Permit MI CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00429
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/17/2007
PARCEL: 2S109AB -13500
SITE ADDRESS: 14457 SW FORAN TERR ZONING: R -7
SUBDIVISION: ALPINE VIEW LOT: 016 JURISDICTION: TIG
PROJECT: METZLER
Project Description: Replace existing gas heat pump and 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:
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
ED METZLER Description Date Amount
14457 SW FORAN TERR
TIGARD, OR 97224 [MECH] Permit Fee 7/17/2007 $72.50
[TAX] 8% State Surcha 7/17/2007 $5.80
Total $78.30
Phone: 503- 624 -2124
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 OUNC by calling 503.246.6699 or 1.800.332.2344.
Issue. :;y: �l /�l> %Q Permittee Signature: */(7/(1/0171 Call 503.639.4175 by 7:00 a.m. for inspections that busine
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.
Jul. 19 < .07 09:55a Oregon Heating & AlC 503 -537 -2172 p.1
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Mechanical Permit Applic n FOR OFFICE USE ONLY
City of Tigard 5 � � ( V I Received
Date/By: ® Q Oki ��
r1 �r>
IN
' 13125 SW Hall Blvd., Ti OR 9722311 I Plan Review
y
Phone: 503.639.4171 Fax: 503.598.19 L 1 6 2007 DateBy, Other Permit:
TIGARD Inspection Line: 503.639.4175 CITY t ,. , - Date Ready /By: El See Paget for
Internet: www.tigard- or.gov 8 ( a i - FID Not edNethod: Supplemental Information
BUILDING DIVISION
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST •
Mechanical permit fees* are based on the value of the work
❑ New construction N Addition/alteration /replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other:
mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
•
® 1- and 2 dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
y g ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other:
Description Qty. Ea. Total .
• JOB SITE INFORMATION AND LOCATION Heating/cooling
1 f , �� Air conditioning or heat pump
Job site address: „ Sv f
L+ r
'1 vt --- Terr (requires site plan showing placement) 14.00
City /State /ZIP: "TicA tara cli2 4 Furnace 100,000 BTU(duets/vents) r 14.00 14.0
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite /bldg. /apt. no.: Project name: Gas heat pump 1 14.00 4 .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
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
HVAC
kn.3iA11 hent pun. a an ft trice- 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
1 PROPERTY � OWNER ❑ TENANT Chimneyiliueriflueivent 10.00
Other: 10.00
Name: Metz\ fir. Environmental exhaust and ventilation
1 SW Range hood/other kitchen
Address: ({.k
Vx+ 'nr Terr equipment 10.00
City /State /ZIP: `r n ard C�"12a (.+ Clothes dtycr exhaust 10.00
`d Single -duct exhaust (bathrooms,
Phone: O Gag - a t a 4 Fax: ( ) toilet compartments, utility [rooms) 6.80
• ® APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Business name: Oregon Heating & A/C Other. 10.00 _
Fuel piping
Contact name: RaSh211� $5.40 for first four; $1.00 for each additional
Address: PO BOX 297 Furnace, etc.
Gas heat pump
City /State /ZIP: Dundee OR 97115 WaWsuspendedrunit heater
Phone: (503) 538 - 2953 Fax: : (503) 537 - 2172 Water heater
E -mail: Fireplace
Range
-
- • CONTRACTOR Barbecue
Business name: Oregon Heating & A/C Clothes dryer (gas)
Other:
Address: PO BOX 397 MECHANICAL PERMIT FEES* .
City/State /ZIP: Dundee OR 97115 Subtotal
Minimum pennit fee ($72.50) 1Q. 5 (0
Phone: (503) 538 -2953 Fax: (503) 537 -2172
Plan review (25% of permit fee)
CCB tic.: 172126 State surcharge (8% of permit fee) 5. go
TOTAL PERMIT FEE °r$3
Authorized signature. p
This permit application expires if a permit is not obtained within 180
/ days after it has been accepted as complete.
Print name: age. • tip bee Date: 7- l r - ` ` Fee methodology set by Tri-County Building Industry Service Board
,
If B uilding \Pesndu.taEC- PcrtnitAppdoc 04 ;06/06 440- 4617T /COM/WEB)
1 16 .07 09:55a Oregon Heating & A/C 503-537-2172 p.2
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CITY OF .T.IGARD
BUILDING DIVISION PERMIT #: MEC2007- 00429
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/17 /2007
Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 Jamollier
INSPECTION WORKSHEET FOR DATE: 7/27/2007 TIME: 7:03AM PAGE: 66
SITE ADDRESS: 14457 SW FORAN TERR CLASS OF WORK:
SUBDIVISION: ALPINE VIEW LOT #: 016 TYPE OF USE:
PROJECT NAME: METZLER
DESCRIPTION: Replace existing gas heat pump and furnace.
OWNER: MEfZLER, ED PHONE #: 503- 624- 2124
CONTRACTOR: OREGON HEATING & AC PHONE #: 503-538.2953
Inspection Request Scheduled For: Date: 7/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # • Message
699 Mechanical final 052877 -01 503-538-2953 Y
Corrections /Comments /Instructions:
a 6 1,%.,.., ► n.io/C lab .5 15- ;€40..f It ,-,
PASS ❑ PARTIAL APPROVAL n CANCEL . ESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: -(..3 Date: - 7— 0 7--e7 Phone #: (503) 718- � --