Permit 111
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2009 -00063
TIGARD DATE ISSUED: 2/12/2009
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S112BB - 11300
SITE ADDRESS: 14256 SW FANNO CREEK LP ZONING: R -
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: WINKLER
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: 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:
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
ANITA WINKLER Description Date Amount
14256 SW FANNO CREEK LP
TIGARD, OR 97224 [MECH] Permit Fee 2/12/2000 $72.50
[TAX] 12% State Surch 2/12/200C. $8.70
Phone: Total $81.20
Contractor:
ANCTIL HEATING & COOLING
4320 N WILLIAMS AVE
PORTLAND, OR 97217 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 281 -0752
FAX 503- 282 -5722
Reg #: LIC 8897
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: 8S fQ J QJ J Permittee Signature: ?Q P,_ ,pp \ •Qui l
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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Mechanical Permit Application RE cov A , . FOR OFFICE UM:. ONLY -
,
' City of Tigard . Received Permit No in - 0 46 4
l '. 1312 SW Hall Blvd.; Tigard, OR 97223 FEB 1 2 2 D ri7Ziow
• I n
• Phoe: 503.639.4171; Fax: 50398
.5.106(3 Date/By:
•
CITy OF TIGAIRES
. ..
• • Inspection Line: 503.639.4175
- Tli3Altsri en el See Pagel for
Internet: vo,vw,tigard-or.gov suppi mental I nfOritiatiOn
'if:W l'i .14 i ' : , „::-... '..,144 REMIESSFEMA",117 rl'ef*VS 1
Mechanical permit fees* are based on the value of the work
0 Ncw construction 0 Addition/alteration/replaccment
performed. Indicate the value (rounded to the nearest dollar) of all . .
171 Demolition 0 Other: mechanical materials, equipment labor, overhead, and profit.
!'4515044;V N:::9 ' Fya 'Takt-* .iltagi4+60cf. uvroomin ,, Value: S . '
k 6, ,,qs. ,.„ b - . • .. 10110 .., - 0 ' . • - .Y• - •AO• • •6• , ,,,,, - II , m " ,,,,, I"' U4. ' , Wi II' -, '''' '' I' ‘ :'.4AIME ZATIMITMENUM, O "V" tff.;;•i'
itanWerS271=IMIANIMilaavIlradVII 0 d
ti 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building
For speeial information use checklist.
0 Multi-amily 0 Master builder 0 Other: Description Qty. Ea. 1 Total '
le!, , !v,.'W;,,Thsopv . i• 4 .1 cf '.• FA ';' i`
4 Ak " ay,40,0440 0,1mErs He „„ w
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4 :.• . „,, ,,,',. ,, ..t74 , .. , . , - x . N . , . , - .., ' ..:14, ..o..1.0
Air conditioning or heat pump
Job site address: IL,,)?, bi ,5 FA r Neev 1,79(2 (requires site plan showing placement) 14.00
City/STatc/Z1P; TI boska{ furnace 100,000 BTU (ducts/vents) 14.00 ILI
Furnace 100,000+ BTU (dim:Ls/vents) 17.90
Suite/bldg./apt. no.; Project name; _tt „a ,01,7-3 - Gas heat . win 14.00
Cross street/directions to job site: Duct work 10.00 111
' Hydronic hot water sta 14.00
Residential boiler (radiator or
-__-.--- ..
Itydronic) 14.00
Unit heaters (fuel-type, not electric),
in-wall, in-duct, suspended, etc, 14,00
" -
Flue/vent for any of above 6.50
Subdivision: Lot no.: "
,. .. II..
Tax map/parcel no.: Other fuel a ..iiaucus
1 , 7) e' r Water heater 10.00
Gas fireplace 10.00
- 1 ) . l' 1 r LA 11 iitS 1 1 AjrA6-9-__ Flue vent for water heater or gas
fireplace 10.00
Lo II- titer as 10.00
wood/.ellet stove 10 00 MI
Wood fit - lace/insert N 10.00 IIIIIIII
" 'vb w..241.0 Ja...4?,, , ..,,... ; A Chimne /liner/flue/vent INEIMIE
mftviivii..ititilvial,I4 '0,'":'":;' TA , 1 T. • , .,' % 1 o.00
Name: icy. / 1. L2 L v, i ey Environmental exhaust and ventilation
Range hood/other kitchen
Address: / FL, 3A) f 6,(.6.z,L L. Oq/ . equipment _ 10.00
City/State/ZIP: 1 6, A_oei 62 -- 69 r? 3 Clothes ciryer exhaust 10.00
t . j -- Single-duct exhaust (bathrooms,
Phone: (..23 ) 4D) - - 1 t-1 - .-7 ) Fax: ( ) toilet com.artments, utilit rooms 6.80
fans ' ,-.'?"• ' v •"'llr ., ..; Po i ,-• .i Aie/crawls ace fa
, t ,, y • , ;)&,...,i.H , -WON' In?"' "",`,•1,e's rt
i4NAR640,'•l• ` .1t7,.. 1) 10.00 al
. , , „i.f10.,,. , ,44 , w % : A ' o I + , A , ' . . 'pp . 1.4.t.,.....,., .. ...
Other: 10.00
I Susiness name: 101 / O A 6, ,,, ., Fuel piping .
Contact name: b(W)5t),..--.e ' TP"dt.1 4"."' 1) $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: 0 0) )\-) • 1/01_, , Ag ' . , Ae---...----- Gas heat um.
CityfState(7 To A ? -;-- wowsos•ended/unit heater
Phone: (5.93 ))8 i _ cap, ,., Fax:: : ( Water heater 5 ) , 3_ , 6- D _ 3 ?r.
19 .lacc
E-mail: t 1 0 A z,11 VA ( „.„ ,
, 62 _,..,.. , . . , Ra le .. r .,
„.,,„„.,,,,;,,,,,„,.,,,,.„,,,,,,„,„,,,, Barbercue ici .,. )
4. a ', ON 4 . AI7Lif••7494 th A ••■47 ■ 4,,I ,0 ;•,..„ • ,4,-.., • •■ /IA Am i?:,'I'- , , ' , I , •;7 - Vt,_,I,j,..t_,,.a,L::..g , I7 ,I)1,_tjalikl•..'.
Business name: flyy, 146 . A 4 .:2 A . - Other:
'Pi, .•.: p
Address: dl•••!AA::ti.'•10.FliT - -- ,i' • ll '•" ..) ""'' c '
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City/State/ZIP: Subtotal
, --- -----
_.., 14p _k Minimum permit fee (SI ' • a
Fax: ( )
- . ._ Plan review (25%of permit fcc)
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1 CCB lie.: 5 /-1 ? State surcharge (12% of permit tee) , 0
' • TOTAL PERMIT FEE L 0
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Authorized signature: (I y1)1 75,k, This pentilt applIcatIou expires it a permit 6 n ohimaca within 180
days alter it has beeo accepted :la complete,
•• - •
i " I inet110(101ogy .C1 by Tri-cowny 13uilding intlaNwy Service Itim it
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, Pnnt namc rtyrjty e. .--"(') Date: 11 ) . .7 4) .._
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44(1.15 I 7T ( I I /01I/COMINVE (1)
1..11,„i M t q .• l`conitA in ON () i ' 19,07
Td WdE2:TO 600E ET 'qad EELSE8E 20S : 'ON 3NOHd 6u11003 5 6LIT.I.paH 1ii3Nu : woeu
INSPECTOR'S SIGNATURES ARE NOT`
Inspections Required for: m 2oOS• cicOe...3 REQUIRED ON GREEN INSPECTION CARD.
✓ ; ;. Code -I Inspection Description '..: PASS Date l :$y ✓ . ;.' Code I Inspection.Descrippon , PASS Date ;.' , $y' .:
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
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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 D rywall nailing 610 Gas line
287 Suspended ceiling p 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
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
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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: •
•
1 499 Final inspection 599 Final inspection
I \Building \ Forms \1nspCard- AOP- Blank.doc 02/02/07