Permit ill CITY OF TIGARD MECHANICAL PERMIT
_y� COMMUNITY DEVELOPMENT PERMIT #: MEC2006 -00563
i "" DATE ISSUED: 11/14/2006
TI RDci 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 112BB -11600
SITE ADDRESS: 14129 SW FANNO CREEK PL ZONING: R -7
SUBDIVISION: COLONY CREEK ESTATES NO.4 LOT: 096 JURISDICTION: TIG
Project Description: Remove & replace existing furnace, coil & outside unit.
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:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
CONNIE TRUONG Description Date Amount
14129 SW FANNO CREEK PL
TIGARD, OR 97224 [MECH] Permit Fee 11/14/20( $72.50
[TAX] 8% State Surchar€ 11/14/20( $5.80
Total $78.30
Phone: 503- 840 -0157
Contractor:
ALL METRO HEATING INC
PMB 120 2870 NE HOGAN RD STE E
GRESHAM, OR 97030 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 381 -4557
FAX 503 -578 -3275
Reg #: LIC 152937
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 OU NC by
calling 503.246.6699 or 1.800.332.2344.
Iss d By r •��'' � - -/4 1 Permittee Signature: V �
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.
Mechanical Permit Application " x - ,e " ' ; . l C)RrC) lc ll: U SI �oy 1 , ` � . ,
n' , " 4 0 1 '' and Received
`City of Ti / (� Permit No.: /)� { ,y� J
`J g Date/By. i i I LI 6 & (i\1. -V % � e �?L�)CF .60 5&
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
V 4 - A �' Phone: 503.639.4171 Fax: 503.598.1960 Other Permit:
'
Inspection Line: 503.639.4175 Date/ By.
�u1 G A ♦Z'� p Date Ready/By: )uns ® See Page 2 for
ll'ti ti RIf Internet: www.tigard - or.gov Notified/Method: e , Supplemental Information
TYP OF WORK COMMERCIAL FEE* SCHEDULE USE CHECKLIST
. ❑ New construction "2 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 I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION - Heating/cooling •
•
Job site address: I y (Z q S 1 Air conditioning or heat pump
V 6- .. ^6 6 t (,t P l e_C (requires site plan showing placement) 14.00
City /State /ZIP: _ r , . 4r d p z e L4 Furnace 100,000 BTU ( ducts/vents) 14.00 /
Furnace 100,000+ BTU (ducts/vents) 17.90 •
Suite/bldg. /apt. no.: Project name:
Gas heat pump 14.00
. Cross street /directions to job site: g ...11 ', k,1 < 6 J -\, i k,e c a . \,. -n Duct work 14.00
` Hydronic hot water system 14.00
C_ r t 1. C. "D f t ) ` • 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 1
• Other: 10.00
Tax map /parcel no.: Other fuel appliances
- DESCRIPTION OF WORK . . Water heater 10.00
tt ( Gas fireplace 10.00
n.'woJt '1 Lt.p�a.c.t. 1 -w t5 Cr -e rurne_t;,t. Leif t 3 Flue vent for water heater or gas
L fireplace 10.00
DJ LA.Ant G6^141..ti4 1.0.-S v ,.rk- . Loglighter(gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
® PROPERTY' OWNER ❑ TENANT Chimney /liner /flue/vent 10.00
- Other: 10.00
Name: G 60%.-.14.. -("v u o... Environmental exhaust and ventilation
Range hood/other kitchen
• Address: , y l / t 9 <%,,) Fe...'•a. C r a.e.."L F L C 4 equipment 10.00
City /State /ZIP: T and t 6 el 2 Z Y Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ((o3 ) 9410 - O i 54 Fax: ( ) toilet compartments, utility rooms) 6.80
- • ❑ APPLICANT ❑ CONTACT PERSON . Attic/crawlspace fans , 10.00
Other: 10.00
Business name:
ill - Ma. +ro tam } r.:2. , I'..L . Fuel piping
Contact name: ''. tit a e^tid it cJ r $5.40 for first four; $1.00 for each additional
Address: M� 1 Zp 11 - Gas hea p
t� , Z 8 } o N � I �e �e. �. � tl . S u � L Gas heat pump
City /State /ZIP: ( cc 6 „,,,, - , 6 Q et }o? O Wall /suspended/unit heater
Phone: (co) ) 3 g 1 - yc f 4 Fax: : (4' ) c 4 .1 - 'LA'S- Water heater
Fireplace
E -mail: Range
' ,CONTRACTOR - Barbecue
Business name: j i1 _ . � ' t._... Othcr:
Address: ? A,,,.'„ t -to 7,131. i4E Ho S e.'� P. e� < u tit. G MECHANICAL PERMIT FEES* .
. City /State /ZIP: v rs.t I" 0..„.. t o z 9 4 6 ? 6 Subtotal - --•
(4 (_ Fax: ( e ) s - ; �/' 3L Minimum permit fee ($72.50) 7,a.)--0 Phone:
( 3) 3 y 5 5 S 3 Plan review (25% of permit fee)
• CCB lic.: / 5' 11 3 1 State surcharge (8% of permit fee) 6. $)
TOTAL PERMIT FEE 78,, -3 p
Authorized si ature: This permit application expires if a permit is not obtained within 180
>'� �� i d ays a i t has been accepted as complete.
Print name: 3 A.A. S 6.n. CC Date: l (/, 6(, ' Fee methodology set by Tri- County Building Industry Service Board
t� 47� r /
1: \Building\ Permits \MEC- PermitApp.doc 04/06/06 4404617T (1I /07/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. ,
$ 1 00,000.01 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.
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