Permit C ITY OF TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00219
TIGARD , 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/1/2008
PARCEL: 2S 112C B -15800
SITE ADDRESS: 08420 SW NORFOLK CT ZONING: R -7
SUBDIVISION: HAMPTON COURT LOT: 007 JURISDICTION: TIG
PROJECT: TELFER
Project Description: Installing NC.
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:
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: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
CHRISTINE TELFER Description Date Amount
8420 SW NORFOLK CT
TIGARD, OR 97224 [MECH] Permit Fee 5/1/2008 $72.50
[TAX] 12% State Surch 5/1/2008 $8.70
Total $81.20
Phone: 503 -684 -1024
Contractor:
OREGON HEATING & AC
PO BOX 241
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -538 -2953
FAX 503 -537 -2172
Reg #: LIC 172126
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 Signatures Cam/
Call ' .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.
May 01 08 09:11a 503 -537 -2172 p.2
Mechanical Permit Application - :._ FOR OFFICE U - •
Ci of Tigard D D .5 ved 'A Permit ....-• J • �
" 13125 SW Hall Blvd, Tigard, O 9 Flan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date; By: Other Pertr it:
inspection Line: 503.639.4175 MAY O '' ' s
TIGARD Date Ready/By: kr f d See Rage 2 for • Internet: w'wof.tigard- or.gov a Notified :Meth Supplemental reformation
TYPE IATCYR 'Dr i UA11�/ COMMERCIAL FEE* SCH•IEDULE.- USE CHECKLIST
Rim M e - r s n : r t re .s c d r n" e @ ° ' (')', Mechanical permit fees* are based on the value of the work
❑New cons n coon ( Addition rfttonipc ` performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other. + mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: S
RESIDENTIAL EQUIPMENT ! SYSTEMS FEES*
'01i and 2- family dweltine ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qry. Ea. i Total
.. JOB SITE INFORMATION AND LOCATION ' .. - I Heating /cooling
,- `' rO Air conditioning or heat pump d ,
Job site address:
S ) , �ny^ AF `c - • (requi :es site plan showing placement) , 14.00 � �. -
City!State/ZIP �, u nl _ ci .� Furnace 100,OC�0 BTU (ducts vent,) 14.00 •
' Furnace 100,000+ BTU (ducts /vents) I 17.90 I
Suite:bldg. /apt. no.: Project name: C % S CiL _ DE D'tovc- Gas heat pump 14.00
Cross sweet /directions to job site: Ductwork (4.00
Hydronic hot water system 14.00
Residential coiler (radiator or .
hydronic) 14.00
Unit heaters (fuel -type, nor electric),
in -wall, in-duct, suspended, etc. 10.00
Flue /vent for any of above 10.00
Subdivision: Lot no.: Other. 10.00
Tax map /parcel no.: Other fuel appliances
. - ware -- heart:
1100
DESCRl 1'[ON. O WORK,''. .
Gas fireplace 10.00
- ` kt• :(. o-i _ Ci. - 764 r)vN. v' Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
•
I Wood:'pellet stove I :0.00
Wood fireplace'insect I :0.00
Chimney/liner/flue/vent :0.00
ROPERTk' OWNER; " . . :: •.. -: : El TENAWT..;,`ri.. ;. 1 10.00
Other.
Name: Car1/44-Lie,..... ` ���,-_ Environmental exhaust and ventilation
Range hoodlother kitchen
I Address: ga'Ia( -) e 7 - __A. , 7 -N , ��i 4 . ,11__ C - equipment I 10.00
City/State /ZiP:' ` . Q 2.__ 9: Clothes dryer exhaust I :0.00 _
Singl duct exhaust (bathrooms,
Phone: (5015) 6b4- ivaq co mpartments, Fax: ( ) toilet compartmen, utility rooms) 6.811
. - . ; .PPLICANNT ' ' ❑ CONTACT PERSON' Atticicrawlspace fans 10.00
I Other. 10.00 I
Business name: ,� Pt N \ „: v 4 ' - A I e
1 Fuel piping
Contact name: L: � i -.� $5.40 for first four; $1.00 for each additional
Address: >� •i , f � \ Furnace, dc.
Gas heat pump
City/State/ZIP: k._ f_e 0_.._ G-k Lc, Wall/suspended/unit heater
Phone: (,j e � � _ �y5 ?> Fax:: (c ) 53.i - . a water heater
Fireplace
E -mail: `v U`' C b1 .i_- -t ('.4 . at-A-k._ Range
�"" v .CONTRACTOR Bsrbecue
Business name.: G I Clothes dryer (gas)
Wt Other.
I Address: : • MECHANICAL PERMIT FEES*
City/ State /ZIP: Subtotal -
Minimum pennit fee (S72 50; '
Phone: ( ) Fax: ( ) Plan review (2c ,o of pennit fee,
CCB lie.: i�- State surcharge (12% o f permit fee) �.4c-,
TOTAL PERMIT FEE i, , (;)
This permit application expires if a permit Is not obtained '••itbio 180
Authorized signature: days after it has been accepted as complete.
Print name: C' ! Date: - { - 0"-- " Fee methodology set by Tri- County Biild:ng Industry Service Board
.. _
t:'B uirdineTrrrnire ■MFC- PermitAw 000E 410. /61 TT (I I!O2ir.OM/ rR)
•
'Play 01 08 09:11a . 503 -537 -2172 p.4
fi"
•
1st flr
10' +
1
10'+
Main Level
1' to Fence
10' + to Property line
Garage
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SW Norfolk Court Jurisdiction - City of Tigard
Job #: Oregon Heating & Air Conditionin... Scale: 1 : 91
Performed for: Page 1
Christine Teller, PO Box 397 / 992 Highway 99 W Right -Suite Residential
8420 SW Norfolk Ct Dundee, OR 97115 6.0.101 RSR28586
Tigard, OR 97224 • Phone: 503 - 538 -2953 Fax 503 -537 -2172 2008-Apr-28 12:06:58
Phone: 503 -684 -1024 larry@oregonheadng.com C:lMy DocumentslWrightsoft HVA...
•
•
Ph CITY OF TIGAR® MECHANICAL PERMIT
3 COMMUNITY EVELOPMENT PERMIT #: MEC2008 - 00219
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/1/2008
PARCEL: 2S112CB -15800
SITE ADDRESS: 08420 SW NORFOLK CT ZONING: R -7
SUBDIVISION: HAMPTON COURT LOT: 007 JURISDICTION: TIG
PROJECT: TELFER
Project Description: Installing A/C. .
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:
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: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
CHRISTINE TELFER Description Date Amount
8420 SW NORFOLK CT
TIGARD, OR 97224 [MECH] Permit Fee 5/1/2008 $72.50
[TAX] 12% State Surch 5/1/2008 $8.70
Phone: 503- 684 -1024 Total $81.20
Contractor:
OREGON HEATING & AC
PO BOX 241
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS -
Contact #: PRI 503 -538 -2953
FAX 503 -537 -2172
Reg #: LIC 172126
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 / ,7A --
'%
Call 03.639.4175 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: � —� REQUIRED ON GREEN INSPECTION CARD.
✓ Code I Inspection Description I PASS Date By ✓ Code 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:
x 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
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- Blank.doc 02/02/07