name: An MAL41W� l � - Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
0, y $14.(40 Single - duct exhaust (bathrooms,
Phone: Fax: ( ) toilet compartments, utility rooms) 6.80
. ,x _ , +' tit.' 7 %4 - .1 65 IV.�. ••�' � • ���f!• " i : � } _ y r • ; � AUIC /CTatVlSpaCe fans 10.00
�•.�. ° Vii; Other: 10.00
Business name: Tn Cavity Temp Cor1�l
• ` Fuel piping
Contact name: 85.40 for first four; 51.00 for each additional
Address: la I OU 6 C I + c rna.5 Ri ti ,' � uet Furnace, etc.
l ^ s•� Gas heat pump
City/State /ZIP: 6 }� ( e � q wall/suspended/unit heater
Phone: ( 3) 557'- I Fax: : (62 ) 557-Oq t q Water heater
Fireplace
E -mail:
Range •
_
airi fi e a- _.-. 'ri -•Z V-7,:yMt' F . °i -' :'' . ,.4 Barbecue
Business name: Tr! CO Temp Cnr -tro) Clothes dryer (gas)
Other:
Address: In (SO G s i fl'kl R .Nri ;: g
/''� ,,�� �� // �F �o +kf�.:- o'','r;' ^'� �• Jt.'h:lGlr$�I.t.
ore q00 C• 0k `-1 /YLS Subtotal
)
city/state/my: 1 t l��•- ��..�J
Phone: (5}3) JS r - 2.L_2o I Fax: (@G3 65-7 tei l Minimum permit fee ($72.50) 'a,.,,S
Plan review (25% of permit fee)
CCB lic.: -7241 State surcharge (8% of permit fee) "'
/t TOTAL PERMIT FEE `1/ Jr
Authorized signature: 4�" "`- Q wont This permit application expires if a permit is not obtained within ISO
f days after it has been accepted as complete.
Qn.
Print name: bje M (41 , Date: f )4 ' /r� I, n • Fee methodology set by Tri - County Building Industry Service Board
CITY OF TIGARD
BUILDING 6 bIVISION PERMIT #: MEC2006.00620
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/6/2006
Phone: (503) 639 -4171 /�vrgygy�
Inspection Requests (24 Hrs.): (503) 639 -4175 `'���
INSPECTION WORKSHEET FOR DATE: 1/11/2007 TIME: 7:03AM PAGE: 18
SITE ADDRESS: 10330 SW WALNUT ST CLASS OF WORK:
SUBDIVISION: NO. TIGARDVILLE ADDITION LOT #: 026 TYPE OF USE:
PROJECT NAME: SW1NFORD
DESCRIPTION: Replace furnace & A/C.
OWNER: SWINFORD, AMANDA PHONE #: 503- 317 -8866
CONTRACTOR: TRI COUNTY TEMP CONTROL PHONE #: 503 - 557 - 2220
Inspection Request Scheduled For: Date: 1/11/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 042018-01 503-557-2220 Y
Corrections /Comments /Instructions:
Az„, i -4 ;rte - 7 S - /1/0(99 �' ,c,.,e,��r S —1 0 72 ql
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: ? — j / 0 7 Phone #: (503) 718- .q f