Permit CITY OF TIGARD
MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00529
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/4/2007
, PARCEL: 2S112BD - 03100
SITE ADDRESS: 07947 SW MARA CT ZONING: R -7
SUBDIVISION: MARA WOODS LOT: 002 JURISDICTION: TIG
PROJECT: HENDRIKSEN
Project Description: Replace gas furnace with electric air handler, replace water heater (see other) and install heat pump.
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: 1
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 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: WOODSTOERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1
> 10000 cfm: GAS OUTLETS: 1
Owner: FEES
TIFFANY & JASON HENDRIKSEN Description Date Amount
7947 SW MARA CT
TIGARD, OR 97223 [MECH] Permit Fee 9/4/2007 $72.50
[TAX] 8% State Surcha 9/4/2007 $5.80
Total $78.30
Phone: 503- 639 -8068
Contractor:
•
OWNER
REQUIRED ITEMS AND REPORTS
•
Contact #:
Reg #:
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.
4 111b`•
Issued B i ili/ // Permittee Signature: 3,a, App •
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.
To: Tiffany Hendriksen Page 4 of 5 2007 -08-30 20:07:48 (GMT) 15032136189 From: Tiffany Hendriksen
• _J f
Mechanical Permit A li FOR OFFl( F. 1 '.a: (1\1.1
' - City of Tigard ���® Received Permit '
13125 SW Hall Blvd., Tigard, OR 97223 Date/By: �� f J �'
1 Phone: 503.639.4171 Fax: 503.59 8 0 4-2007 y:
Plan Review
tither Permit:
T i G ARD Inspection Line: 503.639.4175 � Date Ready/By: See Paget for
Internet: www.tigard-or.gov C1TY4 T �pp/ E 1I Notified/Method: ' %` B1 Supplemental Information
• BUILD1NCDW1S ON
•
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ New construction « Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition . ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
AIiEGORY OF CONSTRUCTION vie• S
C
RESIDENTIAL EQUIPMENT / SYSTEMS FEES'
S. 1- and 2- family dwelling .❑ Commercial/industrial 13 Accessory building
Multi family ❑Master builder ❑Other: Description For special information use checklist. I Qty. I Ea I Total _'
.10.11 SITIp INFORMATION AND LOCATION Heating/cooling
10141 ^ , , r Air conditioning or heat pump
Job site address:
5( t) . _ CA... (requires site plan showing placement) , 14.00 V
City /State/ZIP: - 1 - i'Ga 0 OC\ R7 L Furnace 100,000 BTU (duots/veats 1 14.00 _ 1 U
JJ Furnace 100,000+ BTU (ducts/v=4 90
17.
Suite/bldg./apt. no.: I Project name: Gas heat pump 14.00
Cross street/directions to job site: ! ' A -- ICI - t% a� t Dud work 14.00
� o l h J 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
Subdivision I Lot no : Flue/vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
IDESCRIPTION OF WORK Water heater , 10.00 IC)
,/ o,� n t ,, (,, leg: Gas fireplace 10.00
046141p l,( f/ \ I t a _ . t� (0d Z U Qc.. l L ai park/ Ie& , Flue vent for water heater or gas
1 �/� L n � fireplace 10.00 lO
6 ' ! I - 0.L/) AlLe w� ..fr - Log l �T (gas) 10.00
1 Wood/pellet stove 10.00
Wood fireplace/insert 10.00
Chimney/liner/flue/vent 10.00
10.00
tOPERTY OW TER I ❑TENANT Other
Name: -Ti c i R e irr !r\ Environmental exhaust and ventilation
Range hood /other kitchen
Address: -ln
Mtk, CC• equipment 10.00
City/ State/ZIP: - 11ijh j ` i . q—lati Clothes dryer exhaust 10.00
�"" Single -duct exhaust (bathrooms,
Phone: (C ) - gug Fax: ( ) toilet compartments, utility rooms) 6.80
X APPLICANT ❑ CONTACT PERSON Attic/crawispacefans 10.00
Other. 10.00
Business name: 9 %Iv ao ceLJ)M Fuel piping
Contact name: 55.40 for first four, SLOG for each additional
Furnace, etc.
Address: ,
Gas heat pump _
City / State/ZIP: Wall/suspended/unit heater ' ,
Phone: ( ) Water heater I Fax: ( ) Fireplace
E -mail: Range
f CONTRACTOR Barbecue 1( Business name: NI 1 Clothes dryer (gas) �A J
Other
Address: Y MECHANICAL PERMIT FEES•'
City/State/ZIP: 0 (A) Subtotal 1 ""
Minimum permit fee ($72.50) 72t,rQ
Phone: ( ) I Fax: ( ) Plan review (25% of permit fee)
CCB tic.: State surcharge (8% of permit fee)
TOTAL PERMIT FEE
This permit application expires if a permit is not obta ed within 180
Authorized • - ii: days after it has been accepted as comp
ri
To: Debbie Page 3 of 4/ 2007 -09 -04 20:12:24 (GMT) 15032136189 From: Tiffany Hendriksen
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CITY OF TIGARD 4 -
1 BUILDING DIVISION PERMIT #: MEC2007 -00629
13125 SW Hall Blvd., Tigard, OR 97223 ,' () DATE ISSUED: 9/40007
Phone: (503) 639 - 4171 �+nr ' r� ' / /
Inspection Requests (24 Hrs.): (503) 639 -4175 �' y - ''I �� �j ✓�j
INSPECTION WORKSHEET FOR DATE: 11/6/2007 TIME: 7:00AM PAGE: 71
SITE ADDRESS: 07947 SW MARA DT 1f �" - CLASS OF WORK:
SUBDIVISION: MARA WOODS V,s�" \ LOT #: 002 TYPE OF USE:
PROJECT NAME: HENDRIKS N
DESCRIPTION: Replace furnace with electric air handler, replace water heater (see other) and install heat pump.
OWNER: HENDRIKSEN, TIFFANY & JASON PHONE #: 503- 639-8068
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 11/612007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
616 Mechanical rough -in 059044 -01 503 639-6068 N
Correct ns /Comments /Instructions: .../..4..
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 Date: i ( ` t Phone #: (503) 718- 2—i 2