Permit a CITY OF TIGARD
MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00089
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TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/21/2008
PARCEL: 2S 103DC -02400
SITE ADDRESS: 11330 SW VIEWMOUNT CT ZONING: R-4.5
SUBDIVISION: VIEWMOUNT LOT: 012 JURISDICTION: TIG
PROJECT: WATKINS
Project Description: Replace gas furnace.
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:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
KEVIN WATKINS Description Date Amount
11330 SW VIEWMOUNT CT
TIGARD, OR 97223 [MECH] Permit Fee 2/21/200E $72.50
[TAX] 12% State Surch 2/21/200€ $8.70
Total $81.20
Phone: 503- 620 -0610
Contractor:
PIONEER GAS FURNACE
2636 NE SANDY 972233 2
BLVD
PORTLAND, OR 97232 REQUIRED ITEMS AND REPORTS
POR
Contact #: PRI 503- 249 -5000
Reg #: LIC 173181
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 y: �1 � 4 Permittee Signature: /�`y9%%
■ 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.
.I . E N D E0
Mechanical Permit Appl *x+0 UUV
City of Tigard Received 4 4 p Permit Nu.: �� v ~60 "�
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// 2 � e
Ili ' ele /1 "ii o
13125 SW Hall Blvd., Tigard, ()R 97223 FEB flan Review
Phone: 503. 639.4171 Fax: 503.598.196(1 // Mnd�w11 "ti tratcAty Other l'cmtii•
C T
Inspection Line: 503.639.4175 , �� Date Ready/By luriv ® See Page 2 for
V OF 1-: j.) �i
Internet: www.ci.tigard.or.us BUILDING ® C I r` (I„ y Notified/Method: r Supplemental Information
r. V
;.;;t :',,., TYPE OF WORK COMMERCIAL FEE* SCHEDULE — US
Mechanical permit fees* are based on the value of the work
El New construction I� Addition /alteration /replacement
performed. Indicate the value (rounded to the nearest dollar) of all
• ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
i �' - '
ta • p. . _ CATEGORY OF CONSTRUCTION Value: S
RESIDENTIAL EQUIPMENT / SYSTI ! W
® 1 - and 2 - family dwelling ❑ 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 Ileating/cooling
,, Air conditioning or heat pump
Job site address: 1 1 3 30 S(_t) 1/l(r(.oitio wt d r (requires site plan showing placement) 14.00
City/State/ZIP: ( l 9' f; R D Q 2 ? 7Z2 3 Furnace 100,000 BTU (ducts/vents) 1 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 r
f i �_ ^ `- Ilydronic hot water system 14.00
�� t Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: I .ut no.: Flue/vent for any of above 10.00
Other: _ 10.00
Tax map/parcel no.: Other fuel appliances
` DESCRIPTION OF WORK Water heater 10.00
• "' ��� «T ��J �
� , Qtt n C ? � mC Gas fireplace 10.00
/-V , ` Flue vent for gas
water heater or as
_ fireplace 10.00
I.og lighter (gas) 10.00
Wood /pellet stove 10.00
" Wood fireplace/insert 10.00
• `y- 'PROPERTY OWNER ❑ TENANT h y/liner /Ilue /vent
Other 10.00
�` J Other. 10.00
Name: ' te J,'A f` � 4k,11 S Environmental exhaust and ventilation
6�1! •� ���� � Range hood/other kitchen
A te : /1 33a S[ /) theunu m14-d 1 equipment 10.00
City /State/ZIP: ; II A Z b • 0 y` ,Z Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (CO3) 20 Oaf 0 Fax: ( ) toilet compartments, utility rooms) 6.80
'Z 7 APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Other: _
Business name: -
Fuel piping
Contact name: S5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
Gas heat pump
City/State/ZIP: Wall /suspended/unit heater
Phone: ( ) Fax:: ( ) Water heater
Fireplace
E-mail: Range
+, .. CONTRACTOR _ Barbecue
• Business name: /3iohee#- Gas /-Ll,z7a e Clothes dryer (gas)
Other:
Address: Z C 3 ao Ne i' 8ig1:. MECHANICAL PERMIT FEES* . _
City/State/ZIP: Pow 71/ Arid /1k) 9 2.. Subtotal �v
��� i Minimum permit fee ($72.50) IA
Phone: ( 503219 q600 g i x: (5 )3 2 49 8
Plan review (25 %of emit fee)
CCB lie.: i -7 3,.I C ( /0/ 7(A /O f ac /n State surcharg ° of permit fee) 5 7
TOTAL PERMIT FEE S r
This permit application expires if a permit Is not obtained within 1
Authorized signature: g days after It has been accepted as complete.
I Print name: II ):;ti 1 • fcc methodology set by - hi- Count Building Industry Service Board
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
�ialuhtion: 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 $23 I.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or •
fraction thereof, to and including
$50,000.00. ,
$30,001.00 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 $1 00,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
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i:\ Buildingwcnnils \MEC- PcnnitApp.doc 12/13 2
CITY 15F TIGARD
BUILDING DIVISION PERMIT #: MEC2008.000 9
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/21/2009
Phone: (503) 639 -4171 il
Inspection Requests (24 Hrs.): (503) 639 -4175 "-
INSPECTION WORKSHEET FOR , DATE: 3/13/2003 TIME: 7:02AM PAGE: 50
SITE ADDRESS: 11330 SW VIDA/MOUN f CT CLASS OF WORK:
SUBDIVISION: VIEWMOUNT LOT #: 012 TYPE OF USE:
PROJECT NAME: WATKINS
DESCRIPTION: Replace gas furnace.
OWNER: WATKINS, KEVIN PHONE #: 503-620-0610
CONTRACTOR: PIONEER GAS FURNACE PHONE #: 503 - 249
Inspection Request Scheduled For: Date: 3/1312008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
6 99 Mechanical final 066596 -01. 503-249-5000 N
Corrections /Comments / Instructions:
4 2 1 EL�� -n'Lf L !.N . ,,z dad c S - t' 3 z<,-, ' �-�c 6 / Gam. � 4. --,/
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ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: � _ Date: Phone #: (503) 718- 1 3f
CITY- -OF TIGARD
BUILDING DIVISION PERMIT #: MEC2001' 01089
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 212/12008
Phone: (503) 639 -4171 Vtit Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/5/2008 TIME: 7:00AM PAGE: 37
SITE ADDRESS: 11330 SW VIEVWOUNT c: CLASS OF WORK:
SUBDIVISION: VIE.WMOUNT LOT #: 012 TYPE OF USE:
PROJECT NAME: WATKINS
DESCRIPTION: Replace gas furnace.
OWNER: WATKINS, KEVIN PHONE #: 503 - 0610
CONTRACTOR: PIONEER GAS FURNACE PHONE #: 603249.6000
Inspection Request Scheduled For: Date: 3/512008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
G99 Mechanical final 066091 -01 503249.5000 N
Corrections /Comments /Instructions:
� r /2r)�/� O� l ✓�— ✓�� -per r k7 Cyr ) I�2
- ./ /L4 ' Z .t�� [� - i -
c LG -rr� G4i- m.ti "40 ' -i 4) fit- / - 951 -ter fro .' ✓ ..a.,l G. � ��. �
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: S -�Og Phone #: (503) 718 - 2-9-'