Permit 11,
4 '
CIT OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00005
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/4/2007
PARCEL: 1 S133DD -01000
SITE ADDRESS: 11747 SW 129TH PL ZONING: R -4.5
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 2 LOT: 049 JURISDICTION: TIG
Project Description: Installation of additional 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:
ELE 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
PETER BUNCH Description Date Amount
117474 SW 129TH PL.
TIGARD, OR 97223 [MECH] Permit Fee 1/4/2007 $72.50
[TAX] 8% State Surcha 1/4/2007 $5.80
Total $78.30
Phone: 503- 228 -8878
Contractor:
D'S REPAIR
PO BOX 820154
VANCOUVER, WA 98682 REQUIRED ITEMS AND REPORTS
Contact #: PRI 360 - 907 -7750
Reg #: LIC 94500
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.
Issu By: I if , � •,�i -' Permittee Signatur & _ /C Ce-,,
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.
Mechanical Permit Application I of Orr-Ici usi o�l.:v
Received
1 l
' Cy of Tigard Date/By p Permit No. ,
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date/By Other Permit
TI GA RD Inspection Line: 503.639.4175 Date Ready /By: ® See Page 2 for
Internet: www.tigard- or.gov Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ 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
❑ Demolition ['Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
dwelli RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
® l - and 2 g ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other:
Description Qty. I Ea. Total
JOB SITE INFORM_ ATION AND LOCATION Heating /cooling
�f zL Air conditioning or heat pump
Job site address:
ll f 7'7 �s 1 e ' a 9 (L -RC.e (requires site plan showing placement) I 14.00
City /State /ZIP: 7' / ate 3 Furnace 100,000 BTU (ducts/vents) 14.00
J I / Furnace 100,000+ BTU (ducts/vents) 17.90
Suite bldg. /apt. no.: Project name: IlJ( -l`( -- 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
Flue /vent for any of above 10.00
Subdivision: Lot no.:
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
c 1 S, P� �� 8 7 J Q�� .- y_ -s-, -'-- 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
.❑ PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 10.00
Other: 10.00
Name: 79 T L ' y y vG t._. Environmental exhaust and ventilation
Address: J � 7 /,7 , t& . �� � ,,,� Range hood/other kitchen
/ equipment 10.00
City /State /ZIP: j t � c7 3 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (5i)3) aag • S87 , 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
Address:
Furnace, etc.
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: ( ) Fax:: ( ) Water heater
Fireplace
E -mail: Range
CONTRACTOR Barbecue
Business name: � / r,1 f ,'a.
Clothes dryer (gas)
Other:
Address: - MECHANICAL PERMIT FEES*
City /State /ZIP: ') JVCBcj ) ,4— /�lp�o� Subtotal
Phone: (2 77' ) 7. I Fax: ( ) Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB tic.: 9 11 5b f 1 D 9 State surcharge (8% of permit fee) 5r go
TOTAL PERMIT FEE
Authorized signature: I L _ . { D _- 7 This permit application expires if a permit is not obtaine8 within 180
1 days after it has been accepted as complete.
Print name: rn / )c 1qj Q (. Date: » y • i/ * Fee methodology set by Tri- County Building Industry Service Board
1:\ Building \Permits\MEC- PennitApp.doc 04 /06/06 440 .4617T(11 /02/COM/WEB)
Mechanical Permit Application - City of Tigard • #
Page 2 - Supplemental Information
Commercial Fee Schedule:
Total ,Valuation:. 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
I:\Building\Permits\MEC- PermitApp.doc 12/30/05 2
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CITY OF TIGARD
BUILDING DIVISION - PERMIT #: MEC2007 -00005
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/4/2007
Phone: (503) 639 -4171 su�d� ill
Inspection Requests (24 Hrs.): (503) 639 -4175 �.'' ..
INSPECTION WORKSHEET FOR DATE: 7/27/2007 TIME: 7:03AM PAGE: 67
SITE ADDRESS: 11747 SW 129TH PL CLASS OF WORK:
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 2 LOT #: 049 TYPE OF USE:
PROJECT NAME: BUNCH
DESCRIPTION: Installation of additional alc unit.
OWNER: BUNCH, PETER PHONE #: 503 - 228 -8878
CONTRACTOR: D'S REPAIR PHONE #: 360- 907 -7750
Inspection Request Scheduled For: Date: 7/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 052874 -01 360 - 907 -7750 N
Corrections /Comments /Instructions:
I� 4 PASS U PARTIAL APPROVAL n CANCEL n NO ACCESS
n FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
7/a 7/0
Inspector: Date: 7 Phone #: (503) 718-
CITY 'O-F TIGARD
BUILDING DIVISION PERMIT #: MEC2007- 00006
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/4/2007
Phone: (503) 639 -4171 '4 a j��
Inspection Requests (24 Hrs.): (503) 639 -4175 ...
INSPECTION WORKSHEET FOR DATE: 7/18/2007 TIME: 7 :01AM PAGE: 61
SITE ADDRESS: 11747 SW 129TH PL CLASS OF WORK:
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 2 LOT #: 049 TYPE OF USE:
PROJECT NAME: BUNCH
DESCRIPTION: Installation of additional a/c unit.
OWNER: BUNCH, PETER PHONE #: 503 - 220 -8878
CONTRACTOR: D'S REPAIR PHONE #: 360 -907 -7750
Inspection Request Scheduled For: Date: 7/10/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 052212 -01 360 -907 -7750 IV
Corrections/Comments/Instructions:
~10 d 70-/,to
PASS PARTIAL APPROVAL I I CANCEL n NO ACCESS
❑ FAIL I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
• Inspector: Date: 7—/T--e Phone #: (503) 718-
CITY OF TiGARD
BUILDING DIVISION PERMIT #: I' EC2007 -00005
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/4/2007
Phone: (503) 6 39 - 4171 a b
Inspection Requests (24 Hrs.): (503) 639 -4175 e �..
INSPECTION WORKSHEET FOR DATE: 1/9/20Q7 TIME: Tom PAGE: 33
SITE ADDRESS: 11747 SW 129TH PL CLASS OF WORK:
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 2 LOT #: 049 TYPE OF USE:
PROJECT NAME: BUNCH
DESCRIPTION: Installation of additional a/c unit.
OWNER: BUNCH, PETER PHONE #: 503 - 228 -8878
CONTRACTOR: D'S REPAIR PHONE #: 360.907 -7750
Inspection Request Scheduled For: P L`�I Date: 1/9/2007 Pour Time:
Code # Inspection Description p i. Confirm # Contact # Message
605 Post/beam mechanical) 041914 -01 360-907-7750 N
Co ^^ rrections /Comments /Instructions:
. ai42c. 6 -cam Ga4. - 4'. - wik ( -A2d ,"
PASS PARTIAL APPROVAL (l CANCEL fl NO ACCESS
I I FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: = , Date: 1 —2-- Phone #: (503) 718 -s----'