Permit C ITY OF TIGARD MECHANICAL PERMIT
• ° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00240
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/13/2008
PARCEL: 2 S 104 B C -08400
SITE ADDRESS: 12970 SW OXALIS TERR ZONING: R -7
SUBDIVISION: HILLSHIRE CREST LOT: 006 JURISDICTION: TIG
PROJECT: WAKEM
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: 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
LYNN & GRETCHEN WAKEM Description Date Amount
12970 SW OXALIS TERRACE
TIGARD, OR 97223 [MECH] Permit Fee 5/13/200€ $72.50
[TAX] 12% State Surch 5/13/200€ $8.70
Phone: Total $81.20
Contractor:
SUPREME COMFORT HEATING
9425 SW COMMERCE CIRCLE #16
WILSONVILLE, OR 97070 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 - 682 -1985
FAX 503- 682 -1018
Reg #: LIC 21892
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: — - ermittee Signature:
Call 503. • • • 175 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.
. 05/12/2008 13:55 503 - 682 -1018 SUPREME COMFORT INC PAGE 01
iv,, M; chanicai Permit Application FOR OFFICE 1.1SE ONLY
City of Tigard E i E i_ . ��� Permit 7lo.:/c �� �
r ,
n 1 3 125 SW Hall Blvd., Tigard, OR 9722 Plan Review
ri 0 Phone: 503,639,4171 Fax: 503.598.19 0 Datc/8y: PQmit;
I' I A R D Inspection tine; 503.039.4175 mg 12 200 Date Ready/Ely: bd.,: ® See Page 2 far
Internet: www.tigard Nn1 d /Method; Supplemental Information
+‘, n (y i.i,tti1../ Print name:
, . ...
'
w mctruction Addition /alte o /i !
/replacement
❑ Demolition ..1,��.„I. ' � t lic: ∎dam ' �"F i 'I`' i ,t 'lit I8
❑ Ne construction I� P mechanical j;' .,:
I t fees arc hand nn the value of the work
❑ Oth er: a
performed. icate the value (rounded to the c rest dollar) t
o all
' . ..' : Cili'EtOlt'Y! ;::(SF I CON U, :'..: ,;:; i '' ! ' mechanical materials, equipment, labor. overhead. and profit,
M I. and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building value: $
❑ Multi- family 0 Master builder ❑ Other: '! ( 'r' "i
For peels/ information ar
jOlf sit >FOtMA3 i s 0::1c 05
r a inn on ure checklist.
. , .. .......... ....:........ •. .... ....,. Description I Qty, Ea. I Total
,lob site address: 12970 SW Oxalis Tcrr, Heating/cooling
Air conditioning or heat pump
City /State/ZIP; Tigard, OR 97223
(requires site plan showing placement) 1 14.00 14.00
Suite/bldg. /apt, no,: Project name; Wakem Furnace 100,000 BTU (duets/vents) 14.00
Furnace 100,000+ 13TU (duets/vents) 17.90
Cross street/directions tn,job site: Gas heat pump 14.00
Duct work 10.00
1-tydronic hot water system. 14.00
R boiler (radiator or
hydronic) 14.00
_. Unit heaters (fuel -type, not electric),
Subdivision: Lot no.: in -wall, in -duct, suspended, etc, 14.00
— — , Flue /vent for any of above 6.80
Tax map /parcel nit.:
Other: 10.00
Y bl
{llr9C P N•;� ;IV.O{21f`'.:1' I ; : p: !. ; . cr fuel a fiances
.- ..ux.� . ,: , � .. . �... ", ,, .. ��, : :.% nt
add air conditioner Water heater 10.00
— - Gas fireplace 10.00
Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10,00
Wood /pellet stove 10.00
;,, W
, . � �.. I�ROIS�RT'�':. OV.1'1V�111;' ';;�; T�iVALV!1``r j.::'•;, ` '�:'':•'!'•
C;himncy/liner /tlue/vent 10,00
Name: G L - .. A Other: 10.00
Address: Environmental exhaust and ventilation
City/State/ZIP:
Range hond/nther kitchen
_ y equipment 10,00
Phone: ( ) Fax: ( ) Clothes dryer exhaust 10.00
1
.. ®: OPL'ICA1 '' :... .:., Single-duct exhaust (bathrooms,
.. . • •, .. nn
• � � � � toilet compartments, utility rooms) 6,80
Business name; Same as contractor Attic/crawlspace fans 10.00
Other: 10.00
Contact name: Fuel piping
Address: $5.40 for first four; $1.00 for each additiona
City /State /7.1P: Y Furnace, etc.
— _ - Gas heat pump
Phone: ( ) Fax: : ( ) Wall /suspended/unit heater
— — Water heater
E-mail:
....... . • ,
e
_ • _ :.. .... :.... •.,., .
....., ..................... . :: •. ., Range
Business name: Supreme Comfort Inc. Barbecue
Clothes dryer( a5
Address: 9425 SW Commerce Cir. #16 Other: •
Ci ae/71P Wilsonville, OR 97070 !'
: so nve, :'t'I ; 1T E $ N1 i0.f1: iOtt, i a 'I:iE;:;,;:' ^;: '
ty /Stt : . %Illill�,�ir11i�!� , � � �. �a!iL: i�.,.�p: .��i rtii� � .i
Subtotal 14,00
Phone: (503) 682 -1985 Fax: (503) 682 -1018 Minimum permit fcc ($72.50) 72.50
CC:13 lie.: 21892 Plan review (25% ofpermit fee)
/ 2 4 _,,, r a
j„Z.,77..-- State surcharge (12% of permit fcc) 8.70
TOTAL PERMIT FEE 81.20 20
Authorized signature: permit application espirea if n permit is not obtained within 180
days after it has been accepted ac complete,
1: \nui )ding \Permits \MCC•PcrmiLApp,dac 01/19/07 440-0617TII1 /02/COMA4fi13)
05/12/2008 13:55 503 - 682 -1018 SUPREME COMFORT INC PAGE 03
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SUPREME COMFORT INC. {
9425 S.W. COMMERCE CIR. # 16
WILSONVILLE, OR 97070
682 -1985 i 1 1
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CITY TIGARD . MECHANICAL PERMIT
COMMUNITY DEVELOPMENT
PERMIT #: MEC2008 -00240
Ticnu 1 3125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/13/2008
PARCEL: 2S104BC -08400
SITE ADDRESS: 12970 SW OXALIS TERR ZONING: R -7
SUBDIVISION: HILLSHIRE CREST LOT: 006 JURISDICTION: TIG
PROJECT: WAKEM
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: 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
LYNN & GRETCHEN WAKEM Description Date Amount
12970 SW OXALIS TERRACE
TIGARD, OR 97223 [MECH] Permit Fee 5/13/200E $72.50
[TAX] 12% State Surch 5/13/200E $8.70
Phone: Total $81.20
Contractor:
SUPREME COMFORT HEATING
9425 SW COMMERCE CIRCLE #16
WILSONVILLE, OR 97070 REQUIRED ITEMS AND REPORTS
•
Contact #: PRI 503- 682 -1985
FAX 503- 682 -1018
Reg #: LIC 21892
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: --- 1 — - ermittee Signature: _ j
Call 503. • • . 175 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: /J % v k) REQUIRED ON GREEN INSPECTION CARD. -'
✓ Code Inspection Description I PASS Date I By ✓ Code Inspection Description I PASS Date 1 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
920 Suppression trip test 310 Crawl drain
995 Misc. inspection:
315 Post /beam plumbing
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