Permit CITY OF TIGARD MECHANICAL PERMIT
/ " 1
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00294
TLGAR,O 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/21/2007
PARCEL: 2S102CA -00232
SITE ADDRESS: 09560 SW FREWING CT ZONING: R -4.5
SUBDIVISION: VIEWCREST TERRACE - - LOT: 013 JURISDICTION: TIG
PROJECT: SWANSON .r
Project Description: Gas furnace and AC. ;Gas piping to 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: 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
SWANSON, PRISCILLA Description Date Amount
9560 SW FREWING CT
TIGA_ R_ D, O _R 97223 [MECH] Permit Fee 5/21/2007 $72.50
[TAX] 8% State Surcha 5/21/2007 $5.80 -
Total $78.30
Phone:
Contractor:
WILLAMETTE HEATING & AIR CONDITION
4370 NE HALSEY ST
PORTLAND, OR 97213 - 1566 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -284 -3740
FAX 503- 284 -2821
Reg #: LIC 154438
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: • 24 4 �/ Permittee Signature:
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.
III -.; ; CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00294
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/21/2007
PARCEL: 2S 102CA -00232
SITE ADDRESS: 09560 SW FREWING CT ZONING: R -4.5
SUBDIVISION: VIEWCREST TERRACE LOT: 013 JURISDICTION: TIG
PROJECT: SWANSON
Project Description: Gas furnace and AC
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: 1 DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
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
SWANSON, PRISCILLA Description Date Amount
9560 SW FREWING CT
TIGARD, OR 97223 [MECH] Permit Fee 5/21/2007 $72.50
[TAX] 8% State Surcha 5/21/2007 $5.80
Total $78.30
Phone:
Contractor:
WILLAMETTE HEATING & AIR CONDITION
4370 NE HALSEY ST
PORTLAND, OR 97213 -1566 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 284 -3740
FAX 503- 284 -2821
Reg #: LIC 154438
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: --
Call 503.639.4175 by 7:00 a.m.•for inspections that busi • -ss 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.
Mechanical Permit Application .. . '. � ,FOR OFEICE °USEONCY ;i
_
City of Tigard WOIS! CIO mums Rece _ Q {� P er mit No.
'� • 13125 SW Hall Blvd., Tigard, OR 97223G VE)I1 ..10 ADO Reiew � �
Plan v
111
Phone: 503.639.4171 Fax: 503.598.1960 Other Permit:
Inspection Line: 503.639.4175 LQQZ 1 ��� Date/By:
T It A R D Date ReadyBy MI FD See Page 2 for
Internet: www.tigard or.gov Notified/Method. Supplemental Information
ag Ada` r
TYPE OF WORK: -,. COMMERCIAL FEE* SCHEDULE -_USE CHECKLIST
❑ New construction Addition/alteration /replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
- . -' CATEGORY OF; CONSTRUCTION ' . ' _ Value: $
- and 2-family dwelling .. RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ,
y g ❑ Commercial /industrial ❑ Accessory building
El Multi-family 0 Master builder For special information use checklist.
❑ Other:
Description p I Qty. Ea. Total
. , - . '''JOB SITE INFORMATION AND LOCATION . . Heating/cooling
�� (,) �" � ��
(
Job site address: l F r / Air conditioning or heat pump (requires site plan showing placement) i 14.00
City /State /ZIP: / 1 f Furnace 100,000 BTU (ducts/vents) / 14.00
Furnace 100,000+ BTU (ducts /vents) 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
Subdivision: Lot no.:
Flue /vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK ° ;E" Water heater 10.00
,() Gas fireplace 10.00
9 i � c ., -e-,- ,/ �- ( c, Flue vent for water heater or gas
72 „ Log lighter 10.00
? Log ighter (gas) • 10.00
Wood pellet stove 10.00
Wood fireplace /insert 10.00
❑ PROPERTY OWNER .. •. • •
Chimney/liner/flue/vent 10.00
0 .�, .': •
Other: 10.00
Name: Environmental exhaust and ventilation
r Address: Range hood/other kitchen
equipment 10.00
City/State /ZIP: Clothes dryer exhaust 10.00
Fax: Single -duct exhaust (bathrooms,
Phone:
( ) ( ) toilet compartments, utility rooms) 6.80
, . ❑ APPLICANT .. _ . ❑ CONTACT PERSON Attic /crawlspace fans 10 00
Business name:
Other: 10.00
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: Furnace, etc. /
Gas heat pump
City /State /ZIP: WalUsuspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace _
E -mail:
Range
CONTRACTO • Barbecue
Business name: / Clothes dryer (gas)
IQ 5 G ) Other:
Address: MECHANICAL PERMIT FEES*
City /State /ZIP: t Oft Subtotal
Phone: ( ` f '. 7 J Fax: ( ) review permit fee ($72.50)
�� / / Plan review (28 %of permit fee) -3 0 CCB lic.: State surcharge (8% of permit fee)
TOTAL PERMIT FEE 7 ,
Authorized signature: This permit application expires if a permit is not obtained within is
_ / days after it has been accepted as complete. - 7 -- Print name: 6ru� Dater j2/ /�� • Fee methodology set by Tri -County Building Industry Service Boaz
IABuilding \Permits\MEC- PermitApp.doc 04 /06/06 440- 4617T(1I /02 /COM/WEB) /� "°
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
. -
.Total Permit Fee
$1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and
$1.25 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
l:\Building\Pennits\MEC-PermitApp.doc 12/30/05 2
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6/7/2007
Case Activity Listing
+EL'` Case #: MEC2007 -00294 10:30:19AM
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MEC1010 Application received 5/21/2007 None RECD BB 5/21/2007
BB
MEC1020 Permit created 5/21/2007 None DONE BB 5/21/2007
BB
MEC1030 Check for parcel tags 5/21/2007 None DONE BB 5/21/2007
BB
MEC 1270 Ready to issue permit 5/21/2007 None REDY BB 5/21/2007
BB
MEC1280 Issue permit 5/21/2007 None DONE BB 5/21/2007
BLD
MEC2699 Mechanical final 5/21/2007 5/22/2007 5/22/2007 None PASS CB 5/22/2007 048773 - 01 — 503 803 - 7074 — VM -
STI N
MEC1290 Reprint permit 5/22/2007 None DONE BB 5/22/2007 reprinted to add gas piping.
BB
MEC 1740 Case finaled 6/5/2007 None DONE CB 6/5/2007
CB
Page 1 of 1 CaseActivity..rpt
CITY OF TIGARD
BUILDING DIVISION PERMIT. #: MEC2007- 002.94
I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/21/2007
Phone: (503) 639 -4171 dgpi�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/22/2007 TIME: 7:01AM PAGE: 46
ASW
SITE ADDRESS: 09660 SW FREWING CT CLASS OF WORK:
SUBDIVISION: VIEWCREST TERRACE LOT #: 013 TYPE OF USE:
PROJECT NAME: SWANSON
DESCRIPTION: Gas furnace and AC
OWNER: SWANSON, PRISCILLA, PHONE #: NA
CONTRACTOR: WILLAMETTE HEATING & AIR CONDITION PHONE #: 503 - 2843740
Inspection Request Scheduled For: Date: 5/22/2007 Pour Time:
Code # Inspection Description Confirm # \ Contact # essage
699 Mechanical final 04877 1 503 - 803-70 _ N
,9r � p
Corrections/Comments/Instructions:
•
•
to -ASS - ARTIAL APPROVAL I CANCEL NO ACCESS
❑ FAIL ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date:/t/7 Phone #: (503) 718 _ Air