Permit r 1 I CITY F TI D MECHANICAL PERMIT
'° ,'. COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00154
4 t DATE ISSUED: 3/22/2007
TIG ARD` 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
" PARCEL: 25111 BB - 00700
SITE ADDRESS: 14305 SW 100TH AVE ZONING: R - 3.5
SUBDIVISION: TIGARDVILLE HEIGHTS LOT: 016 JURISDICTION: TIG
PROJECT: FISHER
Project Description: Install a /c.
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: 1 DOMES. INCIN:
ELE 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
NICK FISHER Description Date Amount
14305 SW 100TH
[MECH] Permit Fee 3122/2007 $72.50
�/ 6A 02 9 y [TAX] 8% State Surcha 3/22/2007 $5.80
Total $78.30
Phone: 503- 330 -5039
Contractor:
ABC HEATING AND COOLING
1424 NE 195TH
PORTLAND, OR 97230 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 939 -6993
Reg #: LIC 84007
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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//11 .��.—
Issued B / Per mittee Signature:(
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.
1Vlec ialnical Permit Application µ z, ` rt ; � ()R4 r lli�i,c� i "� '� ; ',
i
,` „ ' City of Tigard D Received , Permit No.: ,Air . . 7....
te
Ill ° 1 3125 SW Hall Blvd., Tigard, OR '6� :
• i' ' Phone: 503.639.4171 Fax: 503.5',,. , :_ Plan Review Other Permit:
- e. D Inspection Line: 503.639.4175 D ate/Re
�T� It oo7 Date Ready/By: Ju. ® See Page 2 for
YCST�.".3Slli,R'i:A1 Internet: www.tigard or.gov MAR % 2 2 Notified/Method: / a Supplemental Information
Y OF 'f IGABD
TYPE OF ' lin D1V9S!ON COMMERCIAL FEE* SCHEDULE — U CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction $ 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: $
Pit RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
1 and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other:
Description 1 Qty. I Ea. I Total
• JOB SITE INFORMATION AND LOCATION Heating /cooling
Air conditioning or heat pump 1
Job site address: "c�3 sue` /0 1µ 14.00 /4 '
(requires site plan showing placement) `
City /State /ZIP: 77;%,2 2 � evZ q72z_i-/ 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
Subdivision: Lot 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
Gas fireplace 10.00
,v(, A fo i /4ti‘,2„ 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
IR PROPERTY OWNER I ❑ TENANT Chimney /liner /Flue/vent 10.00
Other: 10.00
Name: niosz 5 6 ta c -, it (cc 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: ( ) Fax: ( ) • toilet compartments, utility rooms) 6.80
51, APPLICANT • ❑ CONTACT :PERSON Attic/crawlspace fans , 10.00
Business name: Age ���t T `, /_ + a, S Q 4 4 /
Other: 10.00
Fuel piping
Contact name: D pM p/1.J 4.6■42 $5.40 for first four; $1.00 for each additional
Address: / j/2q /....1€ /9-�� Furnace, etc.
Gas heat pump .
City /State /ZIP: p°g -7 ( it/A.:.7 19/Z 9 /72,6 Wall/suspended/unit heater
Phone: (t5o_3) 5.739_ `J Water heater
6,' 2 Fax::.(- ) - - .. Fireplace -
E -mail: Range
CONTRACTOR • Barbecue
Business name: s',b,.y -k€ Clothes dryer (gas)
Other:
Address: MECHANICAL PERMIT FEES* :. •
City /State /ZIP: Subtotal
Minimum permit fee ($72.50)
Phone: ( ) Fax:( )
Plan review (25% of permit fee)
CCB lic.: ! qy Q 7 !�, / 2 / State surcharge (8% of permit fee)
(! / Jr 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.
Print name: p4,,,, Diu ‘ Date: 3 — 07 • Fee methodology set by Tri- County Building Industry Service Board
I:\ Building \Pennits\MEC- PermitApp.doc 04/06/06 440 -4617T (1 I /02/COM/WE
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.
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Note: All new commercial buildings require 2 sets of plans.
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CITY.OF TIGARD
BUIL DIVISION PERMIT #: MEC2007 -0015A
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/22/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 -__..
INSPECTION WORKSHEET FOR DATE: 6/25/2007 TIME: 7:01AM PAGE: 55
SITE ADDRESS: 14305 SW 100TH AVE CLASS OF WORK:
SUBDIVISION: TIGARDVILI.E HEIGHTS LOT #: 016 TYPE OF USE:
PROJECT NAME: FISHER
DESCRIPTION: Install alc.
OWNER: FISHER, NICK PHONE #: 503-330.5039
CONTRACTOR: ABC HEATING AND COOLING PHONE #: 503- 939-6993
Inspection Request Scheduled For: Date: 6/25/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 050814 -01 503.330.5012 Y
Corrections /Comments /Instructions:
AS S J n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
1 FAIL I CALL FOR INSPECTION _ ADDITIONAL FEES ASSESSED
• Inspector: - , Date: — —off Phon #: (503) 718- Za,z/Z_
CITY OF TIGARD •
BUILIDING DIVISION PERMIT #: MEC2007-00154
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/22/2007 '
Phone: (503) 639 -4171 �" ,r; (
Inspection Requests (24 Hrs.): (503) 639 -4175 �-;y °'III 0i,,,,,_
INSPECTION WORKSHEET FOR DATE: 4/9/2007 TIME: 7:01A1V1 PAGE: 51
SITE ADDRESS: 14305 SW 100TH AVE CLASS OF WORK:
SUBDIVISION: TIGARDVILLE HEIGHTS LOT #: 016 TYPE OF USE:
PROJECT NAME: FISHER
DESCRIPTION: Ire: stall a /c.
OWNER: FISHER, NICK PHONE #: 503 - 330.5039
CONTRACTOR: ABC HEATING AND COOLING PHONE #: 503.939.6993
Inspection Request Scheduled For: Date: 4/9 /2007 Pour Time: 4- 1 ` _
Code # Inspection Description Confirm # Contact # Message
7
699Qi Mechanical final 046161 -01 503 - 201 -8959 Y IX S Y .
Corrections /Comments /Instructions:
0 /(10 7--- a. .„..) . / 5 3
5 .
•
Alp M f .. j/=541-‘)/(.266;-- A/07" i �s re /7 6_ ;,y 77 49.
y_s k., ' _ PASS n PARTIAL APPROVAL n CANCEL El NO ACCESS
1 1) ij7 FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
\Inspector: Date: 1 Phone #: (503) 718 -
r,
CITY OEITIO`ARD
BUILDING DIVISION PERMIT #: MEC2007 -001&
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/22/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 - 4175''
INSPECTION WORKSHEET FOR DATE: 3/29/2007 TIME: 7:OOAM PAGE: 59
SITE ADDRESS: 14305 SW 100TH AVE CLASS OF WORK:
SUBDIVISION: TIGARDVILLE HEIGHTS LOT #: 016 TYPE OF USE:
PROJECT NAME: FISHER
DESCRIPTION: Install a/c.
OWNER: FISHER, NICK PHONE #: 503 - 330 -5039
CONTRACTOR: ABC HEATING AND COOLING PHONE #: 503-939-6993
Inspection Request Scheduled For: Date: 3/29/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 045618 -01 503 - 201 -6959 N
cam, Corrections /Comments /Instructions:
A, /j
ifs 1 '' / ry.d." i t _ ✓�.. =L �-'�+ G LL•/
I PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
•
Inspector: Date: 3 Phone #: (503) 718-
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: MEC2007 -00154
13125 SW Hall Blvd., Tigard, OR 97223 -•-•-- DATE ISSUED: 3/2212007
Phone: (503) 639 -4171 !i
Inspection Requests (24 Hrs.): (503) 639 -4175 __
INSPECTION WORKSHEET FOR DATE: 3/26/2007 TIME: 7:O0AM PAGE: 55
SITE ADDRESS: 14305 SW 100TH AVE CLASS OF WORK:
SUBDIVISION: TIGARDVILLE HEIGHTS LOT #: 016 TYPE OF USE:
PROJECT NAME: FISHER
DESCRIPTION: Install a/c. •
OWNER: FISHER, NICK PHONE #: 503 - 330.5039
CONTRACTOR: ABC HEATING AND COOLING PHONE #: 503. 939-6993
Inspection Request Scheduled For: Date: 3/26/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 045337 -01 503. 201 -6959 Y
Corrections /Comments/ Instructions:
y .. O ___/
PASS 4 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: AI -[/ Date ) F /! Phone #: (503) 718 -