Permit CITY TIGARD MECHANICAL PERMIT
.• ," COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00217
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/1/2008
PARCEL: 2S 112CC -02100
SITE ADDRESS: 08005 SW CHURCHILL CT ZONING: R -12
SUBDIVISION: BOND PARK NO. 3 LOT: 049 JURISDICTION: TIG
PROJECT: DELP
Project Description: Replacing furnace.
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: 1
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
WILLIAM & TRUDY DELP Description Date Amount
8005 SW CHURCHILL CT
TIGARD, OR 97223 [MECH] Permit Fee 5/1/2008 $72.50
[TAX] 12% State Surch 5/1/2008 $8.70
Total $81.20
Phone: 503- 684 -2573
Contractor:
TRI COUNTY TEMP CONTROL
13150 S. CLACKAMAS RIVER DR
OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS
Contact #: PR! 503 -557 -2220
FAX 503 -557 -0919
Reg #: LIC 72623
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 : '/ / -,.;.. Permittee Signature: z C���
Call 51 .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.
APR-29-2008 08:120 FROM: TO:5035981960 P.1
Mechanical Permit Application
0 �) FoR OFrlc E t�sr, ()NIA
lie City of Tigard *� Received
DaDate/By: L iar/NM • Perm;t No y ,
•,.
13125 SW Hall Blvd., T OR 97 23 - , C
' Phone: 503,639.4171 Fax. 503. '' .. C' Plan eview Other Permit. l t G A R l) Inspection Line: 503.639.4175 1 } ` t alc) Date Ready/By: Juris El See Page 2 for •
Internet: www tigard or.gov PQ ,, t iN afrttfied/Method. Supplemental Information CX
. rye i \ \d
TYPE OF WORK \'ci .%#0,,,(1',1, \ )s ` COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
° ` m
°" Mechanical permit fees* are based on the value of the work
❑ New construction Addition /alterati4y /4rplaceent performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: r mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
1- and 2-family dwellin RESIDENTIAL EQUIPMENT /SYSTEMS FEES*
For special information use checklist.
y g ❑ C Master builder ial /industrial ❑ Accessory building
Multi- family ❑Master builder ❑Other: Description I Qty. I Ea, I Total
JOB SITE INFORMATION AND LOCATION Heating /cooling
DO1 W ( i ( curt- Air conditioning or heat pump
Job site address: D V \� 1 W l T 1 �XJU t 1
(requires site plan showing placement) 14.00
City /State /ZIP: � (17224 Furnace 100,000 BTU (ducts /vents) I 14.00 j 14_07
�
Furnace 100,000•* BTU (ducts /vents) 17.90
Suite/bldg.lapt. no.: Project name: ZT ` il l � 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 (filet -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Flue /vent for any of above 1 6.80 ,i(0
Subdivision: Lot no.: Q
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater , 10.00
Gas fireplace 10.00
R17 trim er
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
V PROPERTY OWNER I ❑ TENANT Chimney /liner /flue /vent 10.00
I i bap , lP.1,L p Other: 10.00
Name: Environmental exhaust and veuHlation
Range hood/other kitchen
Address: equipment 10.00
City /State /ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: O (2, Fax: ( ) toilet compartments, utility rooms) 6,80
APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Business name: Other: 10.00
Fuel piping
Contact name: 3 J !`' McA I $5.40 for first four; $1.00 for each additional
Address:
Furnace, etc.
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: ( ) F x:: ( ) Water hearer
Fireplace
E -mail:
Range
CONTRACTOR Barbecue
Business name:`jT) Ct ( Clothes dryer (gas)
�X/ I i �l �� Other:
Address: 1,M0 6* O5�7 m N VC Dr V ) MECHANICAL PERMIT FEES*
City /State /ZIP: iv, • Oh it` O l Subtotal
Minimum permit fee ($72.50) ?d-,S 0
Phone: ( - t♦j 6`l .. . Fax: ( ��7 ® � Plan review (25% of permit fee)
CCB lie.: 124200 State surcharge (12% of permit`
' TOTAL PERMIT FEE *
Authorized signature: O • Th is permit application expires it a permit is not _Maine •'thin tR 1
`` days after it has been accepted as complete.
Print name: # /0 tT / • ;/ Date: • mums ' Fee methodology set by Tn-County Building Industry Service Board
11Building Tamils \MEC•PermitApp doc 01/19/07 440.4617T (11 /02 /COM/WEB)
. . . .
CITY OF TIGARD
,.• ,
BUILDING PERMIT #: MEC200t300217
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUp: 5/112008
Phone: (503) 639-4171 Joect 11'1-
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 5/2/2008 TIME: 7:00AM PAGE: 30
SITE ADDRESS: 08005 SW CHURCHILL CT CLASS OF WORK:
SUBDIVISION: BOND PARK NO. 3 LOT #: 049 TYPE OF USE:
PROJECT NAME: DELP
DESCRIPTION: Replacing furnace.
OWNER: DELP, WILLIAM & TRUDY PHONE #: 503-684-2573
CONTRACTOR: TRI COUNTY TEMP CONTROL PHONE #: 503,557-2220
Inspection Request Scheduled For: Date: 5/20008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 069240-01 503-67-2220 Y
Corrections /Comments/ Instructions:
0 ea Z 6771 - - e Cil Gt-t-dVia,e. 4-1&, • * 5- - /691 5 .7 621 ----ev'1 , -/- --
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, PASS PARTIAL APPROVAL 0 CANCEL • I I NO ACCESS
—
I I FAIL fl CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: /K
A Date: 6 Phone #: (503) 718-