Permit . CITY OF TIGARD MECHANICAL PERMIT
° °' COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00037
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/25/2008
PARCEL: 25111 CB - 01740
SITE ADDRESS: 10460 SW HOODVIEW DR ZONING: R - 3.5
SUBDIVISION: HOOD VIEW NO.2 LOT: 039 JURISDICTION: TIG
PROJECT: BOWEN
Project Description: heat pump and air handler 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: 1 DOMES. INCIN:
ELE 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:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
BOWEN, MARK Description Date Amount
10460 SW HOODVIEW
TIGARD, OR 97224 [MECH] Permit Fee 1/25/200€ $72.50
[TAX] 12% State Surch 1/25/200€ $8.70
Total $81.20
Phone: 503 -708 -4431
Contractor:
OREGON HEATING & AC
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Contact #: PRl 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: „7----P C 7S
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.
Jan 24 08 08:05a Oregon Ai i(C 503- 537 -2172 p. 1
\ Mechanical Permit A A. s li trap I, � Q n E hi�d11 FOR OFFICE USE ONLY •
r CI of Ti an 2008 Received ermit o. _
�� L.4 / P N:
U PI
" 13125SW Hall Blvd., Tigard, OR 97223 2 4 Date /By: 12 / /(f� �L=.� a()()�f -4)603-"? Phone: 503.639-4171 Fax: 503.598.10 ?G Plan Review
� OF f iGh
Da te %By: O her Permit Y ++
TIGARD Inspection Line: 503.639.4175 ��� ® SI k Date Ready /By: Loris: ® See Page 2 for
lInternet: �
www.tigard- or.gov U��® 4J1` \ Notified /Method Supplemental Information
• :TYPE OF WORK ' COMMERCIAL FEE* SCHEDULE, ` USE CHECKLIST
❑ Ncw construction Addition /alteration /replacement Mechanical permit fens* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition El Other: mechanical materials, equipment, labor, overhead, and profit. •
.: .. . . • CATEGORY OF CONSTRUCTION Value: $
❑Commercial / industral RESIDENTIAL EQUIPMENT I SYSTEMS FEES*' .
IR t - and 2- family dwelling
❑ A ccessory building
For special information use checklist.
El Multi - family ❑ Master builder El Other: Description 1 Qty. 1 Ea. f Total
. JOB -SITE, INFORMATION. AND LOCATION . • Heating/cooling
Job site address: l! 1 Mr �V Air conditioning or heat pump r _/'. ( / 0
J (inquires site plan showing placement) J 14.00 J'I .
City /State /ZIP: 11 / t7- 1 ) 0 . • Furnace 100,000 BTU (ductsvents) 14.00
( S 1 ` Furnace 100,000+ BTU (ducts /cents) 17.90
Suite /bldg. /apt. no.: 1 Project name: Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
(0` J r Hydronic hot water system 14.00
D Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in-duct, suspended, etc. 10.00
Subdivision: Flue/vent for any of above 10.00
Lot no.:
Other: 10.00
Tax map /parcel no.: Other fuel appliances
.. DESCRIPTION. OE. WORK Water heater 10.00
_D y� 77, p� / n Gas fireplace 10.00
V S t /ILL / / y j) T ,4 /k 04-max Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
,�._- rx Wood fireplace /insert 10.00
.4J 'OWNER Q TENANT- Chimney linedllue /vent 10.00
Other
[������ _ 10.00
Nam e: - /!/� I1 13(?wE ;ts ,. Environmental exhaust and ventilation
Address:
l% Range hood/other kitchen
� .
• ,, equipment 10.00
City/State /ZIP: '7 6--",2_6 0/Z y 722-4 _ Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( 9 4_, 0 1 Fax: ( ) toilet compartments, utility rooms) 6.80
DPPLICANT TA
• ❑ CON CT PERSON tcra
Atticwlspace fans 10.00
r / / Other: , 10.00
Business name:
(11)i '/Y a' N• A Fuel piping
Contact name: + L- C •
0.0•11/ , $5.40 for first four; 51.00 for each additional
Address: I'D 0 L)' � ; Furnace, etc. ■�l Gas heat pump
City/State /ZIP: ' ,' , t• - '' 0 7//.5 Wall/suspended/unit heater -
Phone: (,)5 53g. -2-cL5 .2 Fax: : ( r=�57 -0Q/7�„ Water heater
�v - L�J /� Fireplace
E -mail: Cairo J C t ' •E /`J6 .-elm Range
... . . CONTRACTOR .. ' _ , " . Barbecue
Business name: 1E /1:-`): Ae Je- Clothes dryer (gasl
(� Other.
Address: MECHANICAL PERMIT FEES
City/State /ZIP: Subtotal
Minimum permit fee ($72.50)
Phone: ( ) Fax: ( ) Plan review (25% of permit fee)
CCB lie.: 1-- 2- I 0 State surcharge (12% of permit fee)
TOTAL PERMIT FEE 1 /, 7
h,
Authorized signature: n- This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: �?�. S17 Date: I .�. J / f)) * Fee methodology net by Tri- County Building Industry Service Board
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1 rrrs 'arra Year km aesauvyra arrcr your payment 1189 peen processea.
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Jan 24 08 08:06a Oregon Heating & A/C 503-537-2172 p.2
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CITY OF ��mn m ��n nn��u�mnu��
• BUILDING DUVUSKON PERM(T#: Mt-.:C2009-00037 13125 SVVHa||B|vd.. Tigard, OR 97223 DATE ISSUED: 112E12008 Phunn:(503)689'4171
Inspection Requests (24Hmj:(503)G39'4175 °�3�� � ��
INSPECTION WORKSHEET FOR DATE: 2111/2 8 TIME: • 7:01AM PAGE: 20
SITE ADDRESS: 'two 3w H()0D\AEVyDR CLASS OF WORK:
SUBDIVISION: HOOD VIEW NO.2 LOT #: 039 TYPE OF USE:
PROJECT NAME: B0VVEN
DESCRIPTION: hat pump and air handler installation
OWNER: B0WFN.KAARK. PHONE #: 503..708-4431
CONTRACTOR: OREGON HEATING & AC PHONE #: W3-538-2963
1
Inspection Request Scheduled For: Date: 211112008 Pour Time: I
Code # Inspection Description Confirm # Contact # Message .
1
659 hXmohanical final 0E4796-01 503538-3963 Y
•
Corrections/Comments/Instructions:
owpgib. I PART I AL APPROVAL 111 CANCEL 0 NO ACCESS
FAIL u CALL FOR INSPECTION El ADDITION S ASSESSED
•
Inspector: - Date: / J =� Phone #: (503) 718- <�~W7