Permit CITY TIGARD HANICALPERMIT
DEVELOPMENT SERVICES MEC PERMIT #: MEC200300658
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/19/03
PARCEL: 2S112CD -02700
SITE ADDRESS: 07745 SW BOND ST
SUBDIVISION: BOND PARK ZONING: R -12
BLOCK: LOT: 007 JURISDICTION: TIG
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: 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: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Remarks: Furnace replacement.
Owner: FEES
VOLLINTIN, STEVE Description Date Amount
7745 SW BOND STREET
TIGARD, OR 97224 [MECH] Permit Fee 11/19/03 $72.50
[TAX] 8% State 11/19/03 $5.80
Phone: 503- 289 -8294 Total $78.30
Contractor:
SPECIALTY HEATING & COOLING
1601 SE RIVER RD
HILLSBORO, OR 97123 REQUIRED INSPECTIONS
Mechanical Insp
Phone: 503-640-3607
Final Inspection
Reg #: LIC 66578
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
Issued By: � / _ � / - �' Permittee Signature: (1)1 (4 e ,�j,�i,Qr
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next / business day
. ..
...- '
• •s' -- 1,.., 4 ' . • . FOR OFFICE USE ONLY • , :
MecikrAmcal Permit A e e..:cation
Received
. *10 e ,, Mechanical
City of Tigard ckeco
SN - ' Date/B :// If e al lik Permit No. ni
Planning APprov
Date/By. Building
Na-mit 14n • - Co - g
6T ;.;1.
. . _.
13125 SW Hall Blvd. V° Plan Review Other
Tigard, 0: tgon 97223 0 \'' Date/By: _ Permit No.:
Phone: 5(13-639-4171 Fax: -593-W.:0 , Post-Review Land Use
,\
Internet: ' vww.cl.tigard.or.us „ or . r Date/Syr Case bro.,
24-hour " .spection Request: C3 Ncoamntaeimet
ik ......A
ethod: Iteis.k el See Page Z for
1 1 (--.\ Supplemental Information.
-: -
._ . .
• - • .."'?-' -- , TYPrOPNVOILIC:'. . !;1:'''..i'''..:.:(;' : .:'. • . ----• ‘:'CO1MER'CIATITEECITEDITIS:';.13SE..C11ECKLIST.F':..
.. ..... ,.
D New 1:onstruction 1 n Demolition Mechanical permit fees* are based on The total value of the work
EPiUldit :on/alteration/replacement ri Other performed. indicate the value (rounded to the nearest dollar) of all
• • ..:....'''''';''''t:■- . mechanical materials, equipment, labor, overhead and profit.
_la_ & 2 Family dwelling 1=1Commercialandustrial
lill /wee: so . Buildin Multi-Family
Value: $ _ See Page 2 for Fee Schedule
; RESIDENEWEEQUIPMEIsIT/SYSISMSTEVPSCBED1.1::.
— Description r city FeeSea.) I Total
0 Mast( r Builder. Other: I:bating/Cool
...‘ OltSITEINPORMATIMalfdlE0MirET01:!=,"::il'A' .' Furnace add air conditioning** 14.00
Job 3ite a idress: __ - 4'3 - 4 S .SL..) (Loi--,.ok 31 Gas heat puma 4.00
Suite #: Bldg./Apt.#: Duct work , . 14,00
Proj:.ct N ame: H dronic hot water system 14.00
i
—^ — Residential boiler
Cross str( to job site:
for radiator or h tlronic s stem 14.00
Unit heaters (fuel, not electric) -
(in walk, in-duct, suspended, etc.) 14.00
Flue/vent (for any of above) 10,00
Subdivisi Dn: I Lot #: Repair units 12.15
Other-Fuel Ap liancta
Tax 12:1a.p/?areel #: Water heater 10.00
: ..:'.. ' ':'DESCRIPTIOINCOPUORICW:a,ACI''':::. ' • Gas fireplace 10.00
Flue vent (water heater/gas fireplace) 10.00
A , Log lighter (es) 10.00
..1.-t
Wood/Pellet stove 10.00 .
Wood fireplace/insert 10.00
Chimney/liner/flue/vent _ 10.00
'CIVItcilLIE FiztowNEWO,pr. Other: ' 10.00
Name: E-1-,.)--e. if o ( '---_ ( i 'vk.. f7'.-t... •. Environmental Exhaust& Ventilation
Ransc hood/other kitchen equipment 10.00
Address: .cc...-,-,-.e.
Clothes dryer exhaust 10.00
City./Stat/Zip:
Single duct exhaust
Phone: .... )-1 - ea 14 Fax: (bathrooms, toilet compartments,
iii( ' Wit!, - '''.:.';IY', iol trOPtriVe1011Figg0Nrai:Vi; .: utility rooms) 6.80
Name: Attic/crawl space fans . 10.00
. — AddreSS: Other: 10.00
- .. • ' Fuel Pipl g •
City,'StatgZip: **($5.40 for first 4, $1.00 each additional)
Phone: Fax: Furnace, etc. **
--
Gas heat pump **
E-mail: Wall/suspended/unit heater **
. . ... . .: .. i '..:.'; •: ' . - Water heater **
Business Namo: C e ;:., ( c.7.4. .{-( H..< cs.-.1. i r n Fireplace -*
Adthess: 1 Lc 0 1 ,SC va-r- e--ef . gIn c **
BBQ **
City'Stat ilZip: Hi • 1.1S1.-/ 0%1-) , Erw- . °, •i--i 2- 7 Clothes dryer (gas) **
)- Fax: 4,R - o '1 1'3 Other **
CCE; Li c # Total; ,
Mechanical Permit Fees'
Authorized C .) A . . . ...._____.....
Subtotal: 5
Signal ure: )-- k-fk- Pid Date: "A a/ d7
Minimum Permit Fee 572.50 , S ,
Fl - f-, , - - .t.."'s- 0 1 cz.- Plan Review Fee 25' A of Permit k it Fee) $
(Please print name) State Surcharge (3% of Permit Fee) S
1)
TOTAL PERMIT FEE $ •-- , 3 _....(..)
Notice: This permit application expires If a permit is not obtained within *Fee methodology set by Tri-County Building Industry Service Board-
180 days efts r it has been accepted as complete, **Sit plan required for exterior AJC units.
i:\Dsts\ Permil Forms\MeePermitApp.doe 01/03
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