Permit CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005 -00165
41 DATE ISSUED: 4/11/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S103AB -00404
SITE ADDRESS: 11305 SW WALNUT ST ZONING: R -4.5
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Installation of A/C, gas furnace & gas fireplace. 4/13/05: Added 2nd gas furnace.4 /18/05: Added, (5) fans,
gas stove, water heater & dryer.
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS: 5
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: 2 AIR HANDLING UNITS CLO DRYERS: 1
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 5
> 10000 cfm:
GAS OUTLETS: 0
Owner: FEES
HARRIS, JAMIE Description Date Amount
11305 SW WALNUT
TIGARD, OR 97223 [MECH] Permit Fee 4/11/200E $72.50
[TAX] 8% State Surcha 4/11/200E $5.80
[MECH] Addl Permit 4/18/200E $39.90
Phone: 503 -591 -1337 [TAX] 8% State Surcha 4/18/200E $3.19
Total $121.39
Contractor:
SERVICE NOW OF OREGON INC
404 SE BEAVERCREEK RD #228
OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS
Phone: 503- 655 -7558
Reg #: LIC 161582
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: f Z.d2. Permittee Signature:
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.
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Mechicr_Permit , I !
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City of • *art Reeaived
- -40 ,,,-.7 L
), Pcmut No.:-\E„: C
13125 Sw Hall 131vd„ Tigard, OR 97223 APR 0 8 2005 , frir . , , , Date/By:
, ci
Plan Review
Phone: 503,639 4171 Pax: 503.598.1960 ti Oilier Permit:
Inspection Line: 503.639.4175 CITY OF TIGARD .-'&11;iliii', DaEBY:
,,.....,,.. Mac ReadWBy: FM Ed See Page 2f
Internet: www.atigard.or us BUILDING DIVISIO - : Not ificcumolind: supplement-a/Information
rg,PPMIg ,,.) ;,:"1 j't . - ). '‘-r-P , i , cOki'imgka - xL*ttwaitottet;,")ior9 - ixom ti
„;..:,..W6 , ,.s :'' .,.1 , 'PIP ' • . ....P. ;-.''. - ‘. ,- . . ,_,-,. . , ' ...'-:. , .: . ,„; .ii,:''': .,-, ll , n ^k '4;, ,
Mecligniedl permit fees° arc based on the value of the work
0 New construction - 4.3 ArlditiOn/alteration/replaccment performed. indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equireni labor, overhead, and profit.
7' '" if'd: -it iiprinVi::f ii ..,..;Ae,' Value. $
14:a5.72F,iN:1:±i*,iiiQ:nflar,fi. :6 . '..: ••• „.,1, :-. , ....: ••.,... ..t. ,.. , . ..t L . ...'. '6:,.: 7'.:...,".
IX] 1 - and 2 dwelling 0 Commercial/industrial 0 Accessory building
For special information use checklist.
0 Multi-family 0 Master builder D Other pacriptit
r!l J: 0 . tiON' ;, 1,e 4".: q; ' ''' ' ' • ::;,' ''::;': lkatingic"ling
Air conditioning or heat pump r• i ot
Job site address: 1 13 05 5_ wc,S),nu+ c ru q uirc4 site pion showing pl I 14.00 Pl.
City/Slate/41P: 4.----- , di - di 0 i Furnace 100.000 1.3T1,1 (ducts/vents) I 14,00 j (1•�
Furnace 100,000 BTU (duetsh.muts) I 17.90
Suite/bldg./apt. no.: , Project name: a * PAc
Gas heat pump J 14.00
Cross street/directions to job site: - u...D cLeAC:c. 1 Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
1:n4:Ironic) 14.00
t mit heaters (fuel-type, not elec(ric),
• in-wall, in-duct, suspended, etc. 10.00
- Flue/vent for any of above 10.00
Subdivision: Lot nos; Other- 10.00
____
Tax map/parcel no.; other fuel appliances
,..., , p
, .: , . / -..- 7 , . .,,.> kE : ,, v Rh r, ., ,,,..... / „- . .„ -- 7 , . , ,.:.:,..:,-,...t„ Water heater 10.00
,,:
14.,.74. ',': :':' ',WF - ,,• .'," • - . , -•,:z] ,: ,
(ins iircp1 ace , I _10.00 10.
- 1 -
e_f_ • , ._ F lue vent for walcr heater or gas
fireplace 10,00 _
... • ' 4 . 4 4 Log lighter (e.ilS) 10,00
-. Wood/pellet stove 10.00
.----.....
Wood fireplace/insert 10.00 ,
Chimney/finer/flue/vent 10,00
V. i '.,51,,,,.-r.64".'''fli vukkife .:7 ' . . •-• - ', . ;•,; .,,!.,:. clfrIti:ARIP,`.:i..::•:. 7 s 1 : - ' ,1 ‘,Q., .
;-: .,•• s , m, -, ',.- • .. '3?ii'L' - '.' ' Other. 10.00
Name; . - Environmental exhaust and ventilation
0 . A A. - • ',..--• I • Range liond/other kitchen
Address: I InS ' _ .. 4 n , 09.ipment 10.00
City/State/ZIP: . , a 0 • r 01. 7. . 1 ..3 Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phoue: e3) 5-91. t ''AJ 3 I- F ax ( ) t compartments, utitity rooms) . 6 80
ri ii i .':...• 7 .: t 7"1.41;1.'"4.44i4M...i15,144.1P,,.. t:".;v?"..lifj',11.".?1‘ AifiCkraWISPaCe fans 10"
Other 10.00
Business name: . Fuel piping
Contact name radii,- .
•• ,
• .1% _ -.TO_ $5.40 for first four; mop for cash Additions
Furnace, etc. , _
Address: (rie; heat pomp '
City/State/ZIP: . Wall/suspended/unit heater
_ Water heater
Phone: ( ) Fox: : ( ) •
_ Fireptace
E-mail' . _ Rang! -
fiarbecue
4 - 4.. \ - ,, CONTLAri OR, , . .. . ' ,. • ..- 5 ÷' Ai.:.': ,,.,
c loth% dryer (gas) ..
Business name; Service NOW of Oregon, Inc. Other:
Address: 404 S . I3eavercreek Rd # 228 :.. P ERI4t.4,' it'S ,1,
Subtotal Vi, , o b
cityist,Ite/Z1P: Oregon City, OR 97045 , minimum permit fee ($72.
Phone: (5" --,
v..) ) 655-7558 Fax: (503) 655-7593 plan review (25% et fee)
....--.
_
Ceti lic.: 161584 _ state surcharge (8% of permit fee)
_
TOTAL PERMIT FEE
Authorized M / gt , •
IP ' 0e4,fr4'
‘ ,
Date: 76 r b C This permit a gpiieo don v■pircs if a permit ki nOt obtained within 180
days after it 1114 been accepted as complete-
' Fee methodology eel by fn-Comiry Ditildinst Industry Service Board
Print name; /g , , ri insal r ., t
_ .
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1 vas . 410-4617 clitovcommen)
CITY _OF T!GARD
BUILDING DIVISION PERMIT #: MEC2005 00165
4/11/2005
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 �mrv- m i {�
Inspection Requests (24 Hrs.): (503) 639 -4175 .�' 111.
•
INSPECTION WORKSHEET FOR DATE: 7/25/2005 TIME: 7 :12AM PAGE: 75
SITE ADDRESS: 11305 SW WALNUT ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HARRIS
DESCRIPTION: Installation of NC, gas furnace & gas fireplace. 4/13105: Added 2nd gas furnace. 4/18/05: Adding
gas piping for 2nd furnace.
OWNER: HARRIS, JAMIE, - PHONE #: 503- 591 -1337
CONTRACTOR: SERVICE NOW OF OREGON INC PHONE #: 503-655-7558
Inspection Request Scheduled For: Date: '7/25/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 012015-01 _ 503°655 58
75 Y
Corrections/Comments/Instructions:
- L 140‘ C` lr45P-= cTIG ^iv -rc_ 6-2 F-r r
•
•
kii PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 7- 2r-vr Phone #: (503) 718-
•