Permit u a C ITY �I MECHANICAL PERMIT
7 1
1" COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00474
' t r -° a DATE ISSUED: 7/31/2007
TrG:n 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S112AB -01200
SITE ADDRESS: 07325 SW BONITA RD ZONING: I -L
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: HORIZON RESTORATION
Project Description: TI - Replace air handler & coil, new duct work & grilles. Project Value: $8,700
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: 1 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: 1 COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
TENNANT INVESTORS Description Date Amount
PO BOX 1658
PORTLAND, OR 97207 [MECH] Permit Fee 7/31/2007 $208.10
[MECPLN] Plan Rev 7/31/2007 $52.03
[TAX] 8% State Surchar€ 7/31/2007 $16.65
Phone: Total $276.78
Contractor:
HVAC INC
5188 SE INTERNATIONAL WAY
MILWAUKIE, OR 97222 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 462 -4822
FAX 503- 462 -6555
Reg #: LIC 50897
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center.
Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OU NC by
calling 503.246.6699 or 1.800.332.2344.
j r
Iss By: ' /$ , /. .. .
Permittee Signature. -� r CJ 4 0'
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 PermitApplication . FOR OFFICE USE ONLY
C o f Tigard ` Received Date/By: 15/ D Permit f�(/ 'a I 7 /f
13125 SW Hall Blvd., Tigard, OR 97223
Plan ev
Plan R Review 1,0-.7
Phone: 503.639.4171 Fax: 503.598.1960 �
� Other Permit:
� �+
Date/By: Line: 503.639.4175 I I -' • 1 2/00 � � ( 1i y r
j ej • — s �. w D Read y: tuns 0 See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: / Supplemental Information
.. " * TYPE OF WORK ' " - `` - • COMMERCIAL' FEE* SCHEDULE USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction ✓ SlAdditio Iter ti placement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY CONSTRUCTION ' . - -
Value: $ Y 7OO.. or)
❑ 1- and 2- family dwelling &CommerciaUindustrial RESIDENTIAL EQUIPMENT /SYSTEMS FEES *:
❑ Accessory building
❑ Multi- family 0 Master builder For special information use checklist.
❑ Other: Description 1 Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling,
Job site address: 73,R 5 Sc) Qe- u,.t ._ ,J Air conditioning or heat pump
(requires site plan showing placement) 14.00
City /State/ZIP: I r q �,•� O rp 9`7 � Z3 Furnace 100,000 BTU (ducts/vents) 14.00
�J ) " Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: ReriAta.,0 7 .1• Gas heat pump 14.00
Cross street/directions to job ste: 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
r Gas fireplace 10.00
r e �Q.( P. aw- ha/Ad (A, a C..10 t 11 2/°C•.) Flue vent for water heater or gas
/ / fireplace 10.00
Dr � cP g r a ( Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
❑ PROPERTY OWNER ' ❑ TENANT
Chimney/liner/flue/vent 10.00
Other: 10.00
Name: 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
t APPLICANT'. ' CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name: /�
vA- 0 Claj i ---i Fuel piping
Contact name: 2414 (I.II 5.40 for first four; 51.00 for each additional
Address: I Furnace, etc.
Gas heat pump
City /State/ZIP: WalUsuspended/unit heater
Phone: ( ) Fax:: ( ) Water heater
Fireplace
E -mail:
Range
CONTRACTOR Barbecue
Business name: f VAC I .L_. Clothes dryer (gas)
Other:
Address: 6 i R, ( � E, ` �-1 A 0' 6( ) 0)/ '." • .MECHAMCAL PERM_ <
IT FE .
^ -
City/State / M (f �„"' ' c ! l O ejyl q7222—. Subtotal
/� r p 1 Minimum permit fee ($72.50)
Phone: ( fC0 A` ('{a � D D Fax: ) �7C0e _ ( ✓ 5 Plan review (25% of permit fee)
CCB lic.: 50 gq 7 State surcharge (8% of permit fee)
TOTAL PERMIT FEE
: This permit application expires if a permit is not obtained within 180
Authorized Signature
� � days after it has been accepted as complete.
Print name: SVl e,„ r t e _ . Y3 vn SitrrN Date: `] 1 BA 107 • Fee methodology set by Tri-County Building Industry Service Board
J
i:\ Building1PermirsWIEC- PermitApp.doc 12/03 440-1617T (11 /02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT, #: - MEC2007-00474
13125 SW Hall Blvd., Tigard, OR 97223 . DATE,ISSUED: •7131f2(g)7
Phone: (503) 639 -4171 ����� -,, iiillk
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nspection Requests (24 Hrs.): (503) 639 - 4175 44' IL , 1--
INSPECTION WORKSHEET FOR DATE: 8/2912007 TIME: 7:00X +:/ PAGE: 27
SITE ADDRESS: 07326 SW BONITA RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HORIZON RESTORATION
DESCRIPTION: TI • Replace air handler & coil, new duct. work & grilles. Project Value: $U', 100
OWNER: TENNANT INVESTORS, PHONE #:
CONTRACTOR: HVAC INC PHONE #: 50:3
Inspection Request Scheduled For: Date: 8/29/2007 `� Pour Time:
Code # Inspection Description Confirm # Contact # M age
699 Mechanical final 051820-02 50a.462 -4822 Y
Corrections /Com ents/lnst ctions:� j ~����
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„1 PASS I I PARTIAL APPROVAL • CANCEL ❑ NO ACCESS
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I -FAIL n CALL FOR INSPECTION %i : ' DDITIONAL FEES ASSESSED
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Inspector: l,/(A " Date: Phone #: (503) 718 v
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CITY OF TIGARD
' BUILDING DIVISION PERMIT #: MEC2007-00474
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/31/2.007
Phone: (503) 639 -4171 ° ; ^. , flit
Inspection Requests (24 Hrs.): (503) 639- 4175,
INSPECTION WORKSHEET FOR DATE: 8/16/2007 TIME: 7 :OOAM PAGE: 36
SITE ADDRESS: 07325 SW BONI CA RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HORIZON RESTORATION
DESCRIPTION: TI - Replace air handler & coil, new dint work & grilles. Project Value: $8,700
OWNER: TENNANT INVESTORS, PHONE #:
CONTRACTOR: HVAC INC PHONE #: 503 - 4(24822
Inspection Request Scheduled For: Date: 8/16/2007 Pour Time•„
Code # Inspection Description Confirm # Contact # Me: :ge
615 Mechanical rough -in 054121 -01 503 - 462 -4822 Y
Corrections /Comments/ Instructions:
. L (AA S T e, S Q71•rvtS
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13 v64,v--2.-L,v-k _ (-evs\•J -
PASS ARTIAL APPROVAL ❑ CANCEL NO ACCESS
U FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
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Inspector. \ j1/ Date: `'` I $ Phone #: (503) 718- - V - 2")