Permit r w
'w 7/ q CITY O F TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00028
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/11/2007
PARCEL: 1 S134CD -06000
SITE ADDRESS: 11695 SW SUMMER CREST DR ZONING: R -4.5
SUBDIVISION: BURLWOOD NO.3 LOT: 020 JURISDICTION: TIG
Project Description: Furnace install.
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:
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:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
KOPF, RICHARD D Description Date Amount
11695 SW SUMMERCREST DR
TIGARD, OR 97223 [MECH] Permit Fee 1/11/2007 $72.50
[TAX] 8% State Surcha 1/11/2007 $5.80
Total $78.30
Phone: 503 - 590 -3000
Contractor:
OREGON HEATING & AC
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -538 -2953
FAX 503 -537 -2172
Reg #: LIC 172126
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: r; r: 4 "
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.
Ji/i. lit. 07 03:39p MS Rentals, Inc. 503- 537 -2172 p. 1
t. -
Mechanical Per .G \!„,1:: cyh,, •_ FOR OFFICE USE ONLY
City of Tigard j ° y Received P cnnitNo.:
h' g Date :73y: / / /1 / t• 18 rA6.GN-o7-V47'OD
13125 SW Hall Blvd., Tigard, OR 97223 Plaa Revie
Phone: 503.639.4171 Fax: 503.598.1 Date/By: Other Permit.
P 1
Inspection Line: 503.639.4175 JAI • 2001 ! ! J j l � �
1 • ' ,� Date Ready/By: �s: 0 See Page 2 for
Internet: www.ci.tigard.or.us _ Notified/Method: Supplemental Information
• s i
®AddiU 2 ' ' .,, :. - COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ New construction on/alteration/r @pl rent
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.
Value S
' CATEGORY OF _CONSTRUCTION .
. . . :
.
' : . . RE Sib ENCIAL Nr / SYSTEMS FEES *`
® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checktisi.
❑ Multi- family ❑ Master builder ❑ Other: Description 1 Qty. 1 Ea. 1 Total
. JOB SITE INFORMATION AND LOCATION Heating/cooling
i 1 Air conditioning or heat pump
1
lob site address: 1 �Ct 5 ( J '
S n et - C e (requires site plan showing placement) 14.00
City /State /ZIP: ` n v -A O g � '� as 3 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
,: r
;... :...:..: . .:. ::.. 1]ESCRLPTION :OF; WORK ; ;,. - ': : ..:... ... - 10 00
:". : ° " :' :�t. ; Water Bate
Gas fireplace 10.00
4 V AC Flue vent for water heater or gas
fireplace 10.00
— 1 r 'furnace talk Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
....: • Chimney/liner/flue/vent 10 00
. .......... ... ... .
... CbimneyA' 10.00
.r „,PROPERTY .;OWNER:: :;: ,;'`, :. : :,:[ ❑ : : :.:H. : :...H : :;, =.. Other r.
Name: 7 (-' O K -� Environmental exhaust and ventilation
l , 1 Range hood/otherkitchen
Address:
1 s t i1> Sc)imv�nP,r c - Dr equipment 10.00
City/State/Z1P: k ‘ r Clothes dryer exhaust 10.00
�� ` 1 Single -duct exhaust (bathrooms,
Phone: (5O 9(1 _ 300D Fax: ( ) toilet compartments, utility rooms) 6.80
... 0; APPLICANT .: .: - :.. :. ,, : .:': ❑ '.CONTACT: PERSON ; :• : . 10 00
Arc crawlspace fans
Other.
Business name: Oregon Healing and Air Conditioning
Fuel piping
Contact name: go5\e-)p `��, $5.40 for First four; $1.00 for each additional
Address: PO Box 397 v Furnace, etc.
Gas heat pump
City/State/ZIP: Dundee OR 97115 Wall/suspended/unit heater
Phone: (503) 538 -2953 Fax:: (503) 537 -2712 Water heater
Fireplace
E -mail: rashelle@oregonbenting.com Range _
CONTRACTOR =. Barbecue
Business name: Oregon Heating and Air Conditioning Clothes dryer (gas) -
Other. • Address: PO Box 397 ' • ' • • - '
EL • PEANUTFEES'
City/State /ZIP: Dundee OR 97115 Subtotal
Phone: (503) 538 -2953 Fax: (503) 537 -2712 Minimum permit fee (S72.50) a . 5r)
Plan review (25% of permit fee)
CCB lie.: =85 fl a l a 1Q State surcharge (8% of permit fee) 5 ..Q
TOTAL PERMIT FEE 7 $, 3Q
Authorized si ature: This permit application expires If a permit is not obtained within 180
days atter It has been accepted as complete.
Print name: vr pyry-r�{ e e I Date: I ...• 10 —0 1 • Fee methodology set byTri- County Building Industry Service Board
i:•.Building\ Pm mid M 2.
EC- PermitApp.doe I vv 440-4617T ((11/O2/COM'WEB)
CITY OFTIGARD
BUILDING DIVISION PERMIT #: MEC2007•00028
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/11/2007
Phone: (503) 639 -4171 V , l�l Inspection Requests (24 Hrs.): (503) 639 -4175 R:_..
INSPECTION WORKSHEET FOR DATE: 1119/2007 TIME: 7 :01AM PAGE: 30
SITE ADDRESS: ti CLASS OF WORK:
11fa85 SW SUMMER CREST DR
SUBDIVISION: BURLWOOD NO.3 LOT #: Q20 TYPE OF USE:
PROJECT NAME: KOPF
DESCRIPTION: Furnace install.
OWNER: KOPF, RICHARD D, PHONE #: 503 -590 -3000
CONTRACTOR: OREGON HEATING & AC PHONE #: 503-538-2953
Inspection Request Scheduled For: Date: 1/19/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 042298 -01 503 - 538 -2953 Y
Corrections /Comments /Instructions: /'
2 Su Fe0 2i' -- N,/,:.......4-7 CO �l. rZCA -t--. x - " ,/�
dam/ !., � /I 2 7J - Co z
iI PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: /— /Q-07 Phone #: (503) 718 - 42-j