Permit CITY TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2006 -00555
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/9/2006
PARCEL: 2S 112AC -03000
SITE ADDRESS: 14775 SW 74TH AVE ZONING: I -P
SUBDIVISION: METRO PART /MLP2002 -00008 LOT: 001 JURISDICTION: TIG
Project Description: Heat pump system.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B 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:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
HORNEL LLC Description Date Amount
PO BOX 159
AURORA, OR 97002 [MECH] Permit Fee 11/9/200E $262.55
[TAX] 8% State Surcha 11/9/200E $21.00
Total $283.55
Phone: 503- 651 -1878
Contractor:
SUPREME COMFORT HEATING
9425 SW COMMERCE CIRCLE #16
WILSONVILLE, OR 97070 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 682 -1985
FAX 503- 682 -1018
Reg #: LIC 21892
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: � � � - 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.
Mechankal Permit Application FOR' OFFICE USE ONLY y,. l am es ,
'�' City of Tigard Received
IN Date /By: I I et 0 $ Permit N 1
r° ° , , 13125 SW Hall Blvd Tigard O EE) c. "t • J
I Plan Review
Phone: 503.639.4171 Fax. 503.1 • � + Date /By: Other Permit:
llIVA ' Inspection Line: 503.639.4175 Date Ready/By: orris:
RD' Internet www.tigard-or.gov y /B y: �/ Supplemental See Page 2 for
NOV 9 2006 Notified /Method: 'J Supplemental Information
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, TYP�O S' 1 ' ivisto 6? ! COA'IMERCJAI FEE* SCHEDULE / 413SECHECKLIST
New construction Mechanical permit fees* are based on thelvalue of the work
❑Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATCGORY 0:100. STRUCTION 'aq3„ 1111-1111111121 SI Value $ S12,29500
[ 1_ and 2- '-oily dwelling � . .
g ® Commercial/industrial ommerl /industrial EQUIP1vIENT /SYSI)LM5 F1 E
❑Accessory building
— For special information use checklist.
❑ Multi-family ❑ Master builder ❑ Other: Description p Qty. Ea. Total
JOB SITE)NFORMAT,IOj 4D LOCATIO)N, ik a ,'sJ= Heating /cooling
Job site address: 14775 SW 74th. Air conditioning or heat pump
(requires site plan showing placement) 1 14.00 14.00
City /State /ZIP: Tigard, OR 97224 Furnace 100,000 BTU (ducts/vents) 1 14.00 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite /bldg./ apt. no.: Project name: I3et'n'd -ELC
_ Gas heat pump 14.00
Cross street /directions to job site: 0 i • P 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
— — Flue /vent for any of above 10.00
Subdivision: Lot no.:
Other: i 10.00
Tax map /parcel no.: Other fuel appliances
a p f f Water heater 10.00
Inst.tll Ilcat Pump RIPTION OI WORK �1•
Gas fireplace 10.00
Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 1000
Wood /pellet stove 10.00 _ _
Wood fireplace /insert 10.00 _
-_— �� ' . Chimney /liner /flue /vent 10.00
,1 PR0PJ R1 V OWNLR- st ❑jt1 ENANT j
- -- �, , t._ Other: 10.00
Nance: Cale Nelson Environmental exhaust and ventilation
Address: ess: P.O. Box 563 Range hood /other kitchen
equipment 10.00
City /State /ZIP: Aurora, OR 97002 Clothes dryer exhaust ' 10.00_ —
Single -duct exhaust (bathrooms,
Phone: (503)939-9575 Fax: ( ) toilet compartments, utility rooms) 2 6.80 13.60
® PPLICANTa p CONTACT PERSON Attic /crawlspace fans 10.00
—` Other: 10.00
13usiness name: Supreme Comfort Inc.
Fuel piping
Contact name: Randal Lapp $5.40 for first four; $1.00 for each additional
Acldress: 9425 SW Commerce Cir. #16 Furnace, etc.
-- - -__ Gas heat pump
City /State /ZIP: Wilsonville, OR 97070 Wall /suspended /unit heater
('hone: (503) 682 -1985 Fax: : (503) 682 -1018 Water heater _
- -- — — -- Fireplace E-mail: —
randyl®easystreet•cont Range
", 1a€ONT12ACTOR a 44 '' X Barbecue
Business name: Same as .Applicant Clothes dryer (gas) Q_ 2 ._\.00
Other: �—
Address: 'Ff ME`CHANICAL'PERMLT FEES
City /State /ZIP: Subtotal
• ( ) Minimum permit fee ($72.50)
Phone: ( )
Fax' Plan review (25% �f permit fee)
CC I3 I ic.: 21892 State surcharge (8% of permit fee)
- TOTAL PERMIT FEE g3.5-,y
Authorized signature: This permit application expires if a permit is not obtained within ISO
g / days after it has been accepted as complete.
Print name: Randal Lapp Date: 11/1/06 * Fee )methodology set by Tri- County Building Industry Service Board
I; \Build ing \ Permits \M EC- PennitApp.doc 04 /06/06 440 -4617T (1 I /02 /COM/WEB)
, .
CITY ag-TIGARD
BUILDING DIVISION
iiiH„ PERMIT #: MEC2006-00556
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/9/2006
Phone: (503) 639-4171 ,.....,ri„,„,t,,,,,I,
Inspection Requests (24 Hrs.): (503) 639-4175 ILL
INSPECTION WORKSHEET FOR DATE: 1217/2006 TIME: 7 PAGE: 17
SITE ADDRESS: 14775 SW 74TH AVE CLASS OF WORK:
SUBDIVISION: METRO PART/MLP2002-000013 LOT #: 001 TYPE OF USE:
PROJECT NAME: FANNO CREEK BUS. PARK
DESCRIPTION: Heat purnp Sy st ern . Value: $12,295.00
OWNER: HORNEL LLC, PHONE #: 503.651-1878
CONTRACTOR: SUPREME COMFORT HEATING PHONE #: 503-6E32-1965
Inspection Request Scheduled For: Date: 1217/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 IViech,anical final 440799-01 503-939-9575 N
Corrections/Comments/Instructions:
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--------(-) :;____
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•
PASS 1 I PARTIAL APPROVAL 0 CANCEL E1 NO ACCESS
1 I FAIL 1 1 CALL FOR INSPECTION 1 1 ADDITION L F ES ASSESSED
ill i /
Inspector: At. Date: 6 ' Phone #: (503) 718-0
, ,
CITY-- ORTIGARD
BUILDING DIVISION PERMIT #: MEC2005 -00555
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/9/2006
Phone: (503) 639- 4171ai +�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/30/2006 TIME: 7 :00AM PAGE: 80
SITE ADDRESS: 14775 SW 74TH AVE CLASS OF WORK:
SUBDIVISION: MEN NO PART/MLP2002- 00008 LOT #: 001 TYPE OF USE:
PROJECT NAME: FANNO CREEK BUS. PARK
DESCRIPTION: Heat pump system. Value:: $12,295.00
OWNER: HORNEL LLC, PHONE #: 503 - 651 -1878
CONTRACTOR: SUPREME COMFORT HEATING PHONE #: 503 - 682 -1985
Inspection Request Scheduled For: Date: 11j3012006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
625 Duct work 040400 -01 503.339.9575 N
Corrections /Comments /Instructions:
•
for
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I ® y
❑ PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL c ❑ CALL FOR INSPECTION I ADDITIINAL EES ASSESSED
1 111111111 1 A
Inspector: 46/1/1 _ Date: i Phone #: (503) 718-
IMP' I r