Permit 7e0v- vE , 4fr `t + '/�, f Cr) 1 -- ft
o CITY OF TIGARD MECHANICAL PERMIT
-° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00184
TI GAR : 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/10/2008
PARCEL: 2 S 110 BA -02500
SITE ADDRESS: 14550 SW MCFARLAND BLVD ZONING: R -2
SUBDIVISION: SHADOW HILLS LOT: 039 JURISDICTION: TIG
PROJECT: COLE
Project Description: Installing gas line to range. 7/22/08 ADDED to exiting permit. Replacing existing gas fireplace.
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: 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:
CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1
> 10000 cfm:
GAS OUTLETS: 1
Owner: FEES
CHRISTINE & RICHARD COLE Description Date Amount
14550 SW MCFARLAND BLVD
TIGARD, OR 97224 [MECH] Permit Fee 4/10/200E $72.50
[TAX] 12% State Surch 4/10/200E $8.70
[MECH] Addl Permit 7/22/200E $10.00
Phone: 503- 624 -1502 [TAX] 12% State Surch 7/22/200E $1.20
Total $92.40
Contractor:
SHAMBURG HEATING LLC
PO BOX 829
TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 692 -5563
FAX 503 -691 -6855
Reg #: LIC 126881
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 5 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.
Mechanical Permit Application 4 =1 `` '�; off ` o'
r * . �1� 'i ��� _ate
r i r City of Tigard Received
�Y t Da R 7 d8 - !�i Permit No.: t n _` � j /
t_ ° 13125 SW Hall Blvd., Tigard, OR 'r,° ,,, y [t �e/VO /
- S Phone: 503.639.4171 Fax: 503.'t 8.i •:1 pp Plan Review
q 1000 Date/By:
Permit:
j:
T I Inspection Line: 503.639.4175 w u Date Ready/By: tu ns:
WV Y Y S See Page for
l
� Internet: www.tigard � Notified/Method: Supplementalloformation
TYPE OF a :0 1(1 \4 G 1�s‘® COMMERCIAL FEE* SCHEDULE USE CHECKLIST
❑ New construction ❑ Addition/altei•dtn/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.
C ATEGORY OF CONSTRUCTION . ' • Value: $
❑ 1- 2-family dwelling : • RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
y g ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other:
Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: Air conditioning or heat pump
(requires site plan showing placement) 14.00
City /State /ZIP: Furnace 100,000 BTU (ducts /vents) 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 10.00
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. 14.00
Subdivision: Flue /vent for any of above 6.80
Lot no.:
Other: 10.00
Tax map /parcel no.: Other fuel appliances
• DESCRIPTION OF WORK Water heater � / / 10.00
� � �->,�,r r Gas fireplace / 10.00 �,�
t ! v 1/ i irtn / Flue vent for water heater or gas
V � r fireplace 10.00
r& Z/Y V V�/ G i /7 Log lighter (gas) 10.00
/ Wood/pellet stove 10.00
Wood fireplace /insert 10.00
O. PROPERTY OWNER ❑ TENANT Chimney /liner /flue/vent 10.00
Other: 10.00
Name: Environmental exhaust and ventilation
Address:
Range hood/other kitchen
equipment 10.00
City /State /ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
•
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT . - ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Business name:
Other: 10.00
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address:
Furnace, etc.
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
E -mail: Fireplace
Range '
CONTRACTOR Barbecue
Business name: Clothes dryer (gas)
Other:
Address: MECHANICAL PERMIT FEES*
City /State /ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) a0• cA,
Plan review (25% of permit fee)
CCB lic.: State surcharge (12% of permit fee) /
TOTAL PERMIT FEE l)
Authorized Signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Date: • Fee methodology set by Tri- County Building Industry Service Board
I:\Building\Permit \MEC- PermitApp.doc 01/19/07 440 -4617T (11 /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.
I:\ Building \Permits\MEC- PermitApp.doc 01/19/07 2
71 .`a CITY OF TIGARD MECHANICAL PERMIT
° ' COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00184
TIGARD: 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/10/2008
PARCEL: 2S110BA -02500
SITE ADDRESS: 14550 SW MCFARLAND BLVD ZONING: R -2
SUBDIVISION: SHADOW HILLS LOT: 039 JURISDICTION: TIG
PROJECT: COLE
Project Description: Installing gas line to range.
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: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
CHRISTINE & RICHARD COLE Description Date Amount
14550 SW MCFARLAND BLVD
TIGARD, OR 97224 [MECH] Permit Fee 4/10/200E $72.50
[TAX] 12% State Surch 4/10/200E $8.70
Total $81.20
Phone: 503- 624 -1502
Contractor:
SHAMBURG HEATING LLC
PO BOX 829
TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 692 -5563
FAX 503- 691 -6855
Reg #: LIC 126881
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.
/ e rmittee Signature:
Y �i �i - ice ��� /C-- �
Issued B .
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.
04/10/2008 11:13 5036916855 SHAMBURG HEATING LLC PAGE 01/02
- - i Permit APP tion I A. t c�11. 11 l t x ,i r l� l 1 Iz <a, .,
® Roco.ed t- /0 0 •011+ i. [
— . 0 L1
. �,,�".� City of Tigard � _ Dsta/61+: ( ,i
6 g , :-': ' l0 01IIOT Pamir _ / V "� �1 11/
., _
'. a 13125 SW Ha1 9.4171 TI ardOR 9 Plea view
' '��, : p'�; phone: S03.639.4171 171 Tax; $03.59 + (� 1 y .Im; ■: ® 4eePag+�Z fbr
,.. 5, Inspection Line; 503.639.4175 0 N. r p� �f' /By' y t,t tor
ra ,,..::, Me net: wWW.tigardor.g<ly OG 'Cf�?r` ` �,�cthad:
TYPE OF W e • s all11111M1 COMM . WE" scpueD L LE - USE Ctlr .iS'r
Macbstalm1 permit , : • arc hosed on the value of the worts
New construction . AdditiOn/alverati fe v4 - .. acement peOtrned. Indicate dm value (rounded to is nearest dollar) of all
mechanical matwriale, ega�ment, labor. overhead. and . reit
Q Demolition ❑ Other; Value: S
CATEGORY OF COlt1 t; f10:'t • R te, EQUIPMENT 'SYSTEMS FEES"
1tu,d 2- family dwelling ❑ Commercialfindustriai ❑ Accessory building For •col Utfq'mation toe dreekilm.
El Mum- family ❑ Master builder 0 Other: Description Qty. £a. Total
TOE SITE, INFORMATION AND LOCATION Head • wan._
Alt corWitionmg or eat pump 14.00
Job a tte address / 5 0 A / i t::: % ;i 41: - • e Me plan sbowink placement)
City /StatefliTi r Furnace 100,000 HET Muds/vent) 14,00 NM •
or /,�� T Furnace 160.000+B'fLl fduea/wnta) 11.90
Suite/bldg./apt no.: Project mum Gas It :..W. 14.00
Cross street/directions to job site: bust wont 10,00
14.00
, A drools hotwater .,
Residential boiler (radiator or
hydtonic) 14.00
Unit heaters (fuel -type, not el- . o
'— in- avail, in -duct. s • •ended. etc. 11111 14,00
Fluc/veflt for any of cd ova III 6.80
Sultdivlsiotl: Lat no. Oder 10.
Tax nap /parcel no.: Other fuel a .. nos
DESCRIP'T'ION OF WORK Wes' her - 10.00
Gas fireplace 111 10,00
/S Gl/LG (,�rj /, Flu vent for water heater nr gs5 II
+rte fl .lace 10.00
Logiiahtmr 10.00
Wood/pellet Itove 10.00
Weed II .laao/msert 10.00
Chime /liner/fiue/vetlt 1.1.1 10.00
TT OWNER Cl TENANT Other: 10.00
Name: / ' , it / environmental - boast and vanttlatIoa
U�� - Range hood/other ..`roc ten
1 Addre$C /7 �. /_ / : e. ,.mem 10.00
City/State/VP: 7 d�� t 9 7 -. Clothes • e er odiR 10,
Single.duct exhaust (bathrooms,
Ph(fl) 3 g7 Fax. ( ) toilet c ompa tmente, utility rooms 6.80
l ❑ APPLICANT _ ❑ CONTACT PERSON Attic/crawl •ace fans 10.00
Other: MI 10,00
Business name:
Contact name: 55.40 for Tirat faun S1.00 for eaeh additional
Furnace, etc.
Address: Gas heat .
city/State/ZIP: - -
Phone: ( ) Fax:: ( ) • ■
E mail: ■111A . yo svn
CONTRACTOR Barbecue
F Clothes dryer (gas)
$usvl�a name: . J / / / urn tr Other:
OZIMAO , r MECHANICAL Nam 1E' ' Er
City/Stem/MP: - � 9y6po. Z $4 Subtotal iO
' Minimum permit fbe ($7250) WiZata
Plums: ( y) , '' - ,55 I ax: (,yam) 6W - . j- Plan review 5% of permit fee)
CCE lic.: Alb Statesutvttare (12% af permit feu) '• .1 �, r 1 / 7
,/ - -- TOTAL PERMIT FEE .► d'U
Tail permit application exp1rtl ifs parmtt n not obtained 'ream 180
Authorized signature: r dare aftlr It has be= Accepted as complem
Ptint Date- 7'�+Q • Pm methodology act byTT fioonty Building b+d' YService
1:13ui14INlPemritANOW0111KArp -doe 01/19/07 440- 617T (II/027COM/WER)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: M 02008 00184
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/10/200l
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 :_-
I WORKSHEET FOR DATE: 912 &2006 TIME: /:OOA PAGE: 2
SITE ADDRESS: 14550 SW MCFARLAND BLVD
CLASS OF WORK:
SUBDIVISION: SHADOW HILLS LOT #: 039 TYPE OF USE:
PROJECT NAME: COLE
DESCRIPTION: Installing gas line to range. 7122108 ADDED to exiting permit. Replacing existing gas fireplace.
OWNER: COLE, CHRISTINE & RICHARD PHONE #: 503.624 - 1502
CONTRACTOR: SHAMBURG HEATING LLC PHONE # : 503- 632 -5563
Inspection Request Scheduled For: Date: 9!2611008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
€; •t=, o. 075990 -01 503 -624 -1502 N
Corrections /Comments /Instructions:
b13 TO ediao so c J t2 .sc,urp Trrt
•
A—PASS El PARTIAL APPROVAL ❑ CANCEL f l NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 0--S Date:. -' e Phone #: (503) 718- 0.?•/7 3
CITY CAF- TIGARD .
BUILDING DIVISION PERMIT #: Ml G2f)0:3 001134
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 4/10/2000
Phone: (503) 639 -4171 ° "��;l>a�'
Inspection Requests (24 Hrs.): (503) 639 -4175 .. &W' 1 L
INSPECTION WORKSHEET FOR DATE: 4/16/2008 TIME: 7:00AM PAGE: 45
SITE ADDRESS: 14650 SW MCFARLAND BLVD CLASS OF WORK:
SUBDIVISION: SHADOW BILLS LOT #: 039 TYPE OF USE:
PROJECT NAME: CC)LE
DESCRIPTION: Installing gas line to range:.
OWNER: COLE, CHRISTINE & RICHARD PHONE #: 603-624-1502
CONTRACTOR: SHAMBURG HEATING LLC PHONE #: 603- 692 -5663
Inspection Request Scheduled For: Date: 4/16/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
G` / Mechanic:al final 068430 -01 503.927 -2511 Y
_,,,/6 y
G h tPi n! S
C• rrections /Comments /Instructions: )
IK P SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
V 'AIL ] ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED I
I
Inspector: Date: 1---/ --o P Phone #: (503) 718- ?etei
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00184
T I GA i D. 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/10/2008
PARCEL: 2S110BA -02500
SITE ADDRESS: 14550 SW MCFARLAND BLVD ZONING: R -
SUBDIVISION: SHADOW HILLS LOT: 039 JURISDICTION: TIG
PROJECT: COLE
Project Description: Installing gas line to range.
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: DOMES. INCIN:
NAT 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: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm: •
Owner: FEES
CHRISTINE & RICHARD COLE Description Date Amount
14550 SW MCFARLAND BLVD
TIGARD, OR 97224 [MECH] Permit Fee 4/10/200E $72.50
[TAX] 12% State Surch 4/10/200E $8.70
Phone: 503- 624 -1502
Total $81.20
Contractor:
SHAMBURG HEATING LLC
PO BOX 829
TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 692 -5563
FAX 503- 691 -6855 •
Reg #: LIC 126881 •
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: . s� !i' � Permittee Signature: .+'° i
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: do v , —cam 1 REQUIRED ON GREEN INSPECTION CARD.
✓ Code . + Inspection Description 1 PASS Date + By ✓ Code I Inspection Description PASS Date . 1 B
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
I f 299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
X 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
1: \ Building \ Forms \InspCard- AOP- Blankdoc 02/02/07