Permit C ITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00402
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/31/2008
PARCEL: 2S111AB -05100
SITE ADDRESS: 09100 SW INEZ ST ZONING: R -4.5
SUBDIVISION: PENMAR TERRACE LOT: 003 JURISDICTION: TIG
PROJECT: CONDOR
Project Description: Installing wood stove insert.
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:
WOODSTOVES: 1
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
ELDON & ROBIN CONDER Description Date Amount
9100 SW INEZ
TIGARD, OR 97224 [MECH] Permit Fee 7131/200€ $72.50
[TAX] 12% State Surch 7/31/200€ $8.70
Total $81.20
Phone:
Contractor:
R & D INSTALLATIONS
5246 SE 62ND
PORTLAND, OR 97206 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -774 -7142
FAX 503- 774 -7142
Reg #: LIC 95236
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 B j ` / Permittee Signature: 6'
Ca 1539.4175 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.
Mechanical Permit Application + . . FOR OFFICE USE ONLY
ihi r City of Tigard Date/By: I (` (.e Permit No.: / C �`..,OO'
- `r 13125 SW Hall Blvd., Tigard, OR 97223 ,,< , Plan Review
: Phone: 503.639.4171 Fax: 503.59: $t 0 >= DateBy: Other Permit:
TIGARD
Inspection Line: 503.639 q DateReadyBy. ® SeePage2
Internet: www.tigard - or.gov c� 1 ®U Notified/Method: Supplemental Information
Ju 1 J
N ew construction
. - • `.v, TYPE'. OF `WO � � ri? . COMMERCIAL FEE *: SCHEDU USE CHECKLIST '
i �` ,, = Mechanical permit fees* are based on the value of the work
❑ ❑ e performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: : r 'a'rj mechanical materials, equipment, labor, overhead, and profit.
" .,.. t CATEGORY OF.' CONSTRUCTION:. - _`* ` Value:
° RESIDENTIAL EQUIPMENT /,,SYSTEMS -FEES* ,:_
❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. I Total
y , : ,- JOB SIT INFORMATION,° AND OCATION.. y Heating/cooling
/ / Air conditioning or heat pump
Job site address: � �� (�� _ / � Jj � �iZ (requires site plan showing placement) 14.00
I t � C-/ ��f - l Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: Project name: ( ka) Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
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. 14.00
Flue /vent for any of above 6.80
Subdivision: Lot no.:
Other: 10.00
Tax map /parcel no.: Other fuel appliances
" ' DESCRIPTION- OF .WORK• '"-' Water heater 10.00
;-,`";` - . , ° . Gas fireplace 10.00
)4k57,1, �° l Flue vent for water heater or gas
fireplace 10.00
e Log lighter (gas) 10.00
1,177 S ', ^ Wood /pellet stove 10.00
t S / ' ( Wood fireplace /insert 1 10.00 W. vt
Chimney /liner /flue /vent 10.00
,, .0iPROP.ERTY OWNER ° ,0 *TENANT`S
. Other: 10.00
Name: 00 � (C)t1 190(1-C— Environmental exhaust and ventilation
Address: 1:51 Range hood/other kitchen
U equipment 10,00
City /State /ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
7; w , ®; ;APPLICANT° r :::4:4..:, : r, : : : ❑ CONTACT'PERSON ' A,4., Attic /crawlspace fans 10.00
Business name: /2-4— .f' 0 S 3 r- Other:
C Fuel piping 10.00
Contact name: po,„ /UsC-CL $5.40 for first four; $1.00 for each additional
Address: '2 Y 6 s C- & .ZI Furnace, etc.
Gas heat pump
City /State /ZIP: [ c -`.'� ,..� Wall/suspended/unit heater
Phone: ( 3 7 -? C. f \ -- r yZ Fax: : ( ) Water heater
✓ Fireplace
E -mail: Range
=3 , , .,. n � ;' CONTRACTOR;` o' , "� _ . - -. ,',,,;'''!•'!". ' , Barbecue
Business name:
[/141 Clothes dryer (gas)
Other:
Address: MECHANICAL PERMIT FEES* • " ,
City/State /ZIP: Subtotal
Minimum permit fee ($72.50) -7 rJ C.,
Phone: ( ) Fax: ( ) Plan review (25% of.permit fee)
CCB lic.: J `� 3 6J State surcharge (12% of permit fee) r70
J ` � TOTAL PERMIT FEE )
Authorized si nature This permit application expires if a permit is not obtained within ISO
g d ays after it has been as complete
Print name: Deg i (.e ( q._ c �� Date: �--�(� * Fee m ethodology set by Tri- County Building accepted Industry S ervice Board
L/
I\ Building \Permits\MEC - PermitApp.doc 01/19/07 440 -4617T (11/02 /COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 Supplemental Information
Commercial Fee Schedule:
, „
$1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and
$1.25 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
1:\Building\Permits\MEC-PennitApp.doc 01/19/07 2
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: ��c — yak REQUIRED ON GREEN INSPECTION CARD.
✓ Code I Inspection Description I PASS Date I By I ✓ Code 1 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:
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
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