Permit IN `%.. CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00121
TIG 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/26/2007
PARCEL: 2S104BC -01700
SITE ADDRESS: 14160 SW FERN ST ZONING: R -7
SUBDIVISION: HANDY ACRES LOT: 020 JURISDICTION: TIG
PROJECT: HOHNBAUM
Project Description: Replace 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: 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:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
MICHAEL HOHNBAUM Description Date Amount
14160 SW FERN ST
TIGARD, OR 97223 [MECH] Permit Fee 2/26/2007 $72.50
[TAX] 8% State Surchar€ 2/26/2007 $5.80
Total $78.30
Phone: 503 - 579 - 1627
Contractor:
SPECIALTY HEATING & COOLING
7500 SW TECH CENTER DR #130
TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS
Contact #: FAX 503- 681 -0793
PRI 503- 620 -5643
Reg #: LIC 66578
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 2344
Issue y : � / / Permittee Signat • �,7 ,, `. ,�,i >� ` 1.1
Call 503.639.4175 by 7:00 a.m. for inspections th 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.
°G/2007 08 41 FAX 503 598 0718 SPECIALTY_HEATING 01002 /002
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Mechanical Permit Appricatpo:t *', -, . •• . ° FOR (ll Fr it': (IN 1.4'
Cl Of Tl ar� Recopied
+� g Date/By: a � 40 o 7 4- Permit No.: de 7 - a5 r /a
13125 SW Hull Blvd , Tigart�It) 9,,7-7. , ElvF:‘4 . Plan Review
Phone: 503.b39 - 4171 Fax :I 031598. 9b la f . , k ., ,i' 1� Dutc/B Other Permit; Il , i ' y.
Inspection Line: 503 - 639,4175 ■ ` pace Ilcnd /B Y
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internee www,ci•tlgord.or.us FEB 200 Netined/Mothod: ® Supplemental Information
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�'i •= Mechanical permit fees* are based on the value of the work
❑ New constriction tialteratit3n7rG `1� performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition � � 0 h er: mechanical materials, equipment, labor, overhead, and profit.
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❑ Multi - family E] Master builder ❑ Other: For specraiinformvrion use checklist.
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I Air conditioning or heat pump
fob site address: L i l to a .. ( __ �C� - c l i (requires site plan showing placement) 14.00
City /State /ZiP: Furnace 100,000 BTU (duota/vonts) --7 14.00
Furnace 100,000+ BTU (duecslvents) 17.90
Suite/bldg. /apt. no.: I Project name: Gas heat pump 14,00
Cross street/directions to job site: Duct work 14.00
Hydronle 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
Subdivision: I Lot no.: Flue/vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel a r 111ances
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Gas fireplace 10.00
Flue vent for water heater or gas
1y fireplace 10.00
A_ _ •# 6 - - ._ CCA--2 ;`i4 Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood frcplacc /insert 10.00
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Chim /liner /flue /vent 10.00
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} �xtlsJLic l ia1 l�u Qther: 10.00 _
Name: Hohnbaum, Michael 807055 ____ Environmental exhaust and ventilation
Range hood /other kitchen
Address: 14160 SW Fern St. equipment 10,00
City/State/ZiP Tigard, 9'7223 Clothes dryer exhaust 10.00
Phone: ( (503)57 ( 9 -1627 toilet compartments, utility rooms) _ 6.0
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Other. 10,00
Business name:
Fuel piping -
Contact name: SS.40 for first four; 51.00 for each addltlona
Furnace, etc.
Address: Gas heat pump
City /State /ZIP; Wall /suspended /unit heater
Phone: ( ) f Fax: ; ( Water heater
Fire lace
E-mail: Range
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Business name: �p-Q. (1 t Other dryer (gas)
/ J�7 Other:
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City /State /ZiP: T/ 9 C,..t e4 0 (7. 2 zS Subtotal
4:, , ^ Minimum permit fee (472,50)
Phone: (SZ ) x p - C G Li? Fax: (r°3) la f / - 6 -4" y ? ^ Plan review (23 °h of permit Fee)
CCB lic.: 1.4q C 4-C? State surcharge (8% of permit fee)
TOTAL PERMIT FEE
signature: �_p This permit application expires if a permit Is not obtained within L90
Authorized sl
6 J., .... C/ -- � - � days after It has been accepted as complete.
Print name: raki,, f _At... V ry j Date: 2 ( o � 11} • Fee methodology set by Tri- County Building Industry Service Hoard
haullelnaTerminlM EC- PermitApodoc 'VW 440-4617r (I t /oa/COMAVEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #:
MEC2007 -00121
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/260007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/2/2007 TIME: 7 :00AM PAGE: f35
SITE ADDRESS: 14160 SW FERN ST CLASS OF WORK:
SUBDIVISION: HANDY ACRES LOT #: 020 TYPE OF USE:
PROJECT NAME: HOHNBAUM
DESCRIPTION: R :e gas furnace.
OWNER: HOHNBAUM, MICHAEL PHONE #: 50F.
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503-62A5643
Inspection Request Scheduled For: Date: 3/2x'2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 044173-01 503 -Ea20 -5643 N
Corrections/Comments/Instructions:
/ / // f
NI -ASS n PARTIAL APPROVAL n CANCEL n NO ACCESS
FAIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: ! Dat 9 Phone #: (503) 718-