Permit a
CITY OF TIGARD MECHANICAL PERMIT
: COMMUNITY DEVELOPMENT
PERMIT #: MEC2007 -00490
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/7/2007
PARCEL: 25111 DC - 13400
SITE ADDRESS: 15885 SW OAK MEADOW LN ZONING: R -7
SUBDIVISION: SUMMERFIELD NO.11 LOT: 630 JURISDICTION: TIG
PROJECT: COOPER
Project Description: Push pull furnace and gas water heater re -vent.
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: 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: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1
> 10000 cfm:
GAS OUTLETS: 1
Owner: FEES
ROBERT COOPER Description Date Amount
15885 SW OAK MEDOW LN
TIGARD, OR 97224 [MECH] Permit Fee 8/7/2007 $72.50
[TAX] 8% State Surcha 8/7/2007 $5.80
Total $78.30
Phone: 503- 636 -3299
Contractor:
AAA HEATING & COOLING
2915 NE MLK JR BLVD
PORTLAND, OR 97212 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 284 -2173
FAX 503- 284 -1552
Reg #: LIC 222
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 B �� / / Permittee Signature: i AM / (}ri
Call 503.639.4175 by 7:00 a.m. for inspections at business day.
is 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.
From: 08/07/2007 06:04 11712 P.002/002
L
Mechanical Permit Applies • ,
Mechanica + + ++ 1 .: .1 (),1 1
City of Tigard 03. Pe tah No.: HEL v
: • 13125 SW Hall Blvd., Tigard, OR 97223 AUG 0 7 2007 Pisa Renew
Phone: 503.639.4171 Fax: 503.598.1960 . e/By: other Permit
i i c, , , r i , inspection Lane 503.639.4175
CITY OF 11/ - A r ®See Page 2 for
Internet: www.tigard -orgov i U L-1 G I Se pplemenfal lnform
_ iI i 1.■ DIVIS ON _
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J :try ..e r
❑ New construction Va 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
Ft" �r far, s.. .. ,p� ^ � ; , .'• -. .�,n._.,.- �v ".� .,'2,rc :�.. �aZ�...• --� i cs
. :� .,. t,-i : - ; ' u t i. ` ter - P �j ` -7- ., ;R. ••• - =� ' t Value: S
'f' t :�• I r - ' :' '.- ' j-- % -� . rte a r :h - . - e., : t -
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0 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building 4 2„1444 n ^ # `�^ �
Other
special iybrmaaon use checklist.
❑ Multi - family ❑ Master builder ❑ Oth
7 N a� ' ' 2. e `. + i ' f � 1 s i ii o ' `s � 'l 3a Description Qty. Ea. I Total
^ i.�z ,.+ ,.,-. �t, ,. ' Heating/cooling
Job site address: , SSS� S‘ 00,14 r'`� 0 . 4 g, Air
(requires site plan e>mmingplacement) 14.00
City/State/ZIP: "'"1
I l A,�, el 'Vs 7 72. + Furnace 100,000 BTU (ducts/wets) 1 14.00 1 � .QV
Suite/bldg. /apt. no.: I Project name:
�-(f Furnace 100,000+ BTU (ducts/vents) 17.90
Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydronio 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 1 10.00 , WOO
Other 10.00
Tax map/parcel no.: Other fuel appliances
LL � ,, v .*-.- `. f.. ±� e y_ 1 ,�'' 1 ' °s;, ° r rt "� ' vsn Water heater ! 10.00 10:06
Gas fireplace 10.00 -
Flue vent for water heater or gas
_IL. _ 1 _lc ,t l � g , fireplace Log
(gas) 10.00
0 ( Wood/pellet stove 10.00
Wood fireplace✓msert 10.00
ti s
' ; ° r � -. i "-2:-.71-,'-W---';1!=.-1 v -- , . s � Chimney/liner /fue/vent 10.00
i t .. a 'Lx - ' ' r.' r :C".' � r e 4,�`• h1 L ei 0 kl ”:,�="- ,A= icy.
:r t �er 10.00
Name: ` - CC j Environmental erdrauat and ventilation -
Address: Range hood/other kitchen
S 1..1 /"} equipment 10.00
Cily /StatelZEP: `�___ Clothes dryer exhaust -. 10.00
p` .. et ���`I Fax: ) t duet exhaust (bathrooms,
.[y. / _ t compartments, utility rooms) 6.80
a t yt {�` 3 � 'iy- � �
l f} r I �' 2 .� U + � ; r "...7- t.. „ . ;-,4 Th. r
V �€.,.„ --, '' r e � ] a , a • . - , Attirlc e lapec bans 10.00
Business name:
10.00
Fuel piping
Contact name: $5.40 for first four; SLOO for each additional
Address: Pomace, etc.
Gas heat pump
City /State/ZIP: Wan/suspended/unit heater
Phone: ( ) 1 Fax: : ( ) Water heater
E -mail: c _Fireplace
5 -' L .�� M., •� g A g F .7 °h' ? f :w �`,.I MO Barbecue
Business name: fl�� j - - * (11t Clothes dryer (gas)
s: 7 c �� 1 v� y� Odrer
Addres
L.�. \ :7' "Y J e .. � 174 Y- cne�ranr+u.).+ti+.�.,�iA
'41vip 1.
City/State/ZIP: p t6l.hGl u.(2... Ctl Zt z_ Subtotal 3 e'' t '�
Phone: () 4. 2.4..--;.k1 7 [ Fax: W3)2-914 -1 rj Z Minimum permit fee (572.50) ° f ��
Plan review (25% of permit fee)
CCB lie.: ..),„; State surcharge (8% of permit fee) 2
TOTAL PERMIT FEE / / c /
Authorized signatur f4` Tea, permit d S ys alter It has es permit Is
as co obtained 4116n ISO
I Print name) •re ,_.„.,„,„.„ I Date: 7/7X, 7 • Fee methodology set by Tri- County Building Industry Service Board
CITY OF TIGARD -
BUILDING DIVISION • PERMIT #: MEG2007 -00490
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8e7/ ?007
Phone: (503) 639 -4171 gy�Iill •
Inspection Requests (24 Hrs.): (503) 639 -4175 , P:_..
INSPECTION WORKSHEET FOR DATE: 10/22/2007 TIME: 7 :00AM PAGE: 53
SITE ADDRESS: 15885 SW OAK MEADOW LN CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO.11 LOT #: 630 TYPE OF USE:
PROJECT NAME: COOPER
DESCRIPTION: Pu:J pull furnace and gas water heater re-vent.
OWNER: COOPER, ROBERT PHONE #: 503 -63G -3299
CONTRACTOR: AAA HEATING & COOLING PHONE #: 503 -284 -2173
I
Inspection Request Scheduled For: Date: 10/22/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
Ea9 Mechanical final 057857 -01 503- 639 -3299 Y
1 C�or rr rections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date/O— ZL — � Phone #: (503) 718 ---