Permit ` CITY OF TIGARD MECHANICAL PERMIT
. e% 7 1 . 1 DEVELOPMENT SERVICES PERMIT #: MEC2006 - 00046
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 1/25/2006
PARCEL: 2S114BA -13900
SITE ADDRESS: 16260 SW COPPER CREEK DR ZONING: R -7
SUBDIVISION: COPPER CREEK STAGE 4 LOT: 104 JURISDICTION: TIG
Project Description: Replace furnace, add electronic filter.
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:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
SORENSON, GREG A+ BAMBI L Description Date Amount
16260 SW COPPER CREEK DR [MECH] Permit Fee 11251200E $72.50
TIGARD, OR 97224 [TAX] 8% State Surchaq 11251200E $5 80
Phone: 503- 684 -3779 Total $78.30
Contractor:
OREGON HEATING + A/C INC
PO BOX 397 REQUIRED ITEMS AND REPORTS
DUNDEE, OR 97115
Contact #: PRI 503 -538 -2953
FAX 503 -537 -2172
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: Permittee Signature: ,,:to__ _____2
7. /Zg i _ . _ ci r d. 2? e e . .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.
Jan 24 06 02:21p MS Rentals, Inc. 503 - 537 -2172 p.2
' ' EU , -- - ,:f . - ,
Mechanical Permit A • ! ;, it o _z.M FOR OFFICE USE ONLY ' •
e ate" � ' R eceived
City of Tigard Date /By: ` -"a6 06p 8A Permit No: �w� V
'1 ten/ C OQ,
13125 SW Hall Blvd., Tigard, OR 97223 t Nan Review
9 Other Permit
4 21 Ill
Phone 503 639 4171 Fax 503 598 1960 11141 ' t' Date /By.
Inspection Line 503.639.4175 f , li Date Ready /By. � r/� Z See Page 2 for
Internet. www c.-tagard_or.us (' ' r 1 Not fied'Method 1/ `� Supplemental Information
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t .,. ; ` ; ' ti u CONIMTRCJAL- FEE' .SCHEDULE — USE CHECKLIST •
• -1s.1•
Mechanical permit fees* are based on the value of the work
❑ New construction FP Addition/alteration/replacement performed Indicate the value (rounded to the neatest dollar) of all ,
❑ Demolition
❑ Other: mechanical materials, equipment, labor, overhead, and profit
Value: $
CATEGORY OF CONSTRUCTION . r- , _ -
RESIDENTIAL EQUIPMENT i SYSTEMS FEES`
V 1- and 2- Family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Descnption Qty. Ea. I Total
' ' - JOB SITE INF1RM.ATI: N AND LOCATION ' -•, , Heating/cooling
� . I Air conditioning
fires s i io a heat pump MOW Job site address -2 (requires site pla showing placement) 14.00
City /State /ZIP• Furnace 1OQ000 BTU (ducts/vents) I , 14.00
•_ ..di_ Furnace 100,000+ BTU (ductv'ven <s) 17.90
Suite/bldg./apt. no.: Project name: Gas 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 - 10.00
Subdivision: Lot no. Other 1 I 10.00 l 0
Tax map /parcel no.: Other fuel appliances
'
DE LPTTO
SCR- $,;OF ~WOR : i' Water heater I 10.00
Gras fireplace 10.00
r / ` m no Flue vent for water heater or gas
' fireplace 10.00
Log lighter (gas) 10.00
. _
1!_ 1
ti Wood/pellet stove 10 00 1
Wood fireplace/insert I 10.00
Chimney/liner /flue/vent 10.00
' P OWNER : , • ' ❑ - TEN A NT I 10.00
,� - Other.
N ame- ,` .' 0. Environmental exhaust and ventilation
�■LL��'' Range hood/otherlutchen
Address' 4e ` < J��� equipment 10.00
City/State /ZIP. Clothes dryer exhaust 10.00
/ _ I I /� Single -duct exhaust (bathrooms,
Phone. l Fax- ( ) ' toilet compartments, utility rooms) 6.80
t7 APPLICANT -;2-'' •• .. =` ' .:• D. :CONTACT PERSON • :' ' =
Athc/crawlspace fans 10.00
Other. 10 00
Business name OMP•-y' ��./ LUY4 Fuel piping
Contact name: ( • O�) - $5.40 for first four: $1.00 for each additional
I
Address )
Furnace, etc. _ _
Gas beat pump
EMMEM ' i _I V- ( I 1 . S Wall/suspended/unit heater
Phone. ) ) , ,
_ • .� • Fax Water heater Wateare h he
E -mail: Range
CDN R_4.CTOR. . . - n Barbecue
(J f J� 1 Clothes dryer (gas)
Business name. / (} y �t
� /} Other
Address. 1 7�"l ' y� I / _ MECHANICAL_ PERMIT k'k:ESy' •• -' '�}
City /State /ZIP: , ' I L'� 11 I C m
Subtotal -
! � Minimum permit fee ($72.50) t
Phone L r Fax — Plan review (25% of permit fee)
CCB tic. I t GT State surcharge (8% of permit fcc) f ,v
TOTAL PERMIT FEE .
CITY OF TIGARD ''
BUILDING DIVISION PERMIT #: y� 22�o 00 3
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 'va u��
Inspection Requests (24 Hrs.): (503) 639 -4175 ' �..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / 6, c )— (c, (' LASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: '
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 o? 7 _0 (o Pour Time:
Code # Inspection Den Confirm # Contact # Message
6 �9 m,
/z---71.-L.19.__Q 61..w-itgAi:
&$q 3
.)-JiLa Corrections /Comments /Instructions:
II = oo - : oo p, ril ,
X PASS ❑ 'A: ' L APPROVAL ❑ CANCEL H NO ACCESS
n FAIL % CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
t
Inspector: Date: S Phone #: (503) 718