Permit •
q CITY OF TIGARD MECHANICAL PERMIT
a COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00481
TicARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/25/2008
PARCEL: 1 S135DB -04700
SITE ADDRESS: 11435 SW 92ND AVE ZONING: R - 4.5
SUBDIVISION: DOGWOOD RIDGE LOT: 007 JURISDICTION: TIG
- PROJECT: GAVETT '
Project Description: Replacing existing gas furnace.
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:
NAT 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: 1 AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
KERRY GAVETT Description Date Amount
11435 SW 92ND AVE
TIGARD, OR 97223 [MECH] Permit Fee 9/25/200€ $72.50
[TAX] 12% State Surch 9/25/200€ $8.70
Phone: 503- 624 -7180
Total $81.20
Contractor:
A -TEMP HEATING & COOLING
16000 SE EVELYN ST •
CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 650 -5014 '
FAX 503 -557 -2990
Reg #: LIC 71878
•
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.
f
Issued By: � i � f I Permittee Signature ..- 42 /
Call .4175 by 7:00 a.m. for inspections that busineay.
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: f►'IEC ,uF- cXJiiEf REQUIRED ON GREEN INSPECTION CARD.
✓ Code I Inspection Description I PASS Date I By ✓ Code I 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
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
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
9/25/28 12:4 5035572990 A-TEMP HEATING PAGE 02/02
Mechanical Permit Applicatinn , / --- 1 ,:,; ., -2 , i , FOR OFFICE USE ONLY
City of Tigard Received
By Virdrilli - mit Nn Iv
; -
• . " 13125 SW Hall Blvd., Tigard, Dnie/
rd, OR 97223 P ' , ' :, ' 474 ■ *dill ' ' v &IC,- . . .- _ . . (
v ' '
• et .... ' PhOne: 503. Man Reim
639.4171 Fax: 503.598.1960 Other Permit
Date/By:
Inspection Line: 503.639.4175 ,
GARD -0 Ir '; _ i ' 4' ,, , __,)'
11 '' b 45' s 4,_`,4 ;,s,_-,5, Date Ildn'IY/Ev' ,1tre: El See raec 2 far
Internet: www.tigard.or.gov ,.., -\ . NotifiecVNIetliod;
Supplemental Tartirmatton
1 .::) ::.,::.:,::..:,:.:.:.,::.; :.•'::....,..:::. :::,:::. . COMMERCIAL FEE• SCHEDULE - USE CRECKI.41sT:
D Nev construction dition/alteration/replaccment Meehanioal permit lees" are based on the value ofthe work
0
performed. Indicate the value (rounded to the nearest dollar) of nil
Demolition nor: mechanical materials, equipment, labor, overhead, and profit,
6 ' : ::: ' ::: ::::: :.: :''.. ___ Value: $
•
and . RESIDENTIAL EQUIPMF-N,T, / sySTEmts FEEs, :. .
vi- 2-fnmily dwelling El commereinuinchistrial El Acocssory building ....:::„. •• . ,....-..,..
For specter/ informarron um checidin.
0 Multi-fornily 0 Mastor buildcr El other:
Dcacription Qt E -- a .,1, -
,,:,,--
_ .
:.:..... :. .., ..,: .,....:,... otsit.sitt.:INQAmoloN:.priy.1:, . /01914.:- : ,:..:- .: ' : Heating/cooling
Air conditioning or heat pimp
o, site addross: ' 61 ,g..1
_ _Cr filtt plan nhowinul ncoment) 14.00
City/State/ZIP: • E Furnace 100.000 BTU (duetsiveras) , 14.00 I Li t,
- L • _
Furnace 100.000+ ). 17.90
Suite/bldg./apt. no.P i 0 rojcct name: 0 11.. , ,
_. _ BT1.1(4cisiveuts Gas heal_pUrnp
14.00
Cross street/directions to job site: Duct work _ 14,00
—
tlydronie hot water system 14,00
Residential boiler (ra(Iiator or
hydronic) 14.00
--- Unit heaters (fual-type. not electric),
in-wall. in-duet. suspended, etc. 10.00
Flue/vent for any of above 10.00
Subdivision: Lot 110.:
. - Other; mon
Tax map/parcel no.:
Other fact appliances
. ;. '''..'.:!:::.:.::::.::,/ EiFARIt.t,OX';'0: watc, heater 10.00
,. . .., .
Gas replace
_.4_:_...i 1k). 0 • ' kidA • . A i - .... ,
er 4 _ fi
Flue vent for water hcatcr or gas 10.00
..—
11 fir/place 10,00
.,
•.1-X144114-'121----------- Loglightcr (sas) 10.00
Wood/pellet stove • 10.00
Wood tire 10,00
- ventilation Chi inneyiliner/Iltievent 10.00 • 77 . p.!z9x.P .P.TY:9'7■11..ot:;1;. .'..:.....:. ' : ::: : • . p 111 •
---- Other;
Name 1 .,.. g . " .... N ... . ' 1 fff9 • — 10.00
Environmental exhaust anti
i Range hood/other kitchen
Address: .
4 . ° .... . equipment 10.00
City — I/ CL a
clothes dryer exhaust 10.00 ...
Single-duct exhaust (bathrooms,
Phonc:c0 P) t ?(.4. 7 1 l eD Fax: ( ) toilet COMpartments, utility roping) 6.80
.. Zofpc.w r.. • .,, ,::, ; :.„„ ,. ,, „, .. !. p.ppN., ,Wf. •RS9N, Attic/erawlspaco fans 10.00
T •• ' ' • Other: 10.00
Business name:
1 22......_______________
Contact name: • A-TEMY HEATING AND COOLING, IN • 55.40 for first four; 51.00 for each a tIdftong I
-.
. Fnmadn, etc.
Address:
.. Clackamas, OR gi015
--- Gas heat pump
City/State/ZIP: 503-650-5014 Wall/aLvencled/un it hcatcr
I
Phone: ( ) Fax:: ( 1 . 03 5 5- ..cl PT Water heater
Fireelace
EMail;
Range
,....._
Clothes drycr (sa)
Business name: mimic immlusx.C_ODLIXO. DM _ Other:
Address: 16006 SE Evelyn St. . MECHANICAL PERMIT FEES* . .
clactaras,-eiirrots---- -
City/StatciZIP: _MI-65.0-_5014._. Subtotal
Ntininstnn permit fee (s72.50) i a . 6
Phone: ( ) Fax: ( )
Plan review (25% of permit fee)
C .... State surcharge (12% of permit fee)
• . -
GDULAA 6:..rteticji....2.4_,...) ToTA L. PERMIT FEE
Tug permit nppticntlon expire% Ira permit ix not nlitninethilthin ISO
AUT110f1Zeti ... 'lure
days after It hag been accepted nN complete,
Print name: \, ta t -
Empjh NE i m . Fee reethedoingy ,ei by Tn-Cnunty Building Indtuitry Service Punic]
— —
I: \ Building1ParnieeMEC•PenneArryAne ()Amcor; 440 .617T (11 /02/COMIVIE131