Permit (3) CITY TIGARD MECHANICAL PERMIT
PERMIT #: MEC2005 -00601
111� DEVELOPMENT SERVICES DATE ISSUED: 9/23/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S1026A -00600
SITE ADDRESS: 09730 SW TIGARD ST ZONING: I -P
SUBDIVISION: NO.TIGARDVILLE ADDITION AMEND. LOT: 059 JURISDICTION: TIG
Replace 3 ton gas pack with same size and weight, like kind. Project Project Description: p g p g ect Value: $3800 >
J p
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 = 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
MULL, GREGORY S AND Description Date Amount
MULL, GEORGE E [MECH] Permit Fee 9/23/200; $113.90
19350 SW POMONA DR [TAX] 8% State Surchar€ 9/23/200f. $9.11
BEAVERTON, OR 97007
•
Phone: Total $123.01
Contractor:
EASTSIDE HEATING + AIR CONDITIONING
7200 SW JOHNSON CREEK BLVD REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97206
Phone: 503 774 - 3281
Reg #: LIC 3258
This permit is issued subject to the regulations contained in the T.igard 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 •
thro • • - ' -001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699
or 1- 800 - 332 -2344.
Is u By: Permittee S • ! 'Wag �.,
Call 503-6394175 by 7:00 a.m. for inspections t business day.
This permit card shall be kept in a conspicuous place on t '• • site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Sep 22 05 09:40a
10 p.1
Mechanical Periggail 'on
.. City of Tigard - ,, t = A : .........
13125 SW Hall Blvd., TigarcL OR 9 P L42 VW D 8 t C n 3 y: 9 =MA Pumit NEv tige_9
Ilan Revie
Phone: 503.639.4171 Fax 50359= w
Date/Ity: Other Pcrmit
Inspection Line: 503.639.4175 v () 11G tgA .. il '
Internet: : P I .1' I W lUitigard.or.us Ga . Ivi s‘or. _,-,...--- 12- Doe Ready/By:
Notifiecl/Mcduxt El See Page 2 for
- ra . Sapplaneat id Information
0. BIZ-D ° •
.,;.:.:.•'::;..,'.444K-.'74,03Fri7.;::.-Alirt. ..:44:111*.Si*:..*tkaql.;14!'W:Vs*IfAtiL-tferti. ''.-tOklifflitlAW107A0iii.**abgai*Okii4
E3 New construction 4 Addition/altetation/replacemeM Mechanical permit fees are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other
mechanical materials, equigmtent, labor, overhead . and profit.
',7::',7:•74,f.:1-;iift'gri,411fAlfdjOle.:*- elt**.t.fOrbili4N1::::VM:011Mg Value: $ San° . 0
,:: 'f
0 1 - and 2-family dwelling Commercial/industrial 0 Accessory building P. .i4
For special information use checklia.
0 Multi 0 Master builder 0 Other:
Description I Qty. I Ea. I Total
::go.#.-x.ZV/gt.V.O.B.Ski*:WEORxrw.FfiWtr.144ftoNXM.-a Hutingic.ung
Air eaudititming or heat pump
Job site address: qi 2 s A \ -5 , e,,,..„4 S+
Bemires site plan showing placeman) 14.00
City/Stare/ZIP: 'T C A ir _ A (') g, g 7 S Furnace 100,000 BTU (duets/vents) 14.00
Su iteibldgJapt. no.: d Project name: D40 __c
sa_c___ Furnace 100,000+911.1 (ducts/venal
Gas heat pump 17.90
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 (fit el not electric).
in-wall, in-dust, suspended, etc. 10.00
Subdivision Lot no.: Flue/vent for any of above ' . 10.00
: I
Other: 10.00
Tax map/parcel no.:
Other 4;1 appliances
n0.**10aW4t.Matt!sA,M*... Water heater 10.00 '
Gas fireplace 10.00
-i-rs ;PI e: a _s ? c., et_ 1,131 Flue vent for water heater or gas
fireplace 10.00
.1 ‹..1 Z' 42 ...1. LA C > tgek *" i I kJ? - i< ) ri A Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireirlace/insert 10.00
. S' .. :'• • •i: :7 101iidijaiii6jAINtliF;: 1 47; ' igir :42-.!-Tiii•lkit.:414*;',::,'.!a C 10.00
, 10.00
Name: brt-i-eks a ---?-e., Environmental exhaust and ventilation
Range hood/other kitchen
Address:
r equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: (g ) 6_4') _ s LI a 3 Fax ( ) toilet compartments, utility rooms) 6.80
*:i-: .. 1- -. A0( Ciii■4c Ani ckrawisPace fails 10.00
..--
Business nam Other I0.00
Z-- ) e li p r76p c a r .„ A
Fuel piping
Contact name: $ er ._,,i„,,..,.... c en) 4 ( 4....d $3.40 for first foor; $1.00 for each additional
Furnace, etc.
Address:
Gas heat pump
City/State/ZIP:
Wall/suspended/unit heater
Water heater
Phone: (53 7 71,./_ ) Fax: : ( )
Fireplace
E-mail:
Range
:,--• , 'I s igagOiri s z4IXO: 1141 *.ket0". '2 C Barbecue
Clothes dryer (gas)
Business name: C A , j...fe e214 4 4,- ..-- ( r7A
Address: - 71(_>0 Sz __(--, 1--5(1-r) Cv k ,i vei : • ....:./dEelfA1441.414.0‘0074*
Subtotal /4/ • ?C
City/SlateiZtP p r _ 1 4..i e
Minimum permit fee (S72.50)
Phone:( ,, 22.,_s.__7 , : L. $ ) - or
Plan review (25% of perrnit fee) -e-
c CB lic.:3 /_s_8
State surcharge (8% o f permit fee) 9. //
TOTAL PERMIT FEE /A3, 40/
This permit application cisins if a permit is not obtained 180
Authorized signature: within 18
446 ey Gij e,kre2;/ CUL daya after it bits been accepted as complete.
Print name: 7 61.. I Date: q /4_6 /(,)--' 1 • Fen metbodolopy set by TO-Comity Boldiog Industry Silvio: Board
imuurno \P CifilitANSEC -Pam itApp doe 1203 44114617r11 LINICOMMEB)
CITY OF TIGARD
BUILDING DIVISION • PERMIT #: MEC2005.00601
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/23/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 _ . F 'I I ..
INSPECTION WORKSHEET FOR DATE: 10/14/2005 TIME: 7:02AM PAGE: 119
SITE ADDRESS: 09730 SW TIGARD ST CLASS OF WORK:
SUBDIVISION: NO.TIGARDVILLE ADDITION AMEND. LOT #: 059 TYPE OF USE:
PROJECT NAME: DATASAFE
DESCRIPTION: Replace 3 ton gas pack with same size and weight, like kind. Project Value: $3800
OWNER: MULL, GREGORY S AND, PHONE #:
CONTRACTOR: EASTSIDE HEATING + AIR CONDITIONING PHONE #: 503 -774 -3281
Inspection Request Scheduled For: " Date: 10/14/2005 Pour Time:
Code # Inspection Description Confirm # Contact 3 �y Message
699 Mechanical final 018308 -01 503- 774 -3384-
Corrections/Comments/Instructions:
O PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date/ «( 5 Phone #: (503) 718-