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Permit
CIT OF TIGARD MECHANICAL PERMIT e COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00602 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/11/2008 PARCEL: 25111 DD -16600 SITE ADDRESS: 08662 SW HAMLET CT ZONING: R -7 SUBDIVISION: MILLMONT PARK LOT: 043 JURISDICTION: TIG PROJECT: ALEXANDER Project Description: Furnace replacement. 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: REPAIR UNITS: • 'FIRE DAMPERS ?: 30 - 50 HP: 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 JOANNE ALEXANDER Description Date Amount 8662 SW HAMLET CT TIGARD, OR 97224 [MECH] Permit Fee 12/10/20C $72.50 [TAX] 12% State Surch 12/10/20C $8.70 Phone: 503- 968 -7935 • Total $81.20 Contractor: MECHANICAL INC PO BOX 19569 REQUIRED ITEMS AND REPORTS PORTLAND, , O R 97280 OR Contact #: PRI 503- 244 -1730 • FAX 503- 245 -7613 Reg #: LIC 124283 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. j(9 Issued By: \ P ermittee Si nature: Avp,(0 \ Call 503.639.4175 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. INSPECTOR'S SIGNATURES ARE NOT Inspections Required for: a;1 n 0 . REQUIRED ON GREEN INSPECTION CARD. I ✓ Code I Inspection Description 1 PASS Date I By I I l e Code I Inspection Description • I PASS Date . 1 B 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 1 210 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: K 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:\ Building \Fomu \InspCard- AOP- Blank.doc 02/02/07 Dec. 10. 2008,.11: 58AM - No. 9800 P. 3 . u ub •.sss47 aa s a dI aab ['a Il EIDEN - - F9R 0141 r; ,.:, ` , ' , 0 City of Tigard . eceived Y F II • 13125 SW Hall Blvd., Tigard, OR 97223 r1 - 1 "O _ arms[ No.: E,C.211: • O1 .0 I Phone: 503.639.4171 Fax: 503.598.1960 DEC 1 ®� CJ� Plan Rcview Ins action Line: SQ3.639,4175 I t Date/By: Permit: i A 5 p �, to Read /B Internet: www.ti and -or, ov CITY OF TIGA Ready /B See Page ent 2 for g oti6ed/Method; Supplemental information - . I i I.1 t E OF WO • COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees' are based on the value of the work ❑ New construction r; Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all d Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION -. Value: $ 1. 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES* - ❑ Multi - family ❑ Master builder ❑ Other: For special information use checklist. Description Qty. Ea. Total JOU SITE INFORMATION AND LOCATION Heating/cooling Job site address: Fe �, � $lam )4 � LtT Air conditioning or heat pump ! (requires site plan showing placement) 14.00 City / State/ZIP: I 4,,,, o y 72 ' Furnace 100,000 BTU (ducts /vents) / 14.00 `, E X /y' Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg./apt. no.: Project name: N C� Al b Qas heat pump I 14.00 Cross street/directions to job site: h Ductwork 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: Lot no.: Flue/vent for any of above 6.80 F Other: 10.00 __ Tax map /parcel no.: - Other fuel appliances _ . DESCRIPTION OF WORK . . • Water heater 10.00 i Gas ' Ir -r Flu e fireplace 10.00 ~ �• _ 7 if-� Flue vont for water heater or gas ' fireplace y _ 10,00 Log lighter (gas) 10.00 Wood/pelIet stove 10.00 Wood fireplace /insert 10.00 PROPERTY OWNER 0 TENANT • Chimney/liner/flue/vent 10,00 Other: 10,00 IMEW 1 G .., e ie* Environmental exhaust and ventilation Address: Qt `` Range hood/other kitchen t/rQ � - i 1. �J J equipment 10.00 �/ Clothes d t) (-0 06 2 e `'7 Myer exhaust 10.00 Y Single -duct exhaust (bathrooms, Phone:' Z) CI i -2 473 5 Fax: ( ) toilet compartments, utility rooms) 6.80 ED4PPLICANT ❑ CONTACT PERSON Attic /0rewlspace fans 10.00 Business name: ► "L EC )4. ( ref 10.00 • /V c . Fuel piping Contact name: 55.40 for first four; $1.00 for each additional Address: P © 5 D x /95z 9 Furnace, etc. 7 / )4 )J1 0 We, heat pump City/State /ZIP: 'e0 � q72, D Wall /suspended/unit heater Phone) 2 ti r. / � i )3Q Fax:: ( ) Water heater E -mail: 'F ,r ° i Fireplace C L ( st► i Range CONTRACTOR Barbecue _ • Business name: 5 14 », Clothes dryer (gas) Other: Address: MECHANICAL PERMIT FEES* City/State/ZIP: Subtotal 3 I Phone: ( ) F es: ( ) Minimum permit fee ($72.50) - 7 2, SO _ Plan review (25% of permit fee) _ CCB lie.: ' �,1 State surcharge (12% of permit fee) 8. 7 U � e TOTAL PERMIT FEE RI . 2 Q Authorized signature 1 This permit implication expires (f permit ie nat obis within 180 1 - 1' ' Whdi days after It has been accepted as complete, Print name: e I r ' �e t �Msei G Date: t - f j 4.1 O t " Fee methodology set by Tri- County Building Industry Service Board I: BuildinytPennhs■rwtPC- PermhApp doe 01/19/07 440.4 (11/02 /COM/wan)