Permit - •
p CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008-00129
.TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/13/2008
PARCEL: 2 S 103 D B - 02200
SITE ADDRESS: 13425 SW GENESIS LP ZONING: R -4.5
SUBDIVISION: GENESIS LOT: 018 JURISDICTION: TIG
PROJECT: BAUMCHEN
Project Description: Installing heat pump and 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:
ELE 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
JOSEPH BAUMCHEN Description Date Amount
13425 SW GENESIS LOOP
TIGARD, OR 97223 [MECH] Permit Fee 3/13/200E $72 50
[TAX] 12% State Surch 3/13/200E $8.70
Total $81.20
Phone: 503-620-1104
Contractor:
HANSON HEATING
1916 SE 148TH
PORTLAND, OR 97233 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -891 -9138
FAX 503- 760 -5590
Reg #: LIC 142382
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 inspection hat b+siness day.
This permit card shall be kept in a conspicuous place on th- job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Pi .4mit Application FOR OFFICE USE ONLY
Received
, _ City of Tigard 0 Date/By 1 4 ,• e
Ara, Permit No • , 1;;;, 0 dar_. 00 /11
i-x
I I 13125 SW Hall Blvd , Tigard, OR 97223
Phone. 503.639 4171 Fax 503 59 VG \
--1
Plan Review
Date/By
Inspection Line 503 639 4175 Other Permit
TIGARD Date Ready/By Jurts 0 See Page 2 for
Internet www.tigard-or.gov Notified/Method: ed/Method: Supplemental Information
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,., Mechanical permit fees* are based on the value of the work
0 New construction El Addition/alteratich yg 'Iv\ — nt
0 Demolition 0 Other: e■3`‘. performed. Indicate the value (rounded to the nearest dollar) of all
mechanical materials, equipment, labor, overhead, and profit.
Value $
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•_:,-RWDENTIL,M4E011,111kITt/ISI:,§17-KMS.'FEES,4,,
1E] 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building
For special information use checklist
0 Multi-family 0 Master builder 0 Other.
Description Qty. Ea. Total
WCCSTkEN1VfylrliratiQNciVp i,,:i'', 74 Heating/cooling
Air conditioning or heat pump , / 4 6
Job site address: 13425 SW GENESIS LOOP /
(requires site plan showing placement) 1 14 00 f
City/State/ZIP: TIGARD, OR 97223 Furnace 100,000 BTU (ducts/vents) 1 14 00 picz--
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg/apt. no.: Project name: ea ( ien arAj
Gas heat pump 14 00
Cross street/directions to job site: 115TH Duct work 10 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 14.00
Flue/vent for any of above 6 80
Subdivision Lot no.:
Other 10 00
Tax map/parcel no.: Other fuel appliances
Water heater 10.00
Gas fireplace 10 00
INSTALLATION OF HEAT PUMP 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
Chimney/liner/flue/vent 10 00
OPERITXtOWNER ?<Of; :;, ,-,; ,,I.01: . raci rr„- 14
- - — c A Other 10 00
Name: JOSEPH J. BAUMCHEN Environmental exhaust and ventilation
Range hood/other kitchen
Address: 13425 SW GENESIS LOOP equipment 10 00
City/State/ZIP: TIGARD, OR. 97223 Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: (503)620-1104 Fax. ( ) toilet compartments, utility rooms) 6 80
,I ),g7f,,' 7.1, ,:(ei 1F-tr ';„ec61 PERSr t, Attic/crawlspace fans 10 00
Other 10 00
Business name: SAME AS PROPERTY OWNER
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address:
Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Water heater
Phone: ( ) Fax:
Fireplace
E-mail: Range
5ii* Barbecue
Clothes dryer (gas)
Business name:ENS HEATING Clothes
Other.
Address: 1916 SE 148TH '.4.__' ' 'A=,-'31:k'rk ' tOEXNiWa.k741f,F:if,et.7t; ' ,. -- .
City/State/Z1P: PORTLAND Subtotal
Minimum permit fee ($72 50) -7d,.-'
Phone: (503) 761-5450 Fax: ( )
Plan review (25% of permit fee)
CCB lic : / t ia - 35 --, 4 „ State surcharge (12% of permit fee) 6'. 70
....) TOTAL PERMIT FEE 531, -0
Authorized signature:
This permit application expires if a permit is not obtained within 180
/ days after it has been accepted as complete.
Print name: ' - 4/.".4 j , 1 .... 5 A. it ... r (-- Date: 3 _i 3 -0 g * Fee methodology set by Tn-County Building Industry Service Boald
l \BuildingTermits\MEC-PermItApp doc 01/19/07 440-46I7T (11/02/COM/WEB)
,177
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• •
CITY OF- TIGARD
BUILDING DIVISION PERMIT #: ivil~C200 00129
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3//312000
Phone: (503) 639 -4171 �°�Ih iiip j
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/22J2008 TIME: 6:59AM PAGE: 44
SITE ADDRESS: 13425 SW GENESIS LP CLASS OF WORK:
SUBDIVISION: GENESIS LOT #: 616 TYPE OF USE:
PROJECT NAME: k3AUIvICHEN
DESCRIPTION: 'Walling heat pump and furnace.
OWNER: f3AUMCHEN, JOSEPH PHONE #: 503 - 620 -1104
CONTRACTOR: HANSON HEATING PHONE #: 503- 811 -9138
Inspection Request Scheduled For: Date: 5/2212008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough-in 070176 -01 503.620-1104 V
699 iu6ei -i
Corrections /Comments/ Instructions:
s41.. � art- 4,4,1 - S'` /( 65 ./ % Ch � , -,-A & A
"'PASS ❑ PARTIAL APPROVAL n CANCEL I I NO ACCESS
I FAIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: d Date: 2—'—° ° Phone #: (503) 718- '4