Permit •
•
• a CITY OF TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00064
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/5/2008
PARCEL: 1 S136AB -01900
SITE ADDRESS: 07113 SW MAPLELEAF ST ZONING: R-4.5
SUBDIVISION: METZGER ACRE TRACTS LOT: 005 JURISDICTION: TIG
PROJECT: O'HALLORAN
Project Description: gas furnace installation with piping
CLASS OF WORK: ALT 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: DOMES. INCIN:
NAT 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: 1 AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 2
> 10000 cfm:
Owner: FEES
JOHN O'HALLORAN Description Date Amount
SHIRLEY LAVERNE
7113 SW MAPLELEAF [MECH] Permit Fee 2/5/2008 $72.50
PORTLAND, OR 97223 [TAX] 12% State Surch 2/5/2008 $8.70
Phone: Total $81.20
Contractor:
WILLAMETTE HEATING & AIR CONDITION
4370 NE HALSEY ST
PORTLAND, OR 97213 -1566 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 284 -3740
FAX 503- 284 -2821
Reg #: LIC 154438
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: �jL / Perm! ee Signature: _ —
Call 503.; 9.4175 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.
Mechanical Permit Application FOR OFFICE USE ONLY
City of and Received
Ti y
Tigard
a 13125 SW Hall Blvd ` Permit No.: l'� / 0 / r Da l
711 11
., Tigard, OR 97223 Plan Review Wt/
Phone: 503.639.4171 Fax: 503.598.1960
Date/By: Other Permit:
TI G A R D Inspection Line: 503.639 Date Ready/By: Sufis: El See Page 2 for
Internet: www.tigard or.gov Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE – USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction ddition/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: $
.115 and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other:
Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATIO Heating/cooling
Job site address: / / /� ,/� Air conditioning or hea pump
7 / ( , ,-.A. in ( Lj' / _q iE L r 44 (requires site plan showin placem 14.00
City/State /ZIP: � Furnace 100,000 BTU (ducts /vents) ( 14.00
/, 0 " Gas heat 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: / 1 ( .. 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: 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 Flue fvent ireplace for 10.00
�%_ 0.....z, water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
X PROPERTY OWNER 1 ❑ TENANT Chimney /liner /flue /vent 10.00
3-0 Other: 10.00
Name: / l/ V / 74,,y /PO r?' , / 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
Business name:
Other: 10.00
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Furnace, etc. V
Address:
Gas heat pump
City/State /ZIP: Wall /suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater 1
E -mail: 6� , , f � 46,75 VV A R n g
v(/ / � / �71I� Range
CO) OR Barbecue
Business name: '� f�� � Clothes dryer (gas)
�! Other:
Address: / 3 el �' /� " .j �„ M ECHANICAL PERMIT FEES*
City/State /ZIP: �7e ,� Subtotal
Minimum permit fee ($72.50) , -,57J
Phone: 7 ax. ( ) 4
rm --7)-.57) `°� j/ Plan review (25 /o of permit fee)
CCB lic. : / -.4—C-1 — 41■•■• State surcharge (12% of permit fee) 0 . w
— TOTAL PERMIT FEE R"� �](,J�
AuthortZed Signature' /� / •� � - This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: / Date: /. • Fee methodology set by Tri -County Building Industry Service Board
I:\ Building \Permits'MEC- PermitApp.doe 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
$1 00,000.00.
$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 , t
PERMIT #: i�1E C 00 -4�ti.
13125 SW Hall Blvd., Tigard, OR 97223 .z' DATE ISSUED: 7.7:20013
Phone: (503) 639-4171 1:
Inspection Requests (24 Hrs.): (503) 639 -4175 ..
INSPECTION WORKSHEET FOR DATE: :j.17/200R TIME: 7:03, - PAGE: 42
SITE ADDRESS: (175'13 SWMAPt_EL AF ;;1 CLASS OF WORK:
SUBDIVISION: METZGER ACRE I RACTS LOT #: i1013 TYPE OF USE:
PROJECT NAME: fYHALLOR?hf4
DESCRIPTION: q s futri ace inE :1 :-.111at.isi:': with piping
/
OWNER: Cj'HAE I .0 ?`zA! d, JOHN PHONE #:
•
CONTRACTOR: WILLAMETTE HFATNC & AIR CONDITION PHONE #: 503 -A14 -3740
Inspection Request Scheduled For: Date: 2/7r2ial Pour Time:
Code # " Inspection Description Confirm # Contact # Message
81;0 t r:s t;��t�ica9 finzd il {A639.01 503-u03.7074 l
: Corrections/Comments/Instructions:
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PASS El PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: ✓ � (1)) Phone #: (503) 718 - 1 , q.