Permit as CITY OF TIGARD MECHANICAL PERMIT
` COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00263
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/8/2007
PARCEL: 2S104AB -12400
SITE ADDRESS: 13116 SW BENISH ST ZONING: R -25
SUBDIVISION: MORNING HILL NO. 6 LOT: 153 JURISDICTION: TIG
PROJECT: HOE
Project Description: Furnace and AC 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: 1 DOMES. INCIN:
NAT 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:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
DANIEL HOE Description Date Amount
13116 SW BENISH
TIGARD, OR 97223 [MECH] Permit Fee 5/8/2007 $72.50
[TAX] 8% State Surcha 5/8/2007 $5.80
Total $78.30
Phone: 503- 430 -7622
Contractor:
ARROW MECHANICAL
10330 SW TUALATIN RD
TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 692 -1565
FAX 503- 691 -1879 •
Reg #: LIC 5193
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.
, Ai
Issued By: Permittee Signature: i1,�
i
Call 503.639.4175 by 7:00 a.m. for inspections that •usi -ss da .
This permit card shall be kept in a conspicuous place on the job sou it ompletion of I e project.
Approved plans are required on the job site at the time of each inspection.
MechakticalYermit Ap I 'idl � :
; FOR OFFICE usE.ON>LY "
City of Tigard
DateB : 7 t
@ Received
r Permit No •'
13125 SW Hall Blvd., Tigard, OR 97223 y �� 7 // "��
Phone: 503.639.4171 Fax: 503.598.1960 Mil 0 V r< < Plan Revie
1� f � L 10-'119111 "r ,,,,.,\\
Internet: www.ci.tigard.or.us Date/By: Other Permit
Inspection Line: 503.639.4175 y ' •
ard.or.us � -11„ Date Ready/By: Juns� See Pa ge 2 for
g CITY OF TI =
Notified/Method:
BUILDING DIVISION Supplemental Information
TYPE OF .WORK . COMMERCIAL FEE* SCHEDULE - USE CHECKLIST •
❑
- • New construction Q Addition/alteration/replacement Mechanical rmit work •
performed. In fees* the value are (rounded based on the to the value nearest of the dollar) of all
❑ Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
. - CATEGORY OF CONSTRUCTION Value: $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
1 - and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building
❑ Multi Tamil For special information use checklist.
Multi ❑ Master builder ❑ Other: Description
Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION • . • Heating /cooling
Job site address: i3/ f� /' /� Air conditioning or heat pump l
r ✓< <.Sf� (requires site plan showing placement) ` 14.00
City/State /ZIP: 7 , /97240 _ 04 " q 2 23 Furnace 100,000 BTU (ducts/vents) / 14.00 •
Suite/bld ./a P t. no.: Furnace 100,000+ BTU (ducts/vents) 17.90
g Project name: f--)41-- S Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
•
1 S'T /��� s 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
/ 2-A-JA ,4 C. ./2‹,aL- f1G.-A -1 EttJ` 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
LIY4ROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 10.00
Name: j� Other: 10.00
c/�jJj �.. Environmental exhaust and ventilation
Address: / 3 J J/ S eeJ FAQ i s Range hood/other kitchen
equipment 10.00
City/State/ZIP:-.77,, ` cQ !'- 223 • Clothes dryer exhaust 10.00
p - K Single -duct exhaust (bathrooms,
Phone: eV 43,0). F ax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Business name: Other: 10.00
Fuel piping
Contact name: $5A0 for first four; 51.00 for each additional
Address: Furnace, etc.
Gas heat pump
City/State /ZIP: Wall/suspended / unit heater
Phone: ( ) F ax:: ( ) Water heater
E -mail:
Fireplace
Range
CONTRACTOR Barbecue
Business name: ,4 /L4 H Clothes dryer (gas)
AaJ i L� e �.t/L, Other:
Addres J a 330 se4.! .. 'Z_c AQI_A- - 7 A.) 2.2) MECHANICAL PERMIT FEES*
�^— <
City /State /ZIP: ��
/ L.- x . 7 - 7N, O G`l ° 7 0 2 Subtotal
Phone: 3) 6,9 2 _ /5�, S I Fax: (5D3 4,..9/, 46379
Minimum permit fee ($72.50) 70� 5ti
Plan review (25% of permit fee)
CCB lic.:
J / 1+
State surcharge (8% of permit fee) 6.%40
TOTAL PERMIT FEE 7s/ , 30
Authorized ciL‹,a, This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: 4-1‘..v,,,,...% / aLU��S,L/, Date: J C -1 .- a'7 * Fee methodology set by Tri-County Building Industry Service Board
•
Mechanical P 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.
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i:\ Building \Permits \MEC- PermitApp.doc 12/03 2
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CITY ����~n�'^���� ����������� ,. '
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BUILDING DIVISION '^ �
=�,��,,,~� �,°,�,~~,~ PERMIT #: �E�O0-O�6
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|
| 18125SVV Hall Blvd, Tigard, OR07223 DATE ISSUED: 518/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503 639-4175 .�e
INSPECTION WORKSHEET FOR DATE: 1/16/2008 TIME: 7:00AM PAGE: 46
SITE ADDRESS: 13116 SW BEN|SHST CLASS OF WORK:
SUBDIVISION: MORNING HILL NO. 6 LOT #: 153 TYPE OF USE:
PROJECT NAME: M0F
DESCRIPTION: Fumac and AC replace.
OWNER: HOE, DANIEL PHONE #: 503-430-7622
CONTRACTOR: ARROW MECHANICAL PHONE #: 50..692-1566
Inspection Request Scheduled For: Date: 1/16128013 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 063275-01 60:793.2854 N
Corrections/Comments/Instructions:
.
.
.
— ASS �� PARTIAL 0 CANCEL EI NO ACCESS
EI FAIL n CALL FOR INSPECTION | I ADDITIONAL FEES ASSESSED
8 |nopec�Inspector: ^� '� Date: �7/ — 0 7 � Phone #: (603) 718- 2 ~^
' - -
CITY,:OF.TIGARD _ , , 4
BUILDING DIVISION `' PERM #: talEC2007 00 63
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/B/2007
Phone: (503) 639 -4171 / w �41��uui ihi
Inspection Requests (24 Hrs.): (503) 639 -4175 J .. U..
INSPECTION WORKSHEET FOR DATE: 11/29/2007 TIME: 7 :00AM PAGE: 69
SITE ADDRESS: 13116 SW 13ENISH ST CLASS OF WORK:
SUBDIVISION: MORNING HILL NO. 6 LOT #: 153 TYPE OF USE:
PROJECT NAME: HOE
DESCRIPTION: Furnace and AC replace.
OWNER: HOE, DANIEL PHONE #: 603-430-7622
CONTRACTOR: ARROW MECHANICAL. PHONE #: 603-692-1666
Inspection Request Scheduled For: Date: 11/29/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 - Mechanical final 060399.01 503-692-1565 N
Corrections /Comments /Instructions: ;Zip
/.- s . 0,,,, . .y' ,
/
/
I I P ❑ PARTIAL APPROVAL ❑ CANCEL I 1 NO ACCESS
FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: 4S Date: / % -)Z Phone #: (503) 718 --