Permit - IM P CITY OF TIGARD MECHANICAL PERMIT
• COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00046
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/29/2008
PARCEL: 2S114BA -15200
SITE ADDRESS: 16060 SW COPPER CREEK DR ZONING: R -7
SUBDIVISION: COPPER CREEK STAGE 4 LOT: 117 JURISDICTION: TIG
PROJECT: HAYS
Project Description: 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: 1
Owner: FEES
GEROGE & GLENDA HAYS Description Date Amount
16060 SW COOPER CREEK DR
TIGARD, OR 97224 [MECH] Permit Fee 1/29/200E $72.50
[TAX] 12% State Surch 1/29/200E $8.70
Total $81.20
Phone: 503- 670 -0510
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: .z aa..9 Perm ittee Signature: 5t-- .;74&7S "
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.
Jan 28 08 10:40a Oregon Heating & A/C 503 - 537 -2172 p.1
Mechanical Permit Application FOR OFFICE USE ONLY •
City of Tigard
E C E I V E ,i Received 1 •
City g Date Hy: I �V U Permit No. FC d J '- oc.j
v 13125 SW Hall Blvd., Tigard, OR 97 3 u
Phone: 503.639.4171 Fax: 503.598.1960 Plan Review
DateiBy.: Other Permit:
i1GARD Inspection Line: 503.639.4175 JAN 2 8 2008 Date Ready/By: Juds: ET See Page 2 for
Internet: Www.tigard or.gov Notified/Method: Supplemental Information
CITY OF TIGARD
TYPE OF Ini9PADING DIVISION. COMMERCIAL FEE* SCHEDULE .•USE CHECKLIST'•
Mechanical permit fees* are based on the value of the work
❑ New construction gLAdditionialteratiort /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:
RESIDENTIAL EQUIPMENT / SYSTEMS FEES *. .
t- and 2- family dwelling ❑ Commercialiindustrial ❑ Accessory building
❑ Multi- family ❑✓taster builder For special information use checklist.
❑ Other: Description
Ea. Total
Qty. of al
' '' . JOB SITE INFORMATION AND': LOCATION : Heating/cooling
Job site address: r`�y^J l) 7 i . , -/ Air conditioning or heat pump
1(�t , l C� • D J (requires site plan showing placement) 14.00
City /State /ZIP: 1 � OR g -1 72_0 0 Furnace 100,000 BTU (ducts-vents) I 14.00 9- CU _
G Furnace 100,0004 BTU (ducts/vents) 17.90
Suite /bldg. /apt. no.: Project name: H yS Gas heat pump 14.00
Cross street/directions to job site: . Ductwork 14.00
/ Hydrunic hot water system 14.00
Q
4 r' 4 ) 11 i 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 10.00
Lot no.:
Other. 10.00
Tax map /parcel no.: Other fuel appliances
DESCR[PTTON'.,OF NORK' .,`. , r
- ate ea e I 10.00
n Gas fireplace 10.00
L!Y_ )1 �(AA 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 -1
ROPERTY OWNER :.-
Chimney/liner/flue/vent 10.00
• • Other. 10.00
Name: ��y �,�� 4 y Environmental exhaust and ventilation
Address: / � V yt , - Range hood/other kitchen
("1(11 l�' fl(1� equipment 10.00
City /State /ZIP: TI \ LI - ( C Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (+jO 6 .-Q5 f I7 Fax: ( ) toilet compartments, utility moms) 6.80
I • '• �
.-s PLICA'T:.; •, • _.: .. :.. (]'.CONTACT PERSON Anicicrawlspace fans 10.00
J
Business name: C0 f Q J - *1 Ti' n /(�
Other: 10.00
�U(�'t I ,` ice Fuel piping
Contact name: CO r . , Ir , n,� rn j $5.40 for first four; $1.00 for each additional
Address: ,U 11 { } t , Furnace, etc.
Gas heat pump
City/State/Z1P: I ` f Wall/suspended / unit heater
Phone: ( 53s..,9.-6 - r � v_ Fax::t 7 v t 5' 7 _, j `7 Water heater
E-mail: O t n ` _Fieplace
C 0 J �O v 1l(/1' rn flange
CONTRACTOR I' • • It i - Barbecue
Business name: ;` f r pk P / Clothes dryer (gas)
r �J � t ! t t� V Other
Address: .. . . -
• •-, ..- . -• . MECHANICAL PERMIT FEES* -
City/State /ZIP: Subtotal '
Phone: ( ) Fax: Minimum permit fee (572,50) 77 s )
x:( )
CCB lie.: , l Plan review (25% of permit fee)
State surcharge (12% of permit fee) 5. 70 � , _ / TOTAL PERMIT FEE 2 , 0
Authorized signature. � Y � v'f7 ^V This permit application expires if a permit is not obtained 180
v days after it has been accepted as complete.
Print name: JPAN STU i..7.:4Z., Date: J * Fee methodology set by Tri -County Building Industry Service Board
: :\ Building /ifEC- PermiWppdoc 04/06106 4d0 16:7T (IIr0VC0MtWEB)
CITY, OF TIGARD
BUILDING DIVISION
PERMIT #: MEC2008- 00046
D ATE 13125 SW Hall Blvd., Tigard, OR 97223 ISSUED: 1/29/2003
Phone: (503) 639-4171 4014[1011l'r
Inspection Requests (24 Hrs.): (503) 639-4175 AA SL.
INSPECTION WORKSHEET FOR DATE: 2/2t)/2008 TIME: 7:00AM PAGE: 26
SITE ADDRESS: 16060 SW COPPER CREEK DR CLASS OF WORK:
SUBDIVISION: COPPER CREEK STAGE 4 LOT #: 117 TYPE OF USE:
PROJECT NAME: HAYS
DESCRIPTION: furnace. inaallation
OWNER: HAYS, C.,EROGE & GLENDA PHONE #: 603.670.0510
CONTRACTOR: OREGON HEATING & AC PHONE #: 503.530.2953
Inspection Request Scheduled For: Date: 2/20/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Iviecharlical final 065280 5M-53e Y
Corrections/Comments/Instructions:
•
I , %" - P - ‘ -- Li PARTIAL APPROVAL fl CANCEL fl NO ACCESS
El FAIL D , LL FOR INSPECTION
,,-- /
At■ El ADDITIONAL FEES ASSESSED
Inspector: ..- Date: '— —0 se' Phone #: (503) 718- -2.4-4,---
. „
-CITYOF TIGARD A
A.
'BUILDING DIVISION PERMIT #:
1-3125 SW Hall Blvd.:Tigard, OR 97223 DATE ISSUED: 'T.Ia;00i
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 lo 4L
• 5 4 D1
INSPECTION WORKSHEET FOR DATE: . 4,:12 ( „ 1 `,1iT: TIME: . 0344,4 PAGE: 2E
SITE ADDRESS: '11 i>.. CLASS OF WORK:
SUBDIVISION: C.; LOT #: 17 - TYPE OF USE:
PROJECT NAME: l'iik't1;:;.
DESCRIPTION: '.,:$ .. 1 j rjr VI\ ' t
OWNER: 1-1. ( PHONE #:
CONTRACTOR: ,5,; • BK po9NE#:
)
Inspection Request Scheduled For: Date: wr:ioi.);; Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections/Comments/Instructions:
1' 1k/2/van b2_ "NO(r \Afe-
,••••••• 0,0-
•
•
0=
•
•
I PASS I I PARTIAL APPROVAL E CANCEL I NO ACCESS
4" FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: 4. ("--) OACCAfid, Date:
Phone #: (503) 718- 31 0
_ .