Permit 114 .. CITY OF TIGARD MECHANICAL PERMIT
: .
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00554
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/21/2007
PARCEL: 25111 CB -02601
SITE ADDRESS: 14925 SW 100TH AVE ZONING: R -3.5
SUBDIVISION: MURDOCK HILL LOT: 007 JURISDICTION: TIG
PROJECT: YOUNG
Project Description: Heat pump and air handler installation.
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: 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
BECKY YOUNG Description Date Amount
PO BOX 68043
OAK GROVE, OR 97268 [MECH] Permit Fee 9/21/2001 $72.50
[TAX] 8% State Surcha 9/21 /2001 $5.80
Total $78.30
Phone: 503- 352 -5177
Contractor:
D & R HEATING & AIR CONDITIONING
PO BOX 1292
CANBY, OR 97013 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -678 -2517
FAX 503- 678 -2097
Reg #: LIC 84489
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.
Issues = // // , Permittee Signature (2 Alp II [ f�+ ( fJ - yx
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.
Sep 21 07 10:49a DR Heating 503 -678 -2097 p.2
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Mechanical Permit Applicatio FOR OFFICE USE ONLY
City of Tigard RECEIVED �, . \ Permit �fe.: - /y� C
" 13125 SW Hall Blvd_, Tigvrd, OR 97223 v E� Received
Date/BY: 9/242407 LJV MF�� WS !'
II Plan Review
7 Phone: 503.639.47 71 Fax: 503.596.1960 S r ni Other Pe mil: �7 -9 ... ( _
Other E LF. I vvt0
TIGARD Ins Line: 503.639.4175 2 1 Z00 Date Read • : Juris:
w•.ti d-or. ov Ready/By: y S See Pane l Information
for
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P g CITY Ti6RF1a NotiftedMethod: '1 er Supplemental
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Q New construction ® Addition /alteration/replacement 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.
iI4 O`f;44'1<' t F Lt TUI'>' :s ' . ! sc V $
/ 514$TI1h
El 1- and 2- family dwelling ID Commercial/industrial 1~S=
❑ Accessory building
❑ Multi- family ❑ Master builder ❑ Other:
For special information checklist.
..::_ • =•I. es ton Ea. ota
r s e in o use checkl'
D Description Qty. I E I T l
`' it . 4C0 . `_J 1l 0.19 Q I� ,V1"'F.+'MA' g .. - Heating/cooling
Job site address: 14925 SW 100 Ave. Air conditioning or heat pump
(requires site plan showing placement) 1 I 14.00 14.00
City/State/ZIP: Tigard, OR 97224 Furnace 100,000 BTU (ducts/vents) 1 14.00 14.00
Furnace 100,000+ BTU (duets/vents) 17.90
Suite/bldg. /apt. no.: I Project name: Yo U NCB Gas heat pump 14.00
Cross street/directions to job site Duct work i 4.00
Hydronie 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 '
Flue/vent for any of above 10.00
Subdivision: I Lot no.: Other 10.00
Tax map/parcel no.: Other fuel appliances
, A max ._.' . i . .....s. ,_ . .. I't9iN bialirt"d2I : rt,i, .`; . ri J ::,. _ Water heater 1 10.00
xit ._ - ., Gas fireplace I 10.00
Heat pump & Air Handler Installation 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
- 2 .. g i „ . ;' 4 r Cnimney/liner /iluelvent 10.00
Other: _ 14.00 _
Name: Becky Young Environmental exhaust and ventilation
Address: 14925 SW I00 Ave Range hood /other kitchen
equipment 10.00
City/State /ZIP: Tigard, OR 97224 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (503)352-5177 L Fax: ( ) toilet compartments, utility rooms) 6.80 '
-. : t l?:,:zr s a (° a . . 1 �)I t: . . Atticicrawtspaee tans 10.00
ale ;te ._ . . _.__
Business name: D &R Heating and Mr Conditioning
Other: 10.00
Fuel piping
Contact name: Adam Singletary $5.40 for first four; 51.00 for each additional
Address: PO Box 1292 Furnace, etc.
Gas heat pump
City/State /ZIP: Canby, OR 97013 Wall/suspended/unit heater
Phone: (503) 67 8-2517 ! Fax: : (503) 678 -2097 Water heater
Fireplace
E -mail: drheatac @centurytel_net
Range
,, ara, a-. ..,_ _.. ,41.a _.. ..� , JY3`JEt. r .., z.:3 Y_. Barbecue
Business name: Same as Applicant Clothes dryer (gas)
Other:
Address: • -: ME0A,IO irg1tlT�I1T k ff' s;
City/State.:ZIP: Subtotal 28.00
Phone: ( ) Fax: ( ) Minimum permit fee (572.50) 72.50
Plan review (25% of permit fee)
CCB lie.: 84489 Slate surcharge (8% of permit fee) 5.80
TOTAL PERMIT FEE $78.30
Authorised signatur I_.;;?t17l.ta, - This permit application expires it a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Julene Carnahan Date: 9/21/07 . Fee methodology set by Tri- County Building Industry Service Board
I:0a11iId ine\F nits +.MEC- Pemrtrpp.doe c4n06,06 440-46171 (11;02 /coM /wEa)
Sep 21 07 10:50a DR Heating 503 -678 -2097 p.3
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SITE PLAN
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pn` DIRECTION
HOUSE
M
FROND'
STREET
Job Name
Address
•
Model #
Make
D &R HEATING AND AIR CONDITIONING
503 -678 -2517
CITY OF TIGARD _
I M BUILDING DIVISION PERMIT #: Mt C2007 -00551
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 912/12007
Phone: (503) 639 -4171 j ��p l iIi l
Inspection Requests (24 Hrs.): (503) 639 -4175 ~__..
INSPECTION WORKSHEET FOR DATE: 10/4/2007 TIME: 7:02Am PAGE: 71
SITE ADDRESS: 14925 SW 100TH AVE CLASS OF WORK:
SUBDIVISION: MURDOCK HILL LOT #: 007 TYPE OF USE:
PROJECT NAME: YOUNG
DESCRIPTION: Heat pump and air handler installation.
OWNER: YOUNG, BECKY PHONE #: 603-352-5117
CONTRACTOR: p & R HEATING & AIR CONDIl IONING PHONE #: 503-678 -2517
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Insp i ton Request Scheduled For: Date: 10/4/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
6% Mechanical final 066716 -01 503 678.2517 N � M
Corrections/Comments/Instructi A ei\-53 fry 4,1- . �j
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PASS [ PARTIAL APPROVAL ❑ CANCEL NO ACCESS
`, , AIL ❑ CALL FOR INSPECTION I i ADDITIONAL FEES ASSESSED
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Inspector: Date: V Phone #: (503) 718 -�
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