Permit •
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C ITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00399
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/31/2008
PARCEL: 25111 BC -01000
SITE ADDRESS: 10270 SW VIEW TER ZONING: R -3.5
SUBDIVISION: GREENBRIER LOT: 008 JURISDICTION: TIG
PROJECT: BAUMAN
Project Description: Replace furnace and air conditioner.
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: 1
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: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
WAYNE BAUMAN Description Date Amount
10270 SW VIEW TERRACE
TIGARD, OR 97223 [MECH] Permit Fee 7/31/200€ $72.50
[TAX] 12% State Surch 7/31/200€ $8.70
Total $81.20
Phone: 503- 639 -2491
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.
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Issued By: Permittee Signature: _�(7)1 /' L
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.
,, JUL - 30 -2008 01:30P FROM: TO:5035981960 P.1
Mechanita1 Permit A s I i aeon I c)fr QfTIC I: t 51 oNi ,
..
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„,.. City of Tigard • Received
13125 SW Hall Blvd , Tigard, i IVED Date/By , � Permit No � i�O�� ,
-: - 1 ;( -. Phone. 503.639 4171 Fax. 503 598.1960 D oh Review Other Permit.
rt.ntt Inspection Line 503 639,4175 JUL 3 0 2008 Dat ate/By eed /B
Internet: www.tigar- or.gov y y see Pent r
Notified/Method ' S S upplemental l In for
CITY OF TIGARD
lLfflftY (VISION COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees' arc based on the value of the work
❑ New construction 14 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: S
1- and 2-family dwellin RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
For special
y g ❑ C Master builder i lder ustrlal ❑ Accessory buildin
Multi - family ❑Master builder information use checklist.
❑ Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address. I O '7 IOW j \r 1J t `'t Air conditioning or heat pump I
C1122-4 C1122-4 1 Furnace 10
(requires s0 showing (ducts/vents) 14 00
`�
City /Sta(e/ZiP: v Fumace 100,,00 B
100,000 BTU (duucts/vents) 14.00
Suite/bldg. /apt. no.: Project name:
Furnace 100,000+ BTU (ducts /vents) 17 90
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 I 6.80
Other 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK . heater 10.00
kt) VIM a • 8 - 4 a r- c n b er Gas fireplace 10 00
l�l�J Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10 00
Wood/pellet stove 10 00
Wood fireplace /insert 10 00
1St PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 10.00
Name: Y ' I V bL, I l Other 10.00
V
Environmental exhaust and ventilation
Address Range hood/other kitchen
equipment 10.00
City /State /ZIP. Clothes dryer exhaust 10 00
Single -duct exhaust (bathrooms,
Phone: ( ��a '14 q l Fax: ( ) toilet compartments, utility rooms) 6 80
AAPPEICANT ❑ CONTACT PERSON Attic /crawlspacc fans 10 00
Business name: Other: 10 00
vat, Fuel piping
Contact name: v ) MON $5.40 for first four; $1.00 for each additional
Address:
Furnace, etc.
Gas heat pump
City/State /ZIP: Wall /suspended/unit heater
Phone: ( ) F x:: ( ) Water heater
E -mail Fireplace
Range
CONTRACTOR Barbecue
Business name: 111 C //�� �/y�/��L� J Clothes dryer (gas)
3 (60 a 1 1 ia Other
Address: I �� MECHANICAL PERMIT FEES*
City /State /ZIP Or O� ci ®� t 1645 Subtotal
Phone: (50 567 + Fax: ( Pir 667 eqn Minimum permit fcc ($72 )
Plan review (25% of permit feeee)
'']
CCB lie • f 2420) State surcharge (12% of permit fee) ^ _ {
�� �w l� a TOTAL PERMIT FEE s xpires if a permit is not obtain _
Authorized signature: • This permit application eed within 180
days after it has been accepted as complete.
Print name: rat I NL:I
Date: P • • Fee methodology set by To- County Building Industry Service Board
t\Buddmg\PeimusMEC PermnApp 01/19/07 440.4617T(11 /02/COM/WEE)
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JUL -30 -2008 01:30P FROM: T0: 5035981960 P.2
04/22/2004 07 00 FAX 002/002
INSTALLA'T'ION ADDRESS!
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QUTSIDE AINIT) s
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CITY OF TIGARD -
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/31 /206f1
Phone: (503) 639 - 4171 A 7/31/2000
Requests (24 Hrs.): (503) 639 -4175 „_., Iii ii
INSPECTION WORKSHEET FOR DATE: 8/ 1212Up8 TIME: 7 :00AM PAGE: 22
SITE ADDRESS: 10270 SW VIEW TER CLASS OF WORK:
SUBDIVISION: GREENBRIER LOT #: 008 TYPE OF USE:
PROJECT NAME: F3AUMAN
DESCRIPTION: Replace furnace and air conditioner.
OWNER: BAUMAN, WAYNE PHONE #: 6033 - 639.249'1
CONTRACTOR: WI • COUNTY TEMP CONTROL PHONE #: 603 -567 -2220
Inspection Request Scheduled For: Date: 8/12/20118 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 074061 -01 50: -557 -2220 Y
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL (l CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: g !2 Phone #: (503) 718 -