Permit yf CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT
PERMIT #: MEC2008 -00149
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/25/2008
PARCEL: 25101 BD -00103
SITE ADDRESS: 07805 SW HUNZIKER RD A ZONING: I -L
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: HGM CO
Project Description: Installing Furnace and piping for furnace.
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:
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: 1
Owner: FEES
H G M CO Description Date Amount
121 SW MORRISON #200
ATTN: BLAKE HERING [MECH] Permit Fee 3/25/200E $72.50
PORTLAND, OR 97204 [TAX] 12% State Surch 3/25/200E $8.70
Phone:
Total $81.20
Contractor:
OREGON AIRE INC
7715 NE 33RD DR., STE. A
PORTLAND, OR 97211 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -335 -2222
FAX 503 -335 -9977
Reg #: LIC 64235
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: �e.p Api.
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 completi n of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
' `
1 C of Tigard Date/By: d / U&
Plan Review Permit No//915 liii i U /(
4 . 13125 SW Hall Blvd., Tigard, OR 972 g,.; y /C/[ /� ! l l /
'' Phone: 503.639.4171 Fax: 503.598.1 1 �pp Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 MAR 2 5 [UUO Date Ready/By Juris: ® See Page 2for
Internet: www.tigard- or.gov C%TV o 110 Pal)
D Notified/Method: Supplemental Information
11 F it r:l►
TYPE OF' WO Ij- �i 11U iai • iNo• .
COMMERCIAL FEE* SCHEDULE - USE-CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction > 4ddition /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: $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES *'
❑ 1- and 2- family dwelling commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other:
Description Qty. I Ea. Total
JOB SITE INFORMATION AND LOCATION ' - Heating/cooling
Job site address: �° l / • / / ' p Air conditioning or heat pump
7 of �t V- (��Z� 1lrt I / (requires site plan showing placement) 14.00
City /State /ZIP: ba til) ai 9 r Furnace 100,000 BTU (ductslvenis) X 14.00 /` - ob
.----- Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: Project name: Zi�))..l Jr, �� J4 u Gas heat pump 14.00
Cross street/directions to job site: 1 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
Subdivision: Lot no.:
Flue /vent for any of above 6.80
Other: 10.00
Tax map /parcel no.: Other fuel appliances
° DESCRIPTION OF WORK . ' Water heater 10.00
Gas fireplace 10.00
/ /UV 64. A-i_g G✓ (51 Al 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
l "PROPERTY OWNER ❑ TENANT Chimney /liner /flue /vent 10.00
\ � Other: 10.00
t
Name: ' W V C_d Environmental exhaust and ventilation
Range hood /other kitchen
Address: ,/) ( S C■U Vn°{' 5aJ '1 yr "V a 1 equipment 10.00
City /State /ZIP: Poytt , /( 0/e ir - L Clothes dryer exhaust 10.00
t Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
"'A-4P: PLICANT • CONTACT PERSON' Attic /crawlspace fans 10.00
1 �7 / G , Other: _ 10.00
Business name: R,-e 6 0 Iv A) / l� Fuel piping
Contact name: / 17),(� l/ r $5.40 for first four; $1.00 for each additional
Address: 7 - 7,�/'- 4,Si /0 Furnace, etc. ( 5. )
14 q 7 , 2 /) Gas heat pump
City/State/ZIP: � Wall/suspended/unit heater
Phone: ( 3f9 - C / - 6 )---,)__ Fax:: ( ) - 35 84 7 '7 Water heater
Fireplace
E -mail: Range
- -. CONTRACTOR _ . Barbecue
n , g O /0 j Clothes dryer (gas)
Other:
Business name: 9 U I "� /
Address: I� MECHANICAL PERMIT FEES*
City /State /ZIP: 2 $(/ Subtotal
Minimum permit fee ($72.50) 7) S /
Phone: (5 4,9,m Fax: ( ) Plan review (25% of permit fee)
CCB lic.: l°14.2 C-19 : 3/4 A-0 State surcharge (12% of permit fee) 70
TOTAL PERMIT FEE �S (r
Authorized signature: 0 -- 22 Y V / This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: . g)io
I •-)e-( Da 6
3/ p * Fee methodology set by Tri- County Building Industry Service Board
/
I \Building\Permits\MEC- PermitApp.doc 01/19/07 440 -4617T (11 /02 /COM /WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
Total. Valuation: 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.
I:\ Building \Permits \MEC- PermitApp.doc 01/19/07 2
CITY ..OF TIGARD
BUILDING DIVISION - PERMIT #: MEC2008-00149
13125 SW Hall Blvd., Tigard, OR 97223
DATE ISSUED: 3125/2008
Phone: (503) 639-4171 AN* 411-
Inspection Requests (24 Hrs.): (503) 639-4175 Al
INSPECTION WORKSHEET FOR DATE: 4/9/2008 TIME: 7:00AM PAGE: 34
SITE ADDRESS: 07805 SW HUNZIKER RD A CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HOVI (X)
DESCRIPTION: Installing Furnace and piping for furnace.
OWNER: H G M CO, PHONE #:
CONTRACTOR: OREGON AIRE INC PHONE #: 50:335
Inspection Request Scheduled For: Date: 41912008 . Pour Time:
Code # ' Inspection Description Confirm # Contact # Men
610 cve,c,
Gas line 068061-01 503-572-0049 V
Corrections /Comments / Instructions:
ail a ..:::: le _
_0 m i ,-
ix PAS / PARTIAL APPROVAL 0 CANCEL I I NO ACCESS
S woolo"'" --
IN FAIL CALL FOR INSPECTION 0 ADDITIO AL FEES ASSESSED
c
Inspector: Date: Phone #: (503) 718 - ,
. . . .. . _
CITY.,O.F TIGARD
BUILDING DIVISION = PERMIT #: Mt~C2008-0W49
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/25/2003
Phone: (503) 639 4171�e�i�61�°
Inspection Requests (24 Hrs.): (503) 639 -4175 'I —
INSPECTION WORKSHEET FOR DATE: 4/&/20013 TIME: 7:00AM PAGE: 39
SITE ADDRESS: 07E305 SW HUNZ RD A CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: FIGM Co
DESCRIPTION: Installing Furnace and piping for furnace.
OWNER: H 0 M CC), PHONE #:
CONTRACTOR: OREGON AIRE INC PHONE #: 503 - 335 -2223
Inspection Request Scheduled For: Date: 418f2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 051851 -01 503- 572 -0049 N
Corrections /Comments/ Instructions:
l `�
•
E C - !!► u l e(P k)
•
•
•
PASS 'ARTIAL APPROVAL n CANCEL I NO ACCESS
%
4j` ` , CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: / Date: r 0 " Phone #: (503) 718- 2