Permit C ITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005 -00107
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 3/15/2005
PARCEL: 2S 112CC -09000
SITE ADDRESS: 08292 SW LANGTREE ST ZONING: R -12
SUBDIVISION: LANGTREE ESTATES LOT: 022 JURISDICTION: TIG
Project Description: Installation of a/c unit.
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: •
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
PEDRO HERNANDEZ Description Date Amount
8292 SW LANGTREE ST [MECH] Permit Fee 3/15/200: $72.50
TIGARD, OR 97224 [TAX] 8% State Surcharf 3/15/200: $5.80
Phone: 503- 968 -0537 Total $78.30
Contractor:
OREGON HEATING + A/C INC
PO BOX 397 REQUIRED ITEMS AND REPORTS
DUNDEE, OR 97115
Phone: 538 -2953
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 - 332 -2344.
Issued Permittee Signature: ,0 ,0 , Q_
- - ----
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.
Mar 14 05 03:53p 503 - 537 -2172 p.2
.j ric JVED
MecT;i i uiic a l P App Permit FOR OFFICE USE ONLY
Received
City of Tigard Permit No.: / `n'!
Date ` Q k L„,, J —� / U7
13125 SW Hall Blvd., Tigard, OR 97223 �� / 9 200r Plan Review
,o
Phone: 503.639.4171 Fax: 503.598.1960 Other Permit:
/ ` a Da te'By:
Inspection Line: 503.639.4175 CITY OF TIGA - 1 -• ' 1 1 1 Date Ready /By: tuns: El See Page 2 for
Internet: www.ci.tigard.or.us BUILDING DIVISION Notifiedrbtcthod: Supplemental Information
TYPE OF WORK.. .: . . COMMERCIAL. FEE* SCHEDULE — -USE CHECKLIST
.
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 ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION • . Value: $
RESIDENTIAL ,EQUIPMENT. / SYSTEMS FEES *.
1 and 2- family dwelling ❑ Commerciallindustrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other:
Description I Qty. Ea. Total
. JOB SITE INFORMATION AND LOCATION .•. . ' Heating/cooling
Job site address: c:51/6 Air conditioning or heat pump r �
`
1__�� ' v LL— (requires site plan showing placement) 14.00 `°(
City/State /ZIP: i /� -d Q 1� '' JAG ���] (l ) Furnace 100,000 BTU (ducts /vents) 14.00
` V J , r G Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: Project name: lif i• Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydtnnic 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 J� ,j� j , / Gas fireplace 10.00
/ , ` N l - „a�I "J t /'] l 'C/v Flue vent ent for gas
water heater or s
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
trier f ue /vent
C hmne y r • PROPERTY 0 NER ❑ TENANT
Other:
10.00
Name: t//) e Environmental exhaust and ventilation
Address: �/ ��\ (. Range hood/other kitchen
D,.., �W / ii equipment 10.00 _
City /State /ZIP: / a /L-' e! 1 Clothes dryer exhaust 10.00
�'' � �
Single-duct rt exhaust (bathrooms, rooms) Phon . Fax: ( ) toilet t compartments, arunents, moms ) 6.80
. - III • PPLICANT • • • �C/�- f 1 0. CONTACT PERSON Attic /crawlspace fans 10.00
Business name: 1
it..\"
1/� �� Other
Fuel piping 10.00
Contact name:�� S5.40 for first four; 51.00 for each additional
Address: 6It) J J � vi Furnace, etc.
Gas heat pump
City /State /ZIP:ht� L.L "' g ), I " Wall /suspended /unit heater
u Water heater
Phone. _ • • Fax: ..- 3) 111 7--
- Fireplace
E-mail: Range
ON I [(ACTOR . . .. Barbecue
Business name: Q ,1 fin 41 Yl. Clothes dryer (gas)
/A E Other'
Address: 3 iG ✓ . MECHANICAL PERMIT FEES* ...
Ail � i - a..._ ti
q � ' C S/ Subtotal I LT _ -
City /State /ZIP: � l/r t l . 1
Phone g q Fax J )3 S'� 7 z1 ? " Minimum( permit fee (S72.50)
t Plan review 25% of permit fee
CCB lic.: J D� S State surcharge (8% of permit fee) 5-
l , 4 TOTAL PERMMIT FEE Authorized s •lure :I / � /Y1nf Q� _ /� This permit appscarftter it e b e n a n acce ph et is ncd as co mpl tete. ��'ithin I80
/ 1 l "f "' - days hs hecceteople.
Print name: 1, alt - ' , 4 1 A Date: �� / , 6 S * Fee methodology set by 'Fri-County Building Industry Service Board
r\ Building \Permits \htEC- PcrmitApp.doc 12/03 440 -4517T (I1/02/Co L'WEB)
Mar 14 05 O3:53p 503 - 537 -2172 p.3
.
Site plan for : HERNANDEZ
back
20'
40' --0 18'
frond
8292 SW LAIVGTREE
E-d
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2005- 00107
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/15t2005
Phone: (503) 639 -4171 /0VIltiaflU li
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/1112006 TIME: 7 :10AM PAGE: 71
SITE ADDRESS: 08292 SW LANGTREE ST CLASS OF WORK:
SUBDIVISION: LANGTREE ESTATES LOT #: 022 TYPE OF USE:
PROJECT NAME: HERNANDEZ
DESCRIPTION: Installation of a/c unit.
OWNER: HERNANDEZ, PEDRO PHONE #: 503 - 968 -0537
CONTRACTOR: OREGON HEATING + NC INC PHONE #: 538 -2953
Inspection Request Scheduled For: Date: 4111/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 004155.01 503- 538-2953 N
Corrections /Comments / Instructions:
_ _ .__ PASS_ ____i_ PARTIAL APPROVAL _ _ CANCEL_ 1 NO ACCESS
n FAIL /A GALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: �/ /�� Phone #: (503) 718-