Permit E N . ' r C I OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00147
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/15/2007
PARCEL: 1 S133DD -14600
SITE ADDRESS: 12808 SW FALCON RISE DR ZONING: R -4.5
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 4 LOT: 183 JURISDICTION: TIG
PROJECT: CHAVIRA
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: BOILERSICOMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
ENRIQUE CHAVIRA Description Date Amount
12808 SW FALCON RISE DR.
TIGARD, OR 97223 [MECH] Permit Fee 3/15/2007 $72.50
[TAX] 8% State Surcha 3/15/2007 $5.80
Total $78.30
Phone:
Contractor:
FOUR SEASONS HEATING & NC INC.
1005 INDUSTRIAL PARKWAY
NEWBERG, OR 97132 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -538 -1950
FAX 503 -538 -0165
Reg #: LIC 97152
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.
1
Issued By: Permittee Signature: jA� J a _L.,��...-
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.
Mar 14 07 12:41p Malcolm Lamb 5035380165 p.3
Mecc Application FOR OFFICE USE•ONLY
Received ✓
City of Tigard Dale /By: • R Pennit No.: i . don oe, /
13125 S W Hall Blvd., Tigard, OR 97223 17 D
RE 1 1 I l l , Plan Review
Phone: 503.639.4171 Fax: 503.598,1960 A lnr•d�_ . Other Permit: _
rI l Date/By:
,,,>t�
lnsptxtion Line: 503.639.4175 ' I Date Ready /By: lur' See Page 2 for
Internet www.ci.tigard.or.us MAR 1 r J ® Notified/Method: Supplemental Information
a.'.. a r ''' {:,- �.` ._,, :. ....ms . _ :._L l ,, i f„ xStlrttt't G 4.. �LI�ST
. .. , '' � µ . 618E CHEC
l
`. Lill f • ' 7 Mechanical permit fees* are based on the value of the work
❑ New construction 0 Addition /alteration/replacemen
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit .
fi h
c, . • a ' ' . i ) : .../ &'ITRIV
r = IS FEES*
Q 1- and 2-family dwelling ❑ Commercial /industrial ❑ Accessory building e °�'
For special information use checklist.
❑ Multi family ❑ Master builder ❑ Other:
ti x 'ft
Description I Qty. I Ea. Total
' ,te:x.' ._ , `.:..'i :.'... t 1 '' r .. :,i:` ... . _ '.. .'z Nea n1cooling
t
\ ,a 8 �
Air co ndition i ng o r heat pum
Job site address: S � 1
Z_ (t � 1 � � �'E? 11e \J .0, (requires site plan showing placcmen0 1 4.00
City/State/ZIP: %-kh ve__ \ 41 X33 Furnace 100,000 BTU (duets /vents) { 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: 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
Flue/vent for any of above 10.00
Subdivision: 1 Lot no.: Other: 10.00
Tax map /parcel no.: Other fuel appliances
.. F .. r .1, : . ,: ,. ..- �.._ `: Water heater 10.00
• g Gas fireplace 10.00
p.('' C3v,SZ� V ` - - ► - � a a. , • Flue vent for water heater or gas
fireplace 10.(0
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplacelinsert 10.00
.
a c r - Chimney /liner /flue /vent 10.00
' T. .zig s:. ,,r - . d r .' c Other. 10.00
Name: e_ Y'N ,� : ��4_ c J : ,��, 6 Environmental exhaust and ventilation
Range hood/other kitchen
Address: _ - a 6 ‘A3 _ ' &. V - equipment 10.00
City /State/ZIP: _ ■, -1,?e- 9," "a.a- Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: 603) 5 - O ,. 4 ' 0• Fax: ( ) toilet compartments, utility rooms) 6.80
�
� r , . , 1 , i t, = Attic /crawlspace fans 10.(x)
�\ t Other: 10.00
Business name: 1.. � ,�1 '
t• \ , rq
Fuel piping
Contact name :�, �,,........_, $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: D 3 DDS- .kQ^1. Q J . 1 ) ^ I ^ L Gas heat pump
City / State/ZIP: �g"��_Q�� 5a:42— p 6 7�) '- ` --- Wall /suspended/unit heater
le'
Phone: C3$ - k 'S Fax: : c3 J`se -4t:,\ (c, Water heater
Fireplace
E-mail: Range
s i' 'mss , r t & i , t Barbecue -
Business name: \ t }9 Clothes dryer (gas)
f (). P c >e SO•f \ � 1 �2 � I'1
S
s Other:
�, �`
Address: \�Q �.- � e u + j }x< <,"'t�p TFEks"
City / State/ZIP: 8� � � ) ^a .- Subtotal
e � Minimum permit fee ($72.50)
Phon0 -
't/12,, _ \ Fax: Q �•�� _ �� Plan review (25 %ofpennit fee)
CCB lie.: ' 1 c.... - J / t 9 State surcharge (8% of permit fee) 1
t / TOTAL PERMIT FEE 177,
Authorized signature: ���� (1::. This permit application expires if a permit is not obtained within 150
a days after it has been accepted as complete.
Print name. ' .11 Date: -lb s Fee methodology set by Tri - County Building industry Service Board
id BuildingPcrmits MEC- PermitApp.doc 12 440 -4617T (II %021COM/WE13)
CITY OF TIGARD
BUILDING ®IVISION PERMIT #: MEC2007 -00147
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/15/2007
Phone: (503) 639 -4171 ti lt
Inspection Requests (24 Hrs.): (503) 639 -4175 ..tn_Alfr
INSPECTION WORKSHEET FOR DATE: 3/21/2007 TIME: 7:02AM PAGE: 64
SITE ADDRESS: 12808 SW FALCON RISE DR CLASS OF WORK:
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 4 LOT #: 183 TYPE OF USE:
PROJECT NAME: CHAVIRA
DESCRIPTION: Replace gas furnace.
OWNER: PHONE #:
CONTRACTOR: FOUR SEASONS HEATING & NC INC. PHONE #: 503.538 -1950
Inspection Request Scheduled For: Date: 3/21/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 045075-01 503. 590 -4809 N
Corrections /Comments /Instructions:
�C
,, ,. 7* A P.'
.ter
•
�4 PASS I I PARTIAL APPROVAL ❑ CANCEL NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 7�. ' ,-v Date: D Phone #: (503) 718-