Permit T
CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00485
e�f I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/10/2006
PARCEL: 2 S 112 B B -0890 0
SITE ADDRESS: 14265 SW FANNO CREEK LP ZONING: R -7
SUBDIVISION: COLONY CREEK ESTATES NO.3 LOT: 071 JURISDICTION: TIG
Project Description: Replace furnace, air cleaner.
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: DOMES. INCIN:
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
GREGG YRIGOYEN Description Date Amount
14265 SW FANNO CREEK LP
TIGARD, OR 97224 [MECH] Permit Fee 10/10/20C $72.50
[TAX] 8% State Surcha 10/10/20C $5.80
Total $78.30
Phone: 503- 669 -8405
Contractor:
OREGON HEATING & AC(125185)
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -538 -2953
FAX 503 -537 -2172
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: p Permittee Signature: ,e. c-3
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.
Oct J�O 06 11:06a MS Rentals, Inc. 503 - 537 -2172 p.1
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard I Received _ / Date/By: i g 3] Plan Review Plan Ji ► b.-- Permit No�c .,6 /. )
13125 SW Hall Blv Tigard, OR 97223
Phone: 503.639.4171 Fax: 503.598.1960 62m y .„ Date/By: Other Permit:
Ins ection Line: 503.639.4175 r - ■ ( , i�� ` �
n
p O 1 . T 0 2006 zr Date ed /Me Ready/By: S See Page for
Internet: www.ci.tigard.or.us Notified /Method: Supplemental Information
CITY OF TICaARr)
= , 6TVPE'IOFa 8VORKION COSLiTERCIAL FEE'S SCHEDULE USE CHECKLIST .
Mechanical permit fees* are based on the value of the work
❑ New construction ® Addidon/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:
. . RESIDENTIAL EQUIPMENT / SYSTEMS FEES* •
® I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. Ea. I Total
. JOB SITE triFOR,NiATION AND LOCATION . Heating/cooling
r -� Air conditioning or heat pump
Job site address:
1 , 4 o e., 3u) TC).nr c Crpys. 1„ 9 (requires site plan showing placement) 14.00
City/State/ZIP: ^-c Q ` up a Z4 Furnace 100,000 BTU (ducts/vents) = l 14.00 q.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 ,�r�
Flue/vent for any of above , )0.00 ( GO
Subdivision: Lot no.:
Other. .00
r.
Tax map /parcel no.: Other fuel appliances
. • DESCRIP'T`ION OF' WORK ' r ` -:' . ` . . _ - :
Water heater
Gas fireplace 10.00
`--t v AC. Flue vent for water heater or gas .
L fireplace 10.00
-' cl)fn_OLCe Log lighter (gas) 10.00
day de O. er Wood/pellet stove 10.00
Wood fireplace/insert 10.00
.. -
hlmn
iner flue/vent 10.00
® • PROPERT r , YE R:, ; : `.;..:_; :i .. �TE ...::• Other: 10.00
Name: �Y•P (75C3 ` X O.W
,oJ Y rt fr k J P Y-1 Environmental exhaust and ventilation
• Range hood/other kitchen
Address: GU SIAM rn,C1 Creek I P equipment 10.00
City/State /ZIP: --t `Q �,� o� cr Z n Clothes dryer exhaust 10.00
i3 ! Single -duct exhaust (bathrooms,
Phone: ( O 3 t. — 8/405 Fax: ( ) toilet compartments, utility moms) 6.80
❑ APPLI ::
❑. CONTACT PERSON. : :: .:.,:•: : • et w space fans
Other. 10.00
Business name: Oregon Heating and Air Conditioning
Fuel piping
Contact name: 'Rash U e,. $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: PO Box 397
Gas heat pump
City/State /ZIP: Dundee OR 97115 Wall/suspended/unit heater
Phone: (503) 538 -2953 Fax: : (503) 537 -2712 Water heater
Fireplace
E -mail: rashelle®oregonheating.com Range
:. CO Barbecue
Business name: Oregon Heating and Air Conditioning Clothes dryer (gas)
Other.
Address: PO Box 397 MECHANICAL PERMIT FEES* '
City/State /ZIP: Dundee OR 97115 Subtotal
Phone: (503) 538 -2953 Fax: (503) 537 -2712 Minimum permit fee ($72.50) Z, 50
Plan review (25% of permit fee)
CCB lie.: 125185 State surcharge (8% of permit fee) S , 8•b
TOTAL PERMIT FEE --7 $ ,
Authorized signature: )'7 This permit application expires if a permit is not obtained within 180
/ Q t days after it has been accepted as complete.
Print name: Ru1 Date: -la-66 + Fee methodology set by Tri- County• Building Industry Service Board
�Q11e. dtCQh -rsnr, 4J
i/ Huilding '.PermitsvfEC- PamiLkpp.doc 1203 440 -46171f (11 /02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC200 &00485
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/10/2006
Phone: (503) 639 -4171 h '�I
Inspection Requests (24 Hrs.): (503) 639 -4175 .
INSPECTION WORKSHEET FOR DATE: 10/26/2006 TIME: 7 :04AM PAGE: 34
SITE ADDRESS: 14265 SW FANNO CREEK LP CLASS OF WORK:
SUBDIVISION: COLONY CREEK ESTATES NO.3 LOT #: 071 TYPE OF USE:
PROJECT NAME: YRIGOYEN
DESCRIPTION: Replace furnace, air cleaner.
OWNER: YRIGOYEN, GREGG PHONE #: 503 -669 -8405
CONTRACTOR: OREGON HEATING & AC(125185) PHONE #: 603-638-2953
Inspection Request Scheduled For: Date: 10/26/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 038872 -01 503-538-2953 Y
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL I ] NO ACCESS
FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: Date: %fl?l Phone #: (503) 718 - � .