Permit -T1
• !� CITY OF TIGARD MECHANICAL PERMIT
'`� ° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00480
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/25/2008
PARCEL: 2S112CD -16000
SITE ADDRESS: 07975 SW KELSO CT ZONING: R -12
SUBDIVISION: CHURCHILL WOODS LOT: 011 JURISDICTION: TIG
PROJECT: WILSHIRE HOMES
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: 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
WILSHIRE HOMES Description Date Amount
10110 SW NIMBUS AVE STE B1
TIGARD, OR 97223 [MECH] Permit Fee 9/25/200€ $72.50
[TAX] 12% State Surch 9/25/200€ $8.70
Total $81.20
Phone: 503- 624 -7119
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.
Issued By: ��r�`,/ _ Permittee Signature: ..,_e;:, �r--47/jb/1/
Ca 0 .639.4175 by 7:00 a.m. for inspections that busines
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.
.. - ._SIP /25/2008/THU 11:06 AM THERMAL FLO FAX No, 5036709064 P. 002
atio
Mechanical Permit A.Aplic
' FOR OF F I C E. 1 • ISE c Nl Y • • •
City of Tigard 1T E« V I V 1 . pa ce iv e i
" ) 3125 SW 1-lall Blvd., Tigard, OR 97223 Plan Review
. ' '' : Phone; 503.639,4171 Pax: 503.595.1960 G P 2 a L :,. , Date/Br ' . OtlherPennit:
`TI GARD • Inspection Line: 503,639,4175 Date Ready/By: fi5 See Page 2 for
Internet; www.tigard- or.gov C0T U OF T GA D Notified /Method; �lG°i(�i Supplemental Information
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!: New construction 0 Addition /alteration /replacement
Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ 'Demolition 0 Other: mechanical materials, equipment, labor, overhead. and profit.
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1 - and 2-family dwelling [� Commercial /industrial ❑ Accessory building
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escription t
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Job site address: ' e / • Air conditioning or heat pump ` `�°
(requires site plan showing placement) , 14.00 IT
City /State /ZIP: 77 / if a.,.... ' ••■ C111 Furnace 100,000 BTU (ducts /vent,) 14.00 •
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt, no.: Project name: NG % i Gas heat pump_ W w 14.00
Cross street/directions to job site:
W „t ..S. Duct work 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
A Unit heaters (fuel -type, not electric),
i t /N / V / - - in -wall, in -duct, suspended, etc, 14.00 '
Flue/vent for any of above 6.80 • Subdivision Y � Lofno,: _Other: 10.00
Tax map /parcel no.: Other fuel alliances
00
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• ° _ Flue vent for water heater or gas
' /), s1.IJ�' ` �/1 i/f�� fireplace I
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(,(,( Vim! (1,/ ! Log lighter (gas) 10_00
Wood /pellet stove 10.00
Wood fireplace /insert . 10.00
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• �l f ". , / ' 0 /71 Ether 10.00
Environmental exhau: t.and ventilation
� ollp (gm tom' 10 /. equip hood /other kitchen
Address: �( b �, / equipment _ 10.00
City /State/ZIP: ! / D , Clothes dryer exhaust ^
10.00 �
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Single -duct exhaust (bathrooms,
Phone&V i 4- '&00 Fax: ( ) • toilet compartments_ utility rooms) _ 6.80 ,
• i : ::t ,r,l muds' ;IRi on il;; p u xdK•d•• yfi . i „a1, w, h „r,,;m,:,,,.,
„ ,17 „• i:AEPL3lCdi� � i ..•* N, i!!;;a: ,. � s.vt, v ., ., (tll Vtl” "r + +f :;l tl1l , Amcicra�a(spacefans 10.00
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Business name: ' •
• i Fuel piping
Contact name: , i $5.40 for first four; $1.00 for each additional
Address:
Fr . ' / 1 r ' run etc,
a / Gas heat pump
City/State /ZIP: • V . • Wall /suspended /unit heater
Phone: ( ) Fax :: ( 1 •
Water heater
,g H �I Fireplace
�S'MLi1 .? 6rinal . 0/12e • Wm. Range
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„ t, I' „ "'I � � , , , ,r•k'G(]h1� n: 41 r .!• ... ,,.r.1 , r ; ;. :� . i , Barbecue •
Business name: 7 ' i ,. I r' O Clothes dryer (gas)
�� I/}}� Other
Address:. ! �. l / . IO „; ,i 1, 11fidT3,�TTiaj jiMtT'iVIDEsv' 1,
City /State/ZIP:P / / f� Y! Z4' Subtotal {4”'
Z. Minimum permit fee $72,50) 0 Phone: / �I �i Fax' Q )� ' /� (!/ p u ( 2 •
P lan review (25% of permit fee)
CC13 lie.: !. / % - State surcharge (12% of permit fee) 540
TOTAL PERMIT FEE _ x /.20
This permit application expires if n permit is not obtained within 180
Authorized stgnatnl'' . - • / / ;",, / days after It has been accepted as complete.
Print name: = Date: W Fee methodology set by Tri- County Building industry Service Board
�/ INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: j j ECaDD B -y `f 80 REQUIRED ON GREEN INSPECTION CARD.
t/ Code 1 Inspection Description PASS Date By 1 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 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: \ Boil ding \Forms \InspCard- AOP- Blank.doc 02/02/07
,;', • - ;:FOP /25 /2008 /THU 01:15 PM THERMAL FLO FAX No, 5036709064 P, 002/002
SITE PLAN
PREPARED BY: rrrG DATE: 9-1S- a r
CUSTOMER NAME: {,may � /ir ,, A/ 4S ADDRESS: 7 f 76 644.) h p C
CUSTOMER PHONE: c
PROPERTY BOUNDARY LINE A
4,611/4
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