Permit C ITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00368
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/16/2008
PARCEL: 2S104AB -06200
SITE ADDRESS: 12184 SW 131ST AVE ZONING: R -4.5
SUBDIVISION: MORNING HILL NO. 4 LOT: 091 JURISDICTION: TIG
PROJECT: HIGGINS
Project Description: Replacing furnace and installing A/C.
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: 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:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
GREG HIGGINS Description Date Amount
12184 SW 131ST AVE
TIGARD, OR 97223 [MECH] Permit Fee 7/16/200E $72.50
[TAX] 12% State Surch 7/16/200E $8.70
Total $81.20
Phone: 503 -524 -4772
Contractor:
TRI COUNTY TEMP CONTROL
13150 S. CLACKAMAS RIVER DR
OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS
Contact #: PR! 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 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 By: .. .a a ,d" . .. l _ Permittee Signature:
GYt�
` Call 503.•• 175 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.
JUL -16 -2008 08:20A FROM: TO: 5035981960 P.1
-Mechanical Permit Application D I- OROFrlc I I si o!4A•u',1; , ,,, rt '''W
,,b . e a t r r
' ' City of Tigard Received
Date/
. 4 131 Hall lvd, Tigard, OR 97 ti �� � QQ Y ;,ft ���� Permit No /� _ �V�� Plan R : Phone: 503,639.4171 Fax: 503.598, 11� c ' 6 � Date/B
Date/By.
Other Pcmrt:
. 1 . 1.6 . 1 0 1 n Inspection Line: $03.639.4175 s \\ 0 0 p re Ready/By ions WI See Page 2 for
Internet: www.tigard or.gov � 1�. oti5ed/Mcthod 730 Supplemental Information
QV �Nts
TYPE OF WORK D1� COMMERCIAL FEE" SCHEDULE - USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction X Addition /alteratiol�cr cerent
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
Multi - family ❑Master builder For special it formallon use checklist
❑ Other: Description Qty. ha. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 12 C VV 131 t) Air conditioning or heat pump
(requires site plan showing placement) I 14.00 1% tx�
City /State /ZIP: V _lrzz.b Furnace 100,000 BTU (ducts /vents) 14.00 P-1.0u
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg, /apt, no.: Project name: v 5 Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
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. 14.00 // r'`
Subdivision: Lot no.: Flue /vent for any of above I 6.80 (9 t. � )
Other: 10 00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater _ 10,00
n,,,�� nn p {t/b(��I Flue vent 1000
T )? . a ,! 1 1 � Flue vent for water heater or gas
/� tr anC }'y/W fireplace 10.00
t J 11 K• (/It /l Log lighter (gas) 1000
Wood /pellet stove I0 00
Wood fireplace /insert 10.00
Chimney /liner /flue /vent 10.00
ti; PROPERTY O ❑ TENANT Other 10.00
Name: q +No Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 10.00
City /State /ZIP: Clothes dryer exhaust 10.00
) 6 trl'L, Fax:
Single-duct cp exhaust s (bathrooms,
Phone:
( ) toilet compartments, utility rooms) 6.80
%APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 1000
Business name: ether: 10.00
Fuel piping
Cuntat:t name: Vat- , MCfrr1 $5.40 for first four; $1.00 for cacti additional
Address: Furnace, etc. I
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: ( ) F x:: ( ) Water heater
Fireplace
E -mail:
Range
CONTRACTOR Barbecue
Business name: � r LSO I � � � �] ( �, Clothes dryer (gas
i 3 LSO e. m � 'r Wd / C I l• PERMIT FEES" Other:
Address: MECHAN PERMI
City/State /ZIP: O� 0� 0� C� Subtotal
5 57 ` ' 1 n 6676 v! Minimum permit fee ($72 50) '7d, S.0 Phone: ( Fax: ( �+ Plan review (25% of permit fee) — CCB lie.: 12_1622) State surcharge (12% of permit fee) T
• TOTAL PERMIT FEE W J
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: swityit )a I Date: 7(4c O • Fee methodology set by Tn- County Building Industry Service Board
I tBuilding\PermitS t fEC PermttApp doe 01/19/07 440.4617'r (I1 /02ICOM/wEB)
■
JUL -16 -2008 09:210 FROM: TO:5035981960 P.2
04/22/2004 07.00 FAX la002 /002
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MCCUO>�00358
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/16/2006
Phone: (503) 639 -4171 u � diu n � ii "I � h l
Inspection Requests (24 Hrs.): (503)'639 -4175 I _■"
INSPECTION WORKSHEET FOR DATE: 7/25/2008 TIME: 7:00AM PAGE: 37
SITE ADDRESS: 12184 SW 131ST AVE CLASS OF WORK:
SUBDIVISION: MORNING HILL NO. 4 LOT #: 091 TYPE OF USE:
PROJECT NAME: HIGGINS
DESCRIPTION: Replacing furnace and installing A/C.
OWNER: HIGGINS, GREG PHONE #: 503 -524 -4772
CONTRACTOR: TRI COUNTY TEMP COII ROt PHONE #: 503.557 -7220
Inspection Request Scheduled For: Date: 7/25/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 073192 -01 503-557-2220 N
, Co or rr j ections /Comments /Instructions:
leg) _ �l _ . .E u I c - S 2 .�2.- . ,,- . -
Z4/is / '7Cr
t ---z. ...,-.L. - -- rt.- - - , - -, - -;., - 46 :...••■Gat
PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: i Date: ° j Z--" Phone #: (503) 718 r- s__