Permit . 11 CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00120
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/10/2008
PARCEL: 1 S134CB -15900
SITE ADDRESS: 12375 SW ANTON DR ZONING: R -7
SUBDIVISION: ANTON PARK NO. 2 LOT: 086 JURISDICTION: TIG
PROJECT: DEHARPPORT
Project Description: Installing A/C and gas piping for range.
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:
NAT 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: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
CRAIG DEHARPPORT Description Date Amount
12375 SW ANTON DR
TIGARD, OR 97223 [MECH] Permit Fee 3/10/200E $72.50
[TAX] 12% State Surch 3/10/200E $8.70
Phone: 503 -616 -6961
Total $81.20
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 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: /' �� •erm Signature:
Call 503.6 9.4175 by 7:00 a.m. for inspections that business ad y.
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.
MAR -7 -2008 10:28A FROM: T0: 5035981960 P.1
r Mechanical Pe Application, `� tS) IX
FOR OFFICE USE ON
City of Tigard
fill,,,to �� Q Received —
1111 I :- V 13125 SW Hall Blvd , Tigard, OR 9 �000 Plan New 7/ �1 cmut No.: co • `.
Phone: 5036394171 Fax: 503.598.1960 Mhg A Q tl Date/By,
Other Permit:
Tt GARU Inspection Line: 503.639 ,Gr rik ie Read B luris Fa See Page 2 for
Internet: www.tigard- or.gov �`� .1O O .1Sotifie/Method. Supplemental Information
TYPE OF WOThAX" � ` 111
COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees* are based on the value of du work
❑ New construction X Addition /alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: S
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
6
1- and 2-family y dwelling ❑ Commercial/industrial ld ❑ Accessory building
For special information use checklist.
Multi - family ❑ Master builder ❑Other: Descri ration
I I Qty. Ea, I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 17ZZ VW ` l�br- Air conditioning or heat pump
�, "r, �' vv (requires site plan showing placement) I 14.00
City /State /LIP: 8 120 Furnace 100,000 BTU (ducts/vents) 14,00
n_ Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt, no.: Project name: or, ha v9p j ' - 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
Subdivision: Lot no.:
Flue /vent for an ,of above 6,80
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10,00
/ 1 location, �G�}/ ` /� Gas fireplace
10.00
`�� 1 J t u ,/ I vt, 1 . C. 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 ❑ TENANT Other: 10.00
Name: Cg g `harpp0H' Environmental exhaust and ventilation
� (�n yt, Range hood/other kitchen
Address: � .CI I equipment 10.00
City /State /ZIP: Clothes dryer exhaust 10 00
Phone:
M) OVA Vito. Fax: ( ) ( Single-duct exhaust (bathrooms,
toilet compartments, utility rooms) 6.80
•
%APPLICANT ❑ CONTACT PERSON Attic /crawispace fans 10 00
Business name: Other: 10.00
Fuel piping
Contact name: l ian .,, TNr 'n l SS.40 for first four; 51.00 for each additional
�� v � ► Furnace, e tc.
Address: -
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: ( ) F x:. ( ) Water heater
E -mail: Fireplace
Range I -
CONTRACTOR Barbecue
L Clothes dryer (gas)
m
Business nae:�i A 1 `A / � i Other
Address: 0a _,I, , / meth • Vc b� • MECHANICAL PERMIT FEES*
City /State /ZIP: Otr ®� , , oIF-- -14r Subtotal �j,SD
~` e Minimum permit fee ($72.50)
Phone (� Fax: (� Q l Plan review 25% of permit fee)
p )
CCR tic.: State surcharge (12% of permit fee � ' . 1D
TOTAL PERMIT $ , �
Authorized signature: • / This permit application expires if a permit is not t o b fined within 18�
days after it has been accepted as comp te.
Print name: i ` `,'MiTI / id Date: P(, t • Fee methodology set by Trt- County Building Industry Service Board
tdsuilding \PermitslIEC•PermiWpp.doc 01/19/07 440 -9617T (11 /02 /COM/WED)
MAR -7 -2008 10:28A FROM: TO:5035981960 P.2
v4/4[14 V F, V V r nn Iit 002/002
RECEIVED
MAR - 7 2008
CITY OF TIGARD
INSTALLATION ADDRESS: BUILDING DIVISION
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CITY OF TIGARD Iti4v
A ,
BUILDING DIVISION 0 >., PERMIT #: IVIEC2008-00120
13125 SW Hall Blvd., Tigard, OR 97223 1- ' DATE ISSUED: 3110/ 2008
Phone: (503) 639-4171 :in
Inspection Requests (24 Hrs.): (503) 639-4175 „,Iiii■ - --...
INSPECTION WORKSHEET FOR DATE: 3/17/2008 TIME: 7:01AM PAGE: 41
SITE ADDRESS: 12375 SW ANTON DR CLASS OF WORK:
SUBDIVISION: ANTON PARK NO. 2 LOT #: 086 TYPE OF USE:
PROJECT NAME: DEHARPPORT
DESCRIPTION: Installing NC and gas piping for range.
OWNER: DEHARPPORT, CRAIG PHONE #: 503-616-6961
CONTRACTOR: TRI COUNTY TEMP CONTROL PHONE #: 503-557-2220
Inspection Request Scheduled For: Date: 3/17/2008 , Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 066770-01 603-557-2220 V
Corrections /Comments/ Instructions:
,------\
07) .
ni PASS n PARTIAL APPROVAL n CANCEL ri NO ACCESS
I I FAIL n CALL FOR INSPECTION 0 ADDITIONAL FEES AS ESSED
Inspector: fIC/(43 Date: , / 0 Phone #: (503) 718- •