Permit l � }
• CITY O.F TIGARD MECHANICAL PERMIT
I COMMUNITY - DEVELOPMENT PERMIT #: MEC2007 - 00153
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/22/2007
PARCEL: 1 S135DB - 07600
SITE ADDRESS: 09330 SW NORTH DAKOTA ST ZONING: R - 4.5
SUBDIVISION: O'NEEL ACRES LOT: 016 JURISDICTION: TIG
PROJECT: HERGERT
Project Description: Gas furnace replacement.
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:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
AARON HERGERT Description Date Amount
9330 SW NORTH DAKOTA
TIGARD, OR 97223 [MECH] Permit Fee 3/22/2007 $72.50
[TAX] 8% State Surcha 3/22/2007 $5.80
Total $78.30
Phone: 503- 670 -9589
Contractor:
SPECIALTY HEATING & COOLING
7500 SW TECH CENTER DR #130
TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS
Contact #: FAX 503- 681 -0793
PRI 503- 620 -5643
Reg #: LIC 66578
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: , /w-
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.
03/20/2007 12:31 FAX 503 598 0718 SPECIALTY_HEATING a 002/002
Mechanical Permit A pi `" VF FORR OFFIC'1:1)SE'; ONLY
Amity of Tigard - ■
,
Re ceived
13125 SW Hall Blvd., Tigard, OR 97223 2 0 200 D e/By: 30 Pamir No.: 11 J ... Phone: 503.639.4171 Fax: 503.5911.1960 M AR T yi D ° Other hermit:
Inspection Line: 503.639.4175 CITY ® �" f T 4 ;)i i 1 Dale Read/B: rmnao0 BUILDNG Notified/Method:
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❑ 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.
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y g 0 0 building For special Information use checklist.
12Multi-family ❑ Master builder ❑ Other:
Description I Qty. 1 Ea. L Total
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� 3 3 S.a W 0 04�K,a fi4 Air conditioning or heat pump
Job Site address: (requires site plan showing placement) 14.00
City /State/ZIP: Furnace 100.000 BTU (duets/vents) 1 14.00
Furnace 100,000+ BTU (ducreventa) 17.90
Suite/bldg. /apt. no.: I Project name; pas 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 hearers (lttel -type, not electric),
in -wall, in- duct, suspended, etc. 10.00 _
Subdivision: I Lot no. Flue/vent for any of above 10.00
Other, 10.00
Tax map/parcel no,: Other fuel appliances
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I,I L. -1�c 4 ... . u',,,- ..I._� , Water heater 10,00
Gas fireplace 10.00
Flue vent for water heater or gas
fireplace 10.00
L - ' ' - '-" Log lighter (gas) 10.00
Wood/pellet stove 10.00
wood fireplace/insert 10.00
`Jrr� 17 ' ri',Ii: %.1 '; D n. Z.6 � 1 ,` f .1 J. il ;l . '4 ri r� snL %F. l rl!i r le i I f1S rl l , l�i1' 41r. :' Chimney /liner /flue/vent 10.00
: 2,o, i� f � , . __:I: _� Cti ._I15 Other: 10.00
Name: Hargett, Aaron & Amy R07081 Environmental exhaust and ventilation '
Address: 9330 SW North Dakota Range hood/other kitchen
Tigard, 97223 equipment 10.00
City/Stew/ZIP Clothes dryer exhaust 10.00
(503)670 -9589 - Single-duct cxhaust(bathrooms.
Phone: ( toilet compartments, utility rooms) 6.80
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.I1. d Al l 1. . • . Other: 10.00
Business name: , - _ . . . r . s , 0,# . A . J ' Fuel piping
•
Contact name 55.40 for Brat four; 51.00 for each additional
e _ n 1� 3j) Gas Furnace. t pump etc.
Address:
7 sAa SI.J Teedl I. f' T - Dr 14,13b - Gas heat
City /State/ZIP: fl arc,. et 7 3 Wall/suspended/uniheater
Phone: ( ) 5 i a y / , I Fax:: ( ) water heater
�^�► `u Fireplace
E -mail: Range
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Business name:
SP�t.O� M 14 eix4 LI'LA 4 rob /.Lli�a he__ Clothes dryer(�ns�
S I �/� Other:
Address: 75 ii) d e,nft 1.r M r. ' I a " . ll�l I" I c 11 IAI r t r. r, , ,,.....1 0,, k,•,. r L I , rveln1 k, r'r
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Subtotal
City/Suite/LIP: �� -q Minimum permit fee (572.50) )
Phone: 6 ) 6 -�x .. S 1.43 1 Fax: (46 2) -C ei g . 0 1 I g Plan review (25% of permit fee)
CCB lie.: 6 6 5 2 v State surcharge (8% of permit fee)
J } TOTAL PERMIT FEE T
v
Authorized signature: - - • This permit d yli a I t h been ° e aid w comlete. obtained within 180
Print name: p , c ) , I Date: - f - r a ' Fen methodology set by Tri-Cotmty Building Industry Service Board
I: lnulldleaTtrnllieNEC- PennexpRdoo 1ZKO 440.1617T (11M2/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: MEC2007 -00153
, 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/22/2007
Phone: (503) 639 - 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 . - `'I I .. •
INSPECTION WORKSHEET FOR DATE: 3/27/2007 TIME: 7:02AM PAGE: 70
SITE ADDRESS: 09330 SW NORTH DAKOTA ST CLASS OF WORK:
SUBDIVISION: O'NEEL ACRES LOT #: 016 TYPE OF USE:
PROJECT NAME: HERGERT
DESCRIPTION: Gas furnace replacement.
OWNER: HERGERT, AARON PHONE #: 603.670.9589
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503 - 620 - 5643
Inspection Request Scheduled For: Date: 3/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 046352 -01 503 - 620 -5643 Y
Corrections /Comments /Instructions:
40 ■ A f A/ \
00 1 .,
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1
19IN0(c_ I.4 L - / - 4- lfi70
D
/ VA PAS .1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
• FAIL I/, •ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: / / #: (503) 718- 20t
i