Permit !pi : C ITY TIGARD MECHANICAL PERMIT
° . COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00266
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/9/2007
PARCEL: 2S112BC -02500
SITE ADDRESS: 14710 SW 84TH CT ZONING: R -4.5
SUBDIVISION: HAMBACH PARK LOT: 009 JURISDICTION: TIG
PROJECT: PARTH
Project Description: Install 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: 1
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
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: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
PARTH UWE Description Date Amount
14710 SW 84TH CT
TIGARD, OR 97224 [MECH] Permit Fee 5/9/2007 $72.50
[TAX] 8% State Surcha 5/9/2007 $5.80
Total $78.30
Phone: 503- 624 -3775
Contractor:
OREGON HEATING & AC
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -538 -2953
• FAX 503 -537 -2172
Reg #: LIC 172126
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued B • i/ J , L ,..I // Permittee Signature: 54 )942h -A tili
Call 503.639.4175 by 7:00 a.m. for inspections that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
May 09 07 09:22a Oregon Heating & A/C 503 - 537 -2172 p.1
Mechanical Permit Application FOR OFFICE USE ONLY
I City of Tigard Received
Permit No - •
1I _ COI —� , (O
2 � 13125 SW Hall Blvd., Tigard, OR IVE® ate
Plan Review
Phonc: 503.639.4171 Fax: 503.1Ry11' DaterBy: Other Permit.
TIGARD Inspection Line: 503.639.4175 Date Ready /By: Juris: el Sec Page 2 for
Internet: www.tigard- or.gov MAY ((`` �� - 9 2007 Notified/Method: ¶ a - Supplemental Information
TYPE O
� IC;F TIGARD COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
ED C' DIVISION
❑ New construction 12,1
Addition/alteration/ Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: .$
RESIDENTIAL EQUIPMENT / SYSTEMS FEES* .
® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 1 141 I Q SW U 1 }h Ck. • Air conditioning or heat pump
(requires site plan showing placement) 14.00
City/State/ZLP: 1 ri Ty a1aaq Furnace 100.000 BTU (ducts/vents) ) 14.00 t . 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
hydroaic) 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 10.Qp
Other: _ 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
HVAC- Flue vent for water heater or gas
_ fireplace 10.00
Sna Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
•
Chimney/liner /flue/vent 10.00
PROPERTY OWNER
' . . ❑ TENANT Other: 10.00
w Name: t )(3.12 ¶r' -h Environmental exhaust and ventilation
/ �^ Range hood/other kitchen
Address:
1Lfl to SW 3 4 l .. equipment 10.00
City/State /ZIP:T(Qrd q� as Clothes dryer exhaust 10.00
c..) ''. 1 ``J Single -duct exhaust (bathrooms,
Phone: ( ) 4 - 31 Fax: ( ) toilet compartments, utility rooms) 6.80
l APPLICANT . .. 0 CONTACT PERSON Attic /crawlspace fans 10.00
Other 10.00 ,
Business name: Oregon Heating & A/C Fuel piping
Contact name: RPl'� $5.40 for first four; $1.00 for each additional
Address: PO BOX 297 Furnace, etc. _
Gas heat pump
City /State/ZIP: Dundee OR 97115 Wall/suspended/unit heater
Phone: (503) 538 -2953 Fax:: (503) 53'7-2172 Water heater
Fireplace
E -mail: Range
CONTRACTOR . . .. Barbecue
Business name: Oregon Heating & A/C 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 -2172 Minimum permit fee ($72.50) -IQ,
Plan review (25% of permit fcc)
CCB lie.: 172126 State surcharge (8% of permit fee)
TOTAL PERMIT FEE `7 , ,�j(} _
Authorized signature: This permit application expires if a permit is not obtained within 180
9� � I � (Q�, days after I t has been accepted as complete.
Print name: -(- ��(`��( Ip C tT D 1 N Date: 5 - 9 -f'�"1 ' Fcc methodology set by Tri- County Building Industry service Board
1: tBuilding�PnmitsVM . Pain itApp.doc 04106.'06 410-1617T (1 UOD'COM•'W'EB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00266
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/2007
Phone: (503) 639 -4171 "
Inspection Requests (24 Hrs.): (503) 639 -4175 _ ''f I
INSPECTION WORKSHEET FOR DATE: 5/17 /2007 TIME: 7:00AM PAGE: 42
SITE ADDRESS: 14710 SW 84TH CT CLASS OF WORK:
SUBDIVISION: HAMBACH PARK LOT #: 009 TYPE OF USE:
PROJECT NAME: PARTH
DESCRIPTION: Install furnace.
OWNER: UWE, PARTH PHONE #: 503- 624 -3775
CONTRACTOR: OREGON HEATING & AC PHONE #: 603.536 -2953
Inspection Request Scheduled For: Date: 5/17/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 046503 -01 503 - 536 -2953 Y
Corrections /Comments/ Instructions:
2) Z4 -e L: r./- 444 c AL o A 4 Oat. 47 5 I 2¢ 9' e ' 42 Go ,€ -i 4 e4/
- 2_ - ' -
• .,: e .�� /GEC.
•
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: (.5 —e7 Phone #: (503) 718- /