Permit •
Er, CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00045
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/28/2008
PARCEL: 2S104DC -04900
SITE ADDRESS: 13414 SW CLEARVIEW WAY ZONING: R -4.5
SUBDIVISION: BENCHVIEW ESTATES LOT: 049 JURISDICTION: TIG
PROJECT: FOSTER
Project Description: gas furnace installation
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: 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
PATRICK & LETA FOSTER Description Date Amount
13414 SW CLEARVIEW WAY
TIGARD, OR 97223 [MECH] Permit Fee 1/28/200E $72.50
[TAX] 12% State Surch 1/28/200E $8.70
Phone: 503 -590 -2531
Total $81.20
Contractor:
OREGON HEATING & AC
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -538 -2953
FAX 503 -537 -2172
Reg #: LIC 172126
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: �� Permittee Signature:
-
Cal 03.639.4175 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.
Jan 25 08 01:15p Oregon Heating & A/C 503 - 537 -2172 p.1
• Mechanical Permit Application ' FOR OFFICE USE ONLY .
•
' City of Tigard Eut.IVEigismradags Permit No -:
13125 SW Hall Blvd., Tigard, OR 9722
Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Other Permit:
Inspection Line: 503.639.4175 JAN � � � (: Date/By: Ready/By:
TIGARD p Date Re Jars: 8 See Page 2 for
Internet: www.tigard- or.gov CITY 0i- i IUMfHD Notified ixlethod: Supplemental Information
T YPE OF WORK . . ... .. COMMERCIaL..FEE* SCHEDULE.— USE CHECKLIST.
Mechanical permit fees* are based on the value of the work
❑New construction 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
ptt RESIDENTIAL. EQUIPMENT/SYSTEMS FEES *:
1 -and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist-
❑ Multi- family 0 Master builder
❑ Other: Description I Qty. Ea. Total
.. . JOB ;SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 13 5),) v l Air conditioning or heat pump
�, I e ' ant (requites site plan showing placement) 14.00
City /State /ZIP: Ti & 1 J l OR 9. 72- - ? Furnace 100,000 BTU (ducts /vents) 1 14.00 / L D
d 4 / �-�- `c Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: Project name: / E&s-7 r- Gas heat pump 14.00 �
Cross street/directions to job site: Duct work 14.00
C 5 - 5 Hydronic hot water system 14 00
tt//J >J Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: Flue/vent for any of above I 10.00
Lot no.:
Other: 10.00_
Tax map /parcel no.: Other fuel appliances
DESCRIPTION "OE. FVORK
heater Water t 10.00
0
�,,� LL Gas fireplace 10.00
� l v A 5 1 V ALc' Flue vent for water heater or g as
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
PROPERTY' OWNER. : :: Y men /flue vent
❑ T
ire .
Other. 10.00
Name: - - -)
Q Environmental exhaust and ventilation
Address: . �- ,
I , Range hood/other kitchen
e. t/ 4 /4 _ equipment 10.00
City/State /ZIP: 77 �� / ,� ' o✓ \ 9 7222 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone:
(� CS..5 c 9 -- ,6 ` / F ax: ( ) toilet compartments, utility rooms) 6.80
' APPLICANT Attic /crawls ace fans 10.00
D PERSOY ..
Business name: HOT n �� �- � c-1 Other: 10.00
��� f / / �` l / � Fuel piping
Contact name: • ^ f �/< i n 1 55.40 for first four; $1.00 for each additional
Address: Y 0 . J� f 11 -l7s -- q /// !!! Furnace, etc.
1 Gas heat pump
City/State/ZIP: J)14N D- G / 97/ /5 Wall/suspended/unit heater
Phone: ( t�) 53 -295 F ax:: , ?) --`,7 i 7 ' } Water heater
-
E -mail: al V i ! (� Fireplace
Y
1�1(�1i1 I i yZ`j/'/ r COI) Range •
NTRACTOR Barbecue •
Business name: a I T Y - ) A A ? ` y /e, Clothes dryer (gas)
/ Other.
Address:
. . MECHANICAL PERMIT;FEES* '
City/State /ZIP: Subtotal .
Phone: ( ) Fax: Minimum permit fee ($72.50) l ,;`D0
ax: ( ) Plan review (25% of permit fee)
CCB lie.: / 7 _ State surcharge (12% of permit fee) '7
/ TOTAL PERMIT FEE L v
Authorized signah /,' JP' N This permit application expires if a permit is not obtained within 180
. days after it has been accepted as complete.
Print name: Date: f - 26 ��Vn r)�j . Fee methodology set by Tri- County Building Industry Service Board
I:\BuildinglPenmits',lh C- PennitApp,doc 04/0 06 440 td17T(11 102,COnvwEB)
CITY OF TIGARD f „
BUILDING DIVISION PERMIT #: MEC2008-00046
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/281200'6
Phone: �// 639 -4171 503) ..11 NI�I� n @' nt\
Phone: (
503)
Requests (24 Hrs.): (503) 639 -4175 �����i' `I� __..
INSPECTION WORKSHEET FOR DATE: 2I2a3c
/2008 TIME: 7:03AM PAGE: 44
SITE ADDRESS: 13414 SW CLEAR VIIEW WAY CLASS OF WORK:
SUBDIVISION: BENCH VIEW ESTATES LOT #: 049 TYPE OF USE:
PROJECT NAME: FOSTER
DESCRIPTION: as furnace. installation
OWNER: FOSTER, PATRICK & LETA PHONE #: 503-590 -2531
CONTRACTOR: DRUM NORM CiTitTA PHONE #: 503538-2953
Inspection Request Scheduled For: Date: 2/2912008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 066871-01 513- 693-6297 Y
Corrections /Comments/ Instructions:
PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718- "25