Permit ./' „,
CITY OF TIGARD
3111 MECHANICAL PERMIT
° ': COMMUNITY DEVELOPMENT PERMIT #: MEC2006 -00552
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/9/2006
PARCEL: 1 S134BD -09300
SITE ADDRESS: 11627 SW WOODLAWN CT ZONING: R -4.5
SUBDIVISION: PENN LAWN ESTATES NO.2 LOT: 021 JURISDICTION: TIG
Project Description: Replace furnace, add AC.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: MF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
GAS OUTLETS:
> 10000 cfm: '
Owner: FEES
ERIC & MICHELLE WOODWARD Description Date Amount
11627 SW WOODWARD
TIGARD, OR 97223 [MECH] Permit Fee 11/9/200€ $72.50
[TAX] 8% State Surcha 11191200E $5.80
Total $78.30
Phone: 503- 731 -8934
Contractor:
OHAC, INC.
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -538 -2953
FAX 503 -537 -2712
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: 77 r ,
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.
Nov 07,06 02: 00p MS Rentals, Inc. 503 - 537 -2172 p.1
•• Mechanical Permit '
ermit - � FOR OFFICE USE ONLY
b �
City of Tigard Received r
Date/13y: II q 0 i 0 j _ 4, 0 i ;9,64„ r;9,64„ ✓ permit No. �j ill
v
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 NOV 0 =� DateBy: Other Permit.
Inspection Line: 503.639 4175 t1 ll ( 2006 j,� _ Date Ready/By: tuns: H Sec Page 2 for
Internet: www.ci.tigand.or.us Notified /Method: Supplemental lnformatioo
CITY OF TIGARD
95ION COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction ® Addition/alteranon/replaceme,nt
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
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
® 1 and 2 - family dwelling ❑ Commercial/industrial ❑ Accessory building
For special information use checklist
❑ Multi - family ❑ Master builder ❑ Other: Descnption I Qty. I Ea Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address. 11 E-1 5` � C`i Air conditioning ho or heat p pump placement) '
YJ (requires site tan showing lacement 14 00
City /State /ZIP: 7 n ` Qr d r es 9-7 a a3 Furnace 100,000 BTU (ducts /vents) 1 14.00
Furnace 100,000+ BTU (ducts%veots) 17.90
Suite/bldg. /apt. no. Project name:
Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydromc 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 1 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
• . • , - DESCRIP OF WORK Water beater 10.00
Gas fireplace 10.00
H V PtC. Flue vent for water heater or gas
` fireplace 10.00
— -ct 1r n O r- -e, at. c '[1Y\A?T\ CZYIPr - l; C tU� U en l 11'103 Log lighter (gas) 10.00
.J Wood/pellet stove 10.00
Wood fireplace/insert 10.00
T PROPERTY OWNER I • 0 TENANT Ot Chimney/liner/flue/vent 10.00
Other. 10.00
Name: cZ1 C e t — tie . »Iar d Environmental exhaust and ventilation
' Range hood/other kitchen I
Address:' i f„a1 S W LLD QC� lf1t i r1 C+ equipment 10.00
City/State /ZIP: Clothes dryer exhaust 10.00
,� Single -duct exhaust (bathrooms,
Phone: ( 3 1 3 1 r CV { 31 Fax: ( ) toilet compartments, utility moms) 6.80
- Iii APPLICANT I❑ CONTACT PERSON, Atticicrawlspace fans 10.00
Other: 10.00
Business name: Oregon Heating and Air Conditioning
Fuel piping
Contact name: Rc3. hea� 15.40 for first four; $1.00 for each additional
Address: PO Box 397 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@oregonheating.com Range
' �� y,„_:_,...CONTRACTOR Barbecue
Business name O go ting and Air Conditioning (0/1 .A-)(, Clothes dryer (gas)
Other.
Address: PO Box 397 MECHANICAL PERMIT FEES*
City/State /ZIP: Dundee OR 97115 Subtotal
Phone: (503) 538 -2953 Fax: (503) 537 -2712 Minimum permit fee (S72.50)
Plan review (25% of permit fee)
CCBlie.:leirlr85 naiacp �J
g / / I /b /0 State surcharge (8% of permit fee)
(� ! jam L i TOTAL PERMIT FEE 30
Authorized signature: L , a 6 -C..Q> / ' 7 This permit application expires If a permit is not obtained within 180
days after it has been accepted as complete.
• Print name: Rat15S�e te, g� Date: 1l -- rI " — 4h Fec methodology set by Tri -County Building Industry Service Board
Otiulkinns •ItmnIte \Mr.(,- I•errnliApp doe 12.03 4404517T ( I I.V2/CUMiWEB)
Nov- 07,06 O2:OOp MS Rentals, Inc. 503-537-2172 p'2
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006- 006662
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/912006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/30/2006 TIME: 7:80AM PAGE: 75
SITE ADDRESS: 11627 SW WOODLAWN CT CLASS OF WORK:
SUBDIVISION: PENN LAWN ESTATES NO.2 LOT #: 021 TYPE OF USE:
PROJECT NAME: WOODWARD
DESCRIPTION: Replace furnace, add AC.
OWNER: WOODWARD, ERIC & MICHELLE PHONE #: 503 - 731 -89; i
CONTRACTOR: Ol-IAC, INC. PHONE #: 503-538-2953
Inspection 'Request Scheduled For: Date: '11 /30/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
698 Mechanical final 040419-01 503-538-2953 Y
•
Corrections /Comments /Instructions:
--f • I � ' _ .1 S" • .7 — r /6 7 ' • • / G _
•
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
• Inspector: Date: //— 3D -4 Phone #: (503) 718-