Permit j-
C ITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00195
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/18/2008
PARCEL: 2 S 103 C 6 - 0 3001
SITE ADDRESS: 12285 SW MARION ST ZONING: R-4.5
SUBDIVISION: WILLAMETTE NO.2 LOT: 035 JURISDICTION: TIG
PROJECT: HARRIS
Project Description: Replace furnace and gas 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:
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: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Owner: FEES
HARRIS, RONALD C AND LILA S Description Date Amount
1225 PARK AVE #12C.
NEW YORK, NY 10128 [MECH] Permit Fee 4/18/200€ $72.50
[TAX] 12% State Surch 4/18/200€ $8.70
Total $81.20
Phone: 212- 348 -6487
Contractor:
TRI COUNTY TEMP CONTROL .
13150 S. CLACKAMAS RIVER DR
OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -557 -2220
FAX 503 -557 -0919
Reg #: LIC 72623 •
•
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: Permittee Signature: Q/(/ / 9P/oL /C�T/O N
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.
'APR -16 -2008 01:49P FROM: TO: 5035991960 P.1
Mechanical Permit Application FOIL OFFICE UST: ONI.I
City of Tigard EIV E � I ; e l ce ed / - Permit NoidiECe200P—OD/gs
:R u 13125 SW Hall Blvd., Tigard, OR 972i3EC y 0� tip
Phone: 503.639.4171 Fax: 503.598.1 6 P Review pu Perron
Inspection Line: 503.639.4 L75 Dan ate/
TI(A W P
Internet: www.tigard- or.gov APR 16 200 Notified/ S Page I
upplemeat a l I Information
Y F TIGARD
O
TYPE OF wt T
❑ ,, °IvIsi COMMERCIAL FEE" SCHEDULE - USE CHECKLIST
New construction Id Additiun/altc I replacem Mechanical permit fees° are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition 0 Other: - mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: S
6
1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
Multi-family ❑ RESIDENTIAL EQUIPMENT / SYSTEMS FEES`
For special information use checklist.
builder ❑Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 15 aw (� Air conditioning or heat pump
(requires site plan showing placement) 14.00
City /State/ZIP: -ikicurd Furnace 100,000 BTU (ducts/vents) 1 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. nu.: 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:
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
j� (/�/ -} /� Le g.• 1i Gas fireplace 10.00
i.1 to T of I LIJL�( -1 4QI' 1. .• ` . . ■R ILL Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
•
PROPERTY OWNER I ❑ TENANT Chimney/liner /flue/vent 10.00
pan V
Other: 10.00
Name: Environmental exhaust and ventilation
Address: ` � equipment hood/other kitchen
equlpmen[ 10.00
City/State/Z IV W
IP: V i Nk( iota Clothes dryer exhaust 10.00 mil, lA Single-duct y exhaust (bathrooms,
(42) Fhone: (� Fax: ( ) toilet corncom parunenu utility rooms)
6.80
,APPLICANT ❑ CONTACT PERSON Attic/crawlspnce fans 10.00
Business name: Other: 10.00
Vane, Fuel piping
Contact ar
Cunta nne: ( $ V / 1 a�/�n J 55.40 for first four; $1.00 for each additional
Address: Furnace, etc. 1
Gas heat pump
City/State /ZIP: WalUsuspended/unit heater
Phone: ( ) F :: ( ) Water heater
Fireplace
E -mail:
Range
CONTRACTOR Barbecue
Business name:ill ~X
�`, t Clothes dryer (gas)
Address: I o V WMCL5 / V t, hp l•,1 tV ar i Y ler rp other � V MECHANICAL PERMIT FEES '
City/State/Z11 n Oh 09 -1� Subtotal
Phone: ('r �"' Q j61 Minimum permit fee ($72.50)
55 22b "` ' 7 Fax: ( C (5 4 / 1
Plan review (25% of permit fe
-
CCB lic.: 242 State surcharge (12% of permit fee:
TOTAL PERMIT � L 1
This permit application expires if a permit u not ob obGlned within 4 ISO
Authorized signature: days after it has been accepted as comp ate.
Print name: 1a / mii Date: 4 1 el FT71 • Fee methodology set by Tri -County Building Industry Service Board
\
1.B uilding\PermustMLC•PermitApp,doe 01/19/07 440-461 (
CITY OF TIGARD
BUILDING DIVISION PERMIT #: )��l:t- :'11C:' Of)1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 411a12 Phone: (503) 639-4171 1
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4l30;a"')i3 TIME: 7_OCAsA PAGE: 37
SITE ADDRESS: 'l2 3& Y IOAPION w'I CLASS OF WORK:
SUBDIVISION: IMl_LAM ' TC NO 2 LOT #: 1136 TYPE OF USE:
PROJECT NAME: HARPI`)
DESCRIPTION: Replaf ;. 'Turn,:
OWNER: HARRIS, k:`.:)44ALI:' ' ANC Ell A S, PHONE #: 212;348-C487
CONTRACTOR: TRI t:t ?t 01 ' ROL PHONE #:
Inspection Request Scheduled For: Date: 4/30/2003 Pour Time:
Code # Inspection Description Confirm # Contact # Message
Cif) Gal. line 06905101 5O3 I7•":)12O Y
Corrections/Comments/Instructions:
a
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: - Date: 4 erg, Phone #: (503) 718- 744
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2i.10. 00135
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/16`Z §C3
Phone: (503) 639- 4171r
Inspection Requests (24 Hrs.): (503) 639 -4175 ' __
INSPECTION WORKSHEET FOR DATE: 413r.1 TIME: 7:06AM PAGE: 38
SITE ADDRESS: 17?IMI S'',A' MAP ON CLASS OF WORK:
SUBDIVISION: 411.1..WE_'I I i'40.2 LOT #: tl 6 TYPE OF USE:
PROJECT NAME: FI;iL`.F?ty=
DESCRIPTION: P'7. 1!J! z7,4: aid ; ,:'ping
OWNER: FIAr'P,I , 1- ;:_. r AN1) LILA S, PHONE #: 212- 38-6'4
CONTRACTOR: TRi G {`t IN t•Y 1 OAP : WI ROL PHONE #: .S03-E6 7- 22").0
Inspection Request Scheduled For: Date: 4130/2001.3 Pour Time:
Code # Inspection Description Confirm # Contact # Message
( MK trxiii:oi finwwt V.9t14 -0 1 =.O3.6./ -?220 Y
Corrections /Comments /Instructions: @@
AP .,{ ■ - G. ,, _ i/ . ./ .mss S - •513 if rte. .. cL.a • .
"u,8/v ec
.
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: • Date: 4- T -ate Phone #: (503) 718- -2A-<1.,-"'