Permit CITY TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00281
• TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/16/2007
PARCEL: 1S125DB-04100
SITE ADDRESS: 09505 SW 74TH AVE ZONING: R -4.5
SUBDIVISION: BOULEVARD HEIGHTS LOT: 024 JURISDICTION: TIG
PROJECT: SCOTT
Project Description: Duct work for remodel.
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: DOMES. INCIN:
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: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
JASON SCOTT Description Date Amount
9505 SW 74TH AVE.
TIGARD, OR 97223 [MECH] Permit Fee 5/16/2007 $72.50
[TAX] 8% State Surcha 5/16/2007 $5.80
Total $78.30
Phone: 503 -925 -1805
Contractor:
HEATS ON LLC
22560 NE NORTHVALLEY RD
NEWBERG, OR 97132 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -502 -7412
Reg #: LIC 172664
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: 11 1 AKA -
/ Permittee Si
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 Applicat�nn yx. _ ..!.;.;:;1'.,',.'!,.-;,..1,;',;.11:',1",•:: t �' `r , � 4 A ir , " t��''°
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oZ" v . ,r City of Tigard ' i.V ! 'Da teBed ... n t ' �
s� y , / Permit Not /L d 7_ Q8/
- :. �' '1 3125 SW Hall Blvd., Tigard, OR 97223 Plan Review t�
- ' I ,; Phone: 503.639.4171 Fax: 503.598.1960 p p Date/By: Other Permit:
r^ A Inspection Line: 503.639.4175 R 2 0 2007
T I G RD Date o // / luris: p p Page 2 for
: ' c InternInternet: www.tigard- or.gov N otified/MethecVMethod: ,`� V ( / Supplemental lemental Information
C[11 ur iiui1
: . ` TYPE . ORj : M 6I a °�ThTC4 f: " f � 1 ,.., - ;:..:. COM117ERCIAL FEE*. SCHEDULE — USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction VI Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
.. - ' _ . ' .. CATEGORY, OF CONSTRUCTION Value: $
1 - and 2- family dwelling 0 Commercial/industrial
• - RESIDENTIAL EQUIPMENT /SYSTEMS FEES* •
❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other:
Description Qty. Ea. Total
. JOB SITE INFORMATION AND LOCATION Heating/cooling
Air conditioning or heat pump
Job site address: y�DS SZi 7Y 19 IJ (requires site plan showing placement) 14.00
City/State/ZIP: 100,000 ducts /vents
y � Q l2 t1 �. /4 � 0 (2�f �� Fumace 100000 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: .7V ' * 1 L /" 11(..)f o7 ( Duct work r 14.00 2_2' - �'
/�� ` Hydronic hot water system 14.00
(0 f" G S e e—.C AA r2 G24T J 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.: / $ / ,..)._s D - Li/ U U Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Pitt 0 vC ID Gas fireplace 10.00
ICJ T -- 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
:PROPERTY OWNER ❑ TENANT Chimney /liner /flue /vent 10.00
G GGE ,t.6- � Other: 10.00
Name: GEo2.4-r 2, 4- Fs.TyF m. /7C.Rc44-5c«I en Qtt.. 7E65 Environmental exhaust and ventilation
Range hood/other kitchen
Address: f z,, joX / 3.1-9 equipment 10.00
City /State /ZIP: v e71- /lio_2 e, a d /_ ' lI d Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (5 ) LJS— 7, F4 Fax: (S03) 42-3 ,r// f toilet compartments. utility rooms) 6.80
- ❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name: Htrt -- 1,5 0 ✓ . LA—C. Fuel i in
PP� 1;
Contact name:
(ke .X Z (...4_.0 �/ $5.40 for first four; $1.00 for each additional
N �J Furnace, etc.
Address:
ZZ t-5-( N " 0 ✓ 4-tA l ey 0 Gas heat pump
City/State/ZIP: N i., h/ ,,,,,, 0 r C 7 13 2.- Wall /suspended/unit heater
Phone: (33 ) •--OZ — 74 (2_ Fax:: ( ) Water heater
/� Fireplace
E -mail:
Cn. y eSc ay` l� I4n .tc , Cervt Range
CONTRACTOR Barbecue
Business name: Clothes dryer (gas)
Other:
Address: MECHANICAL PERMIT FEES*
City /State /ZIP: C^ ` V n v V' Subtotal
Minimum permit fee ($72.50) rn
Phone: ( ) Fax: ( ) Plan review (25% of permit fee) `
CCB lic.: 1 7 "j, (o(, H State surcharge (8% of permit fee) S-,
TOTAL PERMIT FEE
Authorized Signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name Date: Mrt/ ' Fee methodology set by Tri- County Building Industry Service Board
C\ Building \Permits\MEC- PermitApp.doc 04/06 /06 440 -4617T (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 12/30/05 2
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00281
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/16/2007
Phone: (503) 639 -4171 —04 ��
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/22/2007 TIME: 7:01AM PAGE: 2'l
SITE ADDRESS: 09505 SW 74TH AVE CLASS OF WORK:
SUBDIVISION: BOULEVARD HEIGHTS LOT #: 024 TYPE OF USE:
PROJECT NAME: SCOTT
DESCRIPTION: Duct work for remodel.
OWNER: SCOTT, JASON PHONE #: 503 - 925.1805
CONTRACTOR: HEATS ON LLC PHONE #: 503.502 -7412
Inspection Request Scheduled For: Date: 5/22/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 048811 -01 503- 502 -7412 Y
Corrections /Comments/ Instructions:
KPASS ❑ PARTIAL APPROVAL fI CANCEL n NO ACCESS
❑ FAIL 1 1 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: 0 2 ' 7 Phone #: (503) 718- 2 ,4Lj
i
CITY OF TIGARD
BUILDING DIVISION / PERMIT #: MEC2007-00281
13125 SW Hall Blvd., Tigard, OR 97223 S DATE ISSUED: 51/6/2007
Phone: (503) 639 -4171 ha
, NPuy��
Inspection Requests (24 Hrs.): (503) 639 - 4175 !4 --.
INSPECTION WORKSHEET FOR DATE: 7/9/2007 TIME: 7 :O2AM PAGE: 55
SITE ADDRESS: 09505 SW 74TH AVE CLASS OF WORK:
SUBDIVISION: BOULEVARD HEIGHTS LOT #: 024 TYPE OF USE:
PROJECT NAME: SCOTT
DESCRIPTION: Duct work for remodel.
OWNER: SCOTT, JASON • PHONE #: 503 - 925 -1805 .
CONTRACTOR: HEATS ON LLC • PHONE #: 503-502-7412
Inspection Request Scheduled For: Date: 7/9/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 051615 -02 503-9297101 N
}
Corrections /Comments /Instructions: /
0 .. , ,....._____
q
1
T
i
. r
jlk k(c7 PASS n PARTIAL APPROVAL ❑ CANCEL 1 1 NO ACCESS
FAIL 1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �~ v Date: -21q 4-? Phone #: (503) 718 - ����