Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2009 -00006
TIGARD DATE ISSUED: 1/7/2009
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S1026D - 01700
SITE ADDRESS: 12860 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: FREWINGS ORCHARD TRACTS LOT: A -B JURISDICTION: TIG
PROJECT: JIFFY LUBE
Project Description: Replacement of gas unit heater. Project Value: $1,600
• CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: 1 VENT FANS:
OCCUPANCY GRP: M VENTS W/O APPL: VENT SYSTEMS:
STORIES: 1 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
WO
GAS PRESSURE: 50 + HP: CL DSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS O DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
WILLIAM & DIXIE DAVIDSON Description Date Amount
8915 SW COMMERCIAL
TIGARD, OR 97223 [MECH] Permit Fee 1/5/2009 $72.50
[TAX] 12% State Surchai 1/5/2009 $8.70
[MECPLN] Plan Rev 1/5/2009 $18.13
Phone:
Total $99.33
Contractor:
A- ACTION HEATING
18245 SWTV HWY
ALOHA, OR 97006 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 649 -3524
FAX 503- 649 -6095
Reg #: LIC 78369
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.
Issue By: :.ddwaki Permittee Signat 4111111 - /
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.
•
04V24/2044 09:50 FAX Ij001/003
Mechanical Permit Application T i , ,;� , >, , ; w :: I : i : t t \ i
City of Tigard RECEIVE l� *It iit 1,o.: ? O
: 7 4 • 13125 SW Hall Blvd., Tigard, OR 97223 Date/By. , '^ `
Phone: 503.639.4171 Fax: 503.598.1960 N
t , ; , i; i Inspection 20 �" b ' 1 7 id? °h� Pt�mit
tion Line: 503.639.4175 J Q Y
Internet: www.tigard- or.gov N 1 S Page 2 for
j / I . Supplemental Information
crTY of TI
Mechanical permit fees' are based on the value of the work
❑ New construction ❑ Addition /alteration/replacement
perforated. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, Ue $ overhead, and profit
._ _:: ,..__. -� 7 �_r:.:n . ..
. �. x �J u:- .� t r �'� . v . , a�:,
f. _u1 J Fa : , ,.' , .. 3 V' X`
❑ 1- and 2- family dwelling 17 Commercial/ndustrial ❑ Accessory building -s_ '' ,,,, , L '`
1"L
F
❑ Multi family ❑ aster builder ❑ Other. sFecfa! rmatr on use checklist
For o
?s4; fr Aescnption I Qty. I Ea. I Total
'I. . , . _ r - .. , ,. ; . t =:- , .s r1 a.5i.. ‘, 3 - ...1 , :r x. Wh +7.1..f : ct'.,: H ea ting/ co o l i ns
Job site address: ■ . Air conditioning or heat pump
. - • i • ♦ Q (requites site plan showing placement) I4.00 •
City/State/ZIP: s I -I ii° WSW
Furnace 100,000 BTU (thtctr/venb) ` 14.00 i
Suite/bldgJapt no.: Project name: a Furnace 100,000I- BTU (duets/vents) 17.90
� t! e. i! E_- 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. I 14.00
Subdivision: I Lot Flue/vent for any of above 6.80
Other: 10.00
Tax map/parcel no.: Other fad appliances
e • • Water heater 10.00
. t-r #,. yrd�.a�
,� IL �� , ; • , • .;,. > Gas fireplace 10.00
,. g r Flue vent for water heater or gas
he s • fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
, F ,: r � ,0 �' ,,, - 13 ;,1,141' VI r Chimney/liner /flue/vent 10.00
s, ,i , Y ✓ _.._ t 44,`,..g....., -i, e, ",; Other: 10.00
Name: t r ! J) • • Environmental exhaust and ventilation
Address: 12 j;( S A/ a � i 4 c w Range hood/other kitchen
J 1t v eq ipmert 10.00
City /State/ZIP: () e 3 R q' 2 ? Clothes dryer exhaust 10.00
Single -duct exhaust (bathroom, ,
Phone: Fax: (' ) toilet compartments, utility rooms) 6.80
ti t ,. • Y Attick awlspace fans 10.00
�_ ,. , _ .. ....... .. r . _,� v,.'"'4r: , W k. *�.!«o ._. -- r. _ .Ya . ., sF! t. y.�n
Other 10.00
Business name: / & /�
A-t ON HEATING & A/C Fuel piping
Contact name:
18245 S.W. TV. HWY $5.40 for first four $1.00 for each additiona
Address: ALOHA, OREGON 97006 e ate. 7
Gas h
City/State/ZIP: ffi `at � pump
WalUsuspended/unit heater
Phone: ( ) I Fax: : ( ) Water heater
E -mail: Fireplace
o r . affej.�r r=i - s
-j s 4 ; , 1?)Tr i Range
9
_ _. ,. ?err .. .. -;-,41,- `'..2,4 .ki - iki441 ' .`_`*.'r . ,::itli . :45? =a` 15 : Barbecue
Business name: Clothes dryer (gas)
A- ACTION NEATiNG & A/C other:
Adam: 18245 S.W. T.V. HWY , , ;' y , _.._; - L ' c , : } v U;'
City�Stat�: ALUNA, OREGON 97006 Subtotal
Phone• 3Lpi4C 352 F lY'T I GO) ) _1�q • ( 5 Minimum permit fee ($72.50) • �
r Plan review (25% of permit fee) /g . / 3
CCB
W q State surcharge (12% of permit fceE�al
\) \ \ TOTAL PERMIT FE -.
Authorized si i `. ► 1 • This permit application tio it ermit is not obtained within 180
— .
y been accepted as complete.
Keu (C methtvinlnav aN by Tri-t n,mty RmUine Tndnary Erin. Anant
Gt „ -.� 7 � / � •
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: MEC2009 -00006 REQUIRED ON GREEN INSPECTION CARD.
:/ Code Inepecaop Description, ;Ix: " PASS Date I :By I ✓ .' Code l, Inspection Descnptiozi ;. 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
910 Sprinkler rough -in PLM - Plumbing Permit
915 Fire alarm rough -in 305 Plumbing underslab
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 \InspCard- AOP- Blank.doc 02 /02/07