Permit tt n CITY O T IGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00293
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/11/2008
PARCEL: 2S112CD -02400
SITE ADDRESS: 07845 SW BOND ST ZONING: R -12
SUBDIVISION: BOND PARK LOT: 004 JURISDICTION: TIG
PROJECT: MUDD
Project Description: Replacing gas furnace.
CLASS OF WORK: 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: 0 DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
MICHAEL MUDD Description Date Amount
7845 SW BOND ST
TIGARD, OR 97224 [MECH] Permit Fee 6/11/200E $72.50
[TAX] 12% State Surch 6/11/200E $8.70
Phone: Total $81.20
Contractor:
ROTH HEATING & COOLING
P.O. BOX REQUIRED ITEMS AND REPORTS
9
CANBY, OR R 9 7013
Contact #: PRI 503- 266 -1249
FAX 503- 266 -3478
Reg #: LIC 14008
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.
e � �
Issued By: Permittee Signature:
Call 503. 9.4175 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.
J
Jun 10 08 11:53a p.1
Mechanical Permit Appiicaaaap o EIVED FOR OFFI USE ONLY ; ;
City of Tigard Received / / U�
DateJBy: (0 Permit rI /L C.,
• 13125 SW Hall Blvd., Tigard, OR. 97224 N 1 o 20r "; r c� 3
F Phone: 503.639.4171 Fax: 503.595.1
Date Review
ateiByc Other Permit:
TIGARD - Inspection Line: 503.639.4175
Internet: www.tigard- or.gov OF TIGARD
Date Readyl8y 1 See ge far
AZ $Pit A• _, Notified/Method: �� �l / Su ppleme Pa ntal 2 informatiom
V lw
I
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
0 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 0 Other: mechanical materials, equipment, labor, overhead. and profit.
CATEGORY OF CONSTRUCTION Value: $
MI- and 2- family dwelling ❑ Commercial /industrial El Accessory building RESIDENTIAL EQUIPMENT /SYSTEMS FEES*
For special information use checklist.
❑ Multi- family ❑Master builder
❑ Other:
Description I Qty. Ea. Total '
• . JOB SITE INFORMATION AND LOCATION Heating/cooling
l Air conditioning or heat pump
Job site address: B
�� ,"l (requires site plan showing placement) I4.00
City /State /ZIP: 1 f, CV.{.- C( C.) 1 ci 72-24 Furnace 100,000 BTU (ducts/vents) 1 14.00 , lq- OC
Suite/bldg./apt. no.: J ) Project name: 711/116/ Furnace 100.000+ BTU (ducts/vents) 17 90
Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic hot water system 14
Residential boiler (radiator or
hvdronic) 14.00
• Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00 _
—
Subdivision: Lot no.: Flue /vent for any of above 6,30
Other: 10.00
Tax map/parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00 _
A r a ' 3-' f _ Gas fireplace 10.00
S tt a -ra Cy'LCUnc( 11 k± Flue vent for water heater or gas
1 fireplace 10.00 _
Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace/insert i 10.00 i
'PROPERTY OWNER ❑TENANT
Chimney/finer/flue/vent 10.00
- Other: 10.00
Name: VV\ 1L.-1r\(t I 'p A /` t, \ "l C C � Environmental exhaust and ventilation
Address: G � Range hood /other kitchen
"' �"nkk el— v&— equipment 10.00
City /StateiZIP: Clothes dryer exhaust 10.00
- Phone: (;�) �0 .. 2� Fax: ( ) Single -duct exhaust {bathrooms,
toilet compartments, utility rooms) 6.80
?APPL!CANT • ❑CONTACT PERSON Attic /crawlspace fans 10.00
Business name: Other: 10.00
Fuel piping
Contact name:
S5.40 for first four; 51.00 for each additional
Address: Furnace. etc.
City /State /ZIP:
Gas heat pump
Wallisuspended/unit heater
.\\/ Phone: ( ) Fax: : ( ) Water heater
E -mail: Fireplace
_ Range
CONTRACTOR Barbecue
Business name: • `� ` ■ Clothes dryer (gas)
Other: i
Address: • i 2- 95)
s_ MECHANICAL PERMIT FEES*
City/State/ZIP: Caw
I yam_
— Ck 7 O Subtotal 14_4 • 00
Phone: l0 ?) ZLq L I i..4ca( ! F ax: j) ).-CD (, •3 t T ! > Minimum permit fee ($72.50) •`12
5
\ G 1 ( I Plan review (25% of permit fee)
CCE1lic.: 1 c
State surcharge (12% of permit fee) ..-) G
ry TOTAL PERMITFEE
RI. 2_(7:.
Authorized signature: L ` 9� This pe rmit application expires if a permit is not obtained within ISO
days offer it has been accepted as complete.
Print name:
kf 5 Mo.- - Date: Lc l 0 (f • Fee methodology set by Tri- County Building Industry Service Beard
1.1Bu deli nglPermitsltilEC- PermitAp doc 01/7 446 - 4617T (11102 /COMrwEB)
•
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MEC200t00293
11 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6 1 /2008
Phone: (503) 639 -4171 k u m, y r
Inspection Requests (24 Hrs.): (503) 639 -4175 - LI
INSPECTION WORKSHEET FOR DATE: 6/25/2008 TIME: 7:00AM PAGE: 8
SITE ADDRESS: 07845 SW BOND ST CLASS OF WORK:
SUBDIVISION: BOND PARK LOT #: 004 TYPE OF USE:
PROJECT NAME: MUDD
DESCRIPTION: Replacing gas furnace.
OWNER: MUDD, MICHAEL PHONE #:
CONTRACTOR: ROTH HEATING & COOLING PHONE #: 503 - 266 -12419
Inspection Request Scheduled For: Date: 6!25/2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 0711341 -01 50:3-266-1249 V
Corrections /Comments /Instructions:
al Gra-G ,,.�.. L • _T. ' e -'f-t< e r
o A t4
PASS n PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
n FAIL I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: --7g —6V Phone #: (503) 718-
f d" �•
. -. , .