Permit .;� ��
CITY OF tIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00134
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/8/2007
PARCEL: 1S133CD-05000
SITE ADDRESS: 13645 SW FEIRING LN ZONING: R -25
SUBDIVISION: COTSWALD MEADOWS LOT: 048 JURISDICTION: TIG
PROJECT: WARNER
Project Description: (2) exhaust fans for bath & utility.
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS: 2
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:
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
HAROLD & BETTE WARNER Description Date Amount
13645 SW FIERING LN
TIGARD, OR 97223 [MECH] Permit Fee 3/8/2007 $72.50
[TAX] 8% State Surcha 3/8/2007 $5.80
Total $78.30
Phone: 503 -524 -5710
Contractor:
OSWEGO DESIGN & REMODELING
PO BOX 695
LAKE OSWEGO, OR 97034 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 675 -0771
FAX 503- 675 -3080
Reg #: LIC 152334
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.
jo ir
Issued By: 1. T t i „ Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for inspections th•t business A
This permit card shall be kept in a conspicuous place on the job site until c• pletion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application r FOR OFFICE USE ONL P
' C't>,. R City of Tigard Rete Received n . f. 7/7 G v 0 iJ . /d�
. • 13125 SW Hall Blvd., Tigard, OR 97223 rr R e v ie w I - 1 • Permit No / ` !/7+
' E �i � ��•I I Other Permit:
Phone: 503 .639.4171 Fax: 503.598.1960 Date
T.1 G A R D Inspection Line. 503.639.4175 a Date Ready /By: Juris 0 See Page 2 for
8
Internet: www.tigard- or.gov MAR 0 2007 Notified/Method: Supplemental Information
CITY OF'ROARD
` • , . , ,TYPE OF WORT UIL'[7IN6 DINICON COMMERCIAL FEE! SCHEDULE - USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction IYAiddition /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 :2 - . • Value: $
F " RESIDENTIAL EQUII'MENT / SYSTEMS FEES* •
and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building
❑ Multi- family ❑ Master builder ❑ Other: For special information use checklist.
Description Qty. Ea. Total
- - . JOB SITE INFORMATION AND LOCATION ' . Heating/cooling •
Job site address: f / ) Air conditioning or heat pump
(I 3 �'� S �+ �/ � rt �-Zi�.
p (requires site plan showing placement) 14.00
T∎ ?,tire
City /State /ZIP: J Furnace 100,000 BTU (ducts/vents) 14.00
5 l � 7 n o R- a-x,,)-3 -3 Furnace 100,000+ BTU (ducts/vents) 17.90
W
Suite/bldg. /apt. no.: j Project name: a r rt e,e Gas heat pump 14.00 •
Cross street/directions to job site: Duct work 14.00
Hydronic hot water system 14.00
SW l 3 s (- 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
DESCRIPTION OF WORK Water heater 10.00
�� �y Gas fireplace 10.00
?- tedwp'b e-' / .1 at-L.-et-oft re fry- E-0 Flue vent for water heater or gas
C �a-s) 1 S) fireplace 10.00
`f- Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
Chimney/liner /flue /vent 10.00
PROPERTY OWNER I ❑ TENANT Other: 10.00
Name: 14.a4-0 1 0 4. B L J ArAe J Environmental exhaust and ventilation
Range hood/other kitchen
� �9- .J
Address: � ` o n - , � Q equipment 10.00
City /State /ZIP: -- - O q 7 ]-a_3 Clothes dryer exhaust 10.00
5 Z{, ( Single -duct exhaust (bathrooms,
Phone: L 5 ' 3 -. 7 10 Fax: ( ) toilet compartments, utility rooms) a, 6.80 IA .(
[APPLICANT ®CONTACT PERSON Attic /crawlspace fans 10.00
/� / Other: 10.00
Business name:
Cis Ijev °LS r c) Pen�+� �/ t rx p Fuel piping
Contact name: 4-1- I e.--A z $5.40 for first four; $1.00 for each additional
Address: `pa tS b C}I Furnace, etc.
Gas heat pump
City /State /ZIP: ] w(e_ 6 s O t O t o 5 '� 03 L- Wall/suspended/unit heater
Phone: (,563) L,- 07 j Fax:: Q A 6 7 O Water heater
- Fireplace
E -mail: b ?..4-b C S ) O y w k, , (! 0 f,,. Range
CO CTOR Barbecue
Business name:
' Clothes dryer (gas)
/� O b e S I s L 1 P fr1tQ D t? /r P.t Other:
Address: Pe' 6 9 MECHANICAL PERMIT FEES*
City /State /ZIP: L 0. ? p o D 9 34 _ Subtotal
J ( ax: Minimum permit fee ($72.50) - 7,;Z,5O
Phone: ( 50 3� 6 -0 - 27 / 03 6 - 30
Plan review (25% of permit fee)
CCB lic.: 145-T- 3 3 / State surcharge (8% of permit fee)
/_____ TOTAL PERMIT FEE I' y....70 Authorized signature:
^ This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Alb ` / �h L J Date: • ' Fee methodology set by Tri -County Building Industry Service Board
I:\Building\Permits\MEC- Permit App. dot 04 /06/06 440 -46!7T (l l /02 /COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
T�tal yakiatioitlw, Permit
$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.
1: \Building\Permits\MEC-PermitApp.doc 12/30/05 2
CITY OF
• BUILDING DIVISION PERMIT #: MEC2007 -00134
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/8/2007
Phone: (503) 639 -4171 .
1047_
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/13/2007 TIME: 7:02AM PAGE: 23
SITE ADDRESS: 13645 SW FEIRING LN CLASS OF WORK:
SUBDIVISION: COTSWALD MEADOWS LOT #: 048 TYPE OF USE:
PROJECT NAME: WARNER
DESCRIPTION: (2) exhaust fans for bath & utility
OWNER: WARNER, HAROLD & BE1TE PHONE #: 503 -524 -5710
CONTRACTOR: OSWEGO DESIGN & REMODELING PHONE #: 503- 676%0771
Inspection Request Scheduled For: Date: 3/13/2007 - Pour Time:
Code # Inspection Description Confirm # Contact # Me -
625 Duct work 044737 -01 503. 307 -0702 /
Corrections /Comments / Instructions:
•
KI PASS jl PARTIAL APPROVAL Ii CANCEL n NO ACCESS
4 ��'�� % A LL FOR INSPECTION n ADDITIO AL FEES ASSESSED
Inspecto - Date: / I Phone #: (503) 718 - Z‘f,,i'y
•
CITY -OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00134
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/'2007
Phone: (503) 639 - 4171..11 I�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/30/2007 TIME: 7:00Al i PAGE: 34
SITE ADDRESS: 13645 SW PORING LN CLASS OF WORK:
SUBDIVISION: COTSWALD MEADOWS LOT #: 0413 TYPE OF USE:
PROJECT NAME: WARNER
DESCRIPTION: (2) exhaust fans for bath & utility.
OWNER: WARNER, HAROLD & BE I I E PHONE #: 503 -524 -5710
CONTRACTOR: OSWEGO DESIGN & REMODELING PHONE #: 503-675-0771
Inspection Request Scheduled For: Date: 4/30/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 047307 -01 603- 307 -0702 N
Corrections /Comments /Instructions:
•
•
❑ PASS n PARTIAL APPROVAL CANCEL NO ACCESS
❑ AIL n CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector: 4 Date: I - 7 ° T Phone #: (503) 718- 7 4-4
•
CITY OF TIGARD
BUILDING DIVISION . PERMIT #: MEC2007 -00134
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/8/2007
Phone: (503) 639 -4171 em u° �myyl '�I
Inspection Requests (24 Hrs.): (503) 639 -4175 .„'
INSPECTION WORKSHEET FOR DATE: 5/2/2007 TIME: 7:01AM PAGE: 61
SITE ADDRESS: 13645 SW FEIRING LN CLASS OF WORK:
SUBDIVISION: COTSWALD MEADOWS LOT #: 048 TYPE OF USE:
PROJECT NAME: WARNER
DESCRIPTION: (2) exhaust fans for bath & utility.
OWNER: WARNER, HAROLD & BETTE PHONE #: 503 -524 -5710
CONTRACTOR: OS EGO DESIGN & REMODELING PHONE #: GO 675 -0771
Inspection Request Scheduled For: Date: 5/2/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 047496 -01 503-675 -0771 Y
Corrections /Comments /Instructions: .
0 ......, .=:__.
IN) i
t.
[PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL I I CALL FOR INSPECTION . n ADDITIONAL FEES ASSESSED
Inspector: `� /, }t» Date: Phone #: (503) 718- 2 /
.