Permit ,( RP CITY OFI IGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00306
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/25/2007
PARCEL: 2S 102 D B -06800
SITE ADDRESS: 09155 SW HILL ST ZONING: R -4.5
SUBDIVISION: CHELSEA HILL NO.2 LOT: 045 JURISDICTION: TIG
PROJECT: PANNING
Project Description: AC install.
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:
ELE 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: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
BEN /JOANNE PANNING Description Date Amount
9155 SW HILL ST.
TIGARD, OR 97223 [MECH] Permit Fee 5/25/2007 $72.50
[TAX] 8% State Surcha 5/25/2007 $5.80
Total $78.30 •
Phone: 503- 330 -9919
Contractor:
OREGON HEATING & AC
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -538 -2953
FAX 503 -537 -2172
Reg #: LIC 172126
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature: P72 /�� 'f —yam►.
Call 503.639.4175 by 7:00 a.m. for inspections that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
;M.a',s25 07 12:37p Oregon Heating & A/C 503 - 537 -2172 p.1
M echanical Permit Applicat gp _ FOR OFFICE USE ONLY
City of Tigard �$ { * . Received / / a�� �.C/L
a 13125 (2rai ` n ! Date By: //p Permit N
13125 SW Hall Blvd., Tigard, OR 7Z 3 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date %By: Other Permit:
Inspection Line: 503.639.4175
TIGARD MAY 25 2007
Date Ready By: Suds H See Page 2 for
Internet: www.tigard - or.gov Notified /Method: V Supplemental Information
r + ' ' s d`lS1 �t
. TY:P Y F O.F N - p ORK • COMMERCIAL FEE* • SCHEDULE -- USE CHECKLIST
5 li "I� gr
❑ New construction LE Additi nfalteration /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: $
•
® 1- and 2-family dwelling RESIDENTIAL EQUIPMENT !SYSTEMS FEES*
❑ Commerciallindustrial ❑ A ccessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. I Total
JOB SITE INFORMATION AND LOCATION Heatin'/cooling
Air conditioning or heat pump f �
Job site address: 155 b(� N 1 S (requires site plan showing placement) I. 14.00 14. W
Cit /State /ZIP: '" i an d OR q a 3 Furnace 100,000 BTU (ducts.ivents) 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 1 10.00 ( 0,00
Other: , 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK . . Water heater 10.00 .
Gas fireplace 10.00
HVAC-
f S' j 1 ( AC 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
PROPERTY OWNER Chimney/liner/flue/vent 10.00
TENANT Other: 10.00
Name: . e. r• nne b a . p • Environmental exhaust and ventilation
Address: q - { C Range hood /other kitchen
`(� v VA A‘ ;�� equipment 10.00
City /State /ZIP: •Tt Q , (41,1;3 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: () 3 _on Fax: ( ) toilet compartments, utility rooms) 6.80
® APPLICANT ❑. CONTACT PERSON Attic /crawlspace fans 10.00
Other: _.
Business name: Oregon Heating & A/C
Fuel piping
Contact name: Ras hPal $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 WalUsuspended /unit heater
Phone: (503) 538 -2953 Fax: : (503) 537 -2172 Water heater
Fireplace
E -mail:
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
Phone: (503) 538 -2953 Fax: (503) 537 -2172 Minimum permit fee ($72.50) b 0_
Plan review (25% of pennit fee)
CCB lie.: 172126 State surcharge (8% of pennit fee) , , SSG
TOTAL PERMIT FEE "]S , 3C)
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6.11/.5—"-- This permit application expires if a permit is not obtained within 1811
Authorized signature: days after it has been accepted as complete.
Print name: Rione P e Date: ,5-a5 -07 ` Fee methodology set by Tri- County Building Industry Service Board
I: lBuilding .Pemtits\MEC- PcnnitApp.doc 04/06/0 � 440.46I7r (I I/02 /COMt'WEB)
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PLEASE FAX APPLICATION WITH SUP', PLAN
•
CITY OF- TIGARD ••
BUILDING DIVISION PERMIT #: MEC2007 -00306
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/25/2007
Phone: (503) 639 -4171 A ltgivtlii, Inspection Requests (24 Hrs.): (503) 639 -4175 �J ..
INSPECTION WORKSHEET FOR DATE: 6/5/2007 TIME: 7:01AM PAGE: 55
SITE ADDRESS: 09155 SW HILL ST CLASS OF WORK:
SUBDIVISION: CHELSEA HILL NO.2 LOT #: 045 TYPE OF USE:
PROJECT NAME: PANNING
DESCRIPTION: AC install.
OWNER: PANNING, BEN /JOANNE PHONE #: 503.330 -9919
CONTRACTOR: OREGON HEATING & AC • PHONE #: 503 - 538.2953
Inspection Request Scheduled For: Date: 6/5/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message .
699 Mechanical final 049603 -01 503. 538.2953 Y
Corrections /Comments /Instructions:
eil CL x[464... M.vL�•o'- - hA. -bet - 5 ! 2-7 2,20 &- 84- .u'06/ Cs,£ais -� /(
PASS fl PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
fl FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: -v --- -- 07 Phone #: (503) 718-