Permit , CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00131
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/6/2007
PARCEL: 2S109AC -03900
SITE ADDRESS: 14543 SW ANGUS PL ZONING: R -7
SUBDIVISION: WILSON RIDGE LOT: 013 JURISDICTION: TIG
PROJECT: WILSON RIDGE
Project Description: 50' gas line to firepit.
CLASS OF WORK: OTR 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: DOMES. INCIN:
NAT 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: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS: 1
Owner: FEES
DON MORISSETTE HOMES, INC. Description Date Amount
4230 GALEWOOD ST #100
LAKE OSWEGO, OR 97035 [MECH] Permit Fee 3/6/2007 $72.50
[TAX] 8% State Surcha 3/6/2007 $5.80
Total $78.30
Phone: 503- 387 -7538
Contractor:
ALADIN HEATING & NC
1924 SW 32ND STREET
GRESHAM, OR 97080 -8500 REQUIRED ITEMS AND REPORTS
Contact #: PRI 618 -8311
Reg #: LIC 00044097
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 P ermittee Signature: + � j OIP
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.
•
Mechanical Permit App Ticatia t tt` r ,- , a � 'FOR OFFICE USE ONLY 'w+ '' s
City of Tigard p Il ,- 1 Permit R Eie n / � ' Q/ /Ft o 7 0 0
13125 SW Hall Blvd, Tigard, OR 97223
:! ' ° Phone: 503.639.4171 Fax: 503.598.1960 Other Permit.
Inspection Line: 503.639.4175 1'•"' ::3 0 0 2007
DateBy:
T'1 A RD Date Ready/By: luris GI See Page 2 for
Internet: www.tigard- or.gov Notified/Method: Supplemental Information
LA tY Ult g UL1
')': a; r TITE F O WORkt: 7793 ;,: " COMMERCIAL' FE E* —
• _ • - . .. h � . :' SCHEDULE. ;',USE CHECKLIST .
® 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.
• '; ? ° i ' " ' "' CATEGORY OF - CONSTRUCTION, ;'.'t '` ° -•, . Value: $
';>.,"., RESIDENTIAL EQUIPMENT / SYSTEMS FEES *':
j aj- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building '
M builder For special information use checklist.
Multi -famil
❑ Multi-family ❑ 0 Description Qty. Ea. I Total • - ;k „`:-=,-...:. 'V JOB' SITE INFORMATION AND LOCATION ', . " : Heating/cooling
Job site address: )q .
C/.3 fat 4-n u S ' Air conditioning or heat pump
7 (requires site plan showing placement) 14.00
City/State /ZIP: '----Fr -4 a r 9 2_,-z-- 1 Furnace 100,000 BTU (ducts /vents) 14.00
Ill //// 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: `L UA 1 \ AA-4-3' 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
DESCRIPTION OF WORK Water heater 10.00
/� / Gas fireplace 10.00
c v ' L. t r'�-< (l , ,ire / 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
❑ PROPERTY OWNER
Chimney/liner/flue/vent 10.00
0 Other: 10.00
Name: Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 10.00
City/State /ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
. ❑ APPLICANT ❑ CONTACT PERSON ' ., Attic /crawlspace fans 10.00
Other: 10.00
Business name: Ij t Fuel t m
Pp g
Contact name: ev-h 4 $5.40 for first four; $1.00 for each additional
j{ Fumace, etc.
Address: i T-2- i f SW 3 'Z. ,3 )- Gas heat pump
City /State /ZIP: �v-Q.i Y- , 7 f O v Wall/suspended/unit heater
Water heater
Phone: (QZ�
6 Ts-- 3 1 Fax • ( )
lJ 1 \ Fireplace
E -mail: Q - K Vim& \ <� Ce "/� Range .
CONTRACTOR . Barbecue
S G „ y Clothes dryer (gas)
Business name: r, �' `-mot
Other:
Address: • . MECHANICAL PERMIT FEES* . "
City/State /ZIP: Subtotal
Minimum permit fee ($72.50)
Phone: ( ) ax: ( )
Plan review (25% of permit fee)
CCB lie.: 0 / 7? loci : State surcharge (8% of permit fee)
TOTAL PERMIT FEE 7 3
Authorized signature: Thi pe rmit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name:
r ty Building � � ( S � K 1, 4 ,, Date: � ,--. l9 / � 6 � F ee methodology set by Tri -Conn Indus try ,p Service Board
I: \Building\Permits \MEC- Permit / App. doc 04 /06/06 440 -4617T (11/02 /COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
Petinit
$1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and
$1.25 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
1:\Building\Permits\MEC-PermitApp.doc 12/30/05 2
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CITY ��������������� ^ ` '
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BUILDING DUNG DUVKSUON PERMIT #: hAEC2007^00131
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/6/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639'4175 ���+ *��—
INSPECTION WORKSHEET FOR DATE: 3*7/2007 TIME: 7:00/kivi PAGE: G
SITE ADDRESS: 14543 SW ANGUS PL CLASS OF WORK: .
SUBDIVISION: WILSON RIDGE LOT #: 013 TYPE OF USE:
PROJECT NAME: WILSON RIDGE �
DESCRIPTION: 5(7 gas line 1ofirepit.
OWNER: DON k8OR}SSEi [EM{)&AES. INC., PHONE #: 583-387.7538
CONTRACTOR: ALAO}N HEATING & A/C PHONE #: 618'8511
.
Inspection Request Scheduled For: Date: 5/7/2007 Pour Time:
.
Code # Inspection Description Confirm # Contact # Message •
010 Gas line 044467-01 503-818-8311 N
Corrections/Comments/Instructions:
•
.
1 I PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
FAIL | I CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
__~./
Inspector: /94 Date: 3-- 7#.> Phone #: (503) 718- 2-S-q-5
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