Permit 1•
CIT OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005 - 00528
sal II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/26/2005
PARCEL: 2S112CD -14400
SITE ADDRESS: 07937 SW CAROL ANN CT ZONING: R -12
SUBDIVISION: REBECCA MEADOWS LOT: 001 JURISDICTION: TIG
Project Description: AC install.
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: 1 DOMES. INCIN:
ELE 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: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
JOSH FEGLES Description Date Amount
7937 SW CAROL ANN CT. [MECH] Permit Fee • 8/26/2001 $72.50
TIGARD, OR 97224 [TAX] 8% State Surchar€ 8/26/2001 $5.80
Phone: 503 -522 -8571 Total $78.30
Contractor:
OREGON HEATING + NC INC
PO BOX 397 REQUIRED ITEMS AND REPORTS
DUNDEE, OR 97115
Phone: 503 - 538 - 2953
Reg #: LIC 125815
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: �, A ,f,�,l/� Permittee Signature: 7 apyl-e4
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.
Aug ,2G 05 10:50a Oregon Heating and Air 503 - 537 -2172 p. 2
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Mechanical Permit Application FOR OFFICE USE ONLY
!
6 Receive. ' 1.2, D Permit No.: M EG�DOG 00c
City of Tigard AUG 2 0 05 Rec a �,
13125 SW Hall Blvd., Tigard, OR 97223 Plan Re Lew Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 4aa•9,� I `k Date/By:
Inspection Line: 503.639.4175 CITY OF T! a U ,...' I� Date Ready /By: Jun • H See li age 2 for
Internet: www.ci.rigard.or.us BUILDING' T 10 Notified/Method: Supplenental Information
`- COMMERCIAL FEES . SCHED'CTLE:; :.USE:
,: .: _: : ::'• ... TYPE.OF,WORl� ; ,.j ;:' ; =; .:.'.t.; -; ;., >.:..,';_;,`:::.;. ,' r_
CHECKL
Mechanical permit fees* are based on the slue of the work
❑ New construc dd performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition El Other: mechanical materials, equipment, labor, overhead, and profit.
. •,. _ ::';: =: -:: ';''..,..r..
, . _ ...: • A
:CT R
EGOY OF •: :CQNST1tIlCTION :• , s. ",: -:' is > :
''_:" :�':.:`..: ; - .: ,' - : •
�.,� ;',.:RESIDEN3'LAL''E_QU'IPMENT'/ S'ISTEMS.FEES *'. ; "i.
LK 1 and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use ;hecklist. _
❑ Multi- family ❑ Master builder ❑ Other: Description I Q171 . Ea. 1 Total
' l; JO -SXTE I ; . T P " ?,,, -;; •: ^,:a� Heatin
�` . .: i:..' ` ` _ : i. 193'7 ... IOi Air conditioning or heat pump ' j ^�
Job site address: � 1 , i J( �n (requires site plan showing placement)
14.00 `` f
City /State /ZIP: , J / ,4, ---; C1 t 7 Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
• Suite/bldg. /apt. no.: Project name: _Gras heat pump 14.00
Cross street/directions to job site: Duct work 14.00
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. 10.00
flue/vent for any of above 10.00 •
Subdivision: Lot no.:
• Other 10.00
Tax map /parcel no.: Other fuel appliances -
:r: -�s � u W p t 10 00
OF>`.VdO
>�sc TO >� � -
R�. _ I .. - .1 ,.:• N. 10.00
�. Gras fireplace
J�1 1 U atit ( fn.Scf - 1 al - � Flue vent for water heater or gas
fireplace 10.00
_ Log lighter (gas) - 10.00
Wood/pellet stove 10.00
;,, :.,:_. ,...,:.;.. - - _ .:,, .:,_.1:,•,r, mney/liner/flue/vent
Wood fireplace/insert
Chi 10 00
m= ,x ;:-'iEhfA)VT'-:r1= 'i ,'„ 10.00
..::. P$OPERTX�'�O, ,...,_ ..:,:. . •: ;�'��''`: *.,... ' Other
Name: ` -` t e 6( 1 5 • Environmental exhaust and ventilatio: i
'✓ ; Range hood/other kitchen
Address: G) _ t'`. 4/ t, i /L,4'. (/) ( ( equipment 10.00
. Clothes dryer exhaust _ 10.0(1
City/state /Z �� G �� ,� }� Single -duct exhaust (bathrooms,
Phone , ) }') Fax: ( ) toilet compartments, utility rooms)
:.:..,.,;.. craw sp ce fans
' / � _ /� Other. l
Business name�/�� 4- t_s v ii Fuel piping
Contact name: ll �� V Jr) r-1, _ ., $5.40 for first four; 51.00 for each additional
P 1:) ., . Address: � City/State /ZIP: l
b - n el r ,^ 1 1 - S� WaIl/suspended/unit heater
�3 � � Fax: 3 _ -7 Zi -' Water heater
� 7
Phone. ) t. <'
Fireplace
E -mail: Range
Clothes dryer (gas)
Business name: 4/s / / ; � } F� (�i��. ` Other.
Address: ` /, I� MEc A P E Rh liT F EE S *. : , '• _ ` ' : `-
City/State /ZIP: 11 6 � Cl ri I ES -- Subtotal /
�� � / -, l l/ / 7 Minimum permit Re ($72.50)
Phone: Y I)3 (232___c 1� n F 2.' r L 7 2, Plan review (25% of ,permit fee)
CCB lic.: O j • 1. State surcharge (8% of permit fee) F7 r VD
TOTAL PERYLIT FEE i , ' -3a
I `• This permt appcation rperm it is not obtained within 180
Authorized s` ature: ` t 4 • ) . / 2 L iy� days after it has been accept :A as complete.
X 1 1 t1� % ' Fee methodology set by Tri- County Buil,: ins Industry Service Board
Print name: i B�0 �, , Date:► m Y ��
i:\Buildine\Permits\ EC- PermitAvRdoc 12/03 445 -4617T (11 /Q3,./COMWWEB)
, 1ug.26 05 10:50a Oregon Heating and Air 503 - 537 -2172 p.3
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CITY OF TIGARD _
BUILDING DIVISION PERMIT #: MEC2000052E
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/212
Phone: (503) 639 -4171 Avid 1141p�i��lll'\
Inspection Requests (24 Hrs.): (503) 639 -4175 _A-
INSPECTION WORKSHEET FOR DATE: 9/26/2005 TIME: 7:12AM PAGE:
SITE ADDRESS: 07937 CAROL ANN CT CLASS OF WORK:
SUBDIVISION: REBECCA MEADOWS LOT #: 001 TYPE OF USE:
PROJECT NAME:
FEGLES
DESCRIPTION: AC install
7 OWNER: PHONE #:
FEGLES, JOSH 503 -522 -8571
CONTRACTOR: OREGON HEATING + A/C INC PHONE # : 603-638-2953
Inspection Request Scheduled For: Date: 8/26/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 016506-01 503 - 538 -2953 N
Corrections /Comments /Instructions:
`► •
•
` R PASS j rARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL // / FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: .� Date: Phone #: (503) 718-
Ilk