Permit C ITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2009 -00057
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/6/2009
PARCEL: 1 S125DC -03700
SITE ADDRESS: 07047 SW BARBARA LN ZONING: R -4.5
SUBDIVISION: THE RAZBERRY PATCH LOT: 030 JURISDICTION: TIG
PROJECT: DAMON
Project Description: Replace (1) gas pack.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: 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: CLO DRYERS:
FURN <100K BTU: 1 AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
GREGORY & BARBARA DAMON Description Date Amount
7047 SW BARBARA LN
[MECH] Permit Fee 2/6/2009 $72.50
[TAX] 12% State Surch 2/6/2009 $8.70
Phone: Total $81.20
Contractor:
JACOBS HEATING & NC
4474 SE MILWAUKIE
PORTLAND, OR 97202 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 234 -7331
FAX 503- 808 -9108
Reg #: LIC 1441
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.
r
Issued By: �A �� Permittee Signature: Jul 1n �p 1 / � Q cA/1. tO �
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.
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CEIU . .
Mechanical Permit A►pplicati re:)It ctI I I { :r: (: +�1; c►t.� - •
Rete ivtid
' Ci of Tigard 0�''11 Permit No.: ocC
13 t 5 SW HaII Blvd., Tigard, OR 97223 Plea Review
i :. Phone: 503.639.4171 Fax: 503.598.1960 FEB 5 2009 Dur/By: Outer T'ennit,
'1' I C ",],It / . 3 lnspction Line: 503,639.4175 Date ReodyBy: BM ID See Pip for
Internet: www•Iigard- or,gov CITY OF TIGARD Netillcd/Method: Suppleniroret Information
1 I III 1.
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-
.....,,. �;. , , TTIflP]3COF' " Vl�Ok1,K _:;�;,:: -` . ,,,` ,::' 5CI�DULI�`4 1;1�tE: eW1�lECICLI ST •
"'COMMERCIAL' FEE"
New construction Mechanical permit fees' are based on the value of the work
El , 1ddi1i0r1 /AlterdtionJrepincernerlt performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials a ui men labor, overhe and rafit.
CATEGORY: oF- t_ON8701_0or :' :'. _ Value: $
,S;1-t- and 2-family dwelling , :.: RSIDi>�NTII�A>C _EQUI ENT.tS71:`FTEMS FEES.* .
y g ❑ Commercial/industrial ❑ Accessory building
For special information rise checklist.
[) Multi- family' ❑ Master builder ❑ Other: Description ] Qty. 1 Ea. ( Total '
,-. SOB SIl IN1FO Q?�y,i�(1t1�5::LOCAITIOIV ':.. Neatin c
r Air conditioning or heat pump
Job site address:
-1 0Jl - . „ bLf,� (requite' eiteilut showing placemee9 14_00
City /Stalc/ZIP: "`r'�� d T ( � .1 2Q- Furnace 100,000 BTU (dun/vents) 14.00
Suile/bldgfapt. n I Project name: G heat 100,000 BTU (ducithsmr) 17.90
P" J Gas heat pump I4,00
Cross stree ttdireciions to job site: Duct work 10,00
Uric hot water system 14.00
Residential boiler (radiator or
hydronic) _ 14,00
— — Unit heaters (rucl -type, not electric),
in -wall, in -duct suspended, etc. 14.00_
$ubdivtsitan: — Lot n0.: Flue/vent for any of above 6.80
Otter: � G. � , 10.00 f
Tax map/parcel no.: or fuel appliances
DisiCRZP IoN: 0 wo x' Water hearer _ 10.00
•
r ' Gas ftrcptace 10.00
�-- C PG■ L' J (--_ 4,..0 O r" (\- Flue vent for water heater or gas
o fireplace _ 10.00
Lon lighter (gas) _ 10.00
, Wood/pact stove 10.00
Wood fir9lace/insert 10.00
- - Chimney/liner/flue/Vent 1 10,00
ittierLr,,OWK 1 . —
: :1� TE[4141T :. Other: 10.00 •
Name: ( (■ Q, & _ ()l.k. r , ,r , s )tr\ Environmental exhaust and ventilation
Address Range hood/other kitchen
.. equipment 10.00
City/State/41P: Clothes dryer exhaust _10,00
Single -duet exhaust (bathrooms,
Phone: 6C .e:P.k, ' — 1 1 Fix: ( ) toilet compartments. utility toeing 6.SO 1
❑ APEGI(tANT:, ❑ CONTACT PBRSON Attickrawlspace fans 10,00
Business name: Other: 10.00
_ -- Fuel piping
Contact name: 55.40 for first four: 51.00 for each additional
Address Furnace, etc,
Gas heat ptenp _ .
City/Stale/ZIP: Wall/suspended/unit heater
Phone: ( ) I fii ; ( ) Water heater
Fireplace
E-mail: R
' CON/) A+ 'OR .' Barbecue
• Business name: Jacobs Heating & Mr Conditioning Clothes ter (gash 1
Other: J
Address: 4474 S Milwaukie
- MECHAItlICA1: PERMIT FEES*
City /StateJZIP: Pgrtland, OR 9/202 5ubtntat
Phone: (503) 234.7331 Fax: (503) 808.9108 Minimum permit tee ($72.50) 1� `Jl7
- - -- _ _ Plan review (25*Ir of permit fcc)
CCB lie.: 1441 State surcharge (1246 of permit fee) �,1 y
' _ _ TOTAL PERMIT FEE ,�.t�
Authorized signature: A. _ VC._ Or), ,,..< This permit appltndoo eapiret it permit it nal obtaided •ithia its
toys After It has bean accepted of cotnpl I%
Print name' rrn J2) a ir1, e ( "'c.. 1 1/ u r .I..,- Oaie l l Oq • Fee methodology set by Tri- County Building industry Service Bond
1
tNnuildinglPvmiM C -rentitAap OU14rri 00-4 II 1IT(1I roven.we'Ea)
INSPECTOR'S SIGNATURES ARE NOT
• Inspections Required for: pilec2m4 boo. 57 REQUIRED ON GREEN INSPECTION CARD.
✓ :Code . Description' ..' ,PASS Date ' B ✓ :.;.Code.: :Ins ecnon:D'escri twn ' PASS Date , $
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 rub/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:
_ 699 Mechanical final
•
BUP - Fire Protection System Permit
•
905 Sprinkler underfloor /slab •
910 Sprinkler rough -in PLM - Plumbing Permit.
305 • Plumbing underslab
915 • Fire alarm rough -in 310 Crawl drain .
920 Suppression trip test .
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
1: \ Building \ Forms \InspCard- AOP- Blank.doc 02/02/07