Permit CITY F TI GARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00201
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/12/2007
PARCEL: 2S112CB - 18000
SITE ADDRESS: 08475 SW ROSS ST ZONING: R -
SUBDIVISION: HAMPTON CT - MLP2001 - 00009 LOT: 001 JURISDICTION: TIG
PROJECT: HOANG
Project Description: Install 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:
ELE 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
HOANG Description Date Amount
8475 SW ROSS ST.
TIGARD, OR 97223 [MECH] Permit Fee 4/12/2007 $72.50
[TAX] 8% State Surcha 4/12/2007 $5.80
Total $78.30
Phone:
Contractor:
TRANAIR HEATING & COOLING
16682 NE PACIFIC
PORTLAND, OR 97238 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -516 -7907
Reg #: LIC • 154284
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: AJA Permittee Signature: TEFL ' p i. ScA r. cj 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.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard RECEIVE 1 Received
P ermit No.:
• 13125 SW Hall lvd., Tigard, OR 97223
Date/By: � L/�2 /u7 lice, 2vu7 'CXJ
Phone: 503.639.4171 Fax: 503.598.1960 Plan Review
AP R t ��, Date/By: Nln, tooter Permit:
T I G A R D Inspection Line: 503.639 Date Read B: runs
Ready /By: El See Page 2 for
Internet: www.tigard - or.gov CITY OF TIGARD Notified/Method: 17).4 Supplemental Information
BUILDING DIVISION I �r
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction [R 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: $
gl 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 LOCATION Heating/cooling
Job site address: Q^ Air conditioning or heat pump
(� " f 7 �7 J 1C -(rJ �� (requires site plan showing placement) 14.00
City/State/ZIP: Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
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. 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
Gas fireplace 10.00
k "1) 7C-- Flue vent for water heater or gas 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
Other: _ 10.00
Name: �}j� Environmental exhaust and ventilation
Address: r��'-� _
Range hood/otherkitchen
54 S sukj 17 _t�7e,e.„ equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
Phone: Single -duct exhaust (bathrooms,
( ) Fax: ( ) toilet compartments, utility rooms) 6.80
El APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name:
Z7,/F'll 9A. 4 61,l . Fuel piping
Contact name: _4( c 1/-6ANt_ S5.40 for first four; 51.00 for each additional
Furnace,
Address: , coo, Z /`..) 1P N ,„Q„ �, � Gas heat c um
City/State/ZIP: 1 �` pump
Ci
ty' r )� � L 00 2. ?, ,q Wall/suspended/unit heater
Phone: 4�j3) l5 1 G _ — i ei ® 7 f Fax:: ( ) Water heater
E -mail: Fireplace
Range
CONTRACTOR Barbecue
Business name: i if LL 2 ' - - 15 k ,. ` .�2 Clothes dryer (gas)
('C Other:
Address: �6 Z iu. �� MECHANICAL PERMIT FEES*
City/State/ZIP: --` 01 �Z 61 � 2-36) Subtotal
/ Minimum permit fee ($72.50)
Phone: -
(5�3) 1 7 � Fax: ( ) Plan review (25% of permit fee)
CCB lic.: 1 5 - 4 Z e � 2 State surcharge (8% of permit fee)
1 � TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized signature: ' days after it has been accepted as complete.
Print name ' - Date: _ l _ v 7 • Fee methodology set by Tri -County Building Industry Service Board
I:\ Building \Permits \MEC- PennitApp.doc 04/06/06 440-4617T(I1 /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
$100,000.00.
$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.
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Note: All new commercial buildings require 2 sets of plans.
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1:\ Building \Pertnits\MEC- PermitApp.doc 12/30/05 2 •
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CITV.OF TIGARD - SITE PLAN REVIEW '
BUILDING PERMIT.NO.:
PLANNING DIVISION:
Required Setbacks: Approved 0 Not Approved
Street. Side•
From. iP Garage: , Rear:
Vis i _.'....,- -i_.1.1ce.: ri Approved 0 Not Approved
Maximum Building Height _____ feet
(WS Service Provider Letter Required: 0 Yes 0 No ;----
0 Received r
_ Date:
:-.--,
ENGINEERING DEPARTMENT:
• Actual Slope:_% 0 Approved 0 Not Approved'
Site Plan: 0 Approved 0 Not Approved
. By: . Date:
N° O b c c l.tr)-(- - t 5-e_4-4,-c-cic. oe-)
•
i f .
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00201
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/12/2007
Phone: (503) 639 -4171 jl
Inspection Requests (24 Hrs.): (503) 639 -4175 . . p:..
INSPECTION WORKSHEET FOR DATE: 4/23/2007 TIME: 7:00AM PAGE: 24
SITE ADDRESS: 00475 SW ROSS ST CLASS OF WORK:
SUBDIVISION: HAMPTON CT- MLP2001 -00009 LOT #: 001 TYPE OF USE:
PROJECT NAME: HOANG
DESCRIPTION: Install a/c unit.
OWNER: HOANG, PHONE #:
CONTRACTOR: TRANAIR HEATING & COOLING PHONE #: 503.516-7907
Inspection Request Scheduled For: Date: 4/23/2007 Pour Time:
• Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 046967 -01 503516-7907 N
Corrections /Comments / Instructions:
c &estr2a t.t..44,0...ko¢ I Ad -74-L - 5— /0 2 q 7D �/A
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED •
Inspector: Date: -5r— Z 3— o Phone #: (503) 718 Z4