Permit 11
CITY TIGARD MECHANICAL PERMIT
PERMIT #: MEC2006 -00139
VIP DEVELOPMENT SERVICES DATE ISSUED: 4/11/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S134AD-08000
SITE ADDRESS: 10606 SW WINDSOR CT ZONING: R -7
SUBDIVISION: WINDSOR PLACE LOT: 017 JURISDICTION: TIG
Project Description: Add a/c and replace furnace.
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:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
LENNY LOGAN Description Date Amount
10606 SW WINDSOR CT
TIGARD, OR 97223 [MECH] Permit Fee 4/11/200E $72.50
[TAX] 8% State Surcha 4/11/200€ $5.80
Total $78.30
Phone: 503- 639 -1928
Contractor:
BEN'S HEATING & AC
PO BOX 80607
PORTLAND, OR 97280 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 233 -1779
FAX 503- 651 -3345
Reg #: LIC 64597
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: 4 _ / _ ?, Permittee Signature:
Call 503 - 639 -4175 by 7:00 a.m. for inspections that bu in ay.
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.
Mechanical Permit App_hrj_iizdi FOR OFI ICI ust :O,!I_\
d ots -ODtI
City of Tigard Date/By. //IA b 6z3 PematNo• t, •
V 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598 'c� 11
t 2006 Date/By.. Other Permit.
T I G A It D Inspectio Line: 503.639.4175 Date Ready/13y: Juds• ® See Page 2 for
Internet: www.tigard or.gov cIT OF TIOARD Notified/Method. 7 Supplemental Information
T W pir ,r IIS 107
COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ New construction ddition /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: $ t
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
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 INFORMATION AND LOCATION Heating/cooling
Job site address: / ��fo� �� J Ai, t G r- Air conditioning or heat pump
! (requires site plan showing placement) 14.00
City /State/ZIP: TI or 9 -7a. z Furnace 100,000 BTU (ducts/vents) 14.00
Suite/bldg. /apt. no.: Project name: Furnace 100,000+ BTU (ducts/vents) 17.90
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: Lot no.: Flue/vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
CI /- Gas fireplace 10.00
CIYI 1V— Ct rf//1-a_ Flue vent for water heater or gas
f A A fireplace 10.00
/�} Q` Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
PROPERTY OWNER I ❑ TENANT Chimney /liner /flue/vent 10.00
Other: 10.00
Name: L ei%) Al1 6f/47"t/ ` Environmental exhaust and ventilation
Range hood/other kitchen
Address: f o e 6 S Gr„ GO t equipment 10.00
City/State/ZIP: ` 9-7 dryer exhaust 10.00
�� 6 /9c2 a Clothes Single -duct exhaust (bathrooms,
Phone :
( ) Fa x: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT CONTACT PERSON Attic/crawlspace fans 10.00
Business name: / Other: 10.00
r Fuel piping
Contact name: k J` $3.40 for first four; $1.00 for each additional
Address: 13 Furnace, etc.
Gas heat pump
City /State/ZIP: Wall/suspended/unit heater
Phone: <0 313 -- '�j g Fax: : ( ) Water heater
l � ` Fireplace
E -mail:
Range
CONTRAC OR Barbecue
Business name: t - {e, #01-k, Clothes dryer (gas)
f . �
/�
Other:
Address: Po got
City / State/ZIP: e � e / (206.0 MECHANICAL PERMIT FEES*
R 7a.g Subtotal
Phone: (03) 7 I Fax. e3)/- 334,r Minimum permit fee ($72.50) X.,60 P lan review (25% of permit fee)
CCB lic.: 6s -c/7 State surcharge (8% of permit fee) a
TOTAL PERMIT FEE -7 .3(J
Authorized signature: c:44--- Ibis permit application expires if a permit is not obtained within ISO
d ays after it has been accepted as complete.
Print name: ' e L
��„` Date: 4, (el • Fee methodology set by Ili -County Building Industry Service Board
1tBuildmgtPemm
74E
C- PermItAppdoe 04/06/06 440-461TT(I1 /02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information.
•
Commercial Fee Schedule:
Total Valuation: Permit Fee:
$1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or , •
fraction thereof, to and including •
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and
$1.25 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
c
1:\BuildinePermits MEC- PermitApp.doc 12/30/05 • 2 —
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006 -00139
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/11/2006
Phone: (503) 639 -4171 r 1
Inspection Requests (24 Hrs.): (503) 639 -4175 _ !� ° °`'I I ..
INSPECTION WORKSHEET FOR DATE: 5/5/2006 TIME: 7:10AM • PAGE: 63
SITE ADDRESS: 10606 SW WINDSOR CT CLASS OF WORK:
SUBDIVISION: WINDSOR PLACE LOT #: 017 TYPE OF USE:
PROJECT NAME: LOGAN
DESCRIPTION: Add a/c and replace furnace.
OWNER: LOGAN, LENNY PHONE #: 503-639- 1928
CONTRACTOR: BEN'S HEATING & AC PHONE #: 503 -233 -1779
Inspection Request Scheduled For: Date: 5/512006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 029250 -01 503 -226 9315 Y
Corrections /Comments /Instructions:
•
• ■
•
•
g l,PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL. FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ! Date: 6 Phone #: (503) 718- 2 GL�y