Permit CITY OF TIGARD
MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2006 -00585
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/22/2006
PARCEL: 2S102BC -04000
SITE ADDRESS: 12790 SW WATKINS AVE ZONING: R -4.5
SUBDIVISION: NORTH TIGARDVILLE ADDITION LOT: 031 JURISDICTION: TIG
Project Description: Replace furnace.
CLASS OF WORK: OTR 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:
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
PAT & LESLIE FLANNIGAN /SCHMIDT Description Date Amount
12790 SW WATKINS
TIGARD, OR 97223 [MECH] Permit Fee 11/22/20( $72.50
[TAX] 8% State Surcha 11/22/20( $5.80
Total $78.30
Phone: 503- 620 -9950
Contractor:
JACOBS HEATING + A/C
4474 SE MILWAUKIE AVE
PORTLAND, OR 97202 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 234 -7331
FAX 503- 808 -9108
Reg #: LIC 1441
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: Qr
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.
+ Mechanical Permit A lication ]q FOR OFFICE USE ONLY
City of Tigard EC E �, ``I ®D Received Permit No. /+ ��{ /,{y,
• g u DateBy ii., �� 1 1 tOCL /U I/" ` P
° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
17 Phone: 503.639.4171 Fax 503.598 1960N 0 V 2006 Date/By Other Permit
T I G A RD Inspection Line: 503.639 Date Ready/By inil 0 See Page 2 for
Internet: www.tigard - or.gov Cou U V OF , yGARD Notified/Method Supplemental Information
BUILDING DIVISION
' TYPE OF WORK . COMMERCIAL FEE *, SCHEDULE — USE CHECKLIST
❑ New construction '® Addition/alteration /replacement Mechanical permit fees* are based on the value of the work
performed Indicate the value (rounded to the nearest dollar) of all
❑ Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY - OF CONSTRUCTION Value: $
,,� RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
VJ ► and 2 family dwelling ❑ Commercial/industrial 0 Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: a 90 i Cac </ Air conditioning or heat pump
(requires site plan showing placement) 14.00
City/State /ZIP: ( J q '7 -,9 5 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
Flue /vent for any of above 10.00
Subdivision: Lot no.:
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
I Gas fireplace 10.00
7 � W �q� u 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
Chimney /liner /flue /vent 10.00
❑ PROPERTY OWNER <' I " ❑ TENANT ,, Other 10.00
Name: ,1n�, a n ki� L(�-e Schmidt Environmental exhaust and ventilation
Range hood/other kitchen
Address: ��/i equipment 10 00
City/State /ZIP: Clothes dryer exhaust 10.00
t9� eq�
Single-duct exhaust (bathrooms,
Phone: ( Fax ( ) .� toilet t compartments, mennts, utility lity 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
Furnace, etc.
Address: Gas heat pump
City /State /ZIP: Wall/suspended/unit heater
Water heater
Phone: ( ) Fax : ( ) Fireplace
E -mail: Range
CONTRACTOR . Barbecue
Clothes dryer (gas)
m
Business nae: 0 a(� Other:
Address: I 1 le' s E f\ ,i Uvc Ave,. MECHANICAL PE FEES*
City /State /ZIP: j �. L (J ei 7'�}- Subtotal
t�(i �l �[� ���i _ ✓ '� n Minimum permit fee ($72.50) 7
Phone: *9)) : J . 1 7 :3 j Fax:1J c300 - 9/ Via Plan review (25% of permit fee)
CCB lic.: I At, .4 1 State surcharge (8% of permit fee)
_ TOTAL PERMIT FEE ,
/
Authorized signature: — This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
�' D I /" ,n )I -062 * Fee methodology set by Tn -County Building Industry Service Board
Print name: ��L� �� J � ( �
1 \ BuildingTerm its \MEC- PennitApp.doc 04/06/06 I 440.4617T (I l /07JCOM/WEB) t/g� 7 /���
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: ' MEC200 00585
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1
Phone: (503) 639 -4171 4'"�''
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/27/2006 TIME: 7:05AM PAGE: 34
SITE ADDRESS: 12790 SW WATKINS AVE CLASS OF WORK:
SUBDIVISION: NORTH TIGARDVILLE ADDITION LOT #: 031 TYPE OF USE:
PROJECT NAME: FLANNIGAN /SCHMIDT
DESCRIPTION: Replace furnace.
OWNER: FLANNIGAN /SCHMIDT, PAT & LESLIE PHONE #: 503 - 620 -9950
CONTRACTOR: JACOBS HEATING + NC PHONE #: 503 -234 -7331
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Inspection Request •Scheduled For: Date: ,11/27/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 040225-01 503 -234 -7331 N •
Corrections /Comments /Instructions:
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SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL VA CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: / v Date: 11 ()'7/ 1 6 Phone #: (503) 718- "2--9J