Permit 17pg CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00065
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/5/2008
PARCEL: 2S 112 BA -01600
SITE ADDRESS: 07990 SW FANNO CREEK DR ZONING: R -7
SUBDIVISION: WAVERLY MEADOWS LOT: 037 JURISDICTION: TIG
PROJECT: EGLI
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: BTU 15 - 30 HP:
REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
RANDY & JULIE EGLI Description Date Amount
7990 SW FANNO CREEK DR
[MECH] Permit Fee 2/5/2008 $72.50
[TAX] 12% State Surchar 2/5/2008 $8.70
Phone: Total $81.20
Contractor:
OWNER
REQUIRED ITEMS AND REPORTS
Contact #:
Reg #:
This pen 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 OU NC by
calling 503.246.6699 or 1.800.332.2344.
Issu =d By: Permittee Signature / I. A
Call 503.639.4175 by 7:00 a.m. for inspections that t d.
This permit card shall be kept in a conspicuous place on the job site until co 0 - on of,o"e project.
Approved plans are required on the job site at the time of each in • • ction.
Mechann a1 hermit Applicatiei. FOR O FFICE USE ONLY
i
Cl Received Lq
I. Tigard Date/By: / 6
City of Tl d g 5 �g Permit No.:
III 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 DateBy. Other Permit:
T IG A R D Inspection Line: 503.639 Date Ready/By: rifl See Page 2 for
Internet: www.tigard- or.gov Notified/Method: Supplemental Information
TYPE 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.
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CATEGORY OF CONSTRUCTION Value: $
dwelling RESIDENTIALEQUTPMENT /:.SYSTEMS PEES*
❑ 1 - and 2-family g ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other:
Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: �9C�Q� Air conditioning or heat pump
Flt JA..V flec�7c1 D2 (requires site plan showing placement) 14.00
City /State /ZIP: '77.5"2 D / oZ 97 2 2 4 Furnace 100,000 BTU (ducts /vents) I 14.00
Suite/bldg./apt. no.: Project name: Furnace 100,000+ BTU (ducts /vents) 17.90
FC �� " � � t� Gas heat pump 14.00
Cross street/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: Flue /vent for any of above 6.80
Lot no.:
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
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Gas fireplace 10.00
eF '( Ar E G A S F MACE 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 ❑ TENANT Chimney /liner /flue /vent 10.00
Other: 10.00
Name:
ZA11/44) E t : 4 / • Environmental exhaust and ventilation
Address: Range hood/other kitchen
7590 _5/4„. l�/?7✓/✓D C�/� J)2 equipment 10.00
City /State /ZIP: 7-76 64 97 zZ 4 Clothes dryer exhaust 10.00
Phone: ) Fa Single -duct exhaust (bathrooms,
hone: (
3 af�{ 3 24 3 9 ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON . Attic /crawlspace fans 10.00
Business name:
Other: 10.00
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
E -mail: Fireplace
Range
CONTRACTOR Barbecue
Business name: 11,9/4/A/E -n Clothes dryer (gas)
Other:
Address: MECHANICAL PERMIT FEES*
City /State /ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) '7 - 0
Plan review (25% of permit fee) e'
CCB lic.: State surcharge (12% of permit fee) 7
/ TOTAL PERMIT FEE g t �
Authorized Signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: M) y Cr Jr 1 Date: Zl VO g Fee methodology set by Tri- County Building Industry Service Board
I:\ Building \Perm.a■MEC- PermitApp.doc 01/19/07 440 - 4617T (] 1/02 /COM/WEB)
Mechanical Permit Application - City of Tigard f
Page 2 - Supplemental Information
Commercial Fee Schedule:
Total Valuation:. Permit.Fee:
$1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and
$1.25 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
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I:\ Building \Permits\MEC- PermitApp.doc 01/19/07 2
CITY OF TIGARD :..
BUILDING DIVISION PERMIT #: MEC200)- 00065
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/512OO8
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2/22/2008 TIME: 7:00AM PAGE: 42
SITE ADDRESS: 07990 SW FANNO CREEK DR CLASS OF WORK:
SUBDIVISION: WAVERLY MEADOWS LOT #: 037 TYPE OF USE:
PROJECT NAME: EGLI
DESCRIPTION: Replace gas furnace.
OWNER: F ELI, RANDY & JULIE PHONE #:
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 2/22/2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
G99 Mechanical final 065487 -01 50'3.703-4662 Y
Corrections /Comments /Instructions:
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PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
I I FAIL CALL FOR INSPECTION H ADDITIONAL FEES ASSESSED
-- Inspector: % < 'Date: -22- ca Phone #: (503) 718 - a