Permit 411‘ CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005 -00313
"4 11? '
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/8/2005
PARCEL: 2S 112BB -09400
SITE ADDRESS: 14335 SW FANNO CREEK LP ZONING: R -7
SUBDIVISION: COLONY CREEK ESTATES NO.3 LOT: 076 JURISDICTION: TIG
Project Description: Installation of A/C unit.
CLASS OF WORK: OTR 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: 1 DOMES. INCIN:
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: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
ROSSI, CAROL A Description Date Amount
14335 FANNO CREEK LOOP
TIGARD, OR 97225 [MECH] Permit Fee 6/8/2005 $72.50
[TAX] 8% State Surcha 6/8/2005 $5.80
•
Total $78.30
Phone: 503- 684 -1953
Contractor:
OREGON HEATING + NC INC
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Phone: 503 -538 -2953
Reg #: LIC 125815
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: , j r / Q�' — Permittee Signature: ,gip 7c, ,N
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.
It r. •
Mechanical Permit A�iPl t Jio"n V E I FOR OFFICE USE ONLY '
City of Tigard it.... d Received / permit No"
13125 SW Hall Blvd., Tigard, OR 97223 Date %By: �.� \la�C�ZOLL� 3�f
iew
Rev
n ro ^ L 005 [
Phone: 503.639.4171 Fax: 503.598.1960 JUN U yt +j, Pla Plan Rev Other Permit: .
Inspection Line: 503.639.4175 � el if
Date Ready/By: lures: 0 See Page 2 for
Internet: www.ci.tigard.or.us CITY OF TIGA Notified/Method: .IV u H Supplemental Information
pun WING DIVISION
; . TYPE OF WORK . ,r ' • • COMMERCIAL FEE*.' SCHEDULE - USE CHECKLIST '
❑ New construction Ad ditionralteration/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: •
' RESIDENTIAL EQUIPMENT./ SYSTEMS. FEES*
1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other:
Description Qty. Ea. I Total
• , ,. . JOB SITE • INFORM 4TION: ANl) • LOCATION .' `" Hea 'tngkeel'
/ �',t �� u trconditioning or eat pump
Job site address: I L�'� 7� L i t 1 Oft- - ps sde p lan showin p
Cit/State /ZIP 14.00
y : a / l / etAe j
' V�a�vr � I� Furnace 100,000 BTU (ducts /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
Subdivision: Lot no.: Flue /vent for any of above 10.00
Other. 10.00
Tax map /parcel no.: Other fuel appliances
,.` °:.:. "
......... . . ..::.....:. ..... ,: - Water heater
10.00
f� r7� ( � n + , CIA Gas fireplace 10.00
V 1 t 6 (1Lt CLOY 6 i �' 1 1. �\-1 Flue vent for water heater or gas
fireplace 10.00
I' 11% 9 fl L og lighter (gas) 10.00
u
_ Wood/pellet stove 10.00
Wood fireplace /insert 10.00
10.00
tner /flue vent
: t. ...... . PROPERT -Y. O.. R : -.. .. :': ❑ : TENANT ;: . . ;
� Other: 10.00
Name: /� Environmental exhaust and ventilation
Address: 433 � 7 � J1 �` " 1 t 4' 1 �'t, b �y I u2 Range hood/other kitchen
r {la equipment 10.00
City /State /ZIP: � q 1D _ f fff Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: 44)-i ( ICs- Fax: ( ) toilet compartments, utility moms) 6.80
AP PLICANT .: ' •..: : ❑ CONTACT:: PERSON : ; .. tc, crawlspace
. t£ ' fan_ c
Other. O
Business name�ol�r� ,� ! 1 I , : i CY� 10.00
���12 ' ." t�lwY Fuel piping
Contact name: 1 � Iti-l. $5.40 for first four; $1.00 for each additional
Address: a Gas h eat p u
eat p ump
City/State /ZIP: 1 On 11. S--- Gas h re WalVsuspended unit heater
not e`( j ) 5..S_ � rI ` ax :,� L 3 � �—� Water heater
t- 6 �1� F Fireplace
E -mail:
Range
.
! Barbecue
C �iTRACTOR
Business name ��,/` / /� `�- . ���. (j t W Clotcr s dryer (gas)
Address: I /� ... IVI ECI{ANICAL PERMIT'FEES* :
City /State /ZIP: r �11 G K-- �! 1 I L ` )� Subtotal
� r " � t Minimum permit fee ($72.50) � 2��
Phone: Y 11 4 � 03 Fax �j �� 1 7 Plan review (25% of permit fee)
CCB lie.: I t t S � v State surcharge (8% of permit fee) _5 . Ei
111 TOTAL PERMIT FEE -"7tg.
t (� / t This permit application expires if a permit is not obtained within 180
Authorized s� n.tune: : M S 1 , / 'g' J ` U ,. days after it has been accepted as complete.
111 ���1r
i i set by Tri -County Building Indus
Print name: �' � I � , . Date:. "��I� /<�r * Fee methodology Y s try Service Board
ii 'Building \Permits \MEC- PermieApp doe 12,'03 440-4617T (1 i )02%COM/VEB)
E' d ZL TZ - LES -EOS dLE =ZT SO LO unr
9
S
. 4o F1
t.us1
— 5
C- or�t� oe. - rd Qwvek
5-D3- 539 -.953 s36"- sw .a4.300 Cc2 aetz Lod
CO3 7
5.w i rca131- 3 0 Cai= .0kLO0V.
z'd aLia- LES -cos d9E :21 SO LO unE
.
CITY OF TIGARD ;Y
BUILDING DIVISION PERMIT #: MEC2005 -00313
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 618/2005
Phone: (503) 639 -4171 /Nire v l ° i ��,
Inspection Requests (24 Hrs.): (503) 639 -4175 I_L.
INSPECTION WORKSHEET FOR DATE: 7/21/2005 TIME: 7 :09AM PAGE: 90
•
&o ^f z
SITE ADDRESS: 14335 SW FANNO CREEK LP CLASS OF WORK:
SUBDIVISION: COLONY CREEK ESTATES NO.3 LOT #: 076 TYPE OF USE:
PROJECT NAME: ROSSI .
DESCRIPTION: Installation of NC unit.
OWNER: ROSSI, CAROL A, PHONE #: 503- 6841963
CONTRACTOR: OREGON HEATING + NC INC PHONE #: 503 - 538 -2953
Inspection Request Scheduled For: Date: 7/21/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 011802 -01 603 -538 -2953 Y Af ( /.o : •7 a
Corrections /Comments /Instructions:
) J 3 )oZ LA'6 L Td a 1 1
A /6_,-. Uo..>) i It'l Ax - M) 4 Lo A4-, r
P
// @_ PA1 el_ 22-0 61-=
, ,sco,,,„ a-E ze, 4, f p ,..,--.- 5
r
) PASS A► PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL A - ' L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
' 41111
Ins ector: Date: 9 szt P #: 503 718 -
p Phone ( )