Permit C ITY OF TIGARD MECHANICAL PERMIT
= COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00433
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/18/2008
PARCEL: 2S112CD - 15300
SITE ADDRESS: 07998 SW KELSO CT ZONING: R -12
SUBDIVISION: CHURCHILL WOODS LOT: 004 JURISDICTION: TIG
PROJECT: WILSHIRE HOMES
Project Description: Install 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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODST UNITS:
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
WILSHIRE HOMES Description Date Amount
10110SWNIMBUS AVE #B -1
TIGARD, OR 97223 [MECH] Permit Fee 8/18/200E $72.50
[TAX] 12% State Surchai 8/18/200E $8.70
Phone: 503- 624 -1600
Total $81.20
Contractor:
THERMAL FLO
7236 SW DURHAM RD. STE 100
PORTLAND, OR 97224 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 670 -8343
FAX 503- 670 -9064
Reg #: LIC 151847
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.
Iss ed By: 0I Permittee Signat , e /1/ fif '
Call 503.639.4175 by 7:00 a.m. for inspections that bus • • ss say.
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.
i.,
AUG /18/2008/MON 01:15 PM THERMAL FLO FAX No, 5036709064 P. 002
Y
Mechanical Permit Applica ''t CEIVED . • M Fos o11 ?It L USL ONL1• .. . .
city of Tigard Receive 5,Fr i Permit No.: it/ ' i �i A.
.,
13125 SW Hall Blvd., Tigard, OR 97223 / / / /�]]]]
1 2 008 D a a le /B y : v
'' - ' ' . A ►�G Phone: 503,639.4171 Fax: 503.5 1 Other Permit:
TI(.ARI ' Inspection Liner 503,639.417 DamRaedyBy: M H See Page 2 for
Internet: wwttuigard- or.gov QTY OF TIGAR Notified /Method: Supplemental Information
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Mechanical permit fees' are based on the value of the work
XNew construction ❑ Addition /alteration /replacement
performed. Indicate the value (rounded to the nearest dollar) of all
0 Dernolition I] Other: mechanical materials, equipment, labor, overhead, and profit.
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1- and 2- family dwelling E1 Commercial /industrial J] Accessory building NT : '
Fa
Multi family El Master builder El Other: r special information Q checklist. of
rs a inf o mtu
_ Description I Qt}'. E Total
a
; !'.nrlTCd : a ITE' i! I11Tk�lORlti' Iptl', 16]``'`„ �IVD; GI' tOQkTYO�i; �; �' ����.""- :., Heating/cooling
/� / ,�{ n /1 Air conditioning or (teat pump j 1 "°
Job site address:
7 q 13 (1� /r er ✓ 0 C C' (regnlreE site plan showing placement) 1 14.00 ' T
City /State/ZIP: 77,47 d..„, OAP 9l i. Furnace 100,000 BTU (ducts /vents) 14.00
c, 4 '��4-
Furnace heat IOO,000+BTU (ducts /vents) 14.00
Suite/bldg./apt. no.: Project name: (Y Gas heat pump 14.00
Cross street/directions to job site: 15uct work 10,00
V Hydronic hot water system 14.00
Residential boiler (radiator or
-'f"fnafrfl t �/ 6966 r7 Unit 14.00
— (��!! ��i�rdd ✓✓ vl4G GL J J Unit heaters (fuel 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
r,�riiELI ,,,a r•,
r ,i,, ,r•r50P, .r ,,,•,,. ,�;r run�rq ,r,re, ,, R. frill "' in„ I�jiirl a," ∎P;ll�'myr.
� , an�yi� hl, , dt , , „r,nSS, "�!��{�,�`Ir}�t� �i'��I� (�.lr i lar,m�.1'��: , ,7i i,. ''�FVSx,. t {i5i11 Water heater 10.00
. .. : u.i' l
Gas fireplace 10.00
�/ Flue vent for water heater or gas •
/1 o �y j/ (.+- G/ COf1 GG f - /oii 2 _ fireplace _ ] 0.00
Log IiQhters as) 10.00
Wood /pellet stove 10.00
Wood fireplace/insert 10.00
„, " ; ': „ :nr, ,, ,,, ,,,,,;;,c, ,,, .,,,, , ,,, , , Chimney /liner /flue /vent 10.00
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1' i E ; ` ' DI,M9.ii ltI3y' t$ 10 ; , nq ;; ;! ; ,,•,r,.,,,,�. l.11 „, „ „r,!,,,,„'111 .;C�; !l;1F;ET∎Ipai'jlal'0;;;; „ra,,, 9
a.;. ee'r� ni ,,, 'r: ,, • .. �.,,, nn „ �... �� .,, I „,•,,,,,,,,,,,, ,,,,, h.hr„( w...hqb „iw 'r.P,i,11C ��fiCr . Othe ' 10.00 _
Name: /On /Ye--- i—/O/"'7e5 Environmental exhaust and ventilation
Address' /d/ /0 (5 VV k ii:0 j ,I al f'i ,,i.c Z .,/ Range hood/other kitchen
equipment 1 0.00
City /State/ZIP: - 27:96/ 0 e - "6/ .. „;,. / . (,)� q- Single-duct t er exhaust t (bathrooms,
10.00
Phone: (cf(J.J) (002 4-- j..000 Fax: ( ) toilet compartments, utility rooms) 6,80
)t∎i , . , .. , ...:air• ,,,,,, . ,,, il , , " 1, :li ;i:a., „ ,..n..
tx;, ,,:r{ nn �p,nn „nr�, r ,., „•.,�.r .i'1,6 ; mar• ! 1Y!,' „ „,, }.r „■ .F �ttic/Crayla ace fart
, ,,hr„,,,,r,, A �;P ” :(,, , +l,; , „,:! ; p ; ,,i,s v 'ij , 'I;'1 : ;g O tTd,M RB „r 4! !! . ; , P s 10.00
other: 10.00
Business name: — V Fuel piping
Contact name: ` $5.40 for first four: 51.00 for each additional
Address:
V / n Furnace. etc.
Gas heat pump
City /State /ZIP: Wall /suspended /unit heater
Phone; ( ) Fax: ( ) Water heater .
Fireplace
p
E-mail
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at,rlii l;„∎sir,,. ,, , , s , 1,:;r ;14:: ::..011�:l! :4; . ,:::,:•::, . . .a..; - -,
,1.A. ;,n,nnn,nnt'r I'., ..n, , n h �i :4 .:!;!;' ': � .L . .M} .. , - 1 c :.., ■ ,:. , , , •.:.,� r ;u l. i ', d , ' i.: ;:.:.r„� 1
:. ;;T , � O � �{ , I'' ? Barbecue
Business name . ;:: �/ CI o X l „ �» ' '
therM Clothes dryer (gas)
"//4,1 ( �' i-il, /166'1 too Other: 14,-, )
Address: A,� ,/ f �' ' C1F�A 1GAI,:�1"�RT4Tf`�'F1G
City /State /ZIP: /alert +� �-4��1 it T a 0� Subtotal 14-. 00
�j} ` ,, e ^ ) b :ja/ Minimum permit fee (572.50) 12.56
Phone: jJ(��/ �jl�,,/ gP4t Fax' (j ((� ~ 7 (�
Plan review (25% of permit fee)
CCB lic_: E5 /g141-7 State surcharge (12% of pcnttit fee) Oa 42
- - -.- TOTAL - PERMIT FEE 1 8/. gQ
-
Authorized s ' / / % / Pahl permit application expires if a permit Is not obtained within 180
days after it has been accepted as complete.
Print naroe:_ Lee e laeole y Date: g — 6 '” Fee methodology set by Tri- County Building 'industry Service Board
INSPECTOR'S SIGNATURES ARE NOT
..Inspections Required for: j (l;Co9Opg'avc/33 REQUIRED ON GREEN INSPECTION CARD.
•
I ✓ • Code Inspection Description 1 PASS Date By ✓ Code Inspection Description PASS Date 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 tough -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 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 \InspC rd- AOP- B1ank.doc 02/02/07