Permit 11111 r CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00346
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/3/2008
PARCEL: 25111 DD - 11900
SITE ADDRESS: 08602 SW AVON ST ZONING: R -7
SUBDIVISION: CHESSMAN DOWNS LOT: 045 JURISDICTION: TIG
PROJECT: DELUCA
Project Description: Replacing furnace.
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: 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
KNUDSON, ROSALIE J Description Date Amount
8602 SW AVON ST
TIGARD, OR 97224 [MECH] Permit Fee 7/3/2008 $72.50
[TAX] 12% State Surch 7/3/2008 $8.70
Phone:
Total $81.20
Contractor:
MORRISON HEATING & COOLING LLC
16409 SE DIVISION ST # 216
PORTLAND, OR 97236 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 760 -6455
FAX 503- 760 -6577
Reg #: LIC 160715
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 B � /�� ` Permittee Signature: � i ,7 /aT pj/1/
Call 50 .; - '97;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 02 08 05:OOp Morrison Heating 5037606577 p.2
N', - Mechanical Permit Appli ati,an‘4 V l F OR or Ft( r +: t si o ►.);Z , P. ' ,;
City of Tigard Received _ .
" 13125 SW Hall Blvd., Tigard, OR 97x3 - Q 2 2.1108 y/ • �I/ Pcrmrt No.:
■ Plan Review Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 Date/By:
- 116A R n Inspection Line: 503.639.4175 C ®C GAR Date Ready/By: ® See Page 2 for
Internet: www,tigard- or.gov BUIVN DIVISION Notified/Method: I i Supplemental Information
TYPE OF W COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
DI 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
CATEGORY OF CONSTRUCTION Value: $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
�l- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. Ea. I Total
JOB SITE INFORMATION AND LOCATION CATION Heating/cooling
Job site address: ti(..) Q 5 (� d 1'V Air conditioning heat pump
(r(requires site plan sho howing placement) 14.00
City /State/ZIP: 'qu !� }. 2 7y Furnace 100.000 BTU (ducts/vents) r 14.00 iy °�
ff Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: !IA` CA. Gas heat pump 14.00
Cross strcct/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 any of above 6.80
Other: 10.00
Tax map /parcel no.: Other fuel appliances •
DESCRIPTION OF WORK Water heater 10.00
-- r Gas fireplace 10.00
Flue vent for water heater or gas
j j� ) ( A r ^ _ e , d / a (1y fireplace 10.00
l� (JR/ft/ ''{ ( t 7 Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
PROPERTY OWNER ❑ TENANT Other:
Chimney/liner/flue/vent 10.00
Other: 10.00
Name: TV p r t k Environmental exhaust and ventilation
Address: 1 u 6 ✓ �, -' K �, Range hood other kitchen
equipment 10.00
City /State/ZIP: (_p...[ L 0 $w 'c€ j ,2, 897/3 y Clothes dryer exhaust 10.00
t J Single -duct exhaust (bathrooms,
Phone: ( ) G ?jS - (1/ d g Fax: �) - 7 — toilet compartments, utility rooms) 6.80
• Ei_ APPLICANT 0 CONTACT PERSON Attic/crawlspace fans 10.00
Other: 1 10.00
Business name:
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
Gas heat pump
City /State/ZIP: Wall/suspended/unit heater
Phone: ( ) Fax :: ( ) Water heater
Fireplace
E-mail: _ Range
CONTRACTOR / Barbecue
Business name: 4 n 5,40 -- �r41 , cod I t f+� Lcc Clothes dryer (gas) _
1 / Other:
Address: {p �(� 56:: 7) 'i 1 S 1 5} , 5,, t G 2 MECHANICAL PERMIT FEES*
City /State /ZIP: P / 6/. 6!? 25 C. Subtotal i N al
Minimum permit f c c ($72.50) 7Z
Phone: ( 9.. ) 76 — G e./53 Fax: ( s 3 'G --6s'3 Plan review (25% of permit fee)
CCB lie.: f r �J ` State surcharge (12% of permit fee)
G v / TOTAL PERMIT FEE {�i • tO
Authorized signature: G y . 1 - T his permit application expires if a permit is not obtained within ISO
/ days after it has been accepted as complete.
I T3 . ''''''' s D) A - 471 Q om , C i 1 7/ e. /1)(° I * Fee methodology set by Tri- County Building Industry Service Board
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2008-00346
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/3/2008
Phone: (503) 639 -4171 pi,j�l
Inspection Requests (24 Hrs.): (503) 639 -4175 ' "L
INSPECTION WORKSHEET FOR DATE: 7/1612008 TIME: 7:00AM PAGE: 59
SITE ADDRESS: 08602 SW AVON ST CLASS OF WORK:
SUBDIVISION: CHESSMAN DOWNS LOT #: 045 TYPE OF USE:
PROJECT NAME: DELUCA
DESCRIPTION: Replacing furnace.
OWNER: KNUDSON, ROSALIE J, PHONE #:
CONTRACTOR: MORRISON HEATING & COOLING LLC PHONE #: 503-760-6455
Inspection Request Scheduled For: Date: 7/16/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 072641 -02 503 - 265. 410 Y
Corrections/Comments/Instructions:
644.5 cam!
ASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
I I FAIL CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector: Date: 7 -/ -60 Phone #: (503) 718- ¢ : ,