Permit k'‘ CITY OP TIGARD MECHANICAL PERMIT
ik agt , i A DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PERMIT #: MEC2006-00145
Q� �I DATE ISSUED: 4/12/2006
PARCEL: 2S1 02 D D -04800
SITE ADDRESS: 08370 SW ARTHUR CT ZONING: R -7
SUBDIVISION: BRIDGEPARK LOT: 008 JURISDICTION: TIG
Project Description: Replace existing gas fireplace with new unit.
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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: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: WOODSTOVES:
CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 1
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
CHAD MANSFIELD Description Date Amount
8370 SW ARTHUR CT
TIGARD, OR 97223 [MECH] Permit Fee 4/12/200€ $72.50
[TAX] 8% State Surcha 4/12/200€ $5.80
Total $78.30
Phone: 503- 701 -0617
Contractor:
OWNER
REQUIRED ITEMS AND REPORTS
Contact #:
Reg #:
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.
Iss ed By: 1/ , Permittee Signature: - 4,47/(
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 FOR OFFICE USE ONLY
y
City of 'Tigard . ra Date/By. y /, 1'fQ
IIIM P No.: ' fel ii , ..." 5
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 AH ' c ° ±p `\ Daze/By. Other Permit:
Inspection Line: 503.639.4175 _4- j, 5`111 Date Ready/By: ® See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method:. 1, 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.
CAT EGORY OF CONSTRUCTION Value: $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ❑ CommerciaUindustrial ❑ Accessory building
El Multi-family For special information use checklist. •
y ❑ M aster builder ❑ Ot her:
Description I Qty. I Ea. Total
JOB SITE INFORMATION AND LOCATION Heating /cooling
Job site address: u3 7o Air conditioning or heat pump •
sLd ,4 1 1 ' 4(_' �T ' (requires site plan showing placement) 14.00
City /State /ZIP: 777 (le a l a c/ 7 2 Z3 Furnace 100,000 BTU (ducts/vents) 14.00
/ Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: / reCP 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
e pfcttt • . t , c, J c ( d ./ a . 5' 4fr�D /e'Ce i4/ } s ' /"► l�It't>J jet S Flue vent for water heater or gas
n p � G fireplace 10.00
't 1 / Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
0 PROPERTY OWNER I ❑ TENANT Chimney /liner /flue/vent 10.00
Other: 10.00
Name: Le4d /0„,,,,e,,,/,/ Environmental exhaust and ventilation
Address: g'370 5(4 /fr)1J 4/ C� ellet sto
10.00
City /State /ZIP: 7:7Q / 04- r f 72z 3 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (Sy? ) 70/ — (26/7 Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Business name: Other: 10.00
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
60-)/0(1---- Clothes dryer (gas)
Business name:
Other:
Address: MECHANICAL PERMIT FEES*
City /State /ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) 72 • `V
Plan review (25% of permit fee) •
!
CCB lic.: State surcharge (8% of permit fee) ' , • $0
TOTAL PERMIT FEE 78 .5e)
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: T rtiC (A.,/ /t4 p rile /V Date: 9 /i7 /06' • Fee methodology set by Tri- County Building Industry Service Board
i:\ Building \Permits\MEC- PerrnitApp.doc 12/03 440- 4617T(I1 /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:\ Building \Permits\MEC- PermitApp.doc 12/03 2
CITY OF TIGARD
BUILDING DIVISION PERMIT #: IV1CC2006 -00146
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/12/2006
Phone: (503) 639- 4171 +I V
' Inspection Requests (24 Hrs.): (503) 639 -4175 ...' --' I.. )
INSPECTION WORKSHEET FOR DATE: 4/26/2006 TIME: 7 :03AM PAGE: 65
� �
SITE ADDRESS: OF3;�7Q SW AFB 1 f'iUl� t�r ' CLASS OF WORK:
/p / SUBDIVISION: BRiDCEPARK LOT #: 008 TYPE OF USE:
5 ) PROJECT NAME: M ANSFIELD
4 DESCRIPTION: R eplace existing gas: fireplace with new unit,
OWNER: MANSFIELD, CHAD PHONE #: 603-701-0617
CONTRACTOR: OWNER PHONE #: 0 if
V /
Inspection Request Scheduled For: Date: 4126/2006 Pour Time:
X
Code # Inspection Description Confirm # Contact # f essage \' t i\je
699 Mechanical final 028714-01 503- 701.0617 V
Corrections /Comments /Instructions:
/
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ASS _ Li PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
i I FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED c
Inspector: D ate: YV-e7 P hone #: 503 Z�Zy
P � ) 718-