Permit Y 4 CITY OF TIGARD
MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00385
TIGARD' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/28/2007
PARCEL: 1S5010200
SITE ADDRESS: 09400 SW 70TH AVE ZONING: R - 4.5
SUBDIVISION: PP1994 - 032 LOT: 001 JURISDICTION: TIG
PROJECT: GODREY
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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
DANIEL GODREY Description Date Amount
9400 SW 70TH
TIGARD, OR 97223 [MECH] Permit Fee 6/28/2007 $72.50
[TAX] 8% State Surcha 6/28/2007 $5.80
Total $78.30
Phone: 503- 314 -2561
Contractor:
BELL HEATING
15550 SE PIAZZA AVE
CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -656 -1 184
FAX 503- 656 -4650
Reg #: LIC 447
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By. AL,66/ Permittee Signature: / I rY l /DYl
Call 503.639.4175 by 7:00 a.m. for inspections that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
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Mechanical Permit Applii ko m -- /,
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City of Tigard
SW vTigard OR 97223 Received.,
Date/By: tio PlArgalla Permit No.:HECZCO7 - n6 33
13125 Hall Bld., , • ' , -
Phone: 503.639.4171 Fax 503.598.1960 ' " : -'-: 20 ,,,, Plan Review , Other Permit:
Inspection Line: 503.639.4175 ' ? lel iff-1 Date/By:
CaTY OF -1- sr: , ii4,„.. „;:f.t Date Ready/By: Jurit iil See Page 2 for
Internet: www.ci.tigard.or.us 1 i,„.,,i - w - • Notified/Method: II& . Supplemental Information-
Buil i\l 1
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SaavegaraTzAtallf:AW:***$ qi07.0A4_ E6-itus
1
0 New construction -FAddition/alteration/replacement Mechanieal permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: • mechanical materials, equipment, labor, overhead, and profit. '
Value $
. ,:rilWiSP.
12"1- and 2-family dwelling 0 CommerciaUindustrial 0 Accessory building airSYSM§'FBE§"
For special information use cheekli.Y.
0 Multi-family 0 Master builder 0 Other:
Description Qty. l Ea. Total
e : Heating/cooling
Job site address: 9 CA/ 7 0444 Air conditioning or,heat pump
(requires site plan showing placement) i
14.00 1/--
City/State/ZIP: 7 e ‹,, 7 " o qi 20:2_3 Furnace 100,000 BTU (duets/vents) 14.00
_
t i .
Pri-une: Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. io.: ,
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) •t" • - . . '14.00
-: . • - - Unit heaters (fuel-type; not electric),
._. in-wall, in-duct l Suspended; etc. 10.00 • '
.... ., ...
Flue/vent for any of above 10.00 _ ....
;Subdivision: Lot no.:
Other: 10.00
_ _
: Tax map/parcel no.: Other fuel appliances
... . •
10.00
4V MgratAitfat, A•164V;P,Pt,V ' Water heater ' • ' r
..i.,„.„,„:„:„. „„,_.,, ,„i,. . ,: . : ,b,,,t-- .,..,.. ,..,, ,r,,,,, , ,x,7,, • ,eot"ti.-. 1 ...,' vrA•:-...? Gas fireplace
10.00
/6( f 7'4 h 4 ' e-- Flue vent for water heater or gas
1 fireplace 10.00
• --- Log lighter (gas) I 10.00
Wood/pellet stove - ' 10.00
Wood fireplace/insert 10.00 •
- -, •--.i. Chimney/liner/flue/vent 1 10.00
Other: I 10.00
IMMO . : ._., -:'-..MMIll Environmental exhaust and ventilation
Address: - / Range hood/other kitchen
equipment 10.00
o
City/State/ZIP: c c vv,....
Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: ( "3// a,-Z ) Fax: ( ) toilet compartments, utility rooms) 6.80
'W.7. iitssi; rtin-,
-"!.
t',1.1",k.1)4140:fe8R6ga:'-k.kit§614:11*;";':1 Attic/crawlspace fans 10.00
..:, , l - At :''..i.i._,", -:-..--:/-, ..t.; .. ,• :...,•".. -,,,:,:•••=:A.L .:,:--, 1•::. ...r7.......,...,,,,tA• .,. i....,,t .. ':,-..o. -.-., '•.-•,.
Other: 1 I 10.00 1
Business name:
Fuel piping
Contact name: 55.40 for first four; 51.00 for each additional
Furnace, etc.
Address:
Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater .
- Fireplace
E-mail: Range
' SI ... ,.- , . 7 i . : y,„,,,•!,::;15) . .;,;! - . . ,,I
OFerji4iti' ''2.V/21-:t& a$m'...
....,... Barbecue
Business name: Ay-// isii,e4__ Clothes dryer (gas)
1
Other I
Address: 43- !kt P/ . 107 )ozi tthe 37 t;I : APIt. : _t Aiiiiffikti6Ziiiimaiiigi'
City/State/ZIP: C/ , i . e
/lir Subtotal ILI
Phone: ik1. c( 5 3) L /iiv Fax - C-4.0 Minimum permit fee ($72.50) id...
Plan review (25% of permit fee)
CCB lic.: (,/(. 7 , State surcharge (8% of permit fec)
A
TOTAL PERMIT FEE "7 (g", 790
•
,, - This permit application expires if a permit is not obtained within 180.
'.; Authorized sigmature: / P' .. days after it has been accepted as complete. •
'
. • Pnnt natrie.4 6: I Date
1 • Fee inctlindology set by Tri-Couitty Building industry Service Boar* cm _
rm AY
OBui!dingWermits 1 MEC. PermitApp doc I 2/03 4 1 I /U2 'COMPATII, y.V NJ
•
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CITY OF TI$2ARD •
BUILDING DIVISION PERMIT #: MEC2007- 00385
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/28/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 . ': °'I I� /110C a Q �J 7- Q 03 0P-
INSPECTION WORKSHEET FOR DATE: 8/14/2007 TIME: 7:00AM PAGE: 74
SITE ADDRESS: 09400 SW 70TH AVE CLASS OF WORK:
SUBDIVISION: PP1994 - 032 LOT #: 001 TYPE OF USE:
PROJECT NAME: GODREY
DESCRIPTION: Install a/c. unit.
OWNER: GODREY, DANIEL PHONE #: 503. 3142561
CONTRACTOR: BELL HEATING PHONE #: 503 -656 -1184
Inspection Request Scheduled For: Date: 8/14/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 053909 -01 503 - 209 -8935 Y
Corrections /Comments /Instructions: °7°
PASS I I PARTIAL APPROVAL ❑ CANCEL O ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: / Date: f - /4 Phone #: (503) 718 - � g�•r �
•
SITE PLAN
*INDICATE NORTH FOR INSPECTOR* -
•
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L. CONTRACTOR NC -HEAT PUMP -- UNET SITE PLAN u
_
BELL HEATING, INC. _
_ 15560 SE PIAZZA AVE. - - -
• CKAMAS, OREGON 97015 -
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