Permit C ITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00235
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/8/2008
PARCEL: 2S109DA - 05000
SITE ADDRESS: 15298 SW GREENFIELD DR ZONING: R -
SUBDIVISION: SUMMIT RIDGE LOT: 027 JURISDICTION: TIG
PROJECT: FIELDER
Project Description: Installing A/C.
CLASS OF WORK: ADD 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:
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:
r
Owner: FEES
AMBER FIELDER Description Date Amount
15298 SW GREENFIELD DR
TIGARD, OR 97224 [MECH] Permit Fee 5/8/2008 $72.50
[TAX] 12% State Surch 5/8/2008 $8.70
Total $81.20
Phone: 619- 200 -0371
Contractor:
•
SUNSET HEATING & COOLING
0607 SW IDAHO ST.
PORTLAND, OR 97239 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 234 -0611
FAX 503- 234 -0439
Reg #: LIC 161085
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
•i
Issued By 1`_ .,.,,,... •e • ' • -e Signature:
r
Call 503.639.4175 by 7:00 a.m. for inspections that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
m
l;IeciDatical permit Application
I tilt t.lt t l( :I I ' l O r.%.1.1- .:'' . .: :
.,
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City of Tigard y .1 Received
N a 13125 SW Hall Btvd., Tigard, 0' ►., B-t� 9/t P`�y ��If1�� 1
;' Phone: 503.639.4171 Fax: 5O3. 1' �:, j t' c r LJ Plan Review
V
ti \ 1, i.) Inspection Line: 503,639.4175 A Date/By: Other Permit:
Internet: www.tigazd or.gov �� O 1 - Datc Rwdy/BYd J"63:. Page 2 for
M Notified/Method Supplemental upplemental Information
. ,� '��^!` y 3^�" .kw«•.,. ^5 s �? 's"A,Tr«'&. � tx91�'7" r'h r t �
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,. K.� .....: _ ., .. ,.. ��s,'�n..,a....�a.:>..�1., '''-'• �r�u _ta � `.. ,. ...
❑ New construction J � Additiorl/al$ Gx ,1 o •
acemen[ Mechanical permit fees* are based on the value of the work
❑ New
❑Other ►v�v performed. Indicate the value (rounded to the nearest dollar) of all
? � ,> mechanical materials, equipment, labor, overhead, and profit -
1N�,ys ': t F } � µ ' Vi -t+L'" ' a'iht.rs�e c- xm a r ty -
.6' ..�,a? +,:.. - # A i .!P r �t 's i 5:. d .._,.. lea .
• I- and 2-family ,...,.s w.n.'x n. ...a :c.�e. / ud,� D ..� Sc
value: $ dwelling rq f Q t
g ❑ Commercial/industrial El Accessory building 5 ,4z ,.. ,.r>* r. •
❑ Multi family ❑ Master builder For special information use checklist Other
Description
X�u "r za^ s � i � t tion
K �r���� r,t���^y 1h t- 'f, ` s r r x a1 �'l . P Qty. 1 Ea. Total
- "R :araukti�:�'kr cwt; - !+J ,l,a tn�i:,• ,;i&°,' Hearin cooling,
` ' ) .
Air conditioning or heat tun 1 ;
, !_.y P
Job site address:
City /State/Z1P: ! (requires site plan showing placement) i 14,00. t " • '
%L. %,, S'' t'.:r, (, �, . `- ' t - -- - .. / Furnace 100,000 BTU (duets/vents) 14.00
Suite/bldg. /apt, no.: .' i Project name: "r' Furnace 100,000+ BTU (duets/vents) 17 90
• Cross street/directions to job site: Gas heat pump 14.00
Duct work 1 10.00 00
-
ilydronic 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.: Flue /vent for any of above
Y 6.80 _
Tax map /parcel no.: Other 10.00
w en Other fuel appliances
l a c< "o-y...l{,. S,a t * ,t' 0-# tZl�l,:. `' W ..%' ' t T'' Water heater 10.00
..L .- 'j' ,/ `: ^ Gas fireplace 10.00
Flue vent for water heater or gas
dace 10.00
•
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
✓^ .
+P.. a te`= Chimn
....., �"....._.........._:.:,- ner /flue /v
";''{�F�. ,��` a�:.�.w y 10.00
er: 10.00
Environmental exhaust and ventilation
Address: �: - � Range hood/other kitchen
CitylStatelZ[P:- � _ equipment
�� d � 'a�u ('''1-1 t' 10.00
.�. Clot hes dryer exhaust 10.00
Phone: (y,; ;", ''• ,). -, > L ��•- ' F ' Fax: ( ) • Single -duct exhaust (bathrooms,
y; :(„ r :?: toilet compartments, utility rooms
.,; ;ar- ,r Y ) 6.80
; _ s.. ', E „ , ?;` ., t t.. ` :4 . �t , ;srta t, Attic /crawispace fans 10.00
10.00
Business name: Other:
Contact name: Fuel piping
$5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
City /State/2IP: Gas heat pump
Phone: Wall/suspended/unit heater
( ) Fax:: ( ) Water heater
E -mail: Fireplace
w � »t „' s e, Am Range
o ,
name: -t " ., - Barbecue
Business name: Sunset Heating & Cooling °I t• ...
Clothes dryer (gas)
Address: 0607 Sw Idaho St Other:
City /State/ZIP: Portland OR 97239
Phone: (503) 234-0611 Subtotal a ; i =
Fax: (503) 234 -0439 Minimum permit fee ($72.50) 7 .7 - `57
CCB lie.: 161085 Plan review (25% of permit fee)
State surcharge (12% of permit fee) , :::" ' 0
Authorized signature: TOTAL PERMIT E e'^ ,, i , 7 a_
This permit application expires if a permit is not obtained within 180
Print name: Casey Wiser after it has been accepted as complete.
-- Date: ? _, / ', IY . ;
,,; • Fee methodology set by Tri -County Building Industry Service Board
I,\BuildinylPermiti MEC- Permitt1pp doe 01/19 /07
44 0 -46tTr (11 /02/COMIwE13)
z' dIO:t BO 90 R eN
A/C & H/P
Site Plan
Sunset
tHEATING COOLING
Name: 1 rt)b4- kekACi
Address: s ( (
HOUSE
dTO:O BO 90 RW
6 • d
* .q CITY OF TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00235
TIGARD- 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/8/2008
PARCEL: 2S109DA -05000
SITE ADDRESS: 15298 SW GREENFIELD DR ZONING: R -7
SUBDIVISION: SUMMIT RIDGE LOT: 027 JURISDICTION: TIG
PROJECT: FIELDER
Project Description: Installing A/C.
CLASS OF WORK: ADD 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:
. 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
AMBER FIELDER Description Date Amount
15298 SW GREENFIELD DR
TIGARD, OR 97224 [MECH] Permit Fee 5/8/2008 $72.50
[TAX] 12% State Surch 5/8/2008 $8.70
. Total $81.20
Phone: 619- 200 -0371
Contractor:
SUNSET HEATING & COOLING
0607 SW IDAHO ST.
PORTLAND, OR 97239 • REQUIRED ITEMS AND REPORTS
Contact #: PR] 503-234-0611
FAX 503- 234 -0439
Reg #: LIC 161085
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 �� _� 'e -e 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: ,'7-_---- REQUIRED ON GREEN INSPECTION CARD.
.✓ Code I Inspection Description PASS Date I By ✓ Code Inspection Description I PASS Date I 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
_ 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 Alarm final 320 Plumbing rough -in
999 S rinkler final 322 Shower pan
p 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