Permit ' ". CITY OF TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00317
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/4/2007
PARCEL: 2S112BA-06500
SITE ADDRESS: 07805 SW WATER PARSLEY LN ZONING: R -12
SUBDIVISION: BONITA TOWNHOMES LOT: 001 JURISDICTION: TIG
PROJECT: ANDERSEN
Project Description: Install a/c 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:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
GARY ANDERSEN Description Date Amount
7805 SW WATER PARSLEY LN
TIGARD, OR 97224 [MECH] Permit Fee 6/4/2007 $72.50
[TAX] 8% State Surcha 6/4/2007 $5.80
Total $78.30
Phone: 503 - 545 -2383
Contractor:
OREGON HEATING & AC
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
I
Contact #: PRI 503 -538 -2953
FAX 503 -537 -2172
Reg #: LIC 172126
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.
Issue. = �� /7 / /,!�� Permittee Signature: h j (n /f
Call 503.639.4175 by 7:00 a.m. for inspections that business ay.
is 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.
Jun 04 07 03:59p Oregon Heating & A/C 503- 537 -2172 p.1
i
Mecv`lailicai Permit Application FOR OFFICE USE ONLY
r,
Ill Ci ty of Tigard Received lJ�� ��
1 3125 S Hall Blvd., Tigard, OR 972 Date.!By: ,41BI/»J IS..1 1
C • Plan Review Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 J U N 0 `# 2007 Date/By:
T I GA R D Inspection Line: 503.639.4 Date Ready!By: H See Page 2 for
Internet: www.tigard Notified/Method: f. � Notified /Met Supplemental Information
C iI t'` ifizA f
RtIItPliror: nmslello
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* are based on the value of the work
El New construction ® Addition /alteration /replacement
performed Indicate the value (rounded to the nearest dollar) of all
El Demolition ❑ Other: mechanical materials, equipment, labor, overhead. and profit.
. CATEGORY. OF CONSTRUCTION • Value: $
® I and 2-family dwelling RESIDENTIAL EQUIPMENT/ SYSTEMS FEES*
y g ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi family ❑ Master builder ❑ Other:
Description Qty. Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Air conditioning or heat pump
Job site address:
s[ ` v P ons ve { Ln _ (requires site plan showing placement) \ 14.00 t ti •00
City /State /ZIP: ""T(301 cri a). � J Furnace 100,000 BTU (ducts/vents) 14.00
a� Furnace 100,000+ BTU (ductsfvcnts) 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
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
HVAC Gas fireplace 10.00
�I pc Flue vent for water heater or eas
fireplace 10.00
Log lighter cps) 10.00
Wood/pellet stove 10.00
Wood ftreplace'insert - 10.00
14 PROPERTY OWNER ❑ TENANT O th er yiliner /flue /vent 10.00
Other. 10.00
Name: ecr�� Environmental exhaust and ventilation
C�� i ' "�vl t li
Range hood/other kitchen
Address: `7 5 st .J C1, -i..er crave � equipment 10.00
City /State /ZIP- Q Qat-1 • cc` rei Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (535) 54 5 --a 3 R 3 1 J Fax: ( ) toilet compartments, utility rooms) 6.80
•
. ® APPLICANT 0 CONTACT PERSON Attic/crawlspace fans 10.00
Other. 10.00
Business name: Oregon Heating & A/C
Fuel pipinp,
Contact name: Rnc Ile $5.40 for first four; $1.00 for each additional
Address: PO BOX 297 Furnace. etc. _
Gas heat pump
City/State /ZIP: Dundee OR 97115 Wall/suspended/unit heater
Phone: (503) 538 -2953 Fax: : (503) 537 -2172 Water heater
Fireplace
E -mail: Range
CONTRACTOR Barbecue
Business name: Oregon Floating & A/C
Clothes dryer (gas)
Other.
Address: PO BOX 397 • MECHANICAL PERMIT FEES*
City /State /ZIP: Dundee OR 97115 Subtotal
Minimum permit fee ($72.50) 7a , 50
Phone: (503) 538 -2953 Fax: (503) 537 -2172
Plan review (25% of pennit fee)
CCB l ic.: 172126 State surcharge (8% of pennit fee) �, 80
S TOTAL PERMIT FEE / S't 3r)
Authorized signature: 1 / + Q—CLI This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: . p e 13e ib -ft: Date: 6_ 4 -07 " Fee inethodolog set by Tri- County Building Industry Service Board
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/Jun 04 03:59p Oregon Heating & FI /C 503- 537 -2172 p.2
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P.O. Box 397 CALCULATED BY i `'Of i ' / / A '� — DATE f1 / 7
Dundee, OR 97115 CHECKED BY DATE
503- 538 -2953
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00317
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/4/2007
Phone: (503) 639 -4171 � fil
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/28/2007 TIME: 7:01AM PAGE: 82
SITE ADDRESS: 07805 SW WATER PARSLEY LN CLASS OF WORK:
SUBDIVISION: BONITA TOWNHOMES LOT #: 001 TYPE OF USE:
PROJECT NAME: ANDERSEN
DESCRIPTION: Install a/c unit.
OWNER: ANDERSEN, GARY PHONE #: 503 - 545.2383
CONTRACTOR: OREGON HEATING & AC PHONE #: 503 - 538-2953
Inspection Request Scheduled For: Date: 6/28/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
6 Mechanical final 05109401 503 - 538 -2953 Y
Corrections /Comments/ Instructions:
0 Eli{{c / .4,Z IAA, p -An.I L L, n.4v--r-L , 5- / 36 757 - ,S�
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 6 -2 - 0 Phone #: (503) 718 - z '�/