Permit IN . CITY OF F T I G® ® MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00541
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/3/2008
PARCEL: 1 S133CD - 05800
SITE ADDRESS: 13662 SW FEIRING LN ZONING: R -
SUBDIVISION: COTSWALD MEADOWS LOT: 056 JURISDICTION: TIG
PROJECT: WILLIAMSON
Project Description: Replacing furnace and venting for 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: 1
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
VALERIE WILLIAMSON Description Date Amount
13662 SW FEIRING LN
TIGARD, OR 97223 [MECH] Permit Fee 11/3/200€ $72.50
[TAX] 12 %State Surch 11/3/200E $8.70
Total $81.20
Phone: 503- 643 -2053
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: i' / / Permittee Signature: ��� � - N ,, /
Call 503. • ! � 5 by 7:00 a.m. for inspections that businesss d ay y .
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.
U -3 -2008 01:'16P FROM:
J: T0: 5035981960 P.1
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Mechanical Permit ApplicatiorREr,
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Cit of Ti and �+ Rece �� y • '� �� �7 �/ ` / � ` ° 13125 5 SW Hall Blvd Tigard,OR 97223 (�/ O�/
Ac e/B J Plan Review
U j/ Permitho.: % r�- �---�W _ II._ /V� Phone: 503.639.4171 Fax 503.598.1960 Q Date/By: Other Permit:
i ;�a Inspection Line: 503.639.4175 CI 3 2008 Data Ready/By. lulls ® See Page 2 for
Internet: www.tigard or B Op TIGA R D Notified/Method: ry j ^� Supplemental Information
"TYPE OF WORK DI VISION COMMERCIAL FEE* SCHEDULE — USE CHECKLIST I
Mechanical permit ices' are based on the value of work
El New construction X Addition /alteration /replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
1- and 2-family wellin RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
For special information use check
y g ❑ C Master builder i lde ustrial ❑ Accessory building
Multi- fancily ❑ Master builder list.
❑ Other: Description I Qty. I Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 3 Fci r in Air conditioning or heat pump
(requires site plan showing placement) 14.00
City /State /ZIP: "J" cr1 9) Furnace 100,000 BTU (ducts /vents) 1 14.00
Furnace 100,0001-BTU (ducts/vents) 17.90 1
Suite/bldg. /apt. no.: Project name: �.11 ) UrSf1r.) Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic hol water system 14.00
Residential boiler (radiator or
hydronic) _ 14.00
- - -- Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Subdivision: Lot no.: Flue /vent for any of above 1 6.80
Other: 10,00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
RI ^ � l �J�,� ntip Gas fireplace 10.00
[ Flue vent ent for water heater or ga,
fireplace 10.00
Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
11 PROPERTY OWNER ❑ TENANT �� I 1 On
Chimney/liner/flue/vent 10.00
�
Other. 10.00
Name: � Environmental exhaust and ventilation
Address: Range hood /other kitchen
equipment 10.00
City /State /ZJP: Clothes dryer exhaust 10.00
r _ 1Z��� t comp filet exhaust (uathror (00-13 ((JLf�
Phone: ( Fax: ( ) toilet compartments, , utility rooms) 6.80
%APPLICANT ❑ CONTACT PERSON Attic /crawlspace funs 10.00 I
Business name: Other: 10 00 j
Fuel piping
Contact name: SJ IW !lam WM $S.40 for first four; 51.00 for each additional
Address: Furnace, etc.
1
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: ( ) F x:: ( ) Water heater
Fireplace
E -mail: Range
CONTRACTOR Barbecue
Business name: T l C a r Clothes dryer (gas)
,� ,,I'� Other.
Address: 13E60 6• /0! dCli m05 ' Dn MECHANICAL PERMIT FEES'
City/State /ZIP: OV O � C.rh{ 0R.- 11 Subtotal
Minimum permit fee ($72.50) :4.99
Phone: ( 557 o
Fax: ( . tfo 667 0q
Plan review (25% of permit fee)
CC14 Jic.: { 24 State surcharge (12% of permit fee) Q 4 /1
• TOTAL PERMIT FEE 0tvLU
Authorized signature: � �� ., This permit application expires di' permit is not obtained within 180
days after it has been accepted as complete.
l Print name: spl `L1I Date: , ►jname: • Fec methodology set by Tri County Building Industry Service Board
1 \s Iding\Permitaa..C- PermaApp.doc 01/19/07 440.4617T (1l /07JCOM /wEa)
CITY OF TNGARD '
BUILDING DIVISION PERMIT #: 1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/3/2000
Phone: (503) 639-4171 AY
Inspection Requests (24 Hrs.): (503) 639~4175
INSPECTION WORKSHEET FOR DATE: 11/18K2008 TIME: 7:01AM PAGE: 34
SITE ADDRESS 15662 SWFE\R1N8LN CLASS OF WORK
SUBDIVISION: C8TBVyALOk4EAQOWS LOT #: O56 TYPE OF USE:
PROJECT NAME: VNLUAMSON
DESCRIPTION: Replacing furnace and venting for furnace.
OWNER: WI|JjAN1S0W.VALER|E PHONE #: 603-643-2O63
CONTRACTOR: TRI COUNTY TEMP CONTROL PHONE #: 603-557'3220
Inspection Request Scheduled For: Date: 11/18/2008 Pour Time:
Code # Inspection Description Confirm # Contact Message 44 1
.
699 Mechanical final 078161'01 603-567-2220 �
•
Corrections/Comments/Instructions:
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n PARTIAL APPROVAL El CANCEL fl NO ACCESS
7 FAIL 7 CALL FOR INSPECTION II] ADDITIONAL FEES ASSESSED