Permit q CITY OF TIGARD
. , ;, -° MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00294
1G A9 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/11/2008
PARCEL: 1S136CA-01400
SITE ADDRESS: 07745 SW PFAFFLE ST ZONING: R -12
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: LEE
Project Description: Installing new gas 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: 0 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:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
BEN & LAURA LEE Description Date Amount
7745 SW PFAFFLE RD
TIGARD, OR 97223 [MECH] Permit Fee 6/11/200E $72.50
[TAX] 12% State Surch 6/11/200E $8.70
Phone:
Total $81.20
Contractor:
HEAT RELIEF CO
13122 NE DAVID CIR # 800
PORTLAND, OR 97230 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -261 -9915
FAX 503 -261 -9814
Reg #: LIC 122424
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: �� Permittee Signature: -C3�� ���d /✓
Call 503.639.' 5 by 7:00 a.m. for inspections that busine s� day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
'6/10/2008 TUE 14:35 FAX 5032619184 CO 001/002
Mechanical Permit ApplicationRExi ED F
r - , SEOR l'i},y�"r* 1 �
�1:. 1!!- -d Jiay.'�rt W WG. ",'�%lif >.•aYri,,A i �$;!kiV
CI of Tigard 6U', Received �� //
4 � g 1 . v L Date/By: �� ��� Yemut No.: 6 ji, ° 13125 SW Hall Blvd., Tigard, OR 97." " y ' e '
a. 1 Phone: 503.639.4171 Fax: 503.59E . t A x ! � ; Other Permit:
*TIG�AR hts pect io n Li ne : 503.639.4175 r i ��� �� li.
M>;. Lw.atw! Internet: www.ti and -or. ov �r' li M � rt i ,. eady/By: runs: El See Page 2 for
g g �`.s s' -IAA J ed/Method: �/'f �fj� Supplemental Information
;-. n - ' x� '-� ' T0p QF O rs W r r:=„ '1GO L._)1EE S( HE USE ': 7
Mechanical permit fees` are based on the value of the work
❑ New construction ® Addition /alteratiott / replacement
perfonned. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
W�LLCkf 0 r NSTit(('dediq--gv}y� n :' - _ Value. $
1- 2-family dwelling SWENT U.E YJIEMENT%'SYSTE.
❑ y g ❑Commercial /industrial 0 building For special information use checklist.
® Multi- family ❑ Master builder ❑ Other: l
<. h n•u Description 1 Qtr. 1 Ea. I Total
. �.: ` %,„ - - OB,. _ - ' s ! - . ... ,-ORM TIOAri' A i -. _. g/ g
c • ° Heatin coolin
Job site address: ' -'�L S P C��, i� C ST Air conditioning or heat pump
i s a�� (requires site plan showing placement) 14.00
City/State /ZIP: Pb(�'i; 1._,R-t..-..)(�� '7(2Z3 Furnace 100,000 BTU (ducts/vents) / 14.00 / 1
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: Project name: sr` Gas heat pump 14.00
Cross street/directions to job site: / o�-' Duct work 14.00
Le 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 I0.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
mom. , _
•a - ""i3 . Ol R P2,a_ r : ` Water heater 10.00
' t / C Gas fireplace 10.00
1 1N , `.. \ t jei- _7 V C( 3 (y4 (.A Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
11 sr< ,.4' C, 14 �n 11 u r t Chimney/liner /flue/vent 10.00
Lee Other: 10.00
Name: Envaronrnental exhaust and ventilation
Address: �� � ado, ex,�o Range hood/other kitchen
equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.00 ____
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility room) 6.80
x i " a € .a �r 'ERs . , Attic /cmwlspace fans 1 0.00
Business name: HEAT RELIEF r Other 10
Fuel piping
Contact name: MARK DEFRANCISCO $5.40 for first four; $1.00 for each additional
Address: 13122 NE DAVID CIR DR # 800 Furnace, etc. / Sl/(j
Gas heat pump
City/State/ZIP: PORTLAND, OR 97230 Wall/suspended/unit heater
Water heater
Phone: (503) 261 -9915 Fax: : (503) 261 -9814 Fireplace
E-mail: Range
z y ,,,,, (A - i -- -. , asi te Barbecue
8`3r .... u.J,4., ,..�x., . h L ]'ivy , : - `P :? Y
Clothes dryer (gas)
Business name: HEAT RELIEF
Other:
Address: 13122 NE DAVID CIR DR # 800 7 , ` . `rr
�-_ ��- �`MgGf�AZCAi�PE�t11�t.,t- �'�4 °, s_.Vit
City/State/ZIP: PORTLAND, OR. 97230 Subtotal
Minimum permit fee (S72.50) - ] t '
Phone: (503) 261 -9915 Fax: (503) 261 -9814 Plan review (25% of permit fee)
CCB tic.: 122424 State surcharge (12% of permit fee) t 7t)
TOTAL PERMIT FEE r 3-0
This permit application expires if a permit is not obtained within 180
Authorized signature: 2222e/ L --- y days after it has been accepted as complete.
Print name: MARK DEFRANCISCO Date: * Fee methodology set by Tri-County Building Industry Service Board
I:\ Building lPcmuts' MEC•PamitApp.duc 04/06/06 440 -46 I7T (11 /02)COMAVEB)
CITY -OF TIGARD
BUILDING DIVISION PERMIT #: MEC2008 -0029 4
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/11/2008
Phone: (503) 639 -4171 ICI
Inspection Requests (24 Hrs.): (503) 639 -4175 °-_..
INSPECTION WORKSHEET FOR DATE: 6/20/2008 TIME: 7:02AM PAGE: 36
SITE ADDRESS: 07745 SW PFAFF ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: LEE
DESCRIPTION: Insi new gas furnace.
OWNER: LEE, BEN & LAURA PHONE #:
CONTRACTOR: HEAT RELIEF CO PHONE #: 503 - 261 - 9915
Inspection Request Scheduled For: Date: 6/20/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message Am
A �
610 Gas line 071624 -01 503.702 -5786 Y
Corrections /Comments /Instructions:
�o I c : Co i €c : u - aka 1, - 08 - CttsCce e,
S. 20 3' -dam
(PASS ❑ PARTIAL APPROVAL ❑ CANCEL PI NO ACCESS
El FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: - S • Date: a63J/1 0 € Phone #: (503) 718- - - 3
CITt -OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006 -00294
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/11/2008
Phone: (503) 639 -4171 le
Inspection Requests (24 Hrs.): (503) 639 -4175 ' �..
INSPECTION WORKSHEET FOR DATE: 6/18/2008 TIME: 7:02AM PAGE: 49
SITE ADDRESS: 07745 SW PFAFFLE ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: LEI=
DESCRIPTION: Installing new gas furnace.
OWNER: LEE, BEN & LAURA PHONE #:
CONTRACTOR: HEAT RELIEF CO PHONE #: 603- 261 -9915
Inspection Request Scheduled For: Date: 6/18/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 071545-02 503- 702 -5786 Y
Corrections/Comments/Instructions:
•
❑ PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718- .�
CITY -OF TIGARD
BUILDING DIVISION PERMIT #: MEC2008 -00294
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6111/2008
Phone: (503) 639 - 4171 "'� �
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/18/2008 TIME: 7 :02AM PAGE: 50
SITE ADDRESS: OT/45 SW PFAFFLE ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: LEE
DESCRIPTION: Installing new gas furnace.
OWNER: LEE, BEN & LAURA PHONE #:
CONTRACTOR: HEAT RELIEF CC) PHONE #: 503- 261 -9915
Inspection Request Scheduled For: Date: 6/18/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 071545 -01 503-702-5786 N
Corrections /Comments /Instructions:
cOrld / L Lt I,wh.C. oL. 7` 5--76 714 67 2. i/ (,1t.0.„
PASS ❑ PARTIAL APPROVAL ❑ CANCEL pi NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: r. L / g -Oh Phone #: (503) 718 - '2.-1-1-47-s
•
• p CITY OF TIGARD MECHANICAL PERMIT •
COMMUNITY DEVEL OPMENT PERMIT #: MEC2008 - 00294
Ti'cntiP 13125 SW Hall Blvd., Tigard, OR 97223 -503.639.4171 DATE ISSUED: 6/11/2008
PARCEL: 1S136CA-01400
SITE ADDRESS: 07745 SW PFAFFLE ST ZONING: R -12
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: LEE •
Project Description: Installing new gas 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: 0 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: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Owner: FEES •
BEN & LAURA LEE Description Date Amount -
7745 SW PFAFFLE RD
TIGARD, OR 97223 [MECH] Permit Fee 6/11/200€ ;$72.50
[TAX] 12% State Surch 6/11/200€ $8.70
•
Phone: Total $81.20
Contractor: •
HEAT RELIEF CO •
13122 NE DAVID CIR # 800
PORTLAND, OR 97230 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -261 -9915
FAX - 503 -261 -9814
Reg #: LIC 122424
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.
•
9. _
Issued By: � : , Permittee Signature: _ 4;
Call 503.639. 5 by 7:00 a.m. for inspections that busine s
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: f 7,6:r -- ) Sty REQUIRED ON GREEN INSPECTION CARD.
Code I Inspection Description 1 PASS Date I By ( i/. Code `I Inspection Description I, PASS Date - 1 By
BUP - Building Permit ELC - Electrical Pennit
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 -
915 Fire alarm rough in 305 Plumbing underslab
920 Suppression trip test 310 Crawl drain
995 Misc. inspection: 315 Post /beam plumbing
998 Al al 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