Permit u
CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00013
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 1/10/2006
PARCEL: 25101 AC -01800
SITE ADDRESS: 07585 SW HUNZIKER RD ZONING: I -L
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: 26' gas line install. Value: $1900.00
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: 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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
MOSTUL, TERRY A + DEBBI C Description Date Amount
7585 SW HUNZIKER ST [MECH] Permit Fee 1/10/200€ $72.50
TIGARD, OR 97223 [TAX] 8% State Surchar€ 1/10/200€ $5.80
Phone: 503 - 519 - 7847 Total $78.30
Contractor:
BURKE MECHANICAL
9265 SW 74TH REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 244 - 8694
Reg #: LIC 00047781
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.
i
Issued By _ / �� J Permittee Signature: ,c am
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.
Mechanical Permit..A _ plication FOR OFFICE USE ONLY
CI of Ti and U E Y V E D Received Perm No.
`J' g Date /By: 1 /0 oto • i G - D.__ / _ i //[ 6
13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie
Phone: 503.639.4171 Fax: 503.598.1960 p 1 1 /i i M; ,,y, n Other,Pennit:
Inspection Line: 503.639.4175 JAN 0 2006 . I ' ,..1 J . Date Re
Y ► _ Date / o: See Page 2 for
Internet: www.ci.tigard.or.us CI OF TIGARD � Notified/Method: EliM Supplemental al Information
SGtTTf :VON �H { W0 COMMERCIAL FEE *. SCHEDULE — USE CHECKLIST
❑ 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: $
dwelling ' RESIDENTIAL EQUIPMENT / SYSTEMS;FEES*
❑ 1 - and 2-family g Commercial /industrial ❑ Acc essory building
❑ Multi - family 1:1 Master builder ❑ Other: For special information use checklist.
Description Qty. I Ea. 1 Total
JOB`;SITE INFORMATION AND LOCATION Heating /cooling
Air conditioning or heat pump
Job site address: 7585 SO HUNZI KFR RD (requires site plan showing placement) 14.00
City /State /ZIP: 7Ir/4RD, OR. 97223 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
Flue /vent for any of above 10.00
Subdivision: Lot no.:
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
INS74LLIN AS LINE TOR PRIN7 BOO71/ Gas Flue 10.00
✓ � Flue vent f nt for water heater or gas
q � r fireplace 10.00
° S Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
Chimney /liner /flue/vent 10.00
• . ❑,'PROPERTY OWNER ❑ TENANT
Other: 10.00
Name: 7 FR/ ?// (7(/ �.7 //7 Environmental exhaust and ventilation
y Range hood/other kitchen
Address: 7585 Sld HLLNZI KER RD. equipment 10.00
City /State /ZIP: 7I ,rj R R D, OR 97223 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( 5 0 3' 639-9200 Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Other: 10.00
Business name: ,4R7I S 7 I C 41170 ROD/f Fuel piping
Contact name: 7 FR /?/ 1'POS7/LL $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address:
7585 S/) HICNZI KE R /?D Gas heat pump
City /State /ZIP: 7IC4RD, OR. 97223 Wall/suspended/unit heater
Phone: ( Fax: : ( ) Water heater
5 6 3 6 3 9 — 9 2 6 6 Fireplace
E -mail:
Range
' ' _ CONTRACTOR Barbecue
Clothes dryer (gas)
Business name /311RKF 1'1FCHANTCAL
Other:
Address: 9265 Sid 7401 AV E MECHANICAL PERMIT'FEES* .
City /State /ZIP: Subtotal
Phone: ( 503) 244-8694 Fax: ( ) Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lic 47787 / 223 - p( State surcharge (8% of permit fee)
TOTAL PERMIT FEE W
/ �'
Authorized signature: ` / This permit application expires if a permit is not obtained within 180
� ` J _
days after it has been accepted as complete.
Print name: Da e: • Fee methodology et b Tri -Cou t Building g Industry Service Board
JO / ?Jf � H /�lI / ?KF „ � �
/9 / U6 gy ' ](n 30
M
I:\ Building )Permits\EC- PeimitApp.doc 12/03 440-46 I7T (I 1 /02/COM/WEB) v
t,. •
Mechanical Permit Application - City of Tigard
Page 2'- Supplemental Information
Commercial Fee Schedule: _ Ki 7e- �O
Total Valu;ation:. Permit Fee: " ` )V'
$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. ( u' �/ Q / 5 f
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and ` l (1�
$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 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.
•
i:\Building\Permits\MEC- PermitApp.doc 12/03 2 `
•
•
CITY OF TIGARD
BUILDING DIVISION - A PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: W1012006
I Phone: (503) 639-4171 „so:01p
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1/12/2006 TIME: 1:02AM PAGE: 72
SITE ADDRESS: 07585 SW HUNZIKER RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: ARTISTIC AUTO BODY
DESCRIPTION: 26' gas line install. Value: $1900.00
OWNER: IvIOSTUL, TERRY A + DEBBI C, PHONE #: 50-519.7007
CONTRACTOR: BURKE MECHANICAL PHONE #: 503-244-8591
Inspection Request Scheduled For: Date: 1/12,2006 Pour Time:
Code # Inspection Description Confirm # Contact # M:
610 Gas line 024794-01 503-639-6200
Corrections/Comments/Instructions:
-
1-cc/7e 11 ?-2 1 *
(46) M —
s
fl PARTIAL APPROVAL LI CANCEL NO ACCESS
El FAIL El CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
‘61
Inspector: Date: Phone #: (503) 718-
,-