Permit ® - R
, ' , 1i.. , :J'%'. CITY OF TIGARD
MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00494
T I G • DATE ISSUED: 8/9/2007
1312 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S111AB-08400
SITE ADDRESS: 14420 SW 94TH CT ZONING: R -4.5
SUBDIVISION: PENROSE TERRACE LOT: 029 JURISDICTION: TIG
PROJECT: MCNAMEE
Project Description: Install high efficency heat pump.
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: WOODSTYERS:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
MCNAMEE, PAUL G + BARBARA A Description Date Amount
14420 SW 94TH CT
TIGARD, OR 97224 [MECH] Permit Fee 8/9/2007 $72.50
[TAX] 8% State Surcha 8/9/2007 $5.80
Total $78.30
Phone:
Contractor:
AMBIENT AIR HEATING & COOLING
29460 S ROTAL OAKS DR.
MULINO, OR 97042 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 756 -4915
FAX 503- 759 -4111
Reg #: LIC 175129
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.
Zi Issued B �I /Ui/ �- / Permittee Signatur .
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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, Mechanical Permit Application ,,,,r x"�'.A FOR OFFI OLY � , �sVit 1 ';
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flOr.':..:' : City of Tigard Al' Received y: • it M Permit No. / l�l� _„' • ° 13125 SW Hall Blvd., Tigard, OR 97 1 Plan Review GC/
Phone: 503.639.4171 Fax: 503.598. 9.1 DateBy: Other Permit:
T l G A R D Inspection Line: 503.639.4175 AUG 0 9 LOP
Date Ready /By: ® See Page 2 for
' ' ` ' Int ernet: www.ti g and - or. o v l/ U g Notified/Method: A Supplemental Information
CITY OF FIGARD
TYPE OF WRONG DIVISION - COMMERCIAL FEE* SCHEDULE _ USE CHECKLIST
❑ New construction Z 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.
CATEGORY OF CONSTRUCTION Value: $
RESIDENTIAL EQUIPMENT /,SYSTEMS FEES* '
1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION= Heating/cooling
Job site address: f lLf a( 5 p y I ^ C- , Air conditioning or heat pump /
(requires site plan showing placement) 14.00
City /State /ZIP: 7 fie of 7 ZZL( Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: Project name: if 0 , �e7 Gas heat pump 14.00
Cross street/directions to job site: I I L Oki Duct work 10.00
nn 1 ///k...0600 ii V7� Q � VI G �✓ I / Hydronic hot water system 14.00
►I i'� I � � Residential boiler (radiator or
Cr q C-F 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 6.80
Other: 10.00
Tax map /parcel no.: Other fuel appliances
' DESCRIPTION OF WORK Water heater 10.00
Add Gas fireplace 10.00
/`� Ud (9 n k1 /5 1 .6-4 � i i (iiict/ h a& 1,-n° 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
t PROPERTY OWNER . ❑ TEN p Chimney /liner /flue /vent 10.00
Other: 10.00
Name: , rb ,.://0.,,,) / / !, na ✓h ev Environmental exhaust and ventilation
Address: PIC/ S � 74-14% C._ Range hood /other kitchen
equipment 10.00
City /State /ZIP: t J 1 �1 al 7 Z -Z,6/ Clothes dryer exhaust 10.00
/ Single -duct exhaust (bathrooms,
Phone: ( l OZ Sc� tiI�O1 Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT . ❑ CONTACT PERSON ' Attic /crawlspace fans 10.00
Other: 10.00
Business name: Aim 6),0 /,�� y. N. � ,) COO I f J Fuel piping
Contact name: 6 r e 1---/- ,f of cd'� - J $5.40 for first four; $1.00 for each additional
p � Furnace, etc.
Address: Z / L/ /O WO V s / c7 u 1(5 O . Ga h eat um
IIVV pump
City /State /ZIP: /Y /ii, /) In o (1 Q 7 &L(Z Wall /suspended/unit heater
Phone: (d- 3 ) 75 411/ S � Fax:: (6T23) 7 5 — ( - ( f I 1 Water heater
Fireplace
E -mail: Range
CONTRACTOR Barbecue
•
Business name: Atm e,od- JI-0r /�G4 ii 11_ Clothes dryer (gas)
{ 1 /' Other:
Address: Zvi L 6 v s . � -/ (4 a 1 ( !� v r, MECHANICAL PERMIT FEES*
City /State /ZIP: MI ` )411 O oR 4,70 w Z Subtotal
Minimum permit fee ($72.50) .42..50
Phone: ( 3) 75 Lf 9 j5
5 Fax: (50 ) 5 ,C-,/✓ I Plan review (25% of permit fee)
CCB lic.: / 7,r' 7 y 3 / / State surcharge (8% of permit fee) 5, ID
TOTAL PERMIT FEE -lg . 3,0
This permit application expires if a permit is not obtained within 180
Authorized signatur- : �� days after it has been accepted as complete.
Print name: i0 731 'ck G/` - 1 Date: X29/6 * Fee methodology set by Tri- County Building Industry Service Board
1: \Building \Permits \MEC- PermitApp. doc 01/19/07 440 -4617T (1 I /02 /COM/WEB)
,
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
Total Valuation:_ • 'Permit Fee:
$1.00 to $2,000.00 • Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or
fraction thereof, to and including •
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and
$1.25 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
I: \Building \Permits \MEC- PermitApp.doc 01/19/07 2
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