Permit C ITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00492
TIGAKD, DATE ISSUED: 10/2/2008
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S103BC
SITE ADDRESS: 12230 SW LANSDOWNE LN ZONING: R - 4.5
SUBDIVISION: FYRESTONE LOT: 008 JURISDICTION: TIG
PROJECT: BELL
Project Description: Install wood stove insert
•
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.
INPUT: BTU 15 - 30 HP: • REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: 1
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU:. <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
' Owner: FEES
JIM BELL Description Date Amount
12230 SW LANSDOWN LN
TIGARD, OR 97223 [MECH] Permit Fee 10/2/200E $72.50
[TAX] 12% State Surchai 10/2/200E $8.70
Phone: 503- 590 -2310
Total $81.20
Contractor:
HAVEN SPAS AND POOLS
10560 SE HWY 212
CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 655 -9440
FAX 503- 655 -9514
Reg #: LIC 175820
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: �
Call 503.639.4175 by 7:00 a.m. for inspections that business day.
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.
•
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: FYI EC 2OO Ift REQUIRED ON GREEN INSPECTION CARD:
✓ Code I Inspection Description I PASS Date I By ✓ Code I Inspection Description I PASS Date I By
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 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
I:\ Building \Forms \InspCard- AOP- Blank.doc 02/02/07
' . . . . ..
Mechanical Permit ApplieRFICEIVED . FoR OFFICE 1:SE ONP.'i. •
City of Tigard Recei
Date/Bvey Permit Noi 2 F _ 6 , 0 q A
13125 SW Hall Blvd., Tigard, OR 97 i)g T
1 0 2 200 y
8 Plan Review
Other Permit:
ii Phone: 503.639.4171 Fax: 503.598. 9.0 Date/By:
--....._..
Inspection Line: 503.639.4175 Jun B:
TIGARD CITY OF TIGARD Date Ready/By: FIJ See Page 2 for
Internet: www.tigard Notified/Method: 00C000000900GODOor
BUILDING DIVISION ..
?,' .: i' • • ' ' ': ," ''' '.. ••:•.':-. ; i•-':' ,:; "'''' •"-i• 1 ia5.T 7 :: '
Mechanical permit fees* are based on the value of the work
New construction 1.] Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, a! 3 d profit.
W6iiNgiiiiifer.1* ! ::-::- ;1.;.'•. , . . ,‘ _,.. ...._ . Y alue: $, ,.
,-.;,;.::::,;;;;:,,.:, , ::7:=:: :;,.... '.:- -i. ''.:=. ,-,-,•-• .. '.- - - :" - ' - ' - - '''' ' - . ' • -'''' ' - ,71. 4,M1:;`,,,:,r0,AVriCIT:IRriaie3
I - and 2 dwelling 0 Commercial/industrial 0 Accessory building
For special information use checklist.
0 Multi-family 0 Master builder 0 Other: Description 1 Qty. Ea. Total
:** 1 S ITF ( 00; Og . AO : P . 1 , L . : . • ,., . . . ' . .. I • , . Healing/cooling
Job site address: te ares I -- • Air conditioning or heat pump
A k.'2.9...) (requires site plan sbcnving placement)
-4 L ----- tiVe_ -1--' 14.00
•%-
City/State/ZIP: no £' .MIL q -1c,?13 Fumace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17,90
Suite/bldg./apt. no.: Project name: , e.. ) , e c
Gas heat pump 14.00
Cross street/directions to job site; Ductwork - 10.00
- - -- '-- Hydronic hot water system 14.00
_ -
Residential boiler (radiator or
-
Ni - hydronic) 14.00
Unit heaters (fuel-type, not electric),
in-wall, in-duct, suspended, etc. 14.00
Flue/vent for any of above 6.80
Subdivision: Lot no.:
Other: 10.00
Tax map/parcel no.: Other fuel appliances
ifigekipriik64voitic: • , -- • -,: .:,..-.- •T''.,- .-.,:, water heater 10.00 _
• . • • •
... Gas fireplace 10.00
11A,SACZALACS • . .„taaKed04.--. 1, ,,52,- Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) . 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 1, 10.00 I. 0 CA
-.: - ' .. , - ‘-, - Chimney/liner/flue/vent 10.00
Q.10:4*c'T; ',.,'...:4!--;-: 10.00
Name: ` Environmental exhaust and ventilation
Address: 1 a „a....3, - --- ....,,,,, La n Sac...930-1a v _ e ll g an ui g p e rn h e o n o t d/other kitchen
10.00 .
City/State/ZIP : Cta,c-ck 0 c-C... q -7•02e Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
P h o n e : 533) !_f.c a 7 '2 J 0 Fax: ( ) toilet compartments, utility rooms) 6.80
1 - , 1 ,.?"0 . 6IW•: - :; , L . ,. - ; ;..,:.,, ,.0* JN () At: h i:i r e:awl space fans 10.00
Business name: t i c.„, a ii. a 9 „,.., 15 10.00
Fuer piping _
Contact name:
'. . a., • tt 4;;?k ..si, , $5.40 for first four; 51.00 for each additional
i . Furnace, etc.
Address: 1 (0 S i4 ata.
Gas heat pump
...--,
City /State /Z1 P: ci OJ ,r,,, cal n i (L q &3 Wall/suspended/unit heater
Phone: (. � c 43 /-/ Z-/ C) Fax: : 159 ( f. " . .. i.._ % - ceS i LI Water heater
Fireplace
E-mail: .. 5 Z qi iri ,, a cx ,, vires4
Range
:` ' •. 'i..i.: - -_,, , ,.P.. - '' ,,"'-''''' " OON ' 64t .. ' . . • . ' • • ' % - ..',, ''• ' ''.:%,- Barbecue
Business name: ScuA rLiz__ c cdoc je_ Clothes dryer (gas)
Other: • 0
Address: '-'1:--*2-:,:f":;;;*AriMVP`TIMMANNIIILLC.
City/State/ZIP: Subtotal f . ra ,
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) . 7
Plan review (25% of permit fee)
CCB lic.: f --75-i7O State surcharge (12% of perrnit fee) ?., 70 7
TOTAL PERMIT FEE g"/ i ', 0
Authorized signature: ))1 - ( f . 4 This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name e_Ko e5 c.} Date: /.0 1 3 i cfis - . Fee methodology set by Tri-County Building Industry Service Board
r M"ildind.DmIliraNNAPC-Porrnit 4 'In tine ffinator euuLaArrro itrynrniutwunl
CO 0/7,0 0 IVJ 0r:60 S00/Z0/0T