Permit C ITY O F TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00384
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/23/2008
PARCEL: 2S 110BD -02300
SITE ADDRESS: 11949 SW BULL MOUNTAIN RD ZONING: R -2
SUBDIVISION: SHADOW HILLS NO. 2 LOT: 055 JURISDICTION: TIG
PROJECT: HUNT
Project Description: Add gas to range & duct for hood vent
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS: 1
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: REPAIR UNITS:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1
> 10000 cfm: GAS OUTLETS:
Owner: FEES
HOLLY HUNT Description Date Amount
11949 SW BULL MTN RD
TIGARD, OR 97224 [MECH] Permit Fee 7123/200€ $72.50
[TAX] 12% State Surch 7123/200€ $8.70
Total $81.20
Phone: 503- 730 -0616
Contractor:
ASSURED AIR COMFORT INC
20170 MAY RD
OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 880 -8434
FAX
Reg #: LIC 00106403
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.
r T��
Issued By: Permittee Signature:
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 Applicati t • ECEI V E 4 . FOR OFFICE USE ONLY
)' City of Tigard Received
IN JUL Date/By:
Permit N0D1 E �b 8 __O a 3t?
13125 SW Hall Blvd., Tigard, OR 97223 �(' Plan Revie
Phone: 503.639.4171 Fax: 503. 598.19 Date /By: Other Permit: ei c ,,,L) g -60 3 CF
Inspection Line: 503.639.4175 CI OF TIGAR Date Ready/By: Juns: See Page 2 for
7IGARD Internet: www.tigard- or.gov BUILDING DIVISIO Notified/Method: Supplemental Information
TYPE- OF WORK COMMERCIAL..FEE* SCHEDULE - USE CHECKLIST
1E1 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
El Demolition El Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
RESIDENTIAL.EQUIPMENT / SYSTEMS FEES* .
and 2- family dwelling ❑ Commercial /industrial El Accessory building
For special information use checklist.
El Multi- family El Master builder El Other: Description Qty. Ea. Total
JOB SITE INFORMATION` AND LOCATION Heating/cooling
Job site address: /f/'g /7 Air conditioning or heat pump
/ U< ../17 (requires site plan showing placement) 14.00
City/State /ZIP: Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
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. 14.00
Subdivision: Lot no.: Flue /vent for any of above 6.80
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
_/ .. Gas fireplace 10.00
G/ ['� 9 �s � o19'L` /0e-sat "i >"- Flue vent for water heater or gas �r V fireplace 10.00
/> */°77.4.- Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
❑ PROPERTY OWNER ❑ TENANT Chimney /liner /flue /vent 10.00
Other: 10.00
Name: - , Environmental exhaust and ventilation
� 1 "`' ,x �� , Range hood/other kitchen
Address: � / (-,-_ equipment j 10.00
City /State /ZIP: / 1 c y C q Clothes dryer exhaust 10.00
/ ! Single -duct exhaust (bathrooms,
Phone: .(f ba7330- 0es746 Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
/� Other: 10.00
Business name:
( l 44A. �'1 1.J 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
Business name46 -vim et xr. C' , Clothes dryer (gas)
Other:
Address: , c>/ TG, C.S �s j red MECHANICAL PERMIT FEES*
_
City /State /ZIP:O;‹. c C, �,r fj Subtotal
Phone: r.� ,., �p� . C� 7 Fax: ( ) Minimum permit fee ($72.50) -- P •
y 0V tJ y Plan review (25% of permit fee)
CCB lie.: / 00G a" t 7 j Lit 3 State surcharge (12% of permit fee) y, 7 [)
TOTAL PERMIT FEE g / , aD
���
Authorized signature: :.J // / V --.��� This permit application expires if a permit is not obtained within 180
�--� days after it has been accepted as complete.
Print name:��j , l � Date: 7i / z * Fee methodology set by Tri- County Building Industry Service Board
1:\Building\Permits 'NEC- PermitApp.doc 01/19/07 440 -4617T (11 /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 $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
i:\ Building \Permits \MEC- PermitApp.doc 01/19/07 2
1 ,
CITY OF TIGARD
1 BUILDING DIVISION PERMIT #: IVIEC2008-00384
I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
7/23/2008
Phone: (503) 639-4171 4 i
:refillit`
Inspection Requests (24 Hrs.): (503) 639-4175 L..........3* -...A
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
9/23/2008 7:00AM 25
SITE ADDRESS: CLASS OF WORK:
11949 SW BULL MOUNTAIN RD
SUBDIVISION: LOT #: TYPE OF USE:
SHADOW HILLS NO. 2 055
PROJECT NAME: HUNT
DESCRIPTION: Add gas to range & duct for hood vent
OWNER: - PHONE #.•
HUNT, HOLLY 503-730-0616
CONTRACTOR: ASSURED AIR COMFORT INC PHONE #: 50;3_880,8434
Inspection Request Scheduled For: Date: 9/23/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message AAA
(40 Exhaust hood 075779-01 603-8 Y
80
Corrections/Comments/Instructions: ?i'M
) et;r‘,,,LA 5 - a00 • g
•
1--1=ItcSq 0 PARTIAL APPROVAL
fl CANCEL 0 NO ACCESS
fl FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: 23S Date: ..25—Serg Phone #: (503) 718- 25'2 3
CITY OF ` ' -
��uo w ��m TIGARD
BUILDING DIVISION PERMIT | ~�~°^~~~~^^~~° ~~"°~~"~~"~ #: hA[�C20UB'O03@4
| 13125 SW Hall B|vd.. OR 97223 D ATE}SSUED: 7Y23/2008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 A- 112.
INSPECTION WORKSHEET FOR DATE: TIME: �
� 772E/2000 7:03Mk8 PAGE: � 11
SITE ADDRESS: CLASSOFVVORK�
� 11��� �BUU - K80UNT/NNRD �
SUBDIVISION: LOT # • • TYPE � SHADO$�H|LL�SN[).2 • 056 �
PROJECT NAME: � MUNT
DESCRIPTION: � Add gas to range 8: duct for hood vent
#: PHONE #
OWNER: � PHONE #: HUNT, HOLLY � �O�'T503-730-0616 �
CONTRACTOR: ASSURED AIR COMFORT INC � 6-O3_
Inspection Request Scheduled For: Date Pour � � 7/�0/2OO�� �
Code # Inspection Description Confirm # Contact # Message
670 Gas line 073301'01 503-8808434 N
Corrections/Comments/Instructions:
0 _ _ _ _ a - - - (.7 7.4 - ---- _ a __k __ i__________,=, z_ c—".,.=. ,.- - __-..c - — 12.--iv.-7-6,-.-- -
/- - -4 /-cc i .1 L / ~l A~ -- tt-~«/
.
/
� R�S � �[�ALAPPRO�L �CA H NO ACCESS
n FAIL {��LLFOR INSPECTION 111 ADD|T|ON�LFEESASGESSED
jA _ Inspector: Date: `�n --= -- Phone #: (503) 718-
CITY OF TIG.ARD
BUILDING DIVISION PERMIT #: ME:C2If0S 01384
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 7/23/;jtf0fi
//
Phone: (503) 639 -4171 0 ill
Inspection Requests (24 Hrs.): (503) 639 -4175 ,slaW 11.
INSPECTION WORKSHEET FOR DATE: 7/75/2008 TIME: 7 :00AM PAGE: C
SITE ADDRESS: 11949 SW BULL MOUNTAIN RD CLASS OF WORK:
SUBDIVISION: SHADOW HILLS NO. 2 LOT #: 055 TYPE OF USE:
PROJECT NAME: HUNT
DESCRIPTION: Add gas to range & duct for hood vent
OWNER: HUNT, HOLLY PHONE #: 503 - 730()616
CONTRACTOR: ASSURED AIR COMFORT iNC PHONE #: 503- i380 -t 4':
■ Inspection Request Scheduled For: Date: 7/25/7008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 073232 -01 503.880 -8434 N
Corrections /Comments /Instructions:
c arztr ' AUS'S w .....y .. -- er
•
n P PARTIAL APPROVAL ❑ CANCEL ( NO ACCESS
FAIL CALL FOR INSPECTION [l ADDITIONAL FEES ASSESSED
Inspector: Date: '7- 2.r -ast. Phone #: (503) 718 - "q.4.,s--