Permit Mb-
CITY TIGARD MECHANICAL PERMIT
AA I DEVELOPMENT SERVICES PERMIT #: MEC2006 -00490
I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/16/2006
PARCEL: 1 S134DC -04500
SITE ADDRESS: 11695 SW 113TH PL ZONING: R -4.5
SUBDIVISION: MUTTLEYS ADDITION LOT: 004 JURISDICTION: TIG
Project Description: Replace furnace and add AC unit.
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: 1 DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: C ODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS LO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
FRANCIS HUGHES Description Date Amount
11695 SW 113 PL.
TIGARD, OR 97223 [MECH] Permit Fee 10116120C $72.50
[TAX] 8% State Surcha 10/16/200 $5.80
Total $78.30
Phone: 503- 639 -4016
Contractor:
ALOHA HEATING & COOLING
PO BOX 6553
ALOHA, OR 97007 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -591 -9824
FAX 503- 642 -0229
Reg #: LIC 158899
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 Signature:
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 comp) on of the project.
Approved plans are required on the job site at the time of each inspection.
I.
Mechanical Permit Application p FOR.OFl IC USE ONLY
City of Ti HiCEI `V ED Received
tJ' Tigard Date /By I a s _� ii -. 411 -- - - -1 , t _ ..
13125 SW Hall Blvd., Tigard, OR 9723. 2006 Plan Review
' Phone: 503.639.4171 Fax: 503.598. t9 T 2006 Date/By.. Other Permit:
T I G AIt "D Inspection Line: 503.639 Date Ready/By: Juris. ® See Page 2 for
Internet: www.tigard- or.gov CITY OF TIGARD Notified/Method: r Supplemental Information
BUILDING DIVISION
TYPE OF WORK , COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
•
1:1 New construction Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
El Demolition Other: mechanical materials, equipment, labor, overhead, and profit.
' , CATEGORY' OF CONSTRUCTION , Value: $
dwelling RESIDENTIAL EQUIPMENT. / SYSTEMS FEES*
1 - and 2-family g ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
• ❑ Multi family ❑ Master builder ❑ Other:
Description I Qty. I Ea. I Total
_ - ..JOB SITE.INFORMATION AND L OCATION Heating /cooling
Job site address: c
� ' )) Air conditioning or heat pump
f I t /o�J s (� `( / ,� l _ (requires site plan showing placement) r , 14.00 )9Y)
City /State /ZIP: //b44 o Q 7 v- 3 Furnace 100,000 BTU (ducts/vents) / 14.00 /y /D
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: 7t G AM S I 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
Subdivision: Lot no.: Flue /vent for any of above / 10.00 ` 4
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
�) ^ Gas fireplace 10.00
1 -e /)✓jl�+ e - ft-OA A-` L 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
p PROPERTY. OWNER ° ' ❑ TENANT Chimney /liner /flue/vent 10.00
l_ Other: 10.00
• Name: nuc, ' - Environmental exhaust and ventilation
Address: 11 b / C 5w it? "'- f L Range hood/other kitchen
equipment 10.00
City /State /ZIP: j ( 7A dv ) 7 Z Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (S02 63 C i K01 L Fax: ( ) toilet compartments, utility rooms) 6.80
' ❑ APPLICANT . , ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Other: 10.00
Business name:
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address:
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
. Phone: ( ) Fax:: ( ) Water heater
Fireplace
E -mail: • Range
' CONTRACTOR Barbecue
Business name: W v'r 1 A A"7 Clothes dryer (gas
" t L Other:
• Address: / - 'cam to STS- MECHANICAL PERMIT FEES* '
!Tl
City /State /ZIP: .,) � Cam_ ) 5 - 240 Subtotal '3r,./0
Phone: (Cikj -) 5 9 1 — vLc C Fax: (� ) 611 Minimum permit fee ($72.50) �
v C� t Plan review (25% of permit fee) 1p {, J �/
CCB lic.: J / 7� State surcharge (8% of permit fee)
I TOTAL PERMIT FEE
Authorized signature: This p ermit application expires if a permit is not obtains within 180
days after it has been accepted as complete.
Print name: D C;‘) w \/6v ' Date: /0_1 V ' Fee methodology set by Tri- County Building Industry Service Board
C\ Building \PermitsVMEC- PernitApp.doc 04 /06/06 440 -4617T (11 /02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information • .
Commercial Fee Schedule:
TotalAValuation: 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:\Buildin PermitApp.doc 12/30/05 2
rrIAJ S )44L5
/10 5t,_) / )3 - P�.
1W OIL '
S&..) /13
1
' CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006-00490
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2006
Phone: (503) 639-4171 A
.,41„
Inspection Requests (24 Hrs.): (503) 639-4175 ,-_,tar U.
INSPECTION WORKSHEET FOR DATE: 10/19/2006 TIME: 7:02AM PAGE: 68
SITE ADDRESS: 11695 SW 113TH PL CLASS OF WORK:
SUBDIVISION: MUTTLEYS ADDITION LOT #: 004 TYPE OF USE:
PROJECT NAME: HUGHES
DESCRIPTION: Replace furnace and add AC unit,
OWNER: HUGHES, FRANCIS PHONE #: 503-639-4016
CONTRACTOR: ALOHA HEATING & COOLING PHONE #: 503-591-9824
Inspection Request Scheduled For: Date: 10/19/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message ,
699 Mechanical final . 038479-01 503-349-2390 N
Corrections /Comments/ Instructions:
.--. '
■ iit
I 1 . AN
11111111111111111TATAWL
•
PASS 7 PARTIAL APPROVAL . 7 CANCEL I I NO ACCESS
I I FAIL I I CALL FOR INSPECTION I I ADDITI•NAL FEES ASSESSED
Inspector: '
----‘ Date: i dir d IP Phone #: (503) 7182)c--70