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Permit
• CITY TIGARD MECHANICAL PERMIT - COMMUNITY DEVELOPMENT P ERMIT #: M EC2008 00509 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/14/2008 PARCEL: 1 S125DC -01900 SITE ADDRESS: 07065 SW VENTURA DR ZONING: R -4.5 SUBDIVISION: WASHINGTON SQUARE ESTATES LOT: 009 JURISDICTION: TIG PROJECT: WILLIAMS Project Description: - Installing new gas furnace and 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: NAT 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: 1 AIR HANDLING UNITS CLO DRYERS: • FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: • Owner: FEES AMY WILLIAMS Description Date Amount 7065 SW VENTURA DR TIGARD, OR 97223 [MECH] Permit Fee 10/14/20C $72.50 [TAX] 12% State Surch 10/14/20C $8.70 Phone: 503- 475 -6820 Total $81.20 • Contractor: WATTS HEATING & COOLING INC 18108 SE RIVER RD MILWAUKIE, OR 97267 _ REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 786 -2858 FAX 503- 786 -2807 Reg #: LIC 134602 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: ,� J Permittee Signature: ?C ef?/1// Call 503.- 75 by 7:00 a.m. for inspections that busin 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: fl - REQUIRED ON GREEN INSPECTION CARD. Code Inspection Description I. PASS Date By Code Inspection Description 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 Wiz 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 n ailing 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 J 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 L \ Building \ Forms \InspCard- AOP- Blank.doc 02/02/07 Mechanical Permit Application rou on:lcl; usr o,'1.v. City of Tigard Received � DateBy Ili / Q if Permit No • T � , • 13125 SW Hall Blvd., Tigard, OR 97223 "' � � C Plan Review Phone: 503.639.4171 Fax: 503.598.19 Date/By: Other Permit: T I G A It U Inspection Line: 503.639 Date Ready/By H See Page 2 for Internet: www.tigard- or.gov k 1O Ov Notified/Method Supplemental Information SS TYPE OF WORK Ola 1 ,, xs1 COMMERCIAL FEE* SCHEDULE — USE CHECKLIST ❑ New construction ddrtlon/alteratt v • ' • , • . It[ Mechanical permit fees' are based on the value of the work ❑0 Demolition Other: S ‘1.11 performed. Indicate the value (rounded to the nearest dollar) of all Demolition Other: $ mechanical materials, equipment, labor, overhead, and profit CATEGORY OF CONSTRUCTION Value: $ y gi- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ Multi - family ❑ Master builder ❑ Other: For special information use checklist. Description 1 Qty. I Ea. I Total JOB SITE INFORMATION D LOCATION Heating/cooling Job site address: 7 •� ,/ r f�t Air conditioning or heat pump / j v P� '/ (requires site plan showmg placement) 1 14.00 / T� City/State/ZIP: er 1 , 0 9 9-f 7 ii77 Furnace 100,000 BTU (ducts/vents) 1 14.00 i 77 �� r Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: Project name: , I ari9 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 Subdivision: I Lot no.: Flue/vent for any of above 6.80 Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 " / 7 �+ Gas fireplace 10.00 /9/1151/4// AJ 4% x /J trehla4 4 4l c,_ Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace/insert 10.00 0-PROPERTY OWNER I ❑ TENANT Chimney/liner /flue/vent 10.00 Other: 10.00 Name: G� ; l I A .. �t Environmental exhaust and ventilation 79 Address: c 31,6 veil + fa ' Range hood/other kitchen �(�(� equipment 10.00 City/State/ZIP: �u O r 97 Z �3 Clothes dryer exhaust 10.00 ` , y ' 9 ) toilet compartments, exhaust (bathrooms, Phone: ( ) y 0 Fax: ( ) toilet compartments, utility rooms) 6.80 APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00 / • � Business name: ajoit /7 ¢ 5 1 loll Other: Fuel piping 10.00 Contact name: 600/) W $5.40 for first four; $1.00 for each additional Address: 1 g' 6 e 56 >F) v'V _ . Furnace, etc. IA Gas heat pump City /State/ZIP: 44i 1wait je d © Q, g7Z67 Wall/suspended/tmit heater Phone: fa), 7$6 — Z II Fax: : ('' ) Water heater E-mail: & ` C ® (/1i'Q ,hied t �l(/l Fireplace • CONTRACTORS Barbecue Clothes dryer (gas) Business name: � Other: Address: MECHANICAL PERMIT FEES* City/State/ZIP: Subtotal Phone: ( ) F es; ( ) Minimum permit fee ($72.50) / 2 I q649 Plan review (25% of permit fee) CCB lic.: State surcharge (12% of permit fee) • 1O / TOTAL PERMIT FEE j , rj d Authorized signature: /./. / itf P This permit application expires if a permit is not obtain within 180 • , ; / days after it has been accepted as complete. Print name: d / � Date �� 1' • Fee methodology set by Tri•County Building Industry Service Board I \ Building \Permits\IN EC- PermitApp,doc 01119/07 440.4617T (I I /02/COM/WEB) • CI Y OF TIGARD - BUILDING DIVISION PERMIT #: MEC2008.00509 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/14/20438 Phone: (503) 639 -4171 ' Atao Inspection Requests (24 Hrs.): (503) 639 -4175 - °__.. INSPECTION WORKSHEET FOR DATE: 10/16/2008 TIME: 7:O1AM PAGE: ,. SITE ADDRESS: 07065 SW VENTURA OR CLASS OF WORK: SUBDIVISION: WASHINGTON SOU ARE ESTATES LOT #: 009 TYPE OF USE: PROJECT NAME: WILLIAMS DESCRIPTION: Installing new gas furnace and ANC. OWNER: WILLIAIVIS, AMY PHONE #: 603.475 - 6820 CONTRACTOR; WATTS HEATING & COOLING INC PHONE #: 503 - 786 -2858 Inspection Request Scheduled For: Date: 10/16/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 0767113 -01 503 - 786 -2858 Y Corrections /Comments /Instructions: i - -7/ . ' , T/ LJ!' 211 Cr _ OT/ ),tio G�Z, '( LPL ` n � i1,t4, e - z- Zee 6 ,a r,e 4X /75-L • ❑ P ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL [ , ALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: Date: /6 !(o —feel Phone #: (503) 718 --5/ • CONTRACTOR • N PUMP UNIT BITE PI.N1 • ii -. \41!AS I; lj■ t . . . . iiitl St fkolti a. . .. .....„......— Ita�aau� & ,o(g7 ub y _ . • • � to ¢a 8IDEPROPERfl' LINE • • . fa i+awt Proms`! LiAC ' . • • • • TO STREET _ . •,-; ---. . L _____ . .,_ . lf,i ( . . • • .. . . " '' • . • . I ADDRESS . ' ' • • . .k(, l dr q73 . . . . .. I L