Permit r S q CITY OF TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00521
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/30/2007
PARCEL: 25111 BA -10400
SITE ADDRESS: 09520 SW MCDONALD ST ZONING: R-4.5
SUBDIVISION: WILDFLOWER TOWNHOMES MLP98 -007 LOT: 001 JURISDICTION: TIG
PROJECT: FOX
Project Description: Install a/c unit.
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: 1 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
TOM FOX Description Date Amount
9520 SW MCDONALD
TIGARD, OR 97224 [MECH] Permit Fee 8/30/2007 $72.50
[TAX] 8% State Surcha 8/30/2007 $5.80
Phone: 503- 330 -3764
Total $78.30
Contractor:
OREGON HEATING & AC
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -538 -2953
FAX 503 -537 -2172
Reg #: LIC 172126
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued = itt Si Permee nature: - Signature: X� p1��,�.fi011
Call 503.639.4175 by 7:00 a.m. for inspections that business d ya
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Aug 29 07 12:31p Oregon Heating & A/C 503- 537 -2172 p.1
" 1iIecha.nical Permit Applicati E® role O F10E use ON[ Y
Irkr of Tigard ` Received Permit No.:
13125 SW Hall Blvd., Tigard 3 Plan Review
Phone: 503.639.4171 Fax 5 3.598.19 0 !,O Date/By: Other Permit:
TIGARD
Inspection Line: 503.639.4175 p \9 Date Ready/By: See Page 2 for
Internet: WWw.tigard -ongov n, _ \ , a u ,. NotifiedR4ethod: Supplemental Information
G`
w ,
• TYP Ol COMMERCIAL FEE* SCHEDULE — :U$E CHECKLIST •
1=I 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 - FEES* • Value:
RESIDENTIAL EQUIPMENT / SYSTEMS. F .
® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
:. JOB SITE'INFORM4TION AND LOCATION Heating/cooling
Air conditioning or heat pump i ^
Job site address: g51g O S \I\I mC con (-ll ` 1 wires site showing placement) p s p ) f 14.00 "i `)) �� 110
City/State/ZIP: Tier amd QF q- ati Furnace 100,000 BTU (ducts'vents) • 14.00
Furnace 100,000+ BTU (ductsrvents) 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
"..: DE$GRIPTION.`QF 1'VORK ,; : ':: ; . ; .
Water heater
Gas fireplace 10.00
HVAC- (n ii � Flue vent for water beater or gas
`� , M fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
y irflueivent
Chimne ne
.7•
: :. PROI?ERTY= OVF'NER' :: :, � ::;.: .��..:. � TENANT � ..: ; • ::':.
1000
T
r . Other
Name: ' 1 Environmental exhaust and ventilation
a 1 1 \ . 1 3 *One \d
Range hood/other kitchen
Address: l..tl - W equipment 10.00
City/State/ZIP: 11 T OR C I -7 a ay Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone:) 33 _ 37 C.... Fax: ( ) toilet compartments. utility rooms) 6.80
® APPI:lCA11T: •. : Cl 0 CO.x1T?►CT PERSON :. ',
craw sp
tUc ce fans a
Other. 10.00
Business name: Oregon Heating & A/C Fuel piping
Contact name: 51,-)P.]1 e. 55.40 for first four; 51.00 for each additional
Furnace, etc.
Address: PO BOX 297
, Gas heat pump
City/State /ZIP: Dundee OR 97115 Wall/suspended/unithater
Phone: (503) 538 -2953 Fax: : (503) 537 -2172 Water heater
Fireplace
E -mail: Range
CONTRACTOR
Barbecue
Business name: Oregon Heating & A/C Clothes dryer (gas) _
Other-
Address: PO BOX 397 . `� .MECHANICAL.PERMIT FEES *.
City/State/ZIP: Dundee OR 97115 Subtotal
Minimum permit fee ($72.50) - ')(3
Phone: (503) 53 8-2953 I Fax: (503) 537 -2172 Plan review (25% of permit fee)
CCB lic.: 172126 1 State surcharge (8% of permit fee) 5 , Ti j
TOTAL PERMIT FEE . "]R, 30
signature: (/'/� This permit application expires if a permit is not obtained within 180
Authorized si
!'� DI_ I& days after It has been accepted as complete.
Print name: Ran1elk) C J -07 • Fee methodolo'sct by Tri- County Buildin6 Industry Service Board
t:tuitdin0 Permtis�/4EC-Pe,°itApp.dac 04/06/ Date: ' .., a R
440 -4617r (1 t/02/COWwEB)
Rug 29 07 12:32p Oregon Heating & A/C 503- 537 -2172 p.2
2nd flr
5' +
1
5'+ -F I 5'+
•
•
upstairs
garage
SW McDonald
Job #: Ore on Heatin & Scale: 1 : 84
Performed for: 9 g Air Conditions...
Page 1
Tom Fox PO Box 397 / 992 Highway 99 W Right-Suite Residential
9520 SW McDonald Dundee, OR 97115 6.0.101 RSR39325
• 7224 Tigard. OR 90-37 54 Phone: 503-538 -2953 Fax: 503 -537 -2172
Phone: 503 - 33 2007 - Aug -28 08:16:31
0 -37 tarry@oregonheating.com C:\My Documents \Wrightsoft HVA...
I
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007- 00521
Alk 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8 / 30 /2007
Phone: (503) 639 -4171 �� "� l
Inspection Requests (24 Hrs.): (503) 639 -4175 �'I � ..
INSPECTION WORKSHEET FOR DATE: 9/11/2007 TIME: 7 :00AM PAGE: 43
SITE ADDRESS: 09520 SW MCDONALD ST CLASS OF WORK:
SUBDIVISION: WILDFLOWER TOWNHOMES MLP98 -0 LOT #: 001 TYPE OF USE
PROJECT NAME: FOX
DESCRIPTION: Install a/c unit.
OWNER: FOX, TOM PHONE #: 503.330.3761
CONTRACTOR: OREGON HEATING & AC PHONE #: 503538 - 2953
Inspection Request Scheduled For: Date: 9/11/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Me age f 11
699 Mechanical final 055467 -01 503538 -2953 Y
Corrections /Comments/ Instructions:
11/4/1 L e___ f 15775
6+ e_ j>itmi c2 2 c , -1,,"
A l e " U y l
PASS ■ - ^ RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL j ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: /i/ 7 Phone #: (503) 718- ZC .
•