Permit '- a " CITY OF TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00376
TIGARD 13125, SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/18/2008
PARCEL: 2S 104AB -08500
SITE ADDRESS: 13439 SW SCOTTS BRIDGE DR ZONING: R-4.5
SUBDIVISION: MORNING HILL NO. 5 LOT: 114 JURISDICTION: TIG
PROJECT: SMITH
Project Description: Installing NC.
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: 1 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: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
BETTY JO SMITH Description Date Amount
13439 SW SCOTTSBRIDGE DR
TIGARD, OR 97223 [MECH] Permit Fee 7/18/200E $72.50
[TAX] 12% State Surch 7/18/200E $8.70
Total $81.20
Phone: 503 -590 -1968
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: rAry Permittee Signature: .�t/lr'v
1 503.639.4175 by 7:00 a.m. for inspections that busin ss 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.
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' • 'Mechanical Permit Application Ofl'ICI: USE ()NIA
1 . City of Tigard �' vE � r at / Permit No
I
13125 SW Hall Blvd., Tigard, OR 972 B C Dete/By:
Phone: 503.639.4171 Fax: 503.598.1 6 Plan eview Other Permit:
`t I c : A It D Inspection Line: 503.639 1 r, 200
Y
UL 1 1 Date Ready/By: 66 See Page 2 for
Internet: www.tigard- or.gov Notified/Method: WI Supplemental Information
rry TYPE OF WO1: O^ �����t tolsiON • COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
ement Mechanical permit fees* are based on the value of the work
❑ New construction 14 Addition /alters
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
• 1 - and 2 g ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
Multi- family ❑ Master builder ❑ Other:
Description 1 Qty. I Ea. i Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: I 3Q v tt d &p gran f ) Air conditioning or heat pump W "
� `i (requires site plan showing placement) 1 14.00 "
City /State/ZIP: 11 0 � Furnace 100,000 BTU (duets/yenta) 14.00
v Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: SM 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
Gas fireplace 10.00
Flue vent for water heater or gas
4 o k a l I air nmy e fireplace 10.00
t�� LJ�� t I air l Log lighter (gas) 10,00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
X PROPERTY OWNER I ❑ TENANT Chimney /liner /flue /vent 10.00 IN e m ,.r fL,II f Other: 10.00
Name: .I ► / J� Environmental exhaust and ventilation
Address: (
A J i � ., � ^ ,. Range hood/other kitchen
equipment 10.00
City/State /ZIP: Clothes dryer exhaust 10.00
,, „ A ( (p toilet filet duct exhaust (bathrooms,
Phone: JI.� Fax: ( ) (oiler tom
partmrtments, utility rooms) 6.80
APPLICANT ❑ CONTACT PERSON Atlic/cmwlspace fans 10 00
Business name: Other: 10.00
I � Fuel piping
Contact name: 55.40 for first four; 51.00 for each additional
Address:
Furnace, etc.
. Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone: ( ) F .: ( ) Water heater
Fireplace
E -mail: Range
CONTRACTOR Barbecue _
Business name: 11' 11� ff �/� y y ( / � / � � C O5 � Clothes dryer (gas)
L: O f 1 14 Other:
Address: I '7 iwi MECHANICAL PERMIT FEES*
City/State /ZIP: 0r 01`4? Subtotal
Phone: ( `I Fax: ( 667 OQi
Minimum permit fee ($72.50) 72
Plan review (25% of permit fee)
CCB lie.: 121022p State surcharge (12% of permit fee) ` C.)
/� �yI /J TOTAL PERMIT FEE
Authorized signature: . .2 i (.L e • / This permit application expires If a permit is not abteine it n 180
days after it has been accepted as complete.
Print name: 1 0 , - if / • i Date: 1 (j 1 W • Fee methodology set by Tri- County Building industry Service Board
1 Building\PermituM C•PeroutApp.doc 01/19/07 440.46177 (111 /02/COM/WEa)
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04/22/2004 07:00 FAX 002/002
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CITY OF TIGARD
BUILbINd DIVISION PERMIT #: MEC200800376
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/18/2000
Phone: (503) 639 -4171 i ti III I
Inspection Requests (24 Hrs.): (503) 639 -4175 -
INSPECTION WORKSHEET FOR DATE: 7/24/2008 TIME: 7 :00AM PAGE: 41
SITE ADDRESS: CLASS OF WORK:
13439 SW SCOTTS BRIDGE DR
SUBDIVISION: MORNING HILL NO. 5 LOT #• 114 TYPE OF USE:
PROJECT NAME: SMITH
DESCRIPTION: Installing NC.
OWNER: SMITH, BETTY JO PHONE #: 503-590-1968
CONTRACTOR: TRI COUNTY TEMP CONTROL PHONE #: 503 - 557 -2220
Inspection Request Scheduled For: Date: 7/24/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 073130.01 503557 -2220 Y
Corrections/Comments/Instructions: ,'
.`,:�/ /�f 671 ' e c4 -e..... , C.A.--PT 410 GIs? si'L 25 R f 5
❑ PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: - e D ate:Z � —{�� Phone #: (503) 718 - ? ?