Permit 171 C ITS F TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00748
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/26/2007
PARCEL: 25111 BD -00506
SITE ADDRESS: 14980 SW 98TH AVE ZONING: R -3.5
SUBDIVISION: DARMEL LOT: 006 JURISDICTION: TIG
PROJECT: ROEMHILDT
Project Description: Replace furnace, install heat pump.
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:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
MARION L. ROEMHILDT Description Date Amount
14980 SW 98TH AVE
TIGARD, OR 97224 [MECH] Permit Fee 12126/20C $72.50
[TAX] 8% State Surcha 12/26/20( $5.80
Phone: Total $78.30
Contractor:
TRI COUNTY TEMP CONTROL
13150 S. CLACKAMAS RIVER DR
OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -557 -2220
FAX 503 -557 -0919
Reg #: LIC 72623
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laves. 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 Bygp Permittee Signature: - GCC', 'TY')
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.
" DEC - 6 -2007 03:33P FROM: TO:5035981960 P.1
Mechanical P FOR OFFICE USE ONLY
Perm* ica
City of Tigard
a e C C f" 2001 Received 1 ,, --ad
�, , DateBy:,� S ♦ I� Permit No.. A
13125 SW Hall Blvd., Tigard, OR 972 Plan Review
Phone: 503.639.4171 Fax: 503.5�&. j�O�t�o OF i�t �;n,t �\ Date/By: Other Permit
Inspection Line: 503.639.4 175 VV ® I
g BUILDING 1 ^ I {v�S� ` a l�. _� Date Ready /By: Jur't� ® See Page 2 for
Internet: www.ci.tigard.or.us vv Notified/Method. ' Supplemental Information
ni t -w ;�e i:i,+' � 'P'W' T,', ; - "'rF'- �:;, 'CO'NIl�O: ; I'• E *; SCHEU.UtiE' 'U SEiCHECKLIST-
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❑ New construction Addition /alteration/replacement Mechanical pennit 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
ro■ 'a 'Y.'tw ;, i ;i e 1 ._,uFg,, ca r'..: , a: m', ;: Value: $
>ax pr; " `Ii , - :.. !,s.. ,.. ! ;, , . _, � O�C4�1 { � �S � TR T I �T�ON '_', ,. .::'',.''':•••';',:,-':-, '
7tESIDENTIAG'EQUIPMENT /'SYSTEMS FEES*
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1- and 2- family dwelling ❑ Commercial/industrial aster b u ldr ❑ Accessory building
Multi - family ❑M For speciel information use checklist.
Master builder ❑ Other:
yy Description Qty. Ea Total
WF"H y l�l�!. 'S �r ,. .. q . r. �u1`• 'J tl !J S�: `, 1 . , , ., _
F.,tz' •'s° a �1U yi :r,.V�;`i. '0,01 ITE 1- 0*A1#Qht'. 1: it 601.01 , -- ,. 7 "';�"_ ;- ,:• , Heating/cooling
Job site address: 10a O N 1 Air conditioning or heat pump
� � � �� + (requires site plan showing placement) 14.00
City/State/ZIP: I / State/ZIP: Furnace 100,000 BTU (ducts/vents) ( 14.00
Furnace 100,000+ BTU (ducts /vents) 17,90
Suite/bldg. /apt. no,: Project name: 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
n, Y r . r W to. Go ,'� !`;t `4. s i. c. 1. ;:1: y Y,l; na ,,,,i . •q !;, y;
,�. l�"k1? �.t +u"',.;•�€ :;{ � ..I ,.sre•P.rY, ,�„ �,,rilr. t l. ,- ' i Water heater 10.00
1 ,}° - `� •, �, 1i:-4 ' c- .41 IbVl, ?( F.• W 1;'» � c: f! 'IHII, „ u. ,y,t;�:,
!'la, 3 +li� :x..'`!� ?� ., .,, .f ,U.�IL.tt._ 10.00
l":v �.._?� f v. i- p, ,•� •,... tn,,,.�.r �:,. Gas fireplace
Flue vent for water heater or gas
�p�In� ` � nry �� ' �/1,�st1 ( fn Ot fireplace 10.00
10.00
''L. tezo ' IAA (IL�IJC ., iJ�(i �(,(,�{' Log lighter (gas)
1 Wood /pellet stove 10.00
Wood fireplace /insert 10.00
1' , .O R a , f, • a Chimney /liner /flue /vent 10.00
RIME L' M ,��•° �i� R ' A 5 ' 1 r N
-�'�. ��. ,a .; � 1� 1� ?, �et� � �.! ..� : AM. : 4:.ia" Other: 10,00
!
t ` I '� ■TITi • Environmental exhaust and ventilation
Address: OM Range hood /other kitchen
equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone:
7� _ / '
�) � 1 Fax: ( ) toilet compartments, utility rooms) 6.80 .
, , ,4, '., }6?i alai .. Y7 . O 7,.. ^'.'rlk• i� . RI,Ii L-,7 ..., 1 ,74, tci = Attic /crawlspace fans 10.00
9lfdi anF i•aa� g� tti ' r , • ' , :tiills;:a' k... ' },!If ' ; P,..,!ti;N,.r.. .�Y..,•,
-1 y (t•1I l 1 - Temp mp r/' }-� r4. fi Other: 10.00
Business name: Trf Cc�tu `' I Fuel elping
Contact name: r 1 $5.40 for first four; $1.00 for each additional
Address: 0 1'J0 0 0 [al ka 1(1 N c C V ` IP .t Furnace, etc.
Gas heat pump
City/State /ZIP: (t''Cjet1 (J ill 0(Q C.(7!4 : 5 Wall/suspended /unit heater _
Phone: ( .•.?)) c5.5 T-- 2226 Fax:: ( 3) � 5 :f v i Water heater
Fireplace _
E -mail: Range _
!r m•w r �r,�; .:k'" -:'.7n;t:k 1' ¢ 9rtn"':. T
;fi' nit' '5�7� ;i`! , 5::ni , "'li, *,`P•...y i ?, � A)3i !i'i:., i.,t� ' .�
a ' 6 _ ^ 4 1 y i ; «,:; ".• -- y `/�- jet {�,� +( }? / 01 ! t' t., 1.1;• • s v;'-.. "' ,•a i Barbecue
��flk3.' • rF�i YN ` 4 '''IFt, ;titi + �G•f�. '4�9'i.i,J�*� ' •• h :� -.,
Business name: Ti'i ((Ltl T?'!) I3 l Clothes dryer (gas)
( . �/, /Ij/� j, / Y Tilt' f ( � f� �•� ' "
{ Other:
Address: 7 (CJ(' () l , C fr. Y 143 ij �Jl C'( ! 1O 1' C ; ` '. . ,,mp.ci apio ;P_ RMI I'•.:P EES *
City/ State/ZIP: E_ il,f-(1. I) ()-( C1, (- Subtotal
Phone: (5073) C 'r% "'- ) 2C � 0 Fax: (V)Q rl ) 0 j 1•� Minimum permit fee ($72.50)
�� G 7 `�✓ / 1 - 1 • L I Plan review (25% of permit fee)
GCB lic.: "72.10 �:J a) State surcharge (8% of permit fee) _
f TOTAL PERMIT FEE 60'.
Authorized signature: . -j t' j"L ` 7) .0 �� Thi permit application expires If a permit is not obtained within 180
lI 1 I days after It has been accepted as complete.
-
Print name: Na ,i,,i j(ii) Date:1l.(219J • Fee methodology set by Tn-County Building industry Service Board
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CITY OF TI ��
GAI�D ,
BUILDING DIVISION ` �T' PERMIT #: ME0'2007- t 7Q8
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/260007
Phone: (503) 639 -4171 ,azoi � �l
Inspection Requests (24 Hrs.): (503) 639 -4175 ':_�
INSPECTION WORKSHEET FOR DATE: 1/4/2008 TIME: 7:01AM PAGE: 35
SITE ADDRESS: 11980 SW 9t H AVE CLASS OF WORK:
SUBDIVISION: DARMEL LOT #: 006 TYPE OF USE:
PROJECT NAME: ROEMHILDT
DESCRIPTION: Replace furnace, install heat pump.
OWNER: ROE!MHILDT, MARION PHONE #:
CONTRACTOR: TRI COUNTY TEMP CONTROL PHONE #: 503- 557 -2220
Inspection Request Scheduled For: Date: 114/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 052570 -01 503.557 -2220 Y A-1,14
Corrections /Comments /Instructions: I
6 '
1
1
1
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, ,. SS _ PARTIAL APPROVAL El CANCEL ❑ NO ACCESS
❑ FAIL n CALL FC i INSPECTION n ADDITION L FE S ASSESSED
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Inspector: ? Date: Phone #: (503) 718-
1