Permit F 1 CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2006 -00570
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/15/2006
PARCEL: 2S114BA -14200
SITE ADDRESS: 16230 SW COPPER CREEK DR ZONING: R -7
SUBDIVISION: COPPER CREEK STAGE 4 LOT: 107 JURISDICTION: TIG
Project Description: Replace gas 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:
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: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
KRAHMER, DONALD L JR AND Description Date Amount
SUZANNE MARIE BLANCHARD
16230 SW COPPER CREEK DR [MECH] Permit Fee 11/15/20( $72.50
TIGARD, OR 97224 [TAX] 8% State Surcha 11/15/20( $5.80
Total $78.30
Phone: 503- 639 -9859
Contractor:
COMFORT MECHANICAL INC
17936 SE DIVISION STREET
PORTLAND, OR 97236 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -761 -1500
FAX 503- 762 -5394
Reg #: LIC 79558
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: r Permittee Signature: may[ (�
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.
r16,y 15, 08 11 : 17a Comfort Mechanical RNC 503 761 1390 p.1
Vlechanical Permit Application , , FOR OFFICE USE ONLY
at)/ of Tigard BEL; t ED Received i
Perron No .'
DateiBy: I 0(0 ;I' ■ C. -00(::7 '''' 00 7
3125 SY Hall Blvd., Tigard, OR 97223
1
hon.. 503 639.4171 Fax 503.5913.1960 N tinF fl' 1 5 Lu .... .... .. 1 1 is PLan Review
Date:73y, Ocher PermIt.
ispecrion Line 503.639 4175 I' Ail Date Ready/By: 121 See Page 7. for
)ternet: www.ci.ugard or.us CITY O TtGA Notified/Method. Supplemental IntormatIon
F
n. ..,, nikle. nIVISION
. ., .. _
„ :. ' , , :,' ' i • .;,.:',.,,,,,,,,,,, ;,„ : :lrg ykw:9,4,K, . ,',.,; ,,',.,cONT:Npg.c011;-Bgt.spngtivi:,tc.- :OS-E!.CHECIC-IST
New construction ›KrAddttion/alceration/replacement
Mechanical permit fees* are based on the value of the work
1 performed. Indicate the value (rounded to the nearest dollar) of all
] Demolition E Other: mechanical materials, equipment, labor, overhead, and profit
-:.dA.#04*..,'.0*,,,,6 .'.. ,.'.;,._,;,,:t1;1;:, , ,, ,, Value: $ „,
: ,, , "'9M40,g-.4t4'*Pf-0. 1 YIF! N TI . 41V . STivi-S FEES'
Kr_ and 2-farruly dwelling 0 Corarneretal/industrial 0 Accessory building
For special information use checklist
Multi-famil D Master builder 0 Other.
Description Qty I Es. I Total
4 1 TP It'W,91PWIC. LAI'`i.P LOCATION . .Z: , i ' „,” ' • ; 77 ,;... Heating/cooling
lob site address (C,Q20_, 1, cp.ppr creeK_ , Dr Air conditioning or heat pump
(requires site plan showing placement) 14.00 4 - 1
City/State/ZIF' -n L--,/ A-IC____.0 CP, q-122i-- Furnace 1 Fuace 100,000 BTU (ducts/vents) _I 14 00 .---
1.nterbli.ig ;apt_ no Project name: i< A )4111 EV Furnace 100,000+ BTU (ducts/vents)
Gas heat pump . 17.90
14.00
Cross street/directions to Job site: Duct work 14 00
(--e W — 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
Subdivision, Lot no.:
Other: _ 10.00
Fax map/parcel no.: Other fuel appliances
-. ,:, , c.,14?,,,; ,;,;,:, '.!''' Water heater 10.00
• r • ' ' '' ''' '+'' '' ' ' iVEW.. , T ' . j':• ;', , •'' , 4:!.‘` ' - Gas t .. I replace
116 Y ..(' 1 • (---y - A fi,Crr(LC Flue vent for water heater or gas
fireplace 10.00 _ ..
Log lighter (gas) 10 00
Wood/pellet stoye 10.00
• Wood fireplace/insert 10 00
,: ''',. '. - . , , ..• :, l , ,r-:-`1,..:"- . ' ,„,„.' e- ......--!, ,, „:,,,, Chimney/liner/flue/vent 10.00
) *1 ,, TY ,IPARe4;Y;:,;:v:?.;I:1 i N: :“SZ. Other 10.00
I\ erne. PO Ni C; ( E K 1 1. A1 _ 1 p_1
Environmental exhaust and ventilation
Addl ess 1LP 2:50 3,, COOPER ( y'e,, Or Range hood/other kitchen
equipment 10.00
City/State/ZIP Ta C ge Gm 2 Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: 1.,)),o -q toilet compartments, utility rooms) 6.80
' ' ' ''.'' • ''.* " -' ' '':''L''''i ' '" . 6 :'
'diji,4, Atn P
c/crawls ace fans 10.00
, ':= . * . .-r.t010' , , ..• ••• .
Other: 10.00
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/untc heater
Phone ( ) Fax: : ( ) Water heater
Fireplace
E -mail: Range
1,99N,M9Y9Wili'?1\4::,1 - Barbecue
Clothes dryer (gas)
Business name. afrrn--Cpc rr>echri f) I ( p t ( r , Other. 1.
Aidress I — 1 C i. .- CO 5 E ' D 1 ( ro-y-k il! , ''1.K4IM:RwOr.*gs*
City/State/ZEP • 'Po-{ arm rt Ci, - 1 2 __a C, Subtotal
Minimum permit fee (S72.50)
Ph C5 -- 1 (.( — I 5 c-) Fax. r - 14,2..- 5 F.L-it, .
Plan review (25% of permit fee)
CCB lic.: Ici558 State surcharge (8% of permit fee) 5
/ TOTAL PERMIT FEE
Authorized signatuJIN /)(jitUr 4144 This permit applicanon expires if it a perm is not obtained wilifin 1S0
. 1 days alter ir has been accepted AS complete.
Pnru name \-114I L IN Der A) rwitt_ Date: 1 i /IS iDip . Fee methodology set by Tn Building industry Service Board
: , ..diold■iig\Peniun■MEC-ParriatApp doe 12/03 4.10.(617T (I 1/02/C064/WEB)
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BUILDING DIVISION PERMIT #: MEC2006-00570
13125SVVHmUB�d.. Tigard, OR07223 DATE ISSUED: 11/15/2006
Phone: (SO3)03Q-4171 Inspection |nepe�on Requests (24 Hrs.): (503) 639-4175 ~ e�.:-. `
INSPECTION WORKSHEET FOR DATE: 3/1212007 TIME: 7:01A&4 PAGE: 5?
SITE ADDRESS: 16230 SW COPPER CREEK DR CLASS OF WORK:
SUBDIVISION: COPPER CREEK STAGE 4 LOT #: 107 TYPE OF USE:
PROJECT NAME: KRAHN1ER
DESCRIPTION: Replace as furnace.
OWNER: KRA1K4ER. DONALD LJR AND, PHONE #: 603
CONTRACTOR: COMFORT MECHANICAL INC PHONE #: 603
Inspection Request Scheduled For: Date: 3/12/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 044555-01 503-796-2882 Y
Corrections/Comments/Instructions:
G PARTIAL APPROVAL I I CANCEL NO ACCESS
I I FA|L CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: I Date: 1--/ t— cx) Phone #: (503) 718-
_ _