Permit IN v N CITY OF TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2009 -00046
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/28/2009
PARCEL: 2S 102C B -02100
SITE ADDRESS: 13310 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: REGENCY MANAGEMENT
Project Description: Replace gas wall furnace.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: ti - • VENT FANS:
OCCUPANCY GRP: 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:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
•
CACH FAMILY SMALL PROPERTIES LLC Description Date Amount
12488 SW AUTUMNVIEW ST
TIGARD, OR 97224 [MECH] Permit Fee 1/28/200E $72.50
[TAX] 12% State Surch 1/28/200E $8.70
Phone:
Total $81.20
Contractor:
FIRST CALL HEATING & COOLING
1650 NE LOMBARD
PORTLAND, OR 97211 -4798 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 231 -3311
FAX 503- 286 -5194
Reg #: LIC 102030
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: ta Permittee Signature: u 1] ,0 1 • ga Lai
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
,
:FIRST I RST CALL HEFTING NG & COOLING NG FAX NO. : 503-286-5194
IIII IIII Jan. 26 2009 1236PM P1
Mechanical Permit Application FOR OFFICE USE ONLY
City of 'figard JAN 2 6 2009 R _ ial\ pc 00044,,
'
`t
. 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review 2 Co C .
Datc/13y: L-
IR . • Phone: 503.639.4171 Fax: 503,598.196torry oFT/GARD Other Permit:
T I ci A . It I) Inspection Vine: 503.639.4175
Pate nearly/Ay: Juns: El Set Page 2 Nr
Internet: www.tigurti-ergev BUILDING DIVISION Nmitirdl4eli"1: T ( c Supplemental Information
-
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" ',;:•Vii:' ',RP. 4 f ,lti ,, Ill i i l: . ' I liirgallriMP '-'!= . 1 ,‘? MAINF■Ti: 41, 70111 71r: ', i•11 %Veil - .;.' ', '.4,1111; j it:
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Now construction VAddition/alteration/replacement Mechanical permit fees* arc lased on the value of the work
0
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition D Other: mechanical materials, equipment, labor, overhead. and profit.
7 . MITIESEEETLIP,MIK7W,Vgijrf;Tritrigifiliin , , ill 11 ffi 1,A.Ii.:.‘, Value: $
z,44 ili
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itinlitiititittltilttilliisOfSIS . - - '' .A 0 , 'hi , • ''''''' - 71 ',,,, 7 :i.+ irMeataiNTR, Mr=g ' V,EEI5iF„;;!''
rg1 - and 2-fiuni ly dwelling 0 Commercial/industrial 0 Acee.‘isnry building .1 k; Al, .pg.:Nat14111:101:i14
0 Multi-family
Master builder 0 Other
0
"i:i;:••• ih Ti hiTi•" ripift" °' ' V 0% ' ' - rTgifiTil , i,;(17'", • iiiiwiw I ill i4F H
.±. ' rtqloluA ! c , i NI j Wil 2;, ,, r+ ,;-,', kffiliMIIIM t I )''. , ' I t 7.; '. i. . vitmdit pumtcw
Job site address: I 3 5 k 0 $ %.4-, e cct. T- .c_ t4.-- y ( Description
eating/cooling
Air conditioning
For special informedion use checklist
or heat pump
maims sift plan shuwina plumate) I Qty. I Rs. f Trattl
14.00 ... - .. -.-
City/Statc/ZiP; 1 L ck,e-- 0 Q.. °tn. 2--2- `-.1 Furnace 100,000 BTU (cluttsiveals) ■ 14.00
-
Furnace 100,000t BTU (dm:I/vents) 17.90
Suite/bldg./apt. no.:
. A
......... - Project name; Gas heat pump 14.00
/
CIVilt titrect/directions to job site: -
., ' J C maievarcerayt-
II N
Duct work 10.00
14ydrouic hot water system 14.00
Residential boiler (radiator or ..... .
, -
Ci. • hydronic)
14.00
Unit heaters (fuel-type, nut electric),
wa in-duct, suspended, in-ll. in-doetded, etc.
_.-
14.00
- Flue/vent forany of above 6.80 •• •
Subdivision: Lot no.:
Other: 10.00
.....
Tax map/parcel no.: Other fuel appliances - -
"mv rucliVit-I 'I " .
rl -:: Au 1 ' I ; iwr, Water heater 10.00
.m igir i , h: 14, iiglitatigilligniiktlitilvIllAsiajl :i ti 1 :-. M.
NIP (tat fireplace 10.00 .
' t r■ f)k-c.4.. .. I v.) a.. ■.\ c," r r et, c &. ( ck _s .. ) Flue vent for water healer or gas •
- firtmluce 10.00
----(21-L 50 -- - frt-e k 0 C" ell 4 f--) Log lighter (gas) 10.0{.) .
Wood/pellet stove
Wood
. 777 - ,75„, :y .;474 . ,•, %I .,. , ,r , pfs.slmi . s oryf r•-:, m :„, „gAmmitgyarmalL AP StUTIM VI. IMMr211 , , :,,, weri.- :
incy/lincr/tlue/vent
i-V'il!:IPT ''',; .ii4tIgi. amenDuagplam . ?2..!'5 kr", L'fil ot Ciin cr: fimPlaGclin5c" 10.00
.. . _ ... ............_
1 0.01)
Name: (2 .e. 44 4 .... C. ...Ipini. ,.. wnt,..4&. ta..
A
Address: 1 , g ,. - N 5 t,8.2.... .t equipment
City/State/7AP: Environmental exhaust n and ventilation
Range hood/other kitche
Clothes dryer extunist 10.00
10.00
a. f- - .7.L.2,; li. n exhaust (bathrooms,
Phon . ... . -.).
Fax: ( ) toilet companmcnts, utility rooms)
6,80
, ;VI ill•VI;16:0 4 :Ed ii iig i o i",o,k; A w,..,„ „. qicitiomamilortarf At ( iu c ra w 1 s p a. . fans
M
10.00
a: l Ili. , lig'!' ' :
Other: 10.00
Business name;
... --.- ..._ ..., . Fuel piping .,.- ... „.. . .
1 0 Contact name:
Address:
.._...)
• ._. Furnace, S . 0 for first four; $1.00 for each additional
Gas heat pump .
City/State/ZIP: Wall/suspoodcd/unit heater . .
Cr- , ••- • • - -
Water heater •
0 Phone: ( ) I Pax: : ( ) .
----..-, Ftreplace
r )-mail: Range
- -- .44 - ' • 11 '0E4 I N ill Barbecue
Clothe!: dryer (gas)
Business name
• \r5A1-- e,/..0„ \ \4 e r‘.02 Exo 0 ( t. ^N. 4.4 . Other _ - .
Address: t e Lep •r 10 (A-wask T. . - z:pigirir
1 , 111202,TECT.`; , ;Tra . , s t
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City/State/ZIP: ,k) 6 i> Q___. ell - 2._ ■ \ Subtutal ri a sr)
Minimum permit
Phone; (5 ?..., ‘_„. 5 k . ( 5 - c9 - 5 l caLl Plan reviow (25 of permit fee)
CCB lie.: \ 0 a •c) PERMIT FEE
. State surcharge of permit fee) S.1 D
Authorized signature: ...4.4.1. G71 4- 4 ,.. TOIAI.
(27
• ." ,
....„
This permit appiieusai; expires If a permit Is nol. obtained within Ign
tinyil after It has boon mowed as complete.
Print name: L._ ‘ LT is p S te.102...r7 Date: ta,4,70 9 • 1;m methodology set by Tri linililing Indlnitiy Service Board
IAliniltiinnWermitsNMEC-PcnnilA mune. outgo . 440461 Tr (11/02/COmAVP-11)
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: tyle ( b 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 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:
I 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)
1 275 Framing
810 MFG- Structure set -up MEC - Mechanical Permit
280 Insulation 605 Post /beam mechanical
285 brywall 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
910 Sprinkler rough -in PLM - Plumbing Permit
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 \InspCard- AOP- Blank.doc 02 /02/07