Permit 0' r�. CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00341
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/13/2007
PARCEL: 2S 111 AD -18900
SITE ADDRESS: 14873 SW JONAGOLD TERR ZONING: R -4.5
SUBDIVISION: LADY APPLE LOT: 013 JURISDICTION: TIG
PROJECT: LADY APPLE
Project Description: Installation of exterior A/C unit. Unit cannot be placed within required setbacks.
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:
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
BEACON HOMES NW Description Date Amount
12703 SW 67TH
TIGARD, OR 97223 [MECH] Permit Fee 6/13/200 $72.50
[TAX] 8% State Surcha 6/13/200i $5.80
Total $78.30
Phone: 503 - 570 -8828
Contractor:
THERMAL FLO
7236 SW DURHAM RD. STE 100
PORTLAND, OR 97224 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 670 -8343
FAX 503- 670 -9064
Reg #: LIC 151847
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: )444 Permittee Signature:
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.
Mchanical Permit A 1 1 1te.,,- 7 = , ' E c FOR ORFICE USE ONLY
City of Tigard Received / DateBy: Co /J / .tru Permit No. E6&04 7 103
i3 yN 13125 SW Hall Blvd., Tigard, OR 9722
l 3 2007 Plan Revie
' - M. ' Phone: 503.639.4171 Fax: 503.598.1 6 DateBy: erm Other Pit �f
S�ist006"i
T I GARD
Ins Line: 503.639.4175 f i Date Ready /By: ® See Page 2 for
Internet: www.tigard- or.gov . +1 i � �i � �10� !' Notified/Method: Supplemental Informa
RTIT TYING fTVJSTQ y
TYPE OF' WORK COMMERCIAL FEE* SCHEDULE, —USE C HECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition LJ Other: mechanical materials, equipment, labor, overhead, and profit.
' • CATEGORY OF CONS TRUCTION Value: $
•
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
Multi- family ❑Master builder 0 Other: For special information use checklist.
Description Qty. Ea. Total
' ' JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: e' .\ ; / 1 t\ T Air conditioning or heat pump I
13 W �+� �i) l C C (requires site plan showing placement) 1 14.00
C ity /State /ZIP: 1 � C \ Furnace 100,000 BTU (ducts /vents) 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 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: L ' Ap Lot no.: I Flue/vent for any of above 6.80
F ..— Other: 1.0.00
Tax map /parcel no.: Other fuel appliances
DESCRH'TION OF' WORK' Water heater 10.00
Gas fireplace 10.00
Flue vent for water heater or gas
k 1 A 1 C_ fireplace 10.00
u ( Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
Chimney /liner /flue /vent 10.00
7 ( PROPERTY OWNER ' El TENANT, , '
Other: 10.00
Name: iz r /1C b t1E t v\1 Environmental exhaust and ventilation
Address: 1 J 03 (:;I r I' Range hood /other kitchen
equipment 10.00
City /State /ZIP: Ti & J Olt. 9 -7 '2 Clothes dryer exhaust 10.00
J � Single -duct exhaust (bathrooms,
Phone: (Sp3) S kg t � 2 t> Fax: ( pp) S'10 . g...?„ L5 toilet compartments, utility rooms) 6.80
El. LICANT • . ❑ CONTACT PERSON, Attic /crawlspace fans 10.00
1 ,� I, `N, Fuel 10.00
Business name: 1 ;� � "3� N Fuel piping
Contact name: J /� (, ,( v iic� $5:40 for first four; $1.00 for each additional
Address: FOOD G '(("1 Furnace, etc.
Gas heat pump
City/State /ZIP: , III Wall /suspended/unit heater
Phone: ( S 0 3 ) 51 O - S i 3) Si a %-z69 Water heater
Fireplace
E -mail: Range
. I - . ' ' _ Barbecue
j — Clothes dryer (gas)
Business name: f �' C A . . • r� Other:
Address: Z b.) 2OE I V O . MECHANICAL PERMIT FEES *.
City /State /ZIP: '1 122 Subtotal
Phone: �3) 10 l 0 g / fl 9004 Minimum permit fee ($72.50)
(di Plan review (25% of permit,fee)
CCB lie.: t5 State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized signature: This pe rm it application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: �' (b b dh1 4>( Date: /^_ 13 * Fee methodology set by Tri -County Building Industry Service Board
t \ Building \Permits\MEC- PermitApp.doc 01/19/07 �' /� 4400- 4 /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 \Pennits \MEC- PermitApp.doc 01/19/07 2
CITY OF TIGARD , -
BUILDING DIVISION PERMIT #: MEC2007 -00341
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/13/2007
Phone: (503) 639 -4171 /ai��
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 6/2712007 TIME: 7:00AM PAGE: 3
SITE ADDRESS: 14873 SW JONAGOLD TERR CLASS OF WORK:
SUBDIVISION: LADY APPLE LOT #: 013 TYPE OF USE:
PROJECT NAME: LADY APPLE
DESCRIPTION: Installation of exterior NC unit. Unit cannot be placed within required setbacks.
OWNER: BEACON HOMES NW, PHONE #: 503 - 570 -8828
CONTRACTOR: THERMAL FLO PHONE #: 503 - 670 -8343
Inspection Request Scheduled For: Date: 6/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 051045.04 503407 -0580 Y
Corrections/Comments/Instructions:
/ (7,(:.:y,
( .
)(PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I I FAIL I I CA FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718 -
CITY OF TIGARD .
. . .,
BUILDING DIVISION 46,.,, PERMIT #: MEC2007-00341
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/13/2007
Phone: (503) 639-4171 . 4 1 11 t
Inspection Requests (24 Hrs.): (503) 639-4175 ...„..,.+- -....
INSPECTION WORKSHEET FOR DATE: 6/27/2007 TIME: 7: 00A1v1 PAGE: 4
SITE ADDRESS: 14873 SW JONAGOLD TERR CLASS OF WORK:
SUBDIVISION: LADY APPLE LOT #: 013 TYPE OF USE:
PROJECT NAME: LADY APPLE
• DESCRIPTION: Installation of exterior NC unit. Unit cannot be placed within required setbacks.
OWNER: BEACON HOMES NW, PHONE #: 503.570-8828
CONTRACTOR: THERMAL FLO PHONE #: 503-670-8343
Inspection Request Scheduled For: Date: 6/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough-in 051045-03 503-407-0580 N
Corrections/Comments/Instructions:
• .
PASS I I PARTIAL APPROVAL I CANCEL 0 NO ACCESS
I FAIL CALL FOR INSPECTION EI ADDITIONAL FEES ASSESSED
6 k, r 07
Inspector: Date: ( 2.1 / Phone #: (503) 718-
, _ ,