Permit pr--. CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2009 -00027
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/20/2009
PARCEL: 1S135CD-00600
SITE ADDRESS: 11435 SW GREENBURG RD ZONING: R -4.5
SUBDIVISION: GREENBURG HEIGHTS LOT: 005 JURISDICTION: TIG
PROJECT: REED
Project Description: Replace 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: 1
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 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: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
KATHY REED Description Date Amount
11435 SW GREENBURG RD
TIGARD, OR 97223 [MECH] Permit Fee 1/20/2000 $72.50
[TAX] 12% State Surchai 1/20/2000 $8.70
Phone: Total $81.20
Contractor:
SERVICE NOW OF OREGON INC
521 SE 7TH AVE
PORTLAND, OR 97214 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 445 -2440
FAX 503- 445 -2443
Reg #: LIC 161582
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 y: Permittee Signature
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.
l a.
Mec Permit A 1 a°°rt-., "o • r ' ®� FOR OFFICE USE-ONLY .
Received
City of Tigard ' "" � Date/By_ l /el OJ At Fcnn No.: f y���9 G�0 � 7
17
13125 SW Hall Blvd., Tigard, OR 97223 /�1 4� Plan Review
Phone: 503.639.4171 Fax: 503.5981960' Other Permit:
` Date Readyi0y. FDate!By:
TIGARD Inspection Line: 503.639.41 5 -riGAli) M El Sec Paget for
Internet: www.tigard -orgov % , � �Y ® ` n, \IISI v{ Notified Method. Supplemental lnformation
PE F WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ New construction Addition /alteration/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to t11e nearest dollar) of all
['Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
f CATEGORY OF CONSTRUCTION Value: $
dwelling ❑ Accessory RESIDENTIAL EQUIPMENT /SYSTEMS FEES"
2 2-family g ❑ Commercial(industrial Accesso building
For special nformation use checklist -
0 Multi- family ❑ Master builder ❑ Other: Description Qty. I Ea. Total
JOB SITE INFORMATION AND LOCATION Heating /cooling
Job site address: } �//��� Air conditioning or heat pump
` YT _ 3 t .� r �Q/r1 t. 1^ r I (requires site plan showing placement) 14.00
City /State/ZIP: t J.%,r i 3 R b1 -122:3 Furnace 100,000 BTU (duets!vents) 14.00 f - T ; JD
R M1 Furnace 100.000+ BTU (ducts /vents) 17.90
Suite/bldgJapt. no.: Project name: e _ e �yC_
Gas heat pump 14.00
Cross streetidirections to job site: Duct work 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
Iv dronic) 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 I 6.80 (v , 'i 0
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
D 1 '1" wr f r, - . _Cei/t'1, - ' 1 Flue vent for water heater or gas
t fireplace 10.00
Loa lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
P ROPERTY OWNER ❑ TENANT Chimneyllinerltlue/cent 10.00
Other: 10.00
Name: Vit R_�e Environmental exhaust and ventilation
Address: Range hood /other kitchen
equipment 10.00
City / State/ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
«APPLICANT 0 CONTACT PERSON Attic /erawlspace fans 10.00
Other: 10.00 _
Business name: 5,r-v. t'LQ. Npl t n C Fuel piping
Contact name: 55.40 for first four; $1.00 for each additional
Furnace, etc.
Address:
Gas heat pump
City /State /ZIP: Wall/suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E-mail: Range
CONTRACTOR Barbecue I
Business name: 5 e,r U� L e.- 4 n Clothes dryer (gas)
t ✓ 1 Ot
Address: 6)- }}i -n )
C �) �✓ MECHANICAL PERIYSIT FEES*
T `
City /State/ZIP: pod- t S ' PN q l Subtotal 20 -0
Phone: ( ,, 4- 24-- Fax: (5 4- 4 �/IJ. Minimum permit fee (S72.50) -- 7),_ , �7
t I / Plan review (25% of permit feee )
CCIB lie.: 4 C t 5 9/ g State surcharge (12% of permit fee)
/// TOTAL PERMIT FEE 1 ,rC)
Authorized signature: This permit application expires if a permit is not obtained within 750
/ /n, days after it has been accepted as complete.
Print name: 5 1 - liai /CP .} r /, Date: ///„ 9 " Fee methodology set by Tri- County Building Industry Service Board '
I.\ B PermitApp, coo 01/10107 444 J' [.� 4 0- 46 ( 11@7JCoMtWEe)
6 £bbZ . OUI MON aO1Alas d£t-:ZO 60 91. uaf
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: j"j fppg- of, REQUIRED ON GREEN INSPECTION CARD.
✓ Code Inspection Description PASS Date By ✓ 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 g 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 P P ] 95 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
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
\Building \Forms \]nspCard- AOP- Blank.doc 02/02/07