Permit ir CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00113
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED; 3/5/2008
PARCEL: 2S 103DC -00500
SITE ADDRESS: 13705 SW 110TH AVE ZONING: R -3.5
SUBDIVISION: FAIRHAVEN COURT LOT: 004 JURISDICTION: TIG
PROJECT: DAVIS
Project Description: Replacing furnace and installing A/C and vent system.
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: 1
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: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
JANET DAVIS Description Date Amount
13705 SW 110TH AVE
TIGARD, OR 97223 [MECH] Permit Fee 3/5/2008 $72.50
[TAX] 12% State Surch 3/5/2008 $8.70
Total $81.20
Phone: 503- 624 -6493
Contractor:
TRI COUNTY TEMP CONTROL
13150 S. CLACKAMAS RIVER DR
OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -557 -2220
FAX 503 -557 -0919
Reg #: LIC 72623
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: s._ / � � Permittee Signature: ' 5 -4= 22 :2
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.
MF -;R -4 -2008 02:39P FROM: TO:5035921960 P.1
MechanicalTermit Applicati lx)lt(lhhlc'E l ist: ONLY
City of Tigard ° R EC E I V E ' cccived / Permit
III
4 13125 SW Hall Blvd., Tigard, OR 97223 Date/By. 3 /(� � � Ge16�
Plan Phone: 503.639.4171 Fax. 503.598.1960 MAR - 42008 Date/By: Review
d Other Permit. —
.t I c A It I) In spection Line: 503.639 Date Ready/By. kris BI See Page 2 for —
Internet: www.tigard or.gov CITY OF TIGARC Notified/Method. Supplemental Information
TYPE OF
VVL.DINC DIVISION
COMMERCIAL FEE* SCHEDULE — USE•CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction I< 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 ❑ A ccessory building ❑ Other: Descr RESi tion IDENTIAL EQUIPMENT / SYSTEMS FEES*
Multi - family ❑Master builder For special information use checklist.
p I Qty. I Ea. ] Total
JOB SITE INFORMAT ON AND LOCATION Heating/cooling
Job site address: farm 5 6w it •� Air conditioning or heat pump I
� p (requires site plan showing placement) 14.00 /
City /State /ZIP: �Q `1�� Furnace 100,000 BTU (ducts /vents) I 14.00 f dd
V ' 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: �� f
Duct work 10,00
Hydron is hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Subdivision: Lot no,: Flue /vent for any of above I 6.80 (
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK /', Water heater 10.00 ,
(�pnl,{yp�, I� �� v Fluev vent 10.00
r ` 6J�t Gas vent for water heater or gas
fireplace 10,00
Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace/insert 10.00
•
XPROPERTY OWNER ❑ TENANT Chimney /liner /flue /vent 10.00
Other: 10.00
Name: (�'ad-
Vd Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 10.00
City /State /ZIP: Clothes dryer exhaust 10.00
ry /� Single -duct exhaust (bathrooms,
Phone: (0) (, 2 4 � IC7 Fax: ( ) toilet compartments, utility rooms) 6,80
%APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Business name:
Other: 10.00
Fuel piping
Contact name: Vane, MQZ N Y1 $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: ,
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: ( ) F :: ( ) Water heater
Fireplace
E -mail:
Range
CONTRACTOR Barbecue
Clothes dryer (gas)
Business name: COM
yy � //���� b.1 r a �, Other. -34)
Address: (3 (50 6. �L YY I5 V1,. I� 1 r J e) MECHANICAL PERMIT FEES*
City/State /ZIP: Oy O 87\/ ®e e /645 Subtotal
Phone: ( �J J"� Fax:
t^0 u s `� (or r l `i 667 eq n Minimum permit fee ($72.50) - -72 c0 ,
Plan review (25% of permit fee)
CCB lie.: /24243 State surcharge (12% of permit fee) 01 TA
p4 /� TOTAL PERMIT FEE
Authorized signature: ..,
l This permit application expires if a permit is not obtained within ISO
� days after it has been accepted as complete
Print name: Date: • Fee methodology set by In- County Building Industry Service Board
I\Buildina\Pcrmns\MEC•PermuApp doe 01/19/07 440.4617T (I 1 /o2/COM/WEa)
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2008.00113
13125 SW Hall Blvd., Tigard, OR 97223
0.
./n4 DATE ISSUED: 3/5/20 8
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 3/11/2008 TIME: 7:00Aivl PAGE: 43
SITE ADDRESS: 13105 SW 110TH AVE CLASS OF WORK:
SUBDIVISION: FAIRHAVEN COURT LOT #: 004 TYPE OF USE:
PROJECT NAME: DAVIS
DESCRIPTION: Replacing furnace and installing NC and vent system.
OWNER: DAVIS, JANET PHONE #: !03
CONTRACTOR: TRI COUNTY TEMP CONTROL PHONE #: 503-557-2220
Inspection Request Scheduled For: Date: 3/11/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 066460-01 503-557-2220
•
Corrections /Comments/ Instructions:
•
•
r PARTIAL APPROVAL CANCEL El NO ACCESS
FAIL
U ALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: A A...■■■- --m1111111.1' Date: r),(5 Phone #: (503) 718-