Permit IF
CI TY OF TIGARD MECHANICAL PERMIT
A Ai DEVELOPM ENT SERVICES PERMIT #: MEC2006 -00521
, DATE ISSUED: 10/27/2006
.— 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1 S125DB -01700
SITE ADDRESS: 07140 SW TAYLORS FERRY RD ZONING: R -4.5
SUBDIVISION: SHADY DELL LOT: 017 JURISDICTION: TIG
Project Description: Furnace and AC unit.
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:
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
MEGAN SAGE Description Date Amount
7140 SW TAYLORS FERRY RD.
TIGARD, OR 97223 [MECH] Permit Fee 10/27/20C $72.50
[TAX] 8% State Surcha 10/27/20C $5.80
Total $78.30
Phone: 5971- 219 -2766
Contractor:
OWNER
REQUIRED ITEMS AND REPORTS
Contact #:
Reg #:
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: L Permittee Signature: e ic ,- /xe,p aX ,e____/
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business a - y.
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.
nrb Mechanik:al Permit A 1, s lie am ,, • 0 - x ' t FoR,on i E s ' t- ., g,
t Received
City of Tigara
' Date/By: / ' 7 06P % ' Permit No.: Ci Gc .... .
q 13125 SW Hall Blva ' , OR 972 3 P+��f.JJ
., ®o� Plan Review
is„ Phone: 503.639.4171 Fax: .5 .1 0� D /B Other Permit: �
PI Y
Inspection Line: 503.639.41 �g
'11,1 G A R D ��� , WORK Note Rd / y: : S Supplemental f See Page for
IntInternet: www.tiga[d- or.gov ,� # Date Notified/Method: /B upplemental l Information
1 0 ��, RK i COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
[=I New construction r.4
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: $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
g. I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other:
Description Qty. Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling I l ( G ,) / �� C� Air q conditioning ho or heat pump
Job site address: ]
1 Q �,lJ T ( �u (requires site plan showing placement) 1 14.00
City /State /ZIP: -r 0 - (Z q 7 ZZ Furnace 100,000 BTU (ducts /vents) 1 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
T I �l Q Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: SI LI Q Lot no.: Flue /vent for any of above 10.00
t Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater _ 10.00
A }- Gas fireplace 10.00
j 0.'t II Fu n Q ce_ / A / t; . Lin ; Flue vent for water heater or gas
LL fireplace ' 10.00
Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
vi PROPERTY OWNER ❑ TENANT Other:
Chimney/liner/flue/vent 10.00
Other: 10.00
Name: J i t I I n J p saN S a w Environmental exhaust and ventilation
t `^ Range hood/other kitchen
Address: scuvuL. Q... Q4,Qive-, equipment 10.00
City/State /ZLP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( c a1 ) 2 j 9 - 27- 6 CO Fax: ( ) toilet compartments, utility rooms) 6.80
4 APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name:
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address:
Furnace, etc. I
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail: Range
CONTRACTOR Barbecue
Business name: rh OA./ O dryer (gas)
Other:
Address: MECHANICAL PERMIT FEES*
City /State /ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lie.: State surcharge (8% of permit fee)
TOTAL PERMIT FEE /S "50
Authorized signature: / /0..4/1A This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: in e r'; c�W In S ! z o Date: 10 /' 26 - 06 * Fee methodology set by Tri- County Building Industry Service Board
�
1: \Building \ Permits \MEC - rmitApp.doe 04/06/06 440 -4617T (11 /02/COM/WEB)
CITY OF TIGARD If e C�Sooczl
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: / �'
Phone: (503) 639 -4171 ■ � A.01110 j �Inspection Requests (24 Hrs.): (503) 639 -4175 _11111, =..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: •1 inYhei / / /?--.2 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: /� DESCRIPTION: a / /C A/��
OWNER: / 4�e..- o PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection D scription Confirm # Contact # Message
6qc, ,.- " 039'050-D/
Corrections /Comments / Instructio:
/I
•
I`. PASS PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
n FA I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: (4 -j 1 r Date: / 0 _ 0 0 O. Phone #: (503) 718- 2 -.