Permit CITY OF TIGARD
MECHANICAL PERMIT
71 ° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00246
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/16/2008
PARCEL: 2S 112CC - 09800
SITE ADDRESS: 08436 SW LANGTREE ST ZONING: R -
SUBDIVISION: LANGTREE ESTATES LOT: 030 JURISDICTION: TIG
PROJECT: HAYDEN
Project Description: Replace A/C unit. Unit cannot be placed within the required setbacks.
CLASS OF WORK: OTR 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
DAVID HAYDEN Description Date Amount
8436 SW LANGTREE ST
TIGARD, OR 97224 [MECH] Permit Fee 5/16/200E $72.50
[TAX] 12% State Surch 5/16/200E $8.70
Total $81.20
Phone: 503- 810 -5642
Contractor:
JACOBS HEATING & NC
4474 SE MILWAUKIE AVE
PORTLAND, OR 97202 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 234 -7331
FAX 503- 808 -9108
Reg #: LIC 1441
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: Z64470 Permittee Signature: 0A./ t91
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.
-,.
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Mechanical PermittiolicatlaECEIVED ." ., , .... 7 ONLN, • ;:•.!. '''/.,'.',,...' i' . ' ''' :'
City of Tigard Received 4,--- a ,1,17- /
, Of - . Permit No.: Nce .
: 4 1 13125 SW Hall Blvd
' ., Tigard, OR 97223M
II AY 1 5 2008 .-, -
Plll a Rrvinw
1 - 0 :': Phone: 503.639.4171 Fax: 503,598.1960 Dutc/ (Mier Permit: By;
. — .
• — . Inspection Line: 503.639. 4175
T ic; A 14. U CITY OF TIGARD Date Ready/13y: Jerw, 21 Sec Pop 2 or
Internet: www.tigard-or BUILDING DIVISION
gov Notified/mothod: 776-- Supplemental information
E+iiinlilii;{iPii.O., ! ii;i ,■1;iffl 0,010140.tiiri'.*9** i A ',gh'A AgO!,`1:1i:14ii„ fliAiii$0: OWIWii*4:41040C44415i*-40
mechanical permit fees* in; based on the value of the work
0 New construction I'S) Addition/alteration/replacement performed, Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
qc •, pi i ilgToir-sm:A.■„Kpqmp);:zczw„at-,;=z.,,p2iLai,,,k.,,,Iciii;,i•im Value: $
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ViU■;:ig)VRIgiglANAIR r P , i§X§IV. 1 .10.§I ' YW,
[E] 1- and 2-fantily dwelling El Commercial/industrial Li Accessory building
For special information use checklist
0 Multi-family 0 Master builder 0 Other.
Description I Qty. [ Ea. I Total ,
"9' p,1' 0 1.• .•:. ry7 ,--,, r
m,... • (, 7
MI ; '( . I' I p. ANO „or R.:.;{',, ) .i(.$,Nn,,,,[, 14.tingkod1fig
Air conditioning or heat pump
Job site address: 8436 Lang Tree St " piaccnieun I 14.00 14.00
(niquicos site plan showing
City/State/ZIP: Tigard, OR 97224 Furnace 100,000 BTU (doers/vents) 14.00
- Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no,: I Project name:
Gas heat pump 14.00
Cross street/directions to job she: Duct work 10.00
Hydronic hot water system 14.00 __
Residential boiler (radiator or
hydronie) . 14.00
Unit heaters (fuel-type, nut electric),
in-wall, in-duct, suspended, etc, 1400
Flue/vent for any of above 6.80
Subdivision: 1 Lot no.:
Other: 10,00
Tax map/parcel no.: Other fuel appliances
1
i■ik - Water heater - 10,00
Gas fireplace 1,0.00
Flue vent for water heater or gas
Replace air conditioner. fireplace 10.00
- Log lighter (gas) 10.00 _
Wuod/pellet stove 10.00
Wood fireplace/insert 10.00
. . • ••
IIO;IIt344,0.*4'I ch'mn'Yilin'thluciv'rit 10.00
i. o.00 —
Name: David Hayden Environmental exhaust and ventilation
Range hood/other kitchen
Address:
equipment 10.00
• . -
City/Stale/ZIP: Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: (303)810.5642 Fax: ( ) toilet compartments, utility rooms) 6.80
Pinr'''''Tii'":410 '''T''';' liP AttickrawisPae fans - --- — - 10.00
al., .■ t,t:,,`.11llt I ,lln':.■ ,„ 7A . .,. ,, ,Itto:v,(k.,1 l ,tlx, ,, ) !) , ',) , ... „.,,, . .. ,. , ,:7,..,..,,, .. „ 04 ;,,; .D.t. , e,1;,,
Other; 10,00
Business name:
Fuel piping
Contact name: $5.40 for first four; 81.00 for each additional
Furnace, etc.
Address:
. Gas heat pump
City/State/ZIP: Wall/suspendecUunit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace _ _ _ . , -• •
E-mail: Range
]:IIIII,i(: ■I;;••:,.q IO: IiiifIp!!,;' II,:..:•.: :!• y,ITi!TP"' darb
N.1ir.ol.•:: !INI (:1,; ,.,%:-(:■ 21 )(,)‘•,, ••,;.:.),, , -, I ., ,.,a 1, 9f111,1 ) ;W„a';;;i I _
Business mune: Jacobs Heating & Air Conditioning Clothes dryer (gas)
— " Other:
Address: 4414 SE Milwaukic , •7,I,I'
City/State/Z1P: Portland, OR 97202 Subtotal 14,00
Phone: (503) 234-7331 Fax: (503) 808.9108 • - Minimum permit fee ($72.50) 72.50
Plan review (25% of permit fee)
CCB lie.; 1441 State surcharge (12% of permit fee) 8.70
*--- TOTAL PERMIT FEE 81.20
(A__________L This permit application expires Ira permit is net obtained within 180
Authorized signature: (■, ..,_. „) (AA_L i /iALLO-..C....q- - -Q 1 days after it has been accepted as complete.
Print name: Michelle LeClair Date: 5/15/08 * Fee methodology set by Tri-County Building industry Service Board
1A13011cling\Pomil50vIEC.PermitApp.doc 01/19)07 449-49171 (1,,ocomAvEr4)
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Job Name
Address ! 36 L/7 7 S —
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Make Cf
JACOBS HEATING & AC
4474 SE Milwaukic Ave,
Portland, OR 97202 .
(503) 234 -7331
(503) 813 -9257 fax
80/E0 SJdd JNI1d3H ssoovr LSZEET8E TO :Zt 800Z/ST/50
a CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00246
-TIG n RD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/16/2008
• PARCEL: 2S112CC - 09800
SITE ADDRESS: 08436 SW LANGTREE ST ZONING: R -
SUBDIVISION: LANGTREE ESTATES LOT: 030 JURISDICTION: TIG
PROJECT: HAYDEN
Project Description: Replace NC unit. Unit cannot be placed within the required setbacks.
CLASS OF WORK: OTR 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: 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:
> 10000 cfm:
Owner: FEES
DAVID HAYDEN Description Date Amount
8436 SW LANGTREE ST
TIGARD, OR 97224 [MECH] Permit Fee 5/16/200E $72.50
[TAX] 12% State Surch 5/16/200E $8.70 •
Phone: 503- 810 -5642
Total $81.20
Contractor:
•
JACOBS HEATING & A/C
4474 SE MILWAUKIE AVE
PORTLAND, OR 97202 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 234 -7331
FAX 503- 808 -9108
Reg #: LIC 1441
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: • 64 cr— Permittee Signature: QA.1 PL/ C -7701
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: /1CCao0c?-00.2 y 6 REQUIRED ON GREEN INSPECTION CARD.
✓ Code I Inspection Description I PASS Date 1 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:
• y 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 •
I: \ Building \Forms \InspCard- AOP- Blank.doc 02/02/07