Permit n ro` \1-
CITY
OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006-00112
I �' I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 2/22/2006
PARCEL: 2 S 112 C C -0 5000
SITE ADDRESS: 08020 SW BOND ST ZONING: R -12
SUBDIVISION: BOND PARK NO. 3 LOT: 078 JURISDICTION: TIG
Project Description: New gas furnace.
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:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
BETTY HAGAN Description Date Amount
8020 SW BOND ST
TIGARD, OR 97224 [MECH] Permit Fee 2/22/200€ $72.50
[TAX] 8% State Surcha 2/22/200€ $5.80
Total $78.30
Phone: 503- 968 -1340
Contractor:
AAA HEATING & COOLING
2915 NE MLK JR BLVD
PORTLAND, OR 97212 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 284 -2173
FAX 503- 284 -1552
Reg #: LIC 222
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.
•
Issued By: 2s, Permittee Signature: S.� e AT.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.
of Tigard EC
Pemut No 6( _
�� t<ecelvea � / 00 GO / V_
13125
3125 DateBy: „( O6, L' K , SW Hall Blvd., Tigard, OR 97223 FEB 2 201 r Plan Review Other Permit: �/ Pry
Phone: 503.639.4171 Fax: 503.598.1960 d' r d Date / By:
Inspection Line: 503.639.4175 Date Ready/By: 1 ®Sec Page 2 for
Internet: www.ci.tigard.or.us
Y OF Notified/Method: 76 Supplemental Information
BUILDI T G S'ON
TYPE OF WORK • COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction
AV performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
Value:
CATEGOROF Y `CONSTRUCTION
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
!.% 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi family ❑ Master builder ❑ Other: Description I Qty. Ea. I Total
- •.,...,..._�..
"" E IN . � _ ' 04 A LOCATION Heating/cooling
- �� . t = Air conditioning or heat pump
Job site address: /1��,] � At2k,wp Sr (requires site plan showing placement) 14.00
Furnace 100,000 BTU (ducts /vents) / 14.00 /9
City/State/ZIP: l J �� � ( J 0 l/ Z
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: f /E5vi Gas heat pump 14.00
j '- ?4 /1` 'i.t ' O Duct work 14.00
Cross street/directions to job site: -/ i
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 /0
Subdivision: Lot no.: Other: 10.00
Tax map /parcel no.: Other fuel appliances
., .. :; `" ' - Water heater 10.00 I
- ---,,,--.--„,-->: ;, - ; i:,4. I ON ' ° OF`VORK� 4 .
-. - =.._ E_ FDESCRIPT .i, - •, ...
s " " ` ja' »l s _ 10.00
._: . . . ` . t .L '::�� `1 - �: . _ �., -_ ... G fi
A/
`—°
) r r ? J 1-7a4/1/11 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
Chimney/liner /flue/vent 10.00
i;' TE
Y;PROPEliTYi Other: 10.00
Name: j 77f / /J, A,/ Environmental exhaust and ventilation -
Range hood /other kitchen
Address: (b' ®z,J 5, ) ,ea,k!O_ equipment 10.00
Clothes dryer exhaust 10.00
City/State/ZIP: 7 Z Z '�
G� xi-y.11 r�� Single -duct exhaust (bathrooms,
Phone: (57/j ) 9 13, // Fax: ( ) toilet compartments, utility rooms) 6.80
. . , ..... -
R "'" " =" CONTACT PERSON Attic /crawlspace fans 10.00
Other:
r _ ® "APPLICANT?: . 0 1 0.00
Business name: - \ Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: Gas heat pump
City/State/ZIP: Wall /suspended/unit heater
Water heater
Phone: ( ) Fax: ( )
Fireplace
E -mail: Range
= -
< ;, , _,t =a ::a.:; .,, `CONTRACTOR'? Barbecue _
� Clothes dryer (gas)
Business name:. , _ _£! /9A -Al e ' r? f 2l� ii)70 Other:
Address: 4 4 or- n E 114 .�ie I31i'd J MECHANICAL PERMIT FEES*
A Subtotal
City/State/ZIP: '� �'f ' Q 7 32.1 2 c
blf Minimum permit fee ($72.50) 72 ry�
Phone: (5 Fax: ( .? Zp Z o� Plan review (25% of permit fee)
.t zti
CCB lie.: a �_ _ State surcharge (8% of permit fee) ,5750
' � TOTAL PERMIT FEE a 30
This permit application expires if a permit is not obtained within 180
Authorized sign : // days after it has been accepted as complete.
Print name: cm ,,1) i 2A- Date: Z/ i f', 0 ,0
* Fee methodology set by Tri -County Building Industry Service Board
;.to „ ;id6,um..m;w1MFc- p.nnitAnn tine 12/03 440-4617T (I I lo2 /COM/WEB)
4 -a •
CITY OF TIGARD A.
BUILDING DIVISION PERMIT #: I'VE C2006-00l')2
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 212212006
Phone: (503) 639-4171 4 411 ii
Inspection Requests (24 Hrs.): (503) 639 -4175 __
INSPECTION WORKSHEET FOR DATE: 41/8/2006 TIME: 7:05AM PAGE: 65
SITE ADDRESS: 08(120 SW BOND ST CLASS OF WORK:
SUBDIVISION: BOND PARK NO. 3 LOT #: 078 TYPE OF USE:
PROJECT NAME: HAGAN
DESCRIPTION: New gas furnace.
OWNER: HAGAN, BETTY PHONE #: 503-96B
CONTRACTOR: MA HEATING & COOLING PHONE #: 503-2842173
Inspection Request Scheduled For: Date: 4/18/2006 Pour Time:
Code # * Inspection Description Confirm # Contact # Message
699 Mechanical final 028196-01 503-284-21/3 N
Corrections /Comments/ Instructions:
0 ELier ra>- 1 k'L. -. 1" 4 "' 5 7859-2- 6� &eat,/z7---
.. � ie,tM �
.
1 4 PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS
❑ FAIL ],CALL FOR INSPECTION _ ADDITIONAL FEES ASSESSED
Inspector: ! Date: ---/ -6 Phone #: (503) 718- .-r2--C