Permit CITY TIGARD MECHANICAL PERMIT
rI DEVELOPMENT SERVICES PERMIT #: MEC2006 -00457
° �I I I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/25/2006
PARCEL: 2S111 AB -09000
SITE ADDRESS: 09365 SW VIEW TERR ZONING: R -4.5
SUBDIVISION: PENROSE TERRACE LOT: 035 JURISDICTION: TIG
Project Description: Replace furnace, install air cleaner.
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: 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: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: 1 OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
TOM & JULI SMITH Description Date Amount
9365 SW VIEW TERR
TIGARD, OR 97224 [MECH] Permit Fee 9/25/200E $72.50
[TAX] 8% State Surcha 9/25/200E $5.80
Total $78.30
Phone: 503 - 598 -0504
Contractor:
OREGON HEATING + A/C INC
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -538 -2953
FAX 503 -537 -2172
Reg #: LIC 125815
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: J Permittee Signature: _'_ -e.„ r6
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business da . •
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.
Sep 2 06 02:27p MS Rentals, Inc. 503 - 537 -2172 p.1
i i
A Mechanical Permit pp r FOR OFFICE USE ONLY
City of Tigard Receive - A lv--- Pcrmit No. L z I 0 ih --/ez 77
13125 SW Hall Blvd., Tigard, OR 97223,,...„, Plan Review
Phone. 503.639.4171 Fax: 503.598.191 2 5 2006 l4 t s k ;r Date/By. Other Permit:
Inspection Line: 503.639.4175 s ■ �, •� Date Ready/By: HI See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
`L.tl . it ' , L✓ 1 +-, a :,8 ':
TY7 1k TYi�>" I OF WORIK't ' . T- llf' ` COMMERCIAL FEE* SCHEDULE USE CHECKLIST
Mechanical permit fees' are based on the value of the work
❑ New construction ® Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical matenals, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
® I and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building RESIDENTIAL EQUIPMENT /SYSTEMS FEES*
❑ Multi family 0 Master builder ❑Other. For special information use checklist.
Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: U2 r C Air conditioning or heat pump
13h5 5W vm t°t,,O lerr (requires site plan showing placement) 14.00
City/State/ZIP: T` cerd OR ei-' am Furnace 100,000 BTU (duets/vents) 14.00
J I r 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
Gas fireplace 10.00
1 4 V AC. Flue vent for water heater or gas
fireplace 10.00
c h n n c i e n U i eK Ninil r 4iirneite Log lighter (gas) 10.00
— Ir' ri \I pVh C1pr r e ` Wood/pellet stove 10.00
Wood fireplace /insert 10.00
® PROPERTY OWNER I 0 CANT Chimney /liner /Flue /vent 10.00
Other 10.00
Name: Torn S u Ci t? ?)r .i �h Environmental exhaust and ventilation
Address: '-+ Range hood /other kitchen
9305 5ta3 Viet,.-) - Tart — equipment 10.00
City/State/ZIP: — �` i fl r d o, 1 eZ C� Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (503) 51g - 0504 Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Other. 10.00
Business name: Oregon Heating and Mr Conditioning Fuel piping
Contact name: gatArei le $5.40 for first four; $1.00 for each additional
Address: PO Box 397
Furnace, etc.
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: rashellegoregonheating.com Range
CONTRACTOR 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
Minimum permit fee ($72.50) 7 °Z •
Phone: (503) 538 -2953 Fax (503) 537 -2712 Plan review (25% of permit fee)
CCB lie.: 125185 State surcharge (8% of permit fee) 5. TO
•
1 1 , n ( TOTAL PERMIT FEE -� S
-
Authorized signature: / „� JU � In This permit application expires If a permit is not obtained within 1
days after It has been accepted as complete.
Print name: ',OS1lell P. Nlc^P h2Jfnon Date: 9 _ raS `QQ ` Fee methodology set by Tri- County Building Industry Sere ice Board
i l Flu i Idina/ Per n its \ MM. Perm IrA pp. doa 12/03 440 -4517r (1 l /Ua•CAM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2005- 00457•
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/25/2005
Phone: (503) 639 -4171 le
Inspection Requests (24 Hrs.): (503) 639 -4175 °1 ' L. •
INSPECTION WORKSHEET FOR DATE: 10/1612006 TIME: 7 :03Am PAGE: 46
SITE ADDRESS: 09365 SW VIEW TERR CLASS OF WORK:
SUBDIVISION: PENROSE TERRACE LOT #: 036 TYPE OF USE:
PROJECT NAME: SMITH
DESCRIPTION: Replace furnace, install air cleaner.
OWNER: SMITH, TOM & JULIE PHONE #: 503_598_0504
CONTRACTOR: OREGON HEATING + NC INC PHONE #: 503 - 538.2953
• Inspection Request Scheduled For: Date: 10/15/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 0382213 -01 503 - 538 -2953 Y
Corrections /Comments/ Instructions:
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: - Date: Phone #: (503) 718 2 —