Permit ill CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2009 -00065
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/17/2009
PARCEL: 2S114BB-20400
11466 -20400
SITE ADDRESS: 16463 SW 103RD AVE ZONING: R -7
SUBDIVISION: RIVERVIEW ESTATES NO. 2 LOT: 048 JURISDICTION: TIG
PROJECT: BROWN
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
JEFFREY & SUSAN BROWN Description Date Amount
16463 SW 103RD AVE
TIGARD, OR 97224 [MECH] Permit Fee 2/17/200 $72.50
[TAX] 12% State Surch 2/17/200E $8.70
Total $81.20
Phone: 503- 684 -2821
Contractor:
A -TEMP HEATING & COOLING
16000 SE EVELYN ST
CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 650 -5014
FAX 503 -557 -2990
Reg #: LIC 71878
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: an Permittee Signature: ,k l k. 0 Q � [ on
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.
'(r 0102/14/2009 03:56 5035572990 A -TEMP HEATING PAGE 02/02
1V echaz�icax Permit A�pli ca
CE1 V ED FOR ofFIt r 1 a I.v
F EB 1 2009 D / B d Pc rtt ti'N" 0. •00�(
City of Tigard Recei e a 1 og ____ r �_�
14 e 13125 SW (tall Blvd., Tigard, OR 97223 Pint Review �— bthcr Permit:
Phone: 5.4171 far. 503.59 O TIGARD Date/By: finis; el See rage 2 for --__1 _1
1' I G A P T) Inspe ion n Line: Line: 503.639.4175 l,l l 1 Ostc " B y' 5uppte 2 tnrormatitn
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— zind 2- family dwelling ❑ Commercial/inthistl;ial ❑ Accessory building For .special Mformarion use checklist
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Master builder 0 Other: Description Qty. En, Total
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In •
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Air condition g
1 r ..uires:dm .lam showin: tnecmcnt 14,00
Job site address: V — 14.00 - Furnace 100.000 BTtJ�ducts/veats) 11111 City /Sate /ZIP: fI �� /.. Furnace 100 000+ BTU ducts /vents 17.90
Suite/bldg./apt. no.: • roj ect name: Gas heat pum, MN 14.00 MI
Duct work -- 14,00
CroSS street/directions to job site: 1 ydronic hot waters stem 14.00
Residential boiler (radiator or .
2ydrouicl 14.00 --
Unit heaters (Diet -typo, not electric),
in -wall, in -duct, suspended, etc, 10.00
Flue /vent for any of above 10.00
Subdivision:
Lo no .: Other; 10,00
Other fuel a . Banco
Tax map/parcel no.:
;•:N " ;ti: Water heater t0 00
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s :ji.. : : : ::.. " ;.. i�. , .. � , ;r.5 ::•,:.. : Gas fire ace 10.00
'::; * ^ ' • ,, + ` & Flue vent for water heater or gas
fireplace 10.00
s Lo$Iigh er("s 10.00
•
r Wt>gd/,eilet stove �- 17.00
Wood fireplace/insert 111 10.00
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N ame:•;:.;• +, -�� v Environmental exhaust mud vemitattan
Name: y : IS�4!� - Range hood/other kitchen 10.00.
Address: `. / * ; 1 equipment .
Clothes dryer exhaust 10.00 , ,
City /State /ZIT': ear- Single•chtct exhaust (bathrooms,
toilet compartmcntl utility rooms) 6:0 .. •
Phone: (5)13 , is,,. .i 0' Fax ( ) ,�4•�yy � Attic/crawl fans :1 0 : 4D . ` :}
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Business name: F u l . f In _
Contact name: ATEMP BEATING ID COOLING INC ss.40 for first. four; 51.00 for esth additional
1 EVelyl1 St. - Furna e ate. 1
Addre. Cl a c klIMRS. COR.92Q 15 . . -- Gas heat um
City /State /ZIP: 503-650-501,4 Wall /?its• ndod/unit heater
7^ �-^ /y Water heater
Phone: ( ) Fax (�Q1 l� -
FirepD;tce _ I
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Barbecue
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Lousiness name: A y other -
• 16000 SE Evel S t. ;: ' . ;:140 -:C 1•fCAL 1P ii t!3'i0$i *;%;!� :;;; . .
Address: • , .r . . ,.. ,., .,. , ...
;i w; n 1 i1' - i1u Rabtot .
City /5tmt&ZiP: 50 . 5O-. 014 Minimum permit fee (S72.50)
Phone: ( ) Fax ( ) Plan review (25oie of permit fco)
CC13 lie.: l 1 a State surcharge MI6 of permit fee) �
TOTAL P ,
Authorized signahlre',
T
This permit applicetfon expires If a permit in net obtained N tl 180
� . I _ A �1 l days after it has been accepted AP cempleta
J� /�y�,,1n rJ . F ee methodola mt b Tri.Coun Buildin Indus Service Pnnrd
Print memo: d L�6 11 T , r r Dste: I_ (� DRY • Y tY S by
hes ending \Pennite\MGC- Pnrmltfmt,Aoa 04/Oe /06 iia-ui "(11 /04/COM/WSH)
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: ryne.c , 0 006,s REQUIRED ON GREEN INSPECTION CARD.
✓ :;..Code, I Inspection Description I': PASS'' Dafe By . ✓ ;' Code _'� `,Inspection Description - 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
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
j 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 6uspended 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
j 495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
l: \Building \Forms \InspCard- AOP- Blank.doc 02/02/07