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Permit C ITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2009 - 00060 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/6/2009 PARCEL: 25111 CC -02400 SITE ADDRESS: 10390 SW CENTURY OAK DR ZONING: R -7 SUBDIVISION: SUMMERFIELD LOT: 047 JURISDICTION: TIG PROJECT: SPEILMAN Project Description: Replace gas furnace. CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: VENTS W/O APPL: 1 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 ROBERT & BERNICE SPIELMAN Description Date Amount 10390 SW CENTRURY OAK DR TIGARD, OR 97224 [MECH] Permit Fee 2/6/2009 $72.50 [TAX] 12% State Surch 2/6/2009 $8.70 Phone: Total $81.20 Contractor: BEN'S HEATING & AC PO BOX 80607 PORTLAND, OR 97280 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 233 -1779 FAX 503- 651 -3345 Reg #: LIC 64597 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: Permittee Signature: Q ,.' 1 y VINA 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. eN' chanical Permit Application • FOR OFFICE E'Itii..oNI,N' ' City Of Tigard ENN1 Eli Received r , / Dato(B o1 • l0 • Q Permit No.. ►1'�E' e_2oo9 0-106 t , " 13125 SW Hall Blvd.. Tigard. OR 97223 n PIBn riC icw � . P hone 503.639.4171 Fax: 503.598.1960 n J 011i ri�n,it: pp pp S 2Q Dete /By: l Zv r ` • ■ O! C AR[) Inspection Line: 503.639 VE Vero Ready /By. n,dr 61 See Page 2 fur Internet' www,tigard -or, ov .�/ e'T G � Notified /Method: le Supplemental lnfotmndun c 1 O` 11 �V�S� — — TYPE OF WORD,(11V DNy • • COMMERCIAL FEE* SCHEDULE - USE CHECKLIST: 1:1 New construction Addition/alteration/replacement Mechanical permit I "CCS• are based Un the value ni'the (cork performed. Indicate the value (rounded to the nearest (Iona) or rill ❑ Demolition ❑ Other; mechanical materials c ui men(. labor. overhead. ann flit. - 41. and 2- CATEGORY CATEGORY OF CONSTRUCTION '. . .. ' �a luc, $ ZQ 2-family dwelling RESIDENTIAL EQUIPMENT /SYSrENIS FEES` g 0 Commercial /industrial ❑ Accessory building i Or spPri[rl infnrrnalinn use c'heckha(. Multi Description I ;1 t). !.0 , ILiiII -- ❑ Matter builder ❑ Other: JOB SITE INFORMATION AND LOCATION •. '• • ' ' Heating /cooling Job site address: j 039 .� /j /+ Air conditioning or heat pump �� / D l ✓ (/ 1 (requires site plan showing pintcntcr) 1.1 qll City /Stute / /,IP; 'i- r d o C as L Furnace 100.0I(1 Bill (ducts/ventsl / Id. 'I Furnace 100,000+ f3-1U (duets /vents) 17.90 90 Suite/bldg, /upt. no Project Hume: Gas heat pump 1.1,00 Cross street/directions (oink) Site: Duct work 1.100 T„ Hydronic hot water system 14.0( ) Residential boiler (radiator or hydronic) 14,0u Unit heaters (ILcI• type. not electric). — - -- in -wall, in -duct, suspended, etc. 10.00 -- ' - Flue /vent for any of above / 10,00 Subdivision: Lot no.: Other: 10.00 - Tux neap /parcel no.: Other fuci appliances --- . DESCRIPTION OF WORK wafer heater 10.011 „ � -_- p �r �. � Gas fireplace 10 WI Rep1 4 ce._ e14i. f (.i,/'yAirk(.e flue vent for water heater or tins fireplace _ 10,00 -- -. I,og lighter (gas) ^ 10 OU Wood /pellet stove 10 01) .-_._.. Wood fireplace /insert 10.00 Chimney /liner /flue /vent 10.00 is PROPERTY OWNER T E NAN T Other: __ _ 111.00 Name: G erry ice SpIe•l jy 41J Environmental exhaust and ventllatlun Address: /b�� S� r ��, Range hood /other kitchen • !' I fiN.' equipment 111.00 City/State/Zip: r' 4., , ne t ) Clothes dryer exhaust 10 (10 Single -duct exhaust (bathrooms. Phone; e; ( ) Fax: ( ) toilet compartments. utility rooms) . ' n.$1) © APPLICANT ® CONTACT PERSON Attic /crawlspnce tans 10.00 l - ` Other: 10,00 Business Hume: 13,, I,, pr , t / 1 L L. C . Fuel piping - Contact name: C (c! 4 , (2u ( , , 55.40 fur first four: 51.00 for each ti(i Address: Puntacc, etc. - - (ias heat pimp Wall /suspended /unit heater Phone '+' "3 Water eater c�r�� .� r3• ,g Firs: h - . - -,., ..._ .. Fireplace Ii -mail: Range —.._ ,...._.. -- CONTRACTOR Barbecue liusinoss name: I L r C Clothes dryer (gas) M•, -- -, ..,.,,,•, � ,, u , ,... i-1p 1 "J� `-, Af`'( ! /. other: - -' Address: i- r O 1311/ , 6 O '.7 r! P MECIIANICAL PERMIT FEES* C_it∎ /State/ZIP! e 1,1_,�D ox 9 (,) Sauterne I Minimum permit fee ($72,f tie: ( S 2 Fax: (. D 3 / - / Yl �. 3 — 17 ) S Plan review (25 ".4o of permit feet CC'll lie.: 6 1 /Y9 7 / State surcharge (12' %0 of permit lee) _ TOTAL pi: Ili FEE ime.P. '1'hix permit application expire* if n permir is not nhtalncd „itllin ISn Authorized signature( ( -a: dnl' aver It Iii beer( 1CCep Md ox complete. Print IWllle: h 1 L a C; I • Pee tllelhOtlulpby Eel by Tri•Cnwu■ npihiiog Iotintlly' tier,ie ((,,ire I ni ildiny 1F.Cd'aro tine n4/06,011 440.1617T (I I /02'COM /WEI) Z00l HI Y l N I,LYHH - SNHH 2FFCCT99CO5 XY,3 ZZ:00 600Z /90 /ZO • INSPECTOR'S SIGNATURES ARE NOT Inspections Required for: l REQUIRED ON GREEN INSPECTION CARD. ✓ ....Code Inspection Description I: PA$S Date: By ✓ ._ Code : `Inspection, Description I `PASS )ate _ . 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 PLM - Plumbing Permit 910 Sprinkler rough -in 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 \ Building \ Forms \InspCard- AOP- Blank.doc 02/02/07