Permit v CITY OF TIGARD MECHANICAL PERMIT
- - ". COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00017
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/10/2008
PARCEL: 2 S 112 B C - 02100
SITE ADDRESS: 14675 SW 84TH CT ZONING: R-4.5
SUBDIVISION: HAMBACH PARK LOT: 005 JURISDICTION: TIG
PROJECT: HARRISON
Project Description: Replace furnace
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: 1 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: 100,000 BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
JOHNATHAN HARRISON Description Date Amount
14675 SW 84TH CT
TIGARD, OR 97224 [MECH] Permit Fee 1/10/200E $72.50
[TAX] 12% State Surch 1/10/200E $8.70
Total $81.20
Phone: 503- 968 -8011
Contractor:
OREGON HEATING & AC
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
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.
Issued By: J Pennittee Signature: 5 APPL / ( 4%lv J
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.
Jan 10 08 01:32p Oregon Heating & A/C 503 p.1
Mechanical Permit Application FOR OFFICE USE ONLY
oh.
•
Received i , A r)
Cit of Tigard
Date113y: / ""... /() ' ("a Permit No piEc.2009 - (20
I " 13125 y SVV Hall Blvd., Tigard, OR 97223
Plan Review
Phone: 501639.4171 Fax: 503.598.1960 Date/By: Other Permit:
Inspection Line: 503.639.4175
11 TIGARD Date Ready/By: furls: El See Page 2 for
Internet: www.tigard NotifiediMethod: T/6„.. Supplemental Information
TYPE OF WORK .: :. : " ' .. " : - 1: : , : . :"' • : COMMERCIAL FEE* SCHEDULE L USE CHECKLIST
Mechanical permit fees* are based on the value of the work
I=I New construction Additionialteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
CI Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
:
CATEGORY OF :CONSTRUCTION Value $ .- " - ,:- ; '' : : ' I -
RESIDENTIAL EQUIPMENT:J-SYSTEMS FEES*:
, . , .
- and 2-family dwelling 0 Commercial/industrial 0 Accessory building
For special information use checklist.
t 0 Master builder 0 Other. Description I Qty. I Ea. I Total
JOB SITE INFORMATION AM) LOCATION : : s : ::: . ", -:. : ' , ' Heating/cooling
J 1-1 f 7 ----:
3 S
.w .3Lith C+ . Air conditioning or heat pump
Job site address: I p
(requires site plan showing placement) 14.00
City/State/ZIP: - 1" I &A, RO 0 4112.4 Furnace 100,000 BTU cu/vents) / , 14.00 iqv
/ Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: Project name: Mitg, I &;) t.) Gas heat pump 14.00
Cross street/directions to job site; Duct work 14.00
665- ro
I-.. - Hydnic hot water system 14.00
Residential boiler (radiator or
laydronic) 14.00
Unit heaters (fuel-type, not electric),
_1: c31717Z7 /-//.106) in-wall, in-duct, suspended, etc. 10.00
Flue/vent for any of above 10.00
Subdivision: 1 Lot no.:
Other 10.00
Tax map/parcel no.: Other fuel appliances
DESCRIPflO1 OF WORK Water heater 10.00
Gas fireplace 10.00
7 (1.3 grote- - A. CcoilveZ_ Flue vent fur water heater or gas
fireplace 10.00
Ar . Log lighter (gas) 10.00
- 7 2 1 - • Wood/pellet stove 10.00
Wood fireplace/insert 10.00
Chintney/liner/flue/vent 10.00
000)(P**k;i :-'• :' - 1 - 3:!iti■Ot*.' :l :.': .,,,, Other
_ 10.00
Name: ffkiegi a / 1 , WI/ 9- 3*(0 Environmental exhaust and ventilation
Range hood/other kitchen
Address: / w 6 84/71.2 C-t---- equipment 10.00
City/State/ZIP: 776-/Wej CW ei 7 07,041 Clothes dryer exhaust 10.00
• Single-duct exhaust (bathrooms,
Phone: (5,5 goo- goli Fax: ( ) toilet compartments, utility rooms) 6.80
. ; ,... :. : ]; ' !:: ':.• : a:APPLICANT. : I : :' :: . ..: ' 0 : CONTACT PERSON : ' : :: Attic/crawlspace fans 10.00
°then
Business name: orz H a r r I d 6.- i- A,4.. 10.00
‘ Fuel piping
Contact name: CATe-OL--- C/7/.1/17/7141+ $5.40 for first four; 51.00 for each additional
Address: po 60i. :" 9 7 Furnace, etc.
Gas heat pump
City/State/ZIP: 00,4 ( 4 7) ja Wall/suspended/unit heater
Phone: (,57...a)3?--2q,53 Fax 'sL6k) )5/7 )77 Water heater
Fireplace
E-mail: Carol e oilier? n Range
A9thr.cor Barbecue
1 Clothes dryer (gas)
Business name: OfECii ife777/1/6- a- Clothes
Other:
Address: -0. 00/ 39 '7 - -:• . • , MECHANICAL PERMIT FEES*
City/State/ZIP: , p(,q,OL: - .E . - og 4 7/A Subtotal /// /// Phone: (,,Y3)53g_e94,63 Fax: (.3 . 7g- _ Minimum permit fee ($72.50) '7j 50
Plan review (25% of permit fee)
CCB lic.: [VW State surcharge (12% of permit fee) o
TOTAL PERMIT FEE ei, a
This permit application expires if a permit Is not obtained within 180
Authorized signature: 2ril 4„,(74-
O. y
days after it has been accepted as complete.
Print name: Ceo' 4/22 Date:P/0 os • Fee methodology set by Tri-County Building Industry Service Board
1:12uildiaglPerraitsIMEC4PenaitApp.doc 04/06106 440-4617T (111021COM/WEB)
CITY-OF TIGARD
BUILDING DIVISION PERMIT #: MEC2008 -00017
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/10/2008
Phone: (503) 699 -4171 t#sa kdo,Alit
Inspection Requests (24 Hrs.): (503) 639 -4175 cll.,
INSPECTION WORKSHEET FOR DATE: 3J1/200(3 TIME: 7 :02AM PAGE: 61
SITE ADDRESS: 14676 SW 84TH CT CLASS OF WORK:
SUBDIVISION: HAMI:3ACH PARK LOT #: 005 TYPE OF USE:
PROJECT NAME: HARRISON
DESCRIPTION: Replace furnace
OWNER: FIARRISON, JOHNATHAN PHONE #: 1:03- 96B-8011
CONTRACTOR: OREGON HEATING & AC PHONE #: 503 - 638 -2953
Inspection Request Scheduled For: Date: 2/1/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
6 Mechanical final 064342-01 503 - 538.2953 Y
Corrections/Comments/Instructions:
42) 6/45-,7449,_ ...Iii - 2/�18G A* S- I ) o '77 Cig2e.4_, �-r
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: Date: "2----/— aB Phone #: (503) 718- Z-9 -4-- ' 4---.
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