Permit CITY TIGARD MECHANICAL PERMIT
4 11 1 1 + 1, DEVELOPMENT SERVICES PERMIT #: MEC2006 - 00140
DATE ISSUED: 4/11/2006
=--� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2 S 112 B B - 06800
SITE ADDRESS: 14230 SW FANNO CREEK CT ZONING: R -7
SUBDIVISION: COLONY CREEK ESTATES NO.2 LOT: 051 JURISDICTION: TIG
Project Description: A/C AND DUCTWORK.
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:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
ELE 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTO UNITS:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
MICHAEL NEWMAN Description Date Amount
14230 SW FANNO CREEK CT
TIGARD, OR 97224 [MECH] Permit Fee 4/11/200E $72.50
[TAX] 8% State Surcha 4/11/200E $5.80
Total $78.30
Phone: 503- 624 -8179
Contractor:
DRAGON HVAC
1409 SE 151ST.
PORTLAND, OR 97233 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 756 -2967
Reg #: LIC 167823
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: /S Permittee Signature:
Call 503 - 639 -4175 by 7:00 a.m. for inspections that usin = :ay.
This permit card shall be kept in a conspicuous place on the job site unti , completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit A - - n T ,-2',,,..:.!.,:t,:.:._ "
' U51 . - 4 -r ov . .te
City of Tigard i-""p t V p I Received Permit No / n
9 t tiqn-_
DatefBy1 // / /O b 4 kE%( (.17/ '_I �v
13125 SW Hall Blvd., Tigard, OR 97223 Plan Revte / J
Phone: 503.639.4171 Fax: 503.598.1960 /rat r„ Date/By Other Permit:
Inspection Line: 503.639.4175 APR 11111/ I Da te Ready/By: luris
1 � :; ,_ k „ ' III► el See ante or
Internet: www.ci.tigard.or.us Notified/Method: �� (�, Supplemental Information
t1J i � K ,��x ra�A�� COMMERCIAL FEE* SCHEDULE -USE. CHECKLIST
El New construction . 3r . t 1 on/ ��� allteratte ��� ra JJ tlon/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: $
- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
El Multi For special information use checklist.
❑ Master builder 0 Description 1 Qty. 1 Ea. 1 Total
.. JOB SITE INFORMATION AND LOCATION Heating,/cooling__
Job site address: ///730 5- t) 4--,34,0 / Air conditioning or heat um C ( mquiressite plan showing placement) 14.00
City/State/ZIP: -- 770 ..y - p - { 0.■ 72_Z3 Fumace 100,000 BTU (ducts/vents) 4 14.00
Fumace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name:
Gas heat pump 14.00
Cross street /directions to job site: Duct work / 14.00
Hydronic hot water system 14.00
( -4-4.4,L �- kr) C_ ' ECL Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: Lot no.: Flue /vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
- DESCRIPTION OF WORK Water heater 10.00
�-- Gas fireplace 10.00
2c(\ I'kce - r c�.. P C )r -f coo( (C Flue vent for water heater or gas
ii fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
❑ PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 10.00
0.A--C.4././C. )11.1,4„,t Other: _ 10.00
Name: l �. tkw Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 10.00
City /State /ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( 5 Fax: ( ) toilet compartments, utility rooms) 6.80
„a APPLICANT ❑ CONTACT PERSON . ' Attic/crawlspace fans 10.00
Business name: �� L -c Other: 10.00
( u Fuel piping
Contact name: r>. Ca * / // $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: ii,' 5 . ( Gas heat pump
City /State /ZIP: 1 , , ( ( /'f 7233 Wall /suspended/unit heater
Phone: ( I-J(J , j) ''" - Zq( .7 Fax: : ( ) Water heater Fireplace
E - mail: ... t;.c ovik ac r / lc6) - mo, Ccs t Range
• . CONTRACTOR Barbecue
Business name: T 0 1 /4/44.6/1Z LCG Clothes dryer (gas)
Address: 1 Cl`U S r MECHANICALPERMIT FEES*
City /State /ZIP: 1'--/&d C 4 7 Z33 Subtotal
Phone: ( // Fax: ) Minimum permit fee ($72.50) ,la_SO
�) 7�G7 - Z � 7 ( Plan review (25% of permit fee)
CCB lic.: / ( 0 752 3 / A- CJ — E97 State surcharge (8% of permit fee) S. gb
TOTAL PERMIT FEE ' .g0
` / signature: This permit application expires if a permit is not obtained within 180
J �� days after it has been accepted as complete.
Print name: �/ `��� Date: '67 • Fee methodology set by Tn- County Building Industry Service Board
is \Building\Pennits\MEC -P: • pp doc 12/03 4404617T(11/02/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 $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
i:\Building\Permits\MEC- PermitApp.doc 12/03 2
• CITY OF TIGARD r
BUILDING DIVISION PERMIT #: MEC200$ -00140
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/11/2006
Phone: (503) 639 -4171 h 1
Inspection Requests (24 Hrs.): (503) 639 -4175 "+� °'' � - e - � Do 6 - 60 /V0
INSPECTION WORKSHEET FOR DATE: 4/12/2006 TIME: 7:A PAGE: 24
SITE ADDRESS: 14230 SW FANNO CREEK CT CLASS OF WORK:
SUBDIVISION: COLONY CREEK ESTATES NO.2 LOT #: 051 TYPE OF USE:
PROJECT NAME: NEW1v1AN
DESCRIPTION: A/C AND DUCTWORK.
' OWNER: iNE!" +9i Aid, MICHAEL PHONE #: 503 - 624.8170
CONTRACTOR: DRAGON HVAC PHONE #: 503 --756 -2967
Inspection Request Scheduled For: Date: 4/1212006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 0271346.02 503-756-1061 Y
Corrections /Comments /Instructions:
#0 ij667 F�c- -� r(14A L. p CA--r-id) s 'o cr — - 2s-5 S
A O LL/.1,91. . .
•
I I PASS ( ARTIAL APPROVAL n CANCEL ❑ NO ACCESS
l FAIL I CALL FOR INSPECTION Ill ADDITIONAL FEES ASSESSED
Inspector: .,-/0 ' _. • Date: 1 vG Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC200&00140
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/11/2006
Phone: (503) 639-4171 AA.
Inspection Requests (24 Hrs.): (503) 639-4175 /18 Z0 0 6
INSPECTION WORKSHEET FOR DATE: 4/12/2006 TIME: 7:04Alvi PAGE: 26
SITE ADDRESS: 14230 SW FANNO CREEK CT CLASS OF WORK:
SUBDIVISION: COLONY' CREEK ESTATES NO.2 LOT #: 051 TYPE OF USE:
PROJECT NAME: NEM/IAN
DESCRIPTION: A/C AND DUCTWORK.
OWNER: NEMIAN, MICHAEL PHONE #: tiO3-6246170
CONTRACTOR: DRAGON HVAC PHONE #: 503-756-29E17
Inspection Request Scheduled For: Date: 4/1212006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanic91 rough-in 027846-01 503156-1061 •
Corrections/Comments/Instructions:
•
•
PASS I I PARTIAL APPROVAL 0 CANCEL fl NO ACCESS
I I FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: iZ7 Date: 4 -/g---.16 Phone #: (503) 718- IOC
7'719 e
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