Permit CI TY OF TIGARD MECHANICAL PERMIT
' - COMMUNITY DEVELOPMENT
PERMIT #: MEC2007 -00173
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/29/2007
PARCEL: 25101 DB -00100
SITE ADDRESS: 92347SW HUNZIKER RD Ai> ZONING: C -P
SUBDIVISION: - 730..b LOT: JURISDICTION: TIG
PROJECT: EAGLE MORTGAGE
Project Description: TI - Relocate ducts and grilles. Project Value: $4,800
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B 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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
ROBINSON DEVELOPMENT Description Date Amount
PO BOX 91305
PORTLAND, OR 97291 [MECH] Permit Fee 3/29/2007 $136.90
[TAX] 8% State Surcha 3/29/2007 $10.95
Total $147.85
Phone:
Contractor:
RELIABLE HVAC
6600 NW WHITNEY RD SUITE C
VANCOUVER, WA 98665 REQUIRED ITEMS AND REPORTS
Contact #: PRI 360 - 693 -7379
FAX 360 -693 -7784
Reg #: LIC 145234
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.
A / /!
Issued „ y: //,
.1 ' al/ I � /� Permittee Signature. �,�` /�'
Call 503.639.4175 by 7:00 a.m. for inspectio s that • usiness 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.
•
Mech. ,i Permit Application q tr ' r � . ' t�� , l ` t F O R C OF FICE , U SE;O NLY 3 ` A. . V∎ ` ' '' � ry �+ :, '"
:, 1Ty Of Tl Date/B 1 ` Q Permit 7-+ •
.. ) gr. d gay w`
" , 13125 SW Hall bvd., Tigard, OR 97223 Y
Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 DateBy: Other Permit:
T 1 G A 'RD
D' Inspection Line: 503.639.4175 Date Ready/By: Ell ® See Page 2 for
s t - Internet: www.tigard- or.gov Notified/Method: Supplemental Information
d;,:; r' X ,jd. . s
TYPE _OF WORK .. i. 5 y - ,COMMERCIAL' FEE* SCHEDULE -. USE CHECKLIST.
Mechanical permit fees* are based on the value of the work
❑ New construction f Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, 1 bor, overhead, and profit.
s `' ^'" ,= CATE OF CONSTRUCTION : ` Value: .C' �? Q Q SiP
..r •
RESIDENTIAL EQUIP„ NT / SYSTEMS FEES *.; -., :..
❑ 1- and 2- family dwelling .Commercial /industrial ❑ Accessory building
❑ Multi - family ❑ Master builder ❑ Other: For special information use checklist.
Description I Qty. I Ea. Total
•`; ° : JOB SITE INFORMATION' AND , LOCATION ., : ., Heating/cooling
Air conditioning or heat pump
Job site address: Q 7320 5,, # 4 v ,_,3 1 ko re.. f. (requires site plan showing placement) 14.00
City /State /ZIP: Furnace 100,000 BTU (ducts/vents) 14.00
Suite/bldg. /apt. no.: GY'i t ti___ Project name: e.,4 / V S c 'i 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 • ` ., Water heater 10.00
J geloc �r Act s k Gas fireplace vent o 10.00
itzevisc
J f��tfe -yt�T� �tC. GJ /�(J�✓�j� Flue vent for water heater or gas
4 A ri S E t _ IAA (9/1/4-, 4 - . � � �� fireplace 10.00
FJ l�l�S ,vK/° "�� Log lighter (gas) 10.00
- Wood/pellet stove _ 10.00
Wood fireplace /insert 10.00
Chimney/liner /flue/vent 10.00
❑ PROPERTY OWNER '' - :.''r, , l ,, ❑ TENANT: ._•,,,` -.'; • ::';..,
Other: 10.00
Name: Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 10.00
City /State /ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
- ❑ APPLICANT -. ' ❑ CONTACT PERSON ' ' ' Attic /crawlspace fans 10.00
�
rp _ Other: 10.00
/`r !�
Business name: Li t4 Vilk. 1L Fuel piping
Contact name: rveh r... L4 V $5.40 for first -four; $1.00 for each additional
Address: 6 &oO NIN,y6aI..a� , s z- M c Furnace, etc.
Gas heat pump
City /State /ZIP: (,Ntr _ q 8 4 s'' Wall /suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail: Asidencs. lc ves44 / c 2 GA 4-7 F-A . gt ?— Range
CONTRACTOR . Barbecue
Clothes dryer (gas)
Business name: ��� GC_ /-1(M- � -
Other:
Address: !O boo f , / ,,,, j g1 , / 4 $ C MECHANICAL PERMIT FEES* '
City /State /ZIP: VA wxr di 866 Sr Subtotal QQ
Minimum permit fee ($72.50) b�6, , !d
Phone: ( 4(,) ao q3 --73 7.7 Fax: (no) to G1 _7 j 74?
Plan review (25% of permit fee) _
CCB lie.: /4572 3 State surcharge (8% of permit fee) a. 95
TOTAL PERMIT FEET $'
Authorized signature:�� This p ermit application expires if a permit is not obtained within 180
#‘te ccc days after it has been accepted as complete.
Print name: GVe L v ,rg¢ Date: 3 -2 q.--4,9 * Fee methodology set by Tri- County Building Industry Service Board
I \ Building \Permits'MEC- PermitApp.doc 04 /06/06 440 -4617T (I I /02 /COM/WEB)
Mechanical Permit Application - City of Tigard
11 1 1 H iv
Page 2 - Supplemental Information
Commercial Fee Schedule:
, TOtal ,Valuation Permit
$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.
I: \Building\Permits \MEC-PermitApp doc 12/30/05 2
CITY OF TIGARD
BUILDING DIV4SIO1V PERMIT #: ME2007- 00173
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/29/2007
Phone: (503) 639 -4171 ' 440/0 111t
Inspection Requests (24 Hrs.): (503) 639 - 4175±x- ..
INSPECTION WORKSHEET FOR DATE: 3/30/2007 TIME: 7:00AM PAGE: 22
SITE ADDRESS: 7 HUNZIKER RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: EAGLE MORTGAGE
DESCRIPTION: TI - Relocate ducts and grilles. Project Value: $4,800
OWNER: ROBINSON DEVELOPMENT, PHONE #:
CONTRACTOR: RELIABLE HVAC PHONE #: 360-693-7379
Inspection Request Scheduled For: Date: 3/30/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
6 99 Mechanical final 045767-02 360-693-7379 N
Corrections /Comments/ Instructions:
'ASS f l PARTIAL APPROVAL CANCEL Ii NO ACCESS
❑ FAIL LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718 - 2-7
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: MEC2007-00173
13125 SW Hall Blvd.:Tigard, OR 97223 DATE ISSUED: 3/29/2007
Phone: (503) 639-4171, 1 /4/440/1#
Inspection Requests (24 Hrs.): (503) 639-4175 .T 11:. •
INSPECTION WORKSHEET FOR DATE: 3/30/2007 TIME: 7:00AM PAGE: 23
SITE ADDRESS: SW HUNZIKER RD 511fe . CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: EAGLE MORTGAGE
DESCRIPTION: TI - Relocate ducts and grilles. Project Value: $4,800
OWNER: ROBINSON DEVELOPMENT, PHONE #:
CONTRACTOR: RELIABLE HVAC PHONE #: 360-693-7379
Inspection Request Scheduled For: Date: 3/30/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough-in 045767-01 36(1-693-7379 N
Corrections/Comments/Instructions:
•
p 'ASS NJ ---, -TIAL APPROVAL I] CANCEL III NO ACCESS
fl FAIL i
IA A L FOR INSPECTION 1
■---- 0 ADDITIO AL FEES ASSESSED
q .. .
Inspector: \t■ Date: (---" S6 0' Phone #: (503) 718- 2‘.