Loading...
Permit A CITY OF TIGARD MECHANICAL PERMIT . COMMUNITY DEVELOPMENT PERMIT #: MEC2006 -00571 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/15/2006 PARCEL: 2S 103CA -01900 SITE ADDRESS: 13430 SW 121ST AVE ZONING: R -4.5 SUBDIVISION: WOODCREST LOT: 002 JURISDICTION: TIG Project Description: Gas furnace replace. 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: DOMES. INCIN: GAS 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: GAS OUTLETS: > 10000 cfm: Owner: FEES WILLIAMS, PETER ERNEST Description Date Amount AND JEAN 13430 SW 121ST [MECH] Permit Fee 11/15/20C $72.50 TIGARD, OR 97223 [TAX] 8% State Surcha 11/15/20C $5.80 Total $78.30 Phone: 503 -590 -4256 Contractor: D & R HEATING & AIR CONDITIONING PO BOX 1292 CANBY, OR 97013 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 266 -1229 FAX 503- 678 -2097 Reg #: LIC 84489 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� Permittee Signature: fr g Call 503.639.4175 by 7:00 a.m. for inspections at 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. Mechanical Permit 4VED rOR (w luI: I tic ()NIA* City of Tigard �ateBY Received' / ri P `""'` "'� PO i - 01 ) .-5 -. 1 13125 SW Hall Blvd., Tigard, OR 97223 i11 i l" - Phone: 503.639.4171 Fax: 503.598.1960 tiv Y 0 2006 : ( . evie Other Pcnnic � ,,; .- i Plan an Ry Inspection Line: 503.639.4175 C ITY OF TI 4-- ' 1! Date Ready/By: IDIM ®s« Page 2 for 'e QIIV� �` DI Internet: GAR www.cl.tigard.or.us BUILDING Notified/Method: Supplemental Information • LJ [V L! ���I�� • . ... '.TYPE OF .WORK • .:."--.:?!!'• •. - a ;-` q ; ; ;•: :` :;. ?"COMMERCIAI iFEE!'•SCHEDULE SE:CHECK1dST ❑ New construction ,CAddition/alteratio eplace _) Mechanical permit fees' are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION . - Value: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES' l - and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building ❑ Multi - family M builder For special information use checklist. y ❑ ❑ Other: Description Qty. Ea. Total . . JOB, SITE. INFORMATION AND LOCATION , .. -.. Heating /cooling Job site address: i 3 T •7D 6V.3 I. 2I 5r A J Air conditioning or heat pump (requires site plan showing placement) 14.00 City /State /ZIP: GTci\ O q 72Z_ Furnace 100,000 BTU (duds/vents) 14.00 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: 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 Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK : - Water heater 10.00 Gas fireplace 10.00 'i N - - ! o''._.___. ( t;,-1. Flue vent for water heater or gas I fireplace 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace /insert 10.00 �EROPERTY OWNER I 0 TENANT • Chimney /liner /flue/vent 10.00 Other: 10.00 Name: _ : . �� \ \. \�ulY.\s Environmental exhaust and ventilation Range hood/other kitchen Address: _ ( ` ! f r: t 2` --r- A je..., equipment 10.00 City/State /ZIP: - 1 - Of0\ O C 7 Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phonet ) 0- . Fax: ( ) toilet compartments, utility rooms) 6.80 „.12- ` �2- CONTACT PERSON Attic/crawlspace fans 10.00 �/� /� Other: 10.00 Business name: 3 f� - k - (� i�) \ Q Fuel piping Contact name: b1 ,4 "� , �� i . - A^ $5.40 for first four; S1.00 for each additional ti `J Address: 1 Furnace, etc. �® �Z�� ' Gas heat pump City /State /ZIP: ___ ( ©te____ q,'7,-.: Ii. Wall /suspended/unit heater Phone: v . 7 F7 Fax:: (Q 6,78 _2(:5 7 Water heater Fireplace E -mail: Range 1 1 CONTRACTOR Barbecue Business name: ` /� 1 . _ Clothes dryer (gas) 7 � 1 1 1 Other: Address: 61(Y)-13---194/1"L-44 MECHANICAL PERMIT FEES' City /State /ZIP: Subtotal Phone: (! a 7 d.5--1-7 Fax: ( ) • Minimum permit fee ($72.50) Plan review (25% of permit fee) CCB lic.: ■ St surcharge (8% fee) of per 5...?, �. � 8� t h 2 I ) TOTAL PERMIT FEE , 3(/ Authorized _ j _ This permit application expires if a permit is not obtain d within 180 days after it has been accepted as complete. Print name f 0 Date: J /1 � J • Fee methodology set by Tri-County Building Industry Service Board i \Bu,ldnngTermits\MEC- Perm itApp.doc 12/03 440 -4617T (I I /02/COMIWEB) CITY OF TIGARD BUILDING DIVISION A- PERMIT #: ME 2ta0S 00571 V 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: /1/16/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639 -417 �I L. INSPECTION WORKSHEET FOR DATE: 11/16/2006 TIME: 7:00AM PAGE: 22 SITE ADDRESS: 13430 SW 121ST AVE CLASS OF WORK: SUBDIVISION: WOODCREST LOT #: 002 TYPE OF USE: PROJECT NAME: WILLIAMS DESCRIPTION: Gas furnace replace. OWNER: WILLIAMS, PETER ERNEST, PHONE #: 503 -590 -4256 CONTRACTOR: D & R HEATING & AIR CONDITIONING PHONE #: 503 -266 -1229 Inspection Request Scheduled For: Date: 11/16/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 039885-01 503-678-2517 N Corrections /Comments /Instructions: !� t PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS I I FAIL n CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED Inspector: /P Date: // / 0 Phone #: (503) 718- "-/ •