Permit r CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00047
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/29/2008
PARCEL: 2 S 112 B B -07900
SITE ADDRESS: 08240 SW FANNO CREEK DR ZONING: R -7
SUBDIVISION: COLONY CREEK ESTATES NO. 2 LOT: 062 JURISDICTION: TIG
PROJECT: OBERMEIER
Project Description: gas furnace installation
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:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS
CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 0
> 10000 cfm:
Owner: FEES
JEFF OBERMEIER Description Date Amount
8240 SW FANNO CREEK DR
TIGARD, OR 97224 [MECH] Permit Fee 1/29/200€ $72.50
[TAX] 12% State Surch 1/29/200E $8.70
Total $81.20
Phone: 503 -816 -2443
Contractor:
OREGON HEATING & AC
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -538 -2953
FAX 503 -537 -2172
Reg #: LIC 172126
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: / _ - Permittee Signature:
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.
f s 3n 29 08 08:20a Oregon Heating & A/C 503 - 537 -2172 p.1
�, Mec � hanical Permit Applic t, EC E I V E D - _ FOR OFFICE USE ONLY
Received
City of Tigard
Date/By:
2.01 i i t No.; / 1 'Ch j - 000 y
Er
13125 SW Hall Blvd., Tigard, OR 97223 IAN 2 9 2008 Plan Review
Phone: 503.639.4171 Fax: 503.598.19 Date /By: Other Permit.
TIGARD Inspection Line: 503.639.4175 Date Ready /By: tuns: a See Page 2 For
Internet: www.tigard- or.gov CITY OF TIGARD Notified/Method: Supplemental Information
BUILDING DIVISION • .
TYPE • OF Vv'ORK, , . ' . .. 'COMMERCIAL FEE* SCHEDULE - USE CHECKLIST •
I=1 New construction %Addition/alteration /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*
(Al- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other:
Description Qty. I Ea. Total
' • JOB, SITE INFORMATION. AND LOCATION Heating/cooling
Air conditioning or heat pump
Job site address: 2. . -11,. i O r � E �
Tf / o • (requires site plan showing placement) 14.00 �
City /State /ZIP: '7 /`Aizc + ( C � j, Y � of 722 Furnace 100,000 BTU (ducts /vents) i 14.00 1 yI
L ( ( Furnace 100,000= BTU (ducts/vents) 17.90
Suite /bldg. /apt. no.: Project name: 0 1)C,rne-yG , Lt ' Gas heat pump 14.00
Cross street/directions to job site: . Duct work 14.00
,11,E 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. [0.00
Subdivision: Lot no.: Flue'vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK r
ater a e
R� 0 // 1Z� 6-‘1.11_517:,,e__, Gas fireplace g as
10.00
'
1 Flue vent for water heater or
fireplace 10.00
Log lighter (gas) 10.00 _
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
u erne /
y finer /flue /vent 10.00
'ROPERTY OWNER ' ' 0 TENA • . .
1 NT Other. 10.00
Name: 3 Ober }me le r _ Environmental exhaust and ventilation
Address: . = ZL/0 5f L. r )00 creep( Range hood other kitchen
I C � C - � equipment 10.00
City /State /ZIP: -� p,,� (2 -y Clothes dryer exhaust 10.00
! 1 ' }� C�j� c'! / Single -duct exhaust (bathrooms,
Phone: ((,> e) to - a Fax: ( ) toilet compartments, utility rooms) 6.80
•
. APPLICANT : ' . ; ' .- .,. CI . CONTACT PERSON c craw sp ce fans
Atti / I a 10.00
Other. 10.00
6 "�° L
Business name: �j ' 1 4 C,
^+ �t1r / J-1-00, - -73 / 46 rf/ Fuel piping
Contact name: CAr L / LJ/) - ,/7,/ 1 $5.40 for first four; $1.00 for each additional
Address: PO e v 7 Furnace, etc.
5 Gas heat pump
City /State /.ZIP: rr (k 171/ q .5 Wall/suspended/unit heater
- � (�� if Phone: ( 15) .!j3,S ,27.q6, q ` Fax: (� ) 5377 .- j "7 7 Water heater
J / , // f i b Fireplace
CL
E-mail: /�, g.. �Gx3 '7�'1�fj._ 1YY .l i' / r Range
' • -CONTRACTOR; ' 1 Barbecue • Business name: �-,,e e / i Ll „hit: f Clothes dryer (gas)
�' t / l (ms Z ! / C /y Other
Address: . • ' MECHANICAL PERMIT FEES* '
City/State /ZIP: Subtotal
—
Phone: ( ) l Fax: ( ) Minimum permit fee ($72.50) 72v
Plan review (25% of permit fee)
-
CCB lic.: ' 72 /, r State surcharge (12% of permit fee) `7
TOTAL PERMIT FEE F3 l 2, C
Authorized stgnattt - ` -- 70 This permit daps after it expires If a permit is not
accepted as complete.
within 180
Print name: G � ' Date' / + �' " Fee methodology set by Tri- County Building Industry Service Board
I :'Building'Permits .V¢C- PermitApp_doc 0+;06/06 440 -4617T (11 /02:COht.WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: f i 01..c:r
Phone: (503) 639 -4171 IVf' +'
Inspection Requests (24 Hrs.): (503) 639-4175 _••.•
INSPECTION WORKSHEET FOR DATE: 7i7t V,I Aiti TIME: / PAGE:
SITE ADDRESS: ih...i; ':;;, '..,. + : \; :i Is,i t; +' i)7 CLASS OF WORK:
SUBDIVISION: COL (j - +`' f• )tV g_,_ ; F5 ;.J0, :3 LOT #: ir`:,:,_ TYPE OF USE
PROJECT NAME: -Cif ,
DESCRIPTION:
•
OWNER: ; 3,r. _,•;'st3• _:!': fl ;'s PHONE #:
CONTRACTOR: ;4: •. �,. , i s ;'i;.lr ; ,., ,e ; PHONE #: :;� 1`t. ,if'• :;�f.'i 3
Inspection Request Scheduled For: Date: „''> ,f. ?;,,t; Pour Time:
Code # Inspection Description Confirm # Contact # Message
• Mo. )• l �. ' .. '�•�. :� 5,�� e\
Corrections /Comments /Instructions:
•
I/1 PASS PARTIAL APPROVAL I CANCEL n NO ACCESS
FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: ./ . Date: ✓" ) ( L.' Phone #: (503) 718- '`