Permit a CITY OF TIGARD MECHANICAL PERMIT
,° t COMMUNITY DEVELOPMENT PERMIT #: MEC2006
-MA F
RD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/13/2006
PARCEL: 25111 AA -03400
SITE ADDRESS: 08625 SW GREENSWARD LN ZONING: R -4.5
SUBDIVISION: GREENSWARD PARK LOT: 004 JURISDICTION: TIG
Project Description: Heat pump install.
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: MF 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:
ELE 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: IT
REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR NIT S:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
BRIAN MCCONNELL Description Date Amount
8625 SW GREENSWARD LN.
TIGARD, OR 97223 [MECH] Permit Fee 11/13/20C $72.50
[TAX] 8% State Surcha 11/13/20C $5.80
Total $78.30
Phone: 503 -598 -9881
Contractor:
FOUR SEASONS HEATING & NC INC.
PO BOX 238
NEWBERG, OR 97132 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -538 -1950
FAX 503 -538 -0165
Reg #: LIC 97152
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: 4 erd,_ Permittee Signature: /�/ i ' AF _ / ;.` ,,
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.
Nov 09 06 07:59a Malcolm Lamb 5035380165 p.2
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Mechanical Permit A lication ., x. F OROFFICE "USE _
` • City of Tigar E Va Received ti 13 06 ttgg Pen" Nt "'..."O6 -0
13125 SW Hall Blvd.. Tigard, OR 97223 Plan Revicai
Phone: 503.639.4171 Fax: 503.598.196t 20 6 �, j r' pate /t3y: Other Pennic
]
Inspection Line: 503.639.4175 V U j t e ' r I pale Rcadyilly: / •r• 2 tine I a 2 fur
Internet: www.ci.tigard.or.us " "� - �
CITY OF TIGARD Notified/Method: Supplemental Informant
it o� ) r
1 t V OY WO> N COMMERCIAL FEE* SCHEDULE - USE CHECI
Mechanical permit Ices* are based on the value of the wet
❑ New construction [v]'Addition /alterat /replacement
perlonned. Indicate the value (rounded to the nearest doll:
❑ Demolition ❑ Other: mechanical materials, equipment. labor, overhead. and [In
CATEGORY OF CONSTRUCTION value: S
RESIDENTIAL EQUIPMENT / SYSTEMS FEE'
1- and 2-family dwelling ❑ Commercial /industrial ❑ Accessory building
for special in/nnrtatkia u.cr checklist.
❑ Multi - family ❑Master builder ❑Other: Description ; Qty Ea.
JOB SITE INFORMATION AND LOCATION Heating/cooling
g � a 5 rj Air conditioning heat pump •
Job site address: • t �
(requires site plan showing placa ucml 14.00
City /Stale /ZIP: fr1 -a--2-) Furnace 100.000 BTU (ducts vents) 14.00 1
�� �L Furnace 100.000+ BTU (ducts•veuts) 1 7.90
Suite /bldg. /apt. no.: Project name:
Gas heat pump j 14.00
Cross street /directions to job site: Duct work -_ 14.00
Flydrunic hot water system 14.0) — )'
Residential boiler (radiator or
hydntnic) i 14.00
Unit heaters (fuel -type, not electric)_
in -wall, in -duct, suspended, etc. 10.00
Subdivision: Lot no.: - Flueivent tor any of above j i (1.011
Other: 10.00
fax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater ( 0.00
. ` \CAM �' �� �t tt�� Gas fireplace water 10.0r)
�/v Flue vent liar water hr�tcr or gas
_ Iircplace 10.00
Log lighter (gas) 1(1.(10
Wood /pellet stove 10.110
m Wood fireplace /insert 10.0(1
ROPERTY OWNER ❑TENANT Chimney /liner /flue /vent 1000
Other: 10.00
_
Nae: \ C��.J G wr� \ Environmental exhaust and ventilation
Address: C� ^ /+ � � Range hoodiother kitchen
Q (4 Q.s -5v` C.- .e_.P�N�wy}' .4 UN) equipment 10400
City /Slate /ZIP —Zs � 9 tea t Clothes dryer exhaust I )1.110
Single -duel exhaust (balhnnuns,
Phone: 503) c _,c;) to IZ Fax: ( ) toilet compartments. utility mums) i 0.80
Q %PPLICANT ❑ CONTACT PERSON Attic /ctawlspace fans 10.00
Other. 10.00
Business natne i ota_ � R FA-k. Fuel piping
Contact nan)e :s\,.. p, vs..,,e.-...ury-s,, $5.40 for first four; $L00 for each additional
t S � ��� Furnace, p:.
Address: � � ` K ,
Gas hen pump _
City /State /ZIP: ear �- f� CYR- C I '1 1 3 Wall /suspended /unit healer
I�
—
Phone: (5_V G2� \ C Fax: :S-0•5 ) s�`2 _px to s
Water heater
e� ` ' l r Fireplace
E -mail:
Range
CONTRACTOR Barbecue '
�
% Clothes dryer (gas)
_
Business naiad D�� � \ `� A '-� J �� 1 5 ` ' c.... Other:
Address: 1 o 42 MECHANICAL PERMIT FEES*
City /State /ZIP: ��, {:712____ q''1 ) 3fi"-D--,... 11 - Subtotal
Phone: 3) S _` c7 K0 5' . t 1 49 Minimum permit fee
Fax:
Phone: Plan ,,,i. (25"/o of permit to (i /,
CC lie.: t91 ` r j `� 0 •
State surcharge (0'
. of permit Ice) V..
TOTAL PERMIT FEE .mil
'Phis permit application expires if a permit is not obtained oitl
Authorized signature: V��.�.__ days after it has been accepted as complete.
Print ram mac+ ,,, -- � -Q1P_& s Date: ` ' 9 - ( 0 I • Fee methodology set by 1 ('taunt. Itui thug Indus:ay Service!
i: It uiklintrPermits•Mt(C- VennitApp.doe 12.03 440 -40 ITT ( 11•02'COM WI n)
Nov 09 06 07:59a Malcolm Lamb 5035380165 p.3
' 0 0 5 51 ' v 5
property lines
�7 !-k' ` !\
8625 SW greensward
Site Plan for McConnell