Permit C ITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00419
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/12/2007
PARCEL: 25111 BA -01900
SITE ADDRESS: 09865 SW VIEW CT ZONING: R -3.5
SUBDIVISION: INGEBRAND HEIGHTS LOT: 002 JURISDICTION: TIG
PROJECT: DAY
Project Description: Install new gas furnace and gas fireplace.
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:
WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1
> 10000 cfm:
GAS OUTLETS: 2
Owner: FEES
STEPHEN & LINDA DAY Description Date Amount
9865 SW VIEW CT
TIGARD, OR 97224 [MECH] Permit Fee 7/12/2007 $72.50
[TAX] 8% State Surcha 7/12/2007 $5.80
Total $78.30
Phone:
Contractor:
HORIZON MECHANICAL
2639 SE 176TH PL
PORTLAND, OR 97236 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 849 -4902
Reg #: LIC 176690
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 Signaturk cl_]_
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.
n per �t 1 .,1�.
!
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard JUL 12 2001 Received PermrtNo/-&–e0,76,07-60 �'i 9
Dat
13125 SW Hall Blvd , Tigar , R 9722 Pla Revie /aZ ��
0 Phone 503 639 4171 Fa ,5 359T 1/01-4 t W WA Date/By Other Permit
T I G A It D Ins Line 503 6 7-5471,, $ ,� Date Ready/By lens ® See Page 2 for
Internet www ttgard -o s g 1 ' i i Notified/Method Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction /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 $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other:
Description Qty. Ea I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 9S b 51.3 U -, tzJ e (requires conditioning plan or heat pump
I (requires site plan showing placement) 14 00
City /State /ZIP: --- r ve . �k O a., C) —7 2 2 V Furnace 100,000 BTU (ducts /vents) / 14 00 /y. ed
Furnace 100,000+ BTU (ducts/vents) 17 90
Suite/bldg./apt. no.: 0 Project name: Gas heat pump 14 00
Cross street/directions to job site: Duct work 10.00
M Hydronic hot water system 14 00
I ' t �.� ) t 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
G ( � r Gas fireplace / 10 00 /0, 00
tom. , , - c„.. . - o Q---- Flue vent for water heater or gas
rr fireplace 10 00
`fi S t_"�"P k iz -St Log lighter (gas) 10 00
Ge---L-- r--G....C,
() Af I c. a-9— Wood/pellet stove 10 00
Wood fireplace /insert 10 00
❑ PROPERTY OWNER ❑ TENANT Chimney /liner /flue /vent 10 00
Other 10.00
Name: L -iw,i Environmental exhaust and ventilation
Address: Range hood/other kitchen
c--.--- equipment 10 00
City /State /ZIP: Clothes dryer exhaust 10 00
Single -duct exhaust (bathrooms,
Phone: (So `. ( - ) ' b9 Fa x: ( ) toilet compartments, utility rooms) 6 80
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10 00
Other 10 00
Business name:
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: Furnace, etc. / e("
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace / S °/v
E -mail: Range
CONTRACTOR Barbecue
Clothes dryer (gas)
Business name: "J/ 7 96- 6. "..-7,42- - 4e9 P---/ 25,66i fj / ZOA/ Other
Address: a q c /76 Ae-- xvEL'ff.4n/'e,9 L MECHANICAL PERMIT FEES*
City /State /ZIP: )0 ,0 A7- - 9 7 A 3(, Subtotal - /9, y
Phone: ( 3) tT t - r/90 Fax: ( ) Minimum permit fee ($72.50) 7,2 S
Plan review (25% of permit fee)
CCB lic.: /76 6 2Q V( E___ / State surcharge (8% of permit fee) $ Rd
TOTAL PERMIT FE E � f.' 180
,� This permit application aspires if a permit is no obtained w ithin 180
Authorized s - „ ....,...... .e ....
7 days after it has been accepted as complete.
Print name: ■1^�Dl . -- D ate: — 7 ) a_ - •,0 7 . F ee methodology set by Tri- County Building Industry Service Board
I \BuddmgWermns\MEC- PermnApp doc 01/19/07 V 440 -4617T (I I /02 /COM/W EB)
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.
Note: All new commercial buildings require 2 sets of plans.
I \ Building \Pertnrts\MEC- PermitApp.doc 01/19/07 2
CITY OF TIGARD - .
BUILDING DI PERMIT #: MEC2007 -00419
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7//212007
Phone: (503) 639 - 4171 Asb
Inspection Requests (24 Hrs.): (503) .639 -4175' " L.
INSPECTION WORKSHEET FOR DATE: 7/10/2008 TIME: 7:00AM PAGE: 34
SITE ADDRESS: 03865 SW VIEW CT CLASS OF WORK:
SUBDIVISION: INGEBRANU HEIGHTS LOT #: 002 TYPE OF USE:
PROJECT NAME: [)AY
DESCRIPTION: Install -new gas furnace and gas fireplace_
OWNER: DAY, STEPHEN & LINDA PHONE #:
CONTRACTOR. HORIZON MECHANICAL PHONE #: 503M9.4902
. Inspection Request Scheduled For: Date: 7/10/2008 Pour Time:
Code # Inspection Description Confirm # Contact # • Message
899 Mechanical final 072413-01 503 - 598.4670. Y
Corrections/Comments/Instructions: •
(44 4177-7/ / L
, )' vAb .9(-' S
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
/),
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 7-M- a 6 Phone #: (503) 718- --41- 4+5--
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00419
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/12/2007
Phone: (503) 639 -4171 fro ` �
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/17/2007 TIME: 7:03AM PAGE: 82
SITE ADDRESS: 09865 SW VIEW CT CLASS OF WORK:
SUBDIVISION: INGEf3RAND HEIGHTS LOT #: 002 TYPE OF USE:
PROJECT NAME: DAY •
DESCRIPTION: Install new gas furnace and gas fireplace.
OWNER: DAY, STEPHEN & LINDA - PHONE #:
CONTRACTOR: HORIZON MECHANICAL PHONE #: 503 - 649.4902
•
Inspection Request Scheduled For: Date: 7/17/2007 Pour Time:
•
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 052035-01 503- 267 -1468 • lb
Corrections /Comments /Instructions:
/
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ten assairms
k
1.
itAstr-
IA)
'• l
0 PAS ❑ PARTIAL APPROVAL l b CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIO AL FEES ASSESSED
Inspector: i I Date: (7 Phone #: '(503) 718 -