Permit CITY OF TIGARD
MECHANICAL PERMIT
• - COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00242
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/30/2007
PARCEL: 2S 104DC -03200
SITE ADDRESS: 13221 SW CLEARVIEW WAY ZONING: R -4.5
SUBDIVISION: BENCHVIEW ESTATES LOT: 032 JURISDICTION: TIG
PROJECT: RATH
Project Description: Replace gas 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:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: 0 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
RATH, ROBERT & MARY J Description Date Amount
13221 SW CLEARVIEW WAY
TIGARD, OR 97223 [MECH] Permit Fee 4/30/2007 $72.50
[TAX] 8% State Surcha 4/30/2007 $5.80
Total $78.30
Phone:
Contractor:
A -1 AIR CONDITIONING CO INC
1093 SE 37TH AVE
HILLSBORO, OR 97123 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 645 -5900
FAX 503- 648 -9824
Reg #: LIC 62102
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' . 4i 414 i /i l �� / Permittee Signature: Sz Q A pb c
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.
Apr 28 07 08:27a Ross EH > (503)648-9824 p.1
m• chanical Permit Applicat' FOR OFFICE USE ONLY
3 0 2007 Received
C of Tigard �+�F Received Permit No.: I,,, F Z� -- n 242 -
13125 SW Hall Blvd., Tigard, OR 97 O g F � TIGARD plan Review FL . t.4 �T C f J - I
• 9B..iQ��IN6.,. DIVISION Other Permit:
Phone: 503.639.4171 F 503. �Q DIVISION ! V DateB y:
TI G A R p Inspection Line: 503.639.4175 Date Ready/By: Juris: ' ld See Page 2 for
Internet: www.tigard- or.gov Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* 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.
CATEGORY OF CONSTRUCTION Value: S
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
O 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi-family ❑ Master builder ❑ Other: Description Qty. J Ea. Total
JOB SITE INFORMATION AND LOCATION Heatin: coolie
Air conditioning or heat pump
Job site address: 13221 SW Clearview Way (requires site plan showing placement) 14.00
City /State /ZIP: T -97223 Furnace 100,000 BTU (ducts/vents) 1 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldgJapt. no.: Project name: RAI' Gas heat pump 14.00
Cross street/directions to job site: 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
Replace gas furnace 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
❑ TENANT Other: _ 10.00 _
Name: Robert Rath Environmental exhaust and ventilation
Range hood other kitchen
Address: 13221 SW Clearview Way 10.00
Y equipment
City /State/ZIP: T -97223 Clothes dryer exhaust _ 10.00
. Single -duct exhaust (bathrooms,
Phone: (503)579-8443 Fax: ( ) toilet compartments, utility rooms) 6.80
® APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Other: _ 10.00
Business name: A -1 Air Mr Conditioning Fuel
Piping
Contact name: Ross $5.40 for first four; 51.00 for each additional
Address: 1093 SE 37 Ave. Furnace. etc.
Gas heat pump
City /State/ZIP: Hillsboro 97123 Wall/suspended/unit heater
Phone: (503) 645 -5900 Fax: ; (503) Sid .62 y a - 9 s z y Water heater _
Fireplace
E -mail: alairconditioning @junu.eom Range
CONTRACTOR Barbecue
Business name: A -1 Air Clothes dryer (gas)
Other:
Address: MECHANICAL PERMIT FEES*
City/State/ZIP: Subtotal
Minimum permit fee ($72.50) 72.50
Phone: ( ) Fax: ( ) Plan review (25% of permit fee)
CCB lie.: 62102 State surcharge (8% of permit fee) 5.80
TOTAL PERMIT FEE 78.30
_ This permit application expires if a permit is not obtained within 180
Authorized signature: ". . ..../..-- days after it has been accepted as complete.
Print name: Ross McBride Date: 4/28/07 * Fee methodology set by Tri- County Building Industry Service Board
f:\ Building \Pemmits1MEC•PermitApp.dat 04/06/06 440- 1617T(1 I/02/COM /WEB)
CITY OF TIGARD . , • ,
BUILDING `DIVISION PERMIT #: MEC2007 00242
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/30/2007
Phone: (503) 639 -4171 4 "z'
Inspection Requests (24 Hrs.): (503) 639 -4175 0.--.-......W an
INSPECTION WORKSHEET FOR DATE: 5/11/2007 TIME: 7:01AM PAGE: 111
SITE ADDRESS: 13221 SW CLEARVIEW WAY CLASS OF WORK:
SUBDIVISION: BENCHVIEW ESTATES LOT #: 032 TYPE OF USE:
PROJECT NAME: RATH
DESCRIPTION: Replace gas furnace.
OWNER: RATH, ROBERT & MARY J, PHONE #:
CONTRACTOR: A -1 AIR CONDITIONING CO INC PHONE #: 503 - 645.5800
Inspection Request Scheduled For: Date: 5/11/2007 Pour Time: •
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 04B071.01 503- 579-8443 Y
Corrections /Comments /Instructions:
e b e c- L Gti,1. A1n11 , - , 4 6 ,qc,. s— I/ 7 4f 7 � ili 1i,
V PASS I 1 PARTIAL APPROVAL n CANCEL NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: d Date: _5 =/� o 7 Phone #: (503) 718- "Z..4-4
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