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Permit
a CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2009 - 00064 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/12/2009 PARCEL: 1S 136AB -05000 SITE ADDRESS: 07134 SW MAPLELEAF ST ZONING: R-4.5 SUBDIVISION: MAPLELEAF LOT: 008 JURISDICTION: TIG PROJECT: SMITH Project Description: Install gas 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: 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 LAURIE SMITH Description Date Amount 7134 SW MAPLELEAF CT TIGARD, OR 97223 [MECH] Permit Fee 2/12/200C. $72.50 [TAX] 12% State Surchai 2/12/200C. $8.70 Phone: 503- 293 -0716 Total $81.20 • Contractor: THERMAL FLO 7236 SW DURHAM RD. STE 100 PORTLAND, OR 97224 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 670 -8343 FAX 503- 670 -9064 Reg #: LIC 151847 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OU NC by calling 503.246.6699 or 1.800.332.2344. Iss -d By: 1 ` /�,, u _/ Permittee Signatu Call 503.639.4175 by 7:00 a.m. for inspections that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. , - ' MB/12/2009/THU 01:01 PM THERMAL FLO FAX No, 5036709064 P.002 • . • . • . • . . Mechanical Permit Applicatiob . FOR OFFICE USE ONLY 'I 13125 S • . • City W all Tigard, OR 9722 of Tigard I ft6ceived Review 40,1E102=3 Pemiit No.: H maw?. 0006. Dateay: cp. , . H Blvd., ) I . EcEivE FEB 1 Plan . . Perinit ' • ' - 2 ' Phone: 503.639.4171 fax: 503.598.1960 Detetay: Other . . THLA la . • • T 1 d A11E) inspection Line: 503.639.4175 2 2009 Date Readyify: see Page 2 for • Internet: www.tigard-orgov . Notified/Method; • It Supplemental Information - CITY OF TIGARD -----i ---tc.....tiestrovig, -,.,-.-. ; .., , to l;'•• . ;$ • - ..t, .."..,-.• ';;;;;-7, 76,LE,ItFtW4 ikiiiiarirg0-00, 1: .7 , . , .,_. -..l.. ,...tr . V ' ..'.;''. •• 1 ' -5Er'P- ••••:'-• :::---. -...--.........,..---,,--••-• --.'.... -0 .: : -.• •• I.. - •• • ... - Mechanical permit fees' are based on the value of the work 0 New construction V Addition/alteration/replacement . performed. indicate the value (rounded to the nearest dollar) of all 0 Demolition 0 Other mechanical materials, equipment, labor, overhead, and profit. gg7-4 lil‘-' -- %U"'": - `x.FiKg- ii jlt-7.-aterdikibtiOgifktrdAditii:Vf(14V:Itr,dr,..., ,., Value: $ 1 : 41 441M: •4 :;-'''it--4 7 ..-- afr•;' • •-....,•••-- - -••- - •'-' '----"r ' •"''"•-- - ' ' '''''''''' ''f'' a .T:kiiiiii2likilitaiSiti - and 2-family dwelling 0, Commercial/industrial :0 Accessory building I . multi_family 0 Master builder 0 Other: Description For special Information use chgcklist. 1 Qty. j Ea. I 'fetal • -•- - • • -. 714 AIL't•I'''" : ' 7- 1/,r,,,I . liojfiiitiOiti s t z - Heatigiceoliog , • •74,/^„..,riP,...;.: • • -' 1 ...t .A . . - . ' - .... • .' - • ' ' .. - '''''' '''. . ' ' • .. -' ''''':' - . . " ." ' ' " . • Job site address 1/ Air conditioning or heat pump i . of P4 I, ° leei .a, .. beguiles site plan showing placement) 14.00 , City/State/Z1P: 77 .0 aret... , I (7 SI . ■ Furnace 100 BTU (cluots/vems) 14.00 IV.---: IIF • ' / . . . . Furnace 100,000k BTU.(ducts/vents) 17.90 • Suite/bldgiapt.no.: Project name: ,r ,. 1 174. Gas heat pump . 14.00 • " . ._ . . . . .. . . . . • . 10.00 Cross streetidirecticms tci job site: _ • _ • • _ ----- . Hydronicbot Water system • 34.00 • Residential boiler (radiator or • • • , hydronic) • 14.00 - Unit healers (fuel-type, not electric), . . - • . in-wall, in-duel suspended. etc. 14.00 1 • • - Flue/vent for any of above 6.80 Subdivision; ' ' . .1 Lot no.: . - . . Other. 10.00 Tax map/parcel no.: - • other fuel appliances hir.s.4 eR __„,, oraelita . 45 - ii ....., 7 am;a• , -„, t -azg.g az. ,g.--..i . c..fm a itla . Water heater • . 10.00 Gas fireplace . • 10.00 • Flue vent for water heater or gas fireplace 10.00 1; o-fal/ • 0 ele Fieffi lighter (gas) . W.00 • - . . Woodbcfict stove • 10.00 _ . . • • Wood fireplace/insert • 10.00 • • Chimney/liner/flue/vent • 10.00 O 01*W ' ''''=,SIM• : , 1,...,1 ,.,..... 1: WO. .-:. ...; other. 10,00 Name; Latta / ei .0 1171 . . Environmental exhaust and ventilation - • . Range hood/other kitchen . . Address: 4 ,_ _ • . equipment •. 10.00. City/State/ZIP; L5 i a/rib 4,0 L 7 - 6 ie?' 0 t-Te-, Clothes dryer exhaust 10.00 • " , • Singte_duct exhaust (bathrooms, • Phone: t a 2 o• ...0//60 • Fax: ( ) • - • • toilet compartments, utility rooms) 6.80 • 410,711.4:••••...-piim.,:.:;,:•-:• sr" '4*".1 -'•• ' . Attic/crawlspace fans . 10.00 Business name: . ' • _ Fuel piping ' Other Contact name: • • . • 10.00 -, . ' i - • - - A • i i . • . • $5.40 for first four; 51.00 for eacil additional • / v• Furnace, etc. • - Address; • • # - f NI 1 . . Gas heat pump • • . . • City/State/ZIP: • fit . ' • • • Wall/suspended/unit heater • •=• . • • . . • Phone: ( ) . . Fax: : ( Water heater ) , . • Fireplace _ E ` mail ' gierre,Ce7hdorma/Protrie „Com-- gange . ______ ____ ::::::;,7 -- 1•14. , ....,41.--,:%:::::fia:4 40 7 , 7x;:ilt - r„t Barbecue ruilie;*,,,,,OeVelfitti , x .7 p'...' 7....;‘ ?? ' ....- n • • !::::::'zi-inc'....- .., i ___,. . •-. :. :-.4•::.- -.:-...... :::::.., :...: -.-.--....• ._._,__„..,....,..• - - --- , .,.. • • ./.. . • Business name: me.".. , 1 ,,r: 1 0 z 1 e„, Clothes dryer (gas) Address: . • - 'I , AO 6? 17"W-- • • V:i'":'''.---''''''''' W''''• City/Siete/ZIP:Parr/444 Y i 041, . Subtotal • Minimum permit fee (S72,50) 2z6C • •Phorie: 4./ ' ,, i i., ; ,- 40 Fax )b , • Oa ., •. • Pion review (25% of permit fee) CCB lic.: . i / . State surcharge (12% of permit fee) fr. 10 • • • • . TOTAL PERMIT FEE 9/ . W . • Authorized signatv r / • • , 7 . . This permit application expires If a permit is not obtained ‘vithin IN • days after it MIS been accepted as complete. . • I Print name; ait t?,9 Date: - . 0 • : Cr BY _ . FeO ., • methodology act by Tri-County Buildnol, i ndustry Servi Ba d • INSPECTOR'S SIGNATURES ARE NOT Inspections Required for: Il EC.,),0 09'L`cact.1 REQUIRED ON GREEN INSPECTION CARD. ✓ , .. Code , Inspection Description - PASS _By . ✓ Code: _ :Inspection:`Descnptton> , PASS Dafe I 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 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 g 630 Fire damper 299 Final ins ection p 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 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 322 Shower pan 999 Sprinkler final 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