Permit CITY OF TIGARD MECHANICAL PERMIT
I , DEVELOPMENT SERVICES PERMIT #: MEC2005 -00262
" r� II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/23/2005
PARCEL: 2S 102AD -00203
SITE ADDRESS: 08602 SW SCOFFINS ST ZONING: CBD
SUBDIVISION: TIGARD HIGHWAY TRACTS LOT: 019 JURISDICTION: TIG
Project Description: NO HEAT. Furnace replacement.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: .P-5 F UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
GAS 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
SNYDER, GAIL V Description Date Amount
14460 SW 141ST [MECH] Permit Fee 5/23/200: $72.50
TIGARD, OR 97224 [TAX] 8% State Surchar€ 5/23/200: $5.80
Phone: 503 620 - 0999 Total $78.30
Contractor:
OREGON HEATING + A/C INC
PO BOX 397 REQUIRED ITEMS AND REPORTS
DUNDEE, OR 97115
Phone: 503 538 - 2953
Reg #: LIC 125815
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and
all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not
started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires
you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010
through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699
or 1- 800 - 332 -2344.
Issued By: Alt_ _ _ ,•i_ . Permittee Signature: Q`Y) (?(
/ Call 503 - 639 -4175 by 7:00 a.m. for inspections that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
May 20 15 02:55p 503- 537 -2172 p.2
Mechanical Permit App 4S �
i5 FOR OFFICE USE ONLY
City of Tigard �
Received S 33 05 P e, Permit o.:ll) 00 _ J
7,'D,
13125 SW Hall Blvd., Tigard, OR 9721 Qo5 / d�t/
Phone: 503.639.4171 Fax: 503.598.1960 V 0 Plan Revi
ilk
. • 3' ( I
�` • Date/By: Other Permit:
Line: 503.639.4175 M "�•' 1 . A +
Internet: www.ci.[i onus ---• Date Ready: By: 1u¢s: , m Sec Page 2 for
Sand r` ? ` I 13 %
Ik • 7 • Notified/Method: J� Supplemental Information
W \ .tNG V •
.k TYP$ ORK COMMERCIAL FEE* SCHEDULE USE CHECKLIST
Mechanical permit Fees* are based on the value of the work
❑ New construction dition/7y1nJrel te paeet`tent performed. Indicate the value (rounded to the nearest dollar) of all
ID Demolition El Other: + mecha nical materiaLs, equipment, labor, overhead, and profit.
V
CATEGORY OF CONSTRUCTION
•
Value:
1 -an 2 - famil dwelling RESIDENTIAL EQUIPMENT ! SYSTEMS FEES'
2-family g ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE • INFORMATION AND LOCATION Heating/cooling
Air conditioning or heat pump
Job site address: ec5 r (requires site plan showing placement) 14.00
Ci /State/ZIP: � A 4 Furnace 100,000 BTU (ducts vents) 14.00
Furnace 100,000+ BTU (ducts,'vents) 17.90
Suite/bldg. /apt. no.: I 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
FluOvent for any of above 10.00
Subdivision: Lot no.: Other. 10.00
Tax map /parcel no.: Other fuel appliances
0 . .. • ION OF WORK DESCRIPT .
. Water heater 10.00
1 r � A Gas fireplace 10.00
y I_ is t ,Q fLui,rn et Flue vent for water heater or gas
fireplace 10.00
' Log lighter (gas) 10.00
(� �\ Wood /pellet Stove 10.00
v > Wood fireplace/insert 10.00
l
Chimney/liner/flue/vent 10.00
PR RTY WNER I • - .Q 1 NANT
Other. 10.00
Name: (614 44,%41 Environmental exhaust and ventilation
Addrdress: 7 ) Range hood /other kitchen /� h equipment 10.00
City /State /ZIP: 1CUI r • 3 Celothesdt 10.00
� Single -duct exhaust (bathrooms,
Phone � ,�, / Q 9 Fax: ( ) toilet compartments, utility rooms) 6.80
. } PPL1CANT . ' • ❑ / CONTACT PERSON Attic /crawlspace fans 1000
Business name ) ke 4-- (I , 0 +7 10.00
l`� C iivV.1 F Fuel uel piping Contact name: 1 Nragl ��- -bb��� �. $5.40 for first four; $1.00 for each additional
Address: 1 n 1 ***-5a, Furnace. etc.
Gas heat pump
City /State /ZIP: (Via_ 02. G ' n its Wall/suspended/unit heater
Phonel3) �g aCI, 2 . I Fax: �3 `/ 3� Z1 Water heater
Fireplace
E -mail: Range
: C RACTOR ( )y) 1} Barbecue •
•
Business name: 1 n 'n (?L ' Clothes dryer (gas)
r l Other.
Address: �/ �iel� (0 ' / 1111 c
• ... •• • MECHANICAL PERMIT FEES*
F.
%.._ � (
City/State/ZIP: i Subtotal • 1 �-t"
Phone: C> Minimum 17...
F 11 � 3b L1 Fax , 3-J Z27 Plan view (25% fee ($72.50) )
�++ pe rmit fee)
CCB lie.: ) 1 ✓
State surcharge (8% of permit fee) O U
I TOTAL PERMIT FEE '7
Authorized ' • lure:
s �/
T his permit application expires if a permit is not obtained within 180
L a � ■1 A 1 • I • i ' / _ (- days after it has been accepted as complete.
B , � , �� Date: Fee methodology set by Tri County Building Industry Service Board
i:Nmat ding \Pe irs,mEc- PemiNpp•' o 12103 440 (I 1 /02VCODL•WEB)
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MEC2005 -00262
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/23/2005
Phone: (503) 639 -4171 ."emu "4x11'j�l�
Inspection Requests (24 Hrs.): (503) 639 -4175 - -to,- -L.
INSPECTION WORKSHEET FOR DATE: 7/2W2005 TIME: 7 :11AM PAGE: 63
SITE ADDRESS: 08602 SW SCOFFINS ST CLASS OF WORK:
SUBDIVISION: TIGARD HIGHWAY TRACTS LOT #: 019 TYPE OF USE:
PROJECT NAME: SNYDER
DESCRIPTION: NO HEAT. Furnace replacement.
gioNnob
OWNER: SNYDER, GAIL V. PHONE #: 503- 620 -0999
CONTRACTOR: OREGON HEATING + NC INC PHONE #: 503 - 538-2953
Inspection Request Scheduled For: Date: 7/20/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 011725-01 503-538 -2953 Y
Corrections/ Comments/ Instructions 5L-(9- q,3 I .5 o--7,,,,,,,,
la_A
i >1 - 2-e'y 2- ‘ - ‘ /
® PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 4 r iA5412__ Date: Phone #: (503) 718-