Permit z CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00102
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/15/2007
PARCEL: 2S 102CC -04600
SITE ADDRESS: 13645 SW STEVEN CT ZONING: R - 4.5
SUBDIVISION: BEREA LOT: 007 JURISDICTION: TIG
PROJECT: GIBSON
Project Description: Install furnace and a/c
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: 1
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
SCOTT & LORI GIBSON Description Date Amount
13645 SW STEVENS CT
TIGARD, OR 97223 [MECH] Permit Fee 2/15/2007 $72.50
[TAX] 8% State Surchar€ 2/15(2007 $5.80
Total $78.30
Phone: 503- 670 -0175
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 OU NC by
calling 503.246.6699 or 1.800.332.2344.
Issu d By: r i I!uJ1 Permittee Sig a ture: _ e !, (
Call 503.639A175 by 7:00 a.m. for inspections that • siness • ay.
This permit card shall be kept in a conspicuous place on the job s' e until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Feb 14 07 03:09p MS Rentals, Inc. 503 - 537 -2172 p.1
Mechanical Permit Application FOR OFFICE USE ONLY
V -
City f Tigard ty g Received
Data By: v�1Q W Permit No.: eA io _ 0 -
13125 SW Hall Blvd., Tigard, O �' / Plan Review
Phone: 503.639.4171 Fax: 503. \ � eJ 1 Date/By: Other Permit:
1Pn I II ru[ 0 See Pa e 2 for
Inspection Line: 503.639.4175 t .0 I Date Ready /By: � s
Internet: www.ci.tigard.or.us [ � oo Notified/Method: Supplemental Information
• .. TYPE OF WORK , COMMERCIAL FEE. SCHEDULE - USE CHECKLIST .
�� //� ,, `` t a � + Mechanical permit fees* are based on the value of the work
❑ New construction ®� ot)/ r lets�h I[ performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition 1 t rjv►cc "I 1 mechanical materials, equipment, labor, overhead, and profit.
• CATE ORY OF CONSTRUCTION . Value: S • RESEENTIAL.EQUIPMENT / FEES*
Ell and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. Ea. I Total
:4013 SITE INFORMATION AND LOCATION • Ileatingjcooling
Air conditioning or heat pump
i"...561_1 5 5w St wen (. . ( requires s ite plan showin placement) _ I vi -Q0
Job site address: 14.00
City /State/ZIP: - 1 - \n n � --cj 0 R q l Q t� Furnace 100.000 BTU (ducts/vents) I 14.00 Iy .0()
`J `' 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
Subdivision: I Lot no.: Flue /vent for any of above 1 10.00 i Q 00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
• O Water heater 10.00
DESC....TION..OF. YVORK .
Gas fireplace 10.00 _
H VAC Flue vent for water heater or gas
(lad A Aft 10.00
ft . r -R )rYI GCE- Log lighter (gas) 10.00 _
Wood/pellet stove 10.00 -
Wood fireplace/insert • 10.00
. Y er .
` •:� PROPE , :i D TENANT•.: ' .'... to r event 10.00 ,
Chimne R'
-: O t h e r .
Name: Gt} L - Llbsn Environmental exhaust and ventilation
�� � Range hood/other kitchen
Address: tab teven Cry equipment 10.00
City/State /ZIP: r -� o R 9 , D a3 Clothes dryer exhaust 10.00
-17, a Single -duct exhaust (bathrooms,
Phone: ( C- ) j on S Fax: ( ) toilet compartments. utility rooms) 6.80
. ❑ .APPLICANT . •❑,CONTACT PERSON:_':'.: Attic/crawlspace fans 10.00 -
Other. 10.00
Business name: Oregon Heating mad Air Conditioning Fuel piping
Contact name: f acyhP\ 1 . $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: PO Box 397
Gas heat pump
City/State/ZIP: Dundee OR 97115 Wall /suspended/unit heater
Phone: (503) 538 -2953 Fax: : (503) 537 -2712 Water heater
Fireplace ,
E -mail: rashelle @oregonheating.com Range
CONTR CTOR
Barbecue
Business name: Oregon Heating and Air Conditioning Clothes dryer (gas)
Other.
Address: PO Box 397
..' ` MECHANICAL PERMIT FEES* . -
City/State /ZIP: Dundee OR 97115 Subtotal 34. (f
Minimum permit fee ($72.50) 70, 50
Phone: (503) 538 -2953 Fax: (503) 537 -2712 Plan review (25% of permit fee)
CCB tic.: TIM2163 ;l a ; a State surcharge (g% of permit fee) 5. k(')
TOTAL PERMIT FEE 7 ,-3Q
Authorized signature: � 0 , ii ;L - This permit application a expires if a permit is not obtained within 180 , days ys aft fter r it has been accepted as complete.
Print name: �0� I e , e: t y -0-7 • Fee methodology set by Tti -County Building Industry Service Board
I
i:' Bui1disg 'PamicslhtEC- PermitApp.doc I2'03 44O- 46ITr(I1 /02 /COM'WEB)
Feb 14 07 03:09p MS Rentals, Inc. 503- 537 -2172 p.2
V
CITY OFTIGARD ° • f
BUILDING DIVISION PERMIT #: • M C2flD1 -00102
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/Th.
Phone: (503) 639 -4171 Ate
Inspection Requests (24 Hrs.): (503) 639 -4175 ' L L .
INSPECTION WORKSHEET FOR DATE: 2/26/2007 TIME: 7 :00AM PAGE: 31
SITE ADDRESS: 13545 SW STEVEN CT CLASS OF WORK:
SUBDIVISION: [3EREA LOT #: 007 TYPE OF USE:
PROJECT NAME: GIBSON
DESCRIPTION: Install furnace and a/c
OWNER: GIBSON. SCOTT & LORI PHONE #: 503 r175
1 CONTRACTOR: OREGON HEATING & AC PHONE #: 503.53q -2rg
Inspection Request Scheduled For: Date: 2f26/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
599 Mechanical final 043889 -01 503-538 -2953 Y
Corrections /Comments/ Instructions:
0
❑ PASS ❑ PARTIAL APPROVAL El CANCEL O ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 2-- 6 - a Phone #: (503) 718 - .'t 'I, 'iS---'
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00102
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1 2/16/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 I I..
INSPECTION WORKSHEET FOR DATE: 3/29/2007 TIME: 7:00AM PAGE: 49
SITE ADDRESS: 13645 SW STEVEN CT CLASS OF WORK:
SUBDIVISION: BEREA LOT #: 007 TYPE OF USE:
PROJECT NAME: GIBSON
DESCRIPTION: Install furnace and a/c
OWNER: GIBSON, SCOT!' & LORI . PHONE #: 503. 670.0175
CONTRACTOR: OREGON HEATING & AC PHONE #: 503 - 538.2953
Inspection Request Scheduled For: Date: 3/29/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 045662 -01 503-538.2953 Y
Corrections /Comments /Instructions: •
c cam r-..cog- aL • , --5 - - / /574?
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 3 �`Z�4z Phone #: (503) 718-