Permit •
+ �. Y � CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00274
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/15/2007
PARCEL: 2S112CD -13500
SITE ADDRESS: 07794 SW ALDER ST ZONING: R -12
SUBDIVISION: HAMBACH GROVE LOT: 033 JURISDICTION: TIG
PROJECT: LUCHAU
Project Description: Install a /c.
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
COURTNEY LUCHAU Description Date Amount
7794 SW ALDER ST.
TIGARD, OR 97224 [MECH] Permit Fee 5/15/2007 $72.50
[TAX] 8% State Surcha 5/15/2007 $5.80
Total $78.30
Phone: 503 675 - 2509
Contractor:
OREGON HEATING & AC
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -538 -2953
FAX 503 -537 -2172
Reg #: LIC 172126
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.
Issue• 4// / Permittee Signature: � � P itt % L fI- fi h ('1.Z -f 7(1 f 1
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.
May 15 07 07:35a Oregon Heating & A/C 503 - 537 -2172 p.1
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1\ &ec ianical Permit Applicat e tt ` FOR OFFICE USE ONL
t
City of Tigard �1 V 1 Date, �S O� S� Permit No.: � 2 .� �0
u 13125 SW Flail Blvd., Tigard, OR 97223 ��tt Plan Review ` + /
Phone: 503.639.4171 Fax: 503.598.196(�AY g 5 ZOO7 DatetBy: Other Permit:
TIGARD Inspection Line: 503.639.4175 /� e` r Date ReadyrBy: RI See rage Z for
Internet: www.tigard- or.gov CITY OF TIGARD Notified/Method: Supplemental Information
BUILDING DIVISION -
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction ® 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 RESIDENTIAL EQUIPMENT SYSTEMS FEES*
❑ C ommercialiindustrial ❑ Ac cessory building
Multi farm l For special information use checklist.
❑ y ❑ Master builder ❑ Other: Description I Qty. Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 17 914 SW A Air conditioning or heat pump t 1
i der (requires site plan showing placement) 1 14.00 1 •00
City/State /ZIP: ` �JQ� (� G aDLI Furnace 100,000 BTU (duets /vents) 14.00
Furnace 100,000+ BTU (ducts / vents) 17.90
Suite/bldg. /apt. no.: Project name: L A `^A ° � &Lk, Gas heat pump 14.110
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
HVAC- Gas fireplace 10.00
Flue vent for water heater or gas
fireplace 10.00
11 1StG>,11 AC- Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace. /insert 10.00
Chimney /liner/flue /vent 10.00
. " 0 OWNER : • ❑ TENANT _ Other 10.00
Name: Cok Ir -m b.., dckt Environmental exhaust and ventilation
Range hood/other kitchen
Address: —11 Li j5k1 �C� 6l , equipment 10.00
City/State /ZIP: 11 etiaali Clothes dryer exhaust 10.00
) _ Single -duct exhaust (bathrooms,
Phone: ( \
en 5- c2 c 70;:i Fax: ( ) toilet compartments, utility rooms) 6.80
APPLICANT ❑ CONTACT PERSON Attic /crawl space fans 10.00
Other: 10.00
Business name: Oregon Heating & A/C
Fuel r to r
P g
Contact name: RashP 1 i $5.40 for first four; $1.00 for each additional
It . Furnace, etc.
Address: PO BOX 297
Gas heat pump
City/State /ZIP: Dundee OR 97115 WalVsuspended/unit heater
Phone: (503) 538 -2953 Fax: : (503) 537 -2172 Water heater
E -mail Fireplace
Range
• • CONTRACTOR • Barbecue
•
Business name: Oregon Heating & A/C
Clothes dryer (gas)
Other:
Address: PO BOX 397 MECHANICAL PERMIT FEES*
City /State /ZIP: Dundee OR 97115 Subtotal
Minimum permit fee ($72.50) 7a . 50
Phone: (503) 538 Fax: (503) 537 -2172 Plan review (25% of permit fee)
CCB lie.: 172126 State surcharge (8% of permit fee) 5 ,Fs(')
TOTAL PERMIT FEE 7g', 30
Authorized signature: :2- jJL R -�� This permit application expires if a permit is not obtained within 180
�� � days after it has been accepted as complete.
Print name: h51eletle, (�` LYUi b Date: Jr, -07 * Fee methodology set by Tri- County Building Industry Service Board
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1ARuilding \Pumirs\MEC- PermitApp.doc 04.06.06 440-4617T (I 1:02 :COVVWCB)
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PILJASE, l'A. ,X APPLICA:IION 'WI'ITI SITE PLAN co
CITY OF TIGARD
BUILDING' DIVISION PERMIT #: MEC2007- 00274
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/15/2007
Phone: (563) 639 -4171 ::11P1
Inspection Requests (24 Hrs.): (503) 639 -4175 : ' .!L
INSPECTION WORKSHEET FOR DATE: 6/26/2007 TIME: 7:00AM PAGE: 59
SITE ADDRESS: 07794 SW ALDER ST CLASS OF WORK:
SUBDIVISION: HAMBACH GROVE LOT #: 033 TYPE OF USE:
PROJECT NAME: LUCHAU
DESCRIPTION: Install a/c.
OWNER: LUCHAU, COURTNEY PHONE #: 503 - 675 -25509
CONTRACTOR: OREGON HEATING & AC PHONE #: 503- 538 -2953
Inspection Request Scheduled For: Date: 6/26/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 050921 -01 503 - 538.2953 Y
Corrections/Comments/Instructions:
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PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
FAIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: Date: — oe > Phone #: (503) 718 - 5"/