Permit •
CITY TIGARD MECHANICAL PERMIT
�'; ° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00506
TtcnxD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/13/2008
PARCEL: 1S134CB
SITE ADDRESS: 12360 SW SUMMER CREST DR ZONING: R -4.5
SUBDIVISION: SUMMER HILLS PARK LOT: 030 JURISDICTION: TIG
PROJECT: DEVINE
Project Description: Replace furnace
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: •
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: 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:
REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
•
Owner: FEES
NANCY DEVINE Description Date Amount
12360 SW SUMMERCREST DR
TIGARD, OR 97223 ' [MECH] Permit Fee 10/13/20C $72.50
[TAX] 12% State Surch 10/13/20C $7.20
[TAX] 12% State Surch 10/13/20C $1.50
Phone: 503 244 - 3961 Total $81.20
•
Contractor:
ABLE HEATING & COOLING INC
12420 SW SUMMERCREST DR
TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS
•
•
Contact #: PRI 503 -579 -2250 •
FAX 503 -579 -9104
•
Reg #: LIC 108535
•
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: �� t )
Call 503.639.4175 by 7:00 a.m. for inspections that business diy7
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.
Oct 1 13 08 01:10p ABLE HEATING a �� 5035799104 p.2
Mechanical Permit Application F' �� , �"" „.„.v,„-„„,,,.. >a � "�'f " , "41.' -, '' ,
: i a. F Rip! l 11I 0 x " r t a h;
� '•ru City Of Tigard 0 C T 1 3 2�U0 p Received r li
d ." "` g 2 DatelBy: Permit No.I)12c,ZDO 84, (� O
13125 SW Ball Blvd., Tigard, OR 9 7223
; , c*1 Phone: 503.639.4171 Fax: 503.598. Plan Review
OF TIGARD
BUILDING Date/By: Other Permit
c yt inspection 503.639.4175 ®
ill G A -li D p Date Ready /By: Jurist See Page 2 for
ia" it Internet www.tigard or.gov G DIVISION Notifie4Me[hod:
Supplemental Information
T OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ 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.
CATEGORY OF CONSTRUCTION Value: $
7
l- and 2 fami[ dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
Y g ❑ Commercial/industrial ❑ A ccessory building
❑ Multi -family For special information use checklist.
y ❑ Master builder ❑ Other: Description
Qty. ! Fa. i Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: / 7i S ` �- 7 Air conditioning or heat pump
1 Vlf S 04 f?il G r c PS Ji
r (requires site plan showing placement) 14.00
Furnace 100,000 BT (ducts/vents)
City /State/ZIP: r (ducts/vents) I 14.00 C l� �' f � �� 7 °Z
J Furnace 100,000+ BTU (ducts/vents) 1/4 17.90 I % Y.P
Suite/bldg. /apt. no.: Project name: f----C-Z 5 [-c l
Gas heal pump l 4.00
Cross stree1/directior s to job site: Duct work 10.00
2 / C'4 Elydronic hot water system. 14.00
(-�? Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric), •
in-wall, in -duct, suspended, etc. _ _ 14.00
Subdivision: Lot no.: FIuG`vent for any of above 6
Other: 10.00
Tax map/parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater i 10.00
Gas fireplace 10.00
Flue vent for water heater or gas
Z �i �- ) _I--- fireplace 10.00
(A.' i C �',C Yil r , �� t' (L Log lighter (gas} 10.00
V
_Wood/pellet stove 10.00
Wood fireplace/insert 10.00
ROPERTI' OWNER l ❑ TENANT Chinvtey/linerfflue /vent 10.00
Name: f� / /` Other: 10.00
V a4�C' .../.
y f l � L l � e . Environmental exhaust and ventilation
Address: / Z } ,( 1. _ f ,,, f' , ,� it c f e -i .1.F..7--- Range hood /other kitchen
.S. equipment 10.00
City/State/ZIP-F-60 67 -�! G� 2-2-2_, Clothes dryer exhaust 10.00 I
/ Single -duct exhaust (bathrooms,
Phone: 3 / /Y' - ./ Fax; ( ) toilet compartments, utility utility rooms) I 6.80
❑ APPLICANT ./3 , !l r
❑ CONTACT PERSON Atticfcrawispace fans 10 I
Business name: I Other: 10.00
Fuel piping
Contact name: $5.40 for first four; S1.00 for each additional
Address: Furnace, etc.
Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone: ( - -)- ° Fax:: ( ) Water heater
-
E -mail:
Fireplace
Range I
CONTRACTOR Barbecue
Business named (/ 14 t ? &;. 7 i y • .) � I `�.• Clothes dryer (gas)
! •� 7� 5 ���----- ---ttf ! / /' �J Other: �
Address:
` ^ � f � r/ ill �. { 4/1. (1 / % I ./)/_____ MECHANICAL PERMIT FEES*
City/Stat� f � / /..1
i r -7 7 - . 7 �� j /� Subtotal I �-
Phone: ( ', y_ 7 JV Fax: `3,- '( q 7 CJ Minimum permit fee ($ 7 2.50) rZ . '
-1 Plan review (25% of permit tee)
CCB iie.:
C Al - State surcharge (12% of permit fee) Z
TOTAL PERMIT FEE , 1
Authorized � attire. n �J . This permit application expires if a permit is not obtained within 150
days after it has been accepted as complete.
Print Ilanl r_� �� P ate: I • Fec methodology set by Tri- County Building Industry Service Board
I B uitditgiPennitslMEC- PenoicApp.doc 01/ 19,47 440.4E17T(IIIC2,•CO^Mwae)
CITY OF TIGARD
BUILtIrG DIVISION PERMIT #: MEC2008.00506
13125 SW Hall Blvd., Tigard, OR 97223 A . DATE ISSUED: 10/13/2008
Phone: (503) 639 -4171 o J)
Inspection Requests (24 Hrs.): (503) 639 -4175 �
INSPECTION WORKSHEET FOR DATE: 11/71/2008 TIME: 7:00AM PAGE: 41
SITE ADDRESS: 12360 SW SUMMER CREST DR CLASS OF WORK:
SUBDIVISION: SUMMER HILLS PARK LOT #: 030 TYPE OF USE:
PROJECT NAME: DEVINE
DESCRIPTION: Replace furnace
OWNER: NANCY DEVINE, PHONE #: 503 - 245-3361
CONTRACTOR: ABLE HEATING f& COOLING INC PHONE #: 503h7322±,0
Inspection. Request Scheduled For: Date: 11/21/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 07832(3 -01 503.443 - 2058 N
Corrections/Comments/Instructions:
•
f �. - . i E/-a -21.6 -L wc- ►-1,14rn- Z-lt er rL 0-
e- L` !i G -rT
c. - ,44 �, S ,: A-' -
R. P ea S nb D�� 7,4:p t oL i Y4-,v_c -
n P ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:, / Date: // -- -ePi Phone #: (503) 718- -2,Z,,
CITY OF TIGARD -
BUPLDING DIVISION PERMIT #: MEC2009 0('l5i)5
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/13
Phone: (503) 639 -4171 u
Inspection Requests (24 Hrs.): (503) 639 -4175 .. ' Lull I
INSPECTION WORKSHEET FOR DATE: 11/4/2008 TIME: 7:OOAM PAGE: 23
SITE ADDRESS: 12360 SW SUMMER CREST DR CLASS OF WORK:
SUBDIVISION: SUMMER HILLS PARK LOT #: 030 TYPE OF USE: -
PROJECT NAME: DEVINE
DESCRIPTION: Replam furnace
OWNER: NANCY DEVINE, PHONE #: 503-244 -3561
CONTRACTOR: ABLE HEATING & COOLING INC PHONE #: 503579-2250
Inspection Request Scheduled For: Date: 11/4/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 077601 -01 503 - 443.2058 N
Corrections /Comments/ Instructions:
i, 0 A/ � °' S r ( 1 ' /
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL 2 NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: //- 4 —6 6 Phone #: (503) 718-
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: /d1 & 2,06 g- 00,S7)( REQUIRED ON GREEN INSPECTION CARD.
✓ Code I Inspection Description I PASS Date I By ✓ Code I Inspection Description I PASS Date I By f
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover
410 Fill 110 Temporary electrical service .
•
415 Grading 115 Electrical service
205 Footing 120 Electrical rough -in
805 MFG - Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post /beam structural ❑ 150 Hot tub /spa /pool
230 Underfloor insulation 195 Misc. inspection:
235 •Shear.walls /anchors _ 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG- Structure set -up MEC - Mechanical Permit
280 , Insulation 605 Post /beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic piping
899 MFG - Structure final 625 Duct work
498 Grading final 630 Fire damper
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough in 305 Plumbing underslab
915 Fire alarm rough -in 310 Crawl drain
920 Suppression trip test 315 Post /beam plumbing
995 Misc. inspection:
998 Alarm final 320 Plumbing rough -in
999 Sprinkler final 322 Shower pan
330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert /catch basin
410 Fill - 350 Septic tank •
415 Grading - 395 Misc. inspection:
205 Footing 399 Plumbing final
• 210 Foundation walls
215 Footing drain
420 Sprinlder supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
I: \Fpilding \Forms \InspCard- AOP- B1ank.doc 02/02/07