Permit Er CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00280
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/15/2007
PARCEL: 25111 BA -02700
SITE ADDRESS: 14045 SW 98TH AVE ZONING: R -4.5
SUBDIVISION: MCDONALD ACRES LOT: 002 JURISDICTION: TIG
PROJECT: DENISON
Project Description: HVAC 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: 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
DENISON, GARY R Description Date Amount
MORALES - DENISON, MICHELE
14045 SW 98TH AVE [MECH] Permit Fee 5/15/2007 $72.50
TIGARD, OR 97224 [TAX] 8% State Surcha 5/15/2007 $5.80
Phone: Total $78.30
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 By4:4011110i1 f j rid Permittee Signature: E /p� l( C`M' �
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 15 07 01:45p Oregon Heating & A/C 503 - 537 -2172 p.1
ICte Permit A. s • licaitiQ _ , FOR OFFICE USE ONLY
t 6� eceivcd
Illir City of T i J and . 4? " ate r B V : � J IS 0 , Permit No.: ,�w -"- 00;0 13125 SW [fall Blvd., Tigard, OR 97 ' .. i.3 "Pfau Rev iew Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 Date:By:
TiGAAD Inspection Line: 503.639.4175 A 5 Date ReadylBy: El See Page 2 for
and -or. ov h
g g
Internet: www.ti 1 1 200 1 Notified /Method: f r Supplemental Information
TOTE (�F p WORK''' `" . �' ' tI\.L COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
=4 T 1 a . d • t 7 g t . vrx rjf •J( I� Mechanical permit fees* are based on the value of the work
❑ New construction ® Additionlalteratlon!replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $
CATEGORY OF CONSTRUCTION
, ' RESIDENTIAL EQUIPMENT I SYSTEMS FEES*
®1 - and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist.
❑ Multi family ❑ Master builder ❑ Other: Description I Qty. I Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
` + Air conditioning or heat pump
Job site address: ' 1�l �� q l \ (requires site plan showing placement) 14.00
City/State/ZIP: _ C Furnace 100,000 BTU (ducts/v�ents) I 14.00 I / I , 00 y TLo r d l � 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
Flueivcnt for any of above ‘ 10.00 10.00
Subdivision: Lot no.: Other. 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION .OF WORK ... Water heater 10.00
Gas fireplace 10
HV AC - , - \. S � a m F 1lOC e 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 El TENANT
Other. 10.00
Name: � �e -» vQ " Environmental exhaust and ventilation
(� Range hood/other kitchen
Address: 1LI (; , ` u, -lg + �, Yl , „ equipment 10.00
City /State /ZIP:'7 � C (4 cfl Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (603) 4 — 3R `7 7 Fax: ( ) toilet compartments, utility rooms) 6.80
A / fans 10.00
® APPLICANT ❑ CONTACT PERSON 10.00
Other:
Business name: Oregon Heating & A/C Fuel piping
Contact - h OS1,\ e 11 e $5.40 for first four; 51.00 for each additional
Furnace, etc.
Address: PO BOX 297 Gas heat pump
CityiState /ZIP: Dundee OR 97115 Wall/suspendedrunit heater _
Phone: (503) 538 -2953 Fax: : (503) 537 -2172 Water heater
Fireplace _
E -mail: _ Range
CONTRACTOR Barbecue
Clothes dryer (gas)
Business name: Oregon Heating & A/C Other.
Address: PO BOX 397 MECHANICAL PERMIT FEES* .
City /State /ZIP: Dundee OR 97115 Subtotal ,.. LI.00
Minimum permit fee (572.50) 'j,
Phone: (503) 538 -2953 Fax: (503) 537 -2172 Plan review (25% of permit fee)
CCB lie.: 172126 State surcharge (8% of permit fee)
TOTAL PERMIT FEE - 1 ; , e
This permit application expires if a permit is not obtained within 180
Authorized signature: • t\ I i 1 days after it has been accepted as complete.
Print name: RMhene B Date: ----JS 07 l
• Fee methodology set by Tri- County Building Industry Service Board
I'•. Building Pcmrits\MEC- Peimit•\pp.doc 04106106 440- 4617T(111021CONVWEB)
.f r
CITY OF TIGARD
BUILDING DIYISI'ON PERMIT #: MEC2007 -00280
13125 SW Hall Blvd.; Tigard, OR 97223 DATE ISSUED: 5// 52007
Phone: (503) 639 -4171 ta74 Ul�i`� 1
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/13/2007 TIME: 7:00AM PAGE: 63
S ITE ADDRESS: 14045 SW 98TH AVE CLASS OF WORK:
SUBDIVISION: MCDONALD ACRES LOT #: 002 TYPE OF USE:
PROJECT NAME: DENISON
DESCRIPTION: HVAC install furnace.
OWNER: DENISON, GARY R, PHONE #:
CONTRACTOR: OREGON HEATING & AC PHONE #: 503.53B-2953
Inspection Request Scheduled For: Date: 7/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 051875 -01 503- 684 -3947 Y
Corrections /Comments /Instructions:
i
ASS PARTIAL APPROVAL ❑ CANCEL H NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 Date: / # 2 Phone #: (503) 718-