Permit CITY TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2006 -00660
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/28/2006
PARCEL: 2 S 112 B B -05600
SITE ADDRESS: 08285 SW FANNO CREEK DR ZONING: R -7
SUBDIVISION: COLONY CREEK ESTATES NO.2 LOT: 039 JURISDICTION: TIG
Project Description: Replace and install heat pump and gas furnace.
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:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
ROBI N & JAN ET REVEL Description Date Amount
8285 SW FANNO CREEK DR
TIGARD, OR 97224 [MECH] Permit Fee 12/28/20C $72.50
[TAX] 8% State Surchaq 12/28/20C $5.80
Total $78.30
Phone: 971- 275 -4080
Contractor:
OREGON HEATING & AC
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -538 -2953
FAX 503 -537 -2172
Reg #: LIC 172126
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 OU NC by
calling 503.246.6699 or 1.800.332.2 344.
Iss d By: j Oif i Permittee Sign - • re: i i /VW!
Call 503.639.4175 by 7:00 a.m. for ins•ectio• h busine" day.
This permit card shall be kept in a conspicuous place on the job ite until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Dec e„7 06 06:02p MS Rentals, Inc. 503- 537 -2172 p.1
r- Me Permit Application FOR OFFICE USE ONLY
City Tigard Ti and Received
Date/By: / �D i Permit No.: ��,Lt, ,Ott Ob 6‘,,,,O �-
13125 SW Hall Blvd.. Tigard, OR 9 �„ . C'M 1'` t g ) ' i Plan Review
Phone: 503.639.4171 Fax: 503.59, ]' X Y k '"� Other Permit:
+ + DateiB
Inspection Line: 503.639.4175 l� _4 1 -' 1 `` 1 Date Ready:By: E7 Sec Page 2 for
Internet: www.ci.tigard.or.us DEC 2006 Notified /Method: 'M Supplemental Information
Utitk 0147 Ny i C,int4 :. , . COMMERCIAL FEE* SCHEDULE. — USE CHECIva, S
i��!i il` L ° -' Mechanical permit fees* are based on the value of the work
171 New construction ® .odilion alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
Value: S
CATEGOR OF CONSTRUCTION" • • Y,
.. •RESIDENTL EQUIPMENT /.SYSTEMS FEES"
® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- famil ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
. - . , , JOB SITE INFORMATION AND •LOCATION Beating/cooling
p Air conditioning or heat pump
Job site address: a0 ( _t t• n no Cn q plan showing 14.00 1 4 .0 0
(requires site Ian showin placement) t
City /State /ZIP: Tig , i Furnace 100,000 BTU (ducts/vents) ) 14.00
' .0(�
L Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldgJapt. 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 any of above 10.00
Subdivision: Lot no.:
Other: 10.00
Tax map /parcel no.: Other fuel appliances
ESC
• a er rea er 10.00
•
Gas fireplace
10.00
j s C , r) � Flue vent for water heater or gas
N-- g ti. AA floc Q Log l igh 10.00
(-,�(� Log lighter (gas) \ 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
ineriflue/vent 10 00
PROPERTY OWNER.: ., ....: ❑ TENAANT, '.>
(� mney /1
}"' .. Other.
Name: R V 1(- . Jel rt '+ e ye, ! Environmental exhaust and ventilation
Address: .D Stu L T - r ' n - C r p,� ' Range hood/other kitchen
�� 3 �ti+� equipment 10.00
City /State /ZIP: . a rc r e,__, n l "jZ�y Clothes dryer exhaust 10.00
" Single -duct exhaust (bathrooms,
Phone: (So) q 7 i — 75 _goo Fax: ( ) toilet compartments, utility rooms) 6.80
. " Atticfcrawlspace fans 10.00
❑ APPLICANT.'.:. ❑ CONTACT PER50N ..:
Other. 10.00
Business name: Oregon Heating and Air Conditioning
_ Fuel piping
Contact name: $5.40 for first four; SLOG for each additional
Address: PO Box 397 Furnace, etc.
Gas heat pump
City /State /ZIP: Dundee OR 97115 Wall /suspended /unit heater
Phone: (503) 538 -2953 Fax: : (503) 537 -2712 Water heater
Fireplace
E -mail: rashelle a)oregonheating.corn Range
COirTRACTOR Barbecue
Business name: Oregon Heating and Air Conditioning Clothes dryer (gas)
Other.
Address: PO Box 397 MECHANICAL PERMIT FEES*
•
City /State /ZIP: Dundee OR 97115 Subtotal 0 W
Phone: (503) 538 -2953 Fax: (503) 537-tag a, f Tx Minimum permit fee (S72.50) -�(
PIan review (25 %ofperrmit feee )
CCB tie.: COW 1 i : ?//c/..40 /0 i x‘ti6 State surcharge (8% of permit fee) 5,g
[�` `� / 15 TOTAL PERMIT FEE "?..0
• Authorized signature: st / . V' m +�/ This permit application expires if a permit is not obtained within 180
�Jlr tv� + x f ' days after it has been accepted as complete.
Print name: C (JCn rl JO nrt pJ Date: ( 242710 to ' Fee methodology set by Tri-County Building Industry Service Board
l:\ Building +Prnnits'AIEC -PrnnitApp.doc t2 /03 44 11.461 Tr (r t /02,COM/WEB)
Dec 22 06 OG;O2p
is)- MS Rentals, Inc.
._ .. `,,.. 503-537-2172 p' 2
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MFC2006 -00000
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/28/2006
Phone: (503) 639 -4171 /. ,ui0,�01li
Inspection Requests (24 Hrs.): (503) 639 -4175 <.__,
INSPECTION WORKSHEET FOR DATE: 1/9/2007 TIME: 7 PAGE: 35
SITE ADDRESS: 08285 SW FANNO CREEK OR CLASS OF WORK:
SUBDIVISION: COLONY CREEK ESTATES NO.2 LOT #: 039 TYPE OF USE:
PROJECT NAME: REVEL
DESCRIPTION: Replace and install heat pump and gas furnace.
OWNER: REVEL, ROBIN & JANET PHONE #: 971 -275 -4080
CONTRACTOR: OREGON HEATING & AC PHONE #: 503- 538.29J3
Inspection Request Scheduled For: Date: 1/9/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Mai.-.
699 Mechanical final 041913 -01 971 - 275-4080 4-t4
Corrections/Comments/Instructions:
M /'rd 1 ,i * S f/ 2? SZ
4
"4,...1SS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS
I I FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: &'tf" Date: ///4 Phone #: (503) 718- ZG