Permit 4 �
CITY TIGARD MECHANICAL PERMIT
f I DEVELOPMENT SERVICES PERMIT #: MEC2006 - 00308
It'
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 7/7/2006
PARCEL: 2S104DA -12300
SITE ADDRESS: 13061 SW MERLIN PL ZONING: R -4.5
SUBDIVISION: QUAIL HOLLOW - WEST LOT: 109 JURISDICTION: TIG
Project Description: Install a/c
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: MF 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:
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: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
MARTHA BROWN Description Date Amount
13061 SW MERLIN PL [MECH] Permit Fee 7/7/2006 $72.50
TIGARD, OR 97223 [TAX] 8% State Surchar€ 7/7/2006 $5.80
Phone: 503- 431 -5155 Total $78.30
Contractor:
OREGON HEATING + A/C INC
PO BOX 397 REQUIRED ITEMS AND REPORTS
DUNDEE, OR 97115
Contact #: PRI 503 -538 -2953
FAX 503 -537 -2172
Reg #: LIC 125815
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 -33 - 344
•
Issued B � - ) � 1 � Permittee SignaC.irea
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.
Jul 06 06 03:15p MS Rentals, Inc. {h t 503 - 537 -2172 p.2
Mechanical Permit Application ' _ �oROFFICEus� oxr Y
City of Tigard Received •� � „ y PermiLNo.: f
JUL 6 2006 Date/By: U (f/ Neff L / ' �� .7
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 sp t Date/By: Other Perm t.
Inspection Line: 503.639.4175 flu furs: See Page 2 for
C ( TY O f f l u / ..� Date Rcac y/By:
Internet: www.ci.tigard -onus �t Notified ?detbod: L / Supplemental Information
BU 11 l ,fTT( iic'T(rh -
- � :,; ::.-. " 'FEE *_ :SCIIEt)LLE. :' "E;,SE:
. ��, .o� _r� oRx :
:... - . ; : .. ;, : :_ 'QTY ,; :.; .:.. :, , _ .. .
I Mechanical permit fees* are based on the value of the work
❑ . . New constntction 1 - Addition alterationireplacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: ' mechanical materials, equipment, labor, overhead, and profit.
• C?:TEGORh: OF.:: ,' : : :: ' "..: ' . '?`,' :' '
:. :. � ;: ..
, -. -. _;;.;'.,! T2ESIDE+: N`£ LALEQUI ' t /SYST�l :'
2nd 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For sped al informonon use checklist.
❑ Multi - family ❑ Master builder ❑ Other- Description I Qty. Ea_ Total
::.' ,;,, .: `J013:.gITE 1NFQKMA'['IO>r "A.FT LO 1 • ; `.`.' : ;
'; `, . ` . - Beating/cooling, h
66. Air conditioning or eat pump � ! ' ..
Job site address: I:5
' 3 e4,1,,, P L.. • (requires site plan showing placement / i 14.00 t y
City /State /ZIP: �/v/ ` ' J,1 � q .7 - •3 Furnace 100,000 BTU (ducu /vents) 14.00
" I Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt no_: ( Project name: ' Gas heat pump I 14.00
Cross street /directions to job site: Duct work I 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
Flue /vent for any of above I 10.00
Subdivision: I Lot no.: Qcher. I 10.00
• Tax map/parcel no.: Other fuel appliances
•
,, .. .' :.i'� : ! •' • is � .
r �� !/ '� T � ;, -; :v1'o,;- Water heater 10.00
-..,, , _ :... :.. :.oat. :•... .:.:. ''aF :.,. : -.._ ... -..,.. .... _..... .._ 10.00
��'� :Sir. _ .' : :., :. .. . :... :.,. ... ,
• - - Gas fireplace
t /1'/) z L V �jj� Flue vent for water heater or gas
V ! G (1, d '_ L ' fi � fireplace I 10.00
Log lighter (gas) 10.00 I
Wood /pellet stove I 10.00
Wood fireplace /insert ) 10.00
::,.,.... - tner /Eu..vent .
- __ - -tit:- � :- '_�_��,, : :=
;,; , ; Chitnney'.R' °' 10 00
3'E41Y'T:_: I
'r;= _ YRQPERT7c,'' :Ol?4�1�;It� - .. .. . . .:......... ,., - - 10.00
' -.,. . -.:: ,.,._::<,.,• - „ - :... .., `:f„ ���1;' : Other- I
Name: ('•, ` ' 1 � 4 Environmental exhaust and ventilation
Vt` CC • ` Range hood / kitchen
Address: t�L� (� �L. `equipment 10.00
City /State /ZIP: �` "
` 1, � / (1 )-
Clothes dryer exhaust 10.00
ingle-duct exhaust Phone: ( t . -7 L i3i ()5i S� Fax: ( ) toilet compartments, util t moms) 6.80
c craw p ce fans
- -s r t _ r` - , : ® :�GgIYF;a�C�r�ERSO_. ' -' Atti / Is a 10 00
..:,.. . ,:{LS.,.P L CADfI? :;�'= ,., ` -� ;`�;. : r ; ; i� ... � =..: .. -.N: =r :iii,`• :� :_,�,:
.� Other. I 10.00
Business name / Id, ` ak , A- 1_ LJ S `�� Fuel piping •
Contact name: _ ,1 i�, -1 $5.40 for first four; $1.00 for each additional
Furnace, etc. I I
Address: ) � r G }- Gas heat pump
City/State/ZIP: ' .. b (, l ■ I, S � Wall suspended /unit heater •
Phone . ) IPA. Fax: _ ' ) r - 7 Z1 - - Z Water heater • Fireplace I ,
E -mail: Range
;i� : : :. Barbee
ue
� �
I
t � Clothes dryer (gas) I
Business name: . / / 1. '�
_ Y / Other.
Address: P Li'.)[ I 3IECkI 11�TCAL :PEI. ., ..FOES } : :, :;'` ., `...:, . ,
Y' f V 2 ( / J Lt ) Subtotal L(___ .
Ci. State:ZlP: /
l Minimum permit fee ($72.50)
Phone., • }�? aL�1, P-59-)3 r `. - 3 - 7 2 L ? Plan review (25% of permit fee) `� -
CCB lie.: 1 • I. �� State surcharge (8% of permit fee) c 11
• 111 � I TOTAL PERMIT FEE - ;5i
- I J , / ��� This permit application expires if a permit is not obtained within 180 • Authorized S1QnatlrTe: a , days after it has been accepted as complete.
(! q� D LLB ►:irkrr * Fee methodology set by Tri- County Building Industry Service Beard
Print name: 1. h' f u % • i
U � 1 Date a te - ._
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CITY .OF TIGARD •
-
A
BUILDING DIVISION PERMIT #: MEC200600309
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/7/2006
Phone: (503) 639-4171 M
Inspection Requests (24 Hrs.): (503) 639-4175 gag. '''
INSPECTION WORKSHEET FOR DATE: 8/3/2006 TIME: 7•05Am PAGE: 30
; , ; ..nage , ' 6,47100Acik
SITE ADDRESS: 13061 SW MERLIN PL CLASS OF WORK:
SUBDIVISION: QUAIL HOLLOW- WEST LOT #: log TYPE OF USE:
PROJECT NAME: BRowN
DESCRIPTION: i a f c
OWNER: BROWN, MARTHA PHONE #: :503-4131-51,55
CONTRACTOR: OREGON HEATING + NC INC PHONE #: 503-638-2953
Inspection Request Scheduled For: Date: 8/3/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Me - • -
----
699 - Mechanical final 034310-02 50-530-2953 Afrk
Corrections/Comments/Instructions:
Hreu t) t / -1-: 5
..... _
. dieso
ASS I I PARTIAL APPROVAL I I CANCEL NO ACCESS
I I FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: /-4'F Datet3" .. ' 0 6 Phone #: (503) 718-Z ig: