Permit T OF TIGARD a CI 1 Y O1 1 !GARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2009 -00072
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/20/2009
PARCEL: 2S112CB - 09800
SITE ADDRESS: 15298 SW KENTON DR ZONING: R -7
SUBDIVISION: ASHFORD OAKS NO. 2 LOT: 112 JURISDICTION: TIG
PROJECT: MICKELSEN
Project Description: Replace gas furnace and water heater.
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: 1
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
JOSHUA & EMILY MICKELSEN Description Date Amount
15298 SW KENTON DR
TIGARD, OR 97224 [MECH] Permit Fee 2/20/200f $72.50
[TAX] 12% State Surch 2/20/200X $8.70
Total $81.20
Phone:
Contractor:
SUN GLOW INC
2428 SE 105TH AVE
PORTLAND, OR 97216 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 253 -7789
FAX 503- 253 -7693
Reg #: LIC 48131
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 B , 1 1 Permittee Signature: App VOSEVOA
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.
.. Mechanical Permit A ,licatio -179R, QRf 1t a 1151 ()rV1�Y -
r Received
13125 o f Tigard
Hall Blvd., Tigard OR 97�z3 I. • • Qc � _4 Pertm14; V
City 4Y 0 .00 01P
IltucrB � _
Ph 50;1,639.4171 Fax: 503•.1911.1,960 FEB 1 t 2009 PIa ; c�v
>)ate/tl Other Permit:
'tI inspection Lim S03,639,4]75 any / BpvPatrn
Din Internet www.(igatrrlkor,gov CITY OF TIGARD Modf*diNkoocl; Mr trocatcnboinfo*7ctndo.
• •. , o , I I N
TYPE OF W
,,.. , , , ; ..: .. o>a>l� , .. , „ •. ,, ',:' ;,,, � '' ,.,: ,,; `.co�i�i'ti� -; I�E�: ��nuLl�. �'tisE. c�.C>l�ir�x:
❑ NON avnritrtletion ❑ Addition /altcration /repleeement Mecfnnical permit fees'" are hosed on tite value of the work
performed, indicate the value (rounded to the nearest dollar) of n11
['Demolition CI Other: mecbanlcal materials 'ui.mcnt, labor. overhead end crofit.
•• I .' ' g ❑ ommcraial /1nd.ustriai Accessory building
,
;:,' iaa>lrn '� i sitsTt;l I15� • 1� each 2•ftlmil dwelling C [f ry tt1n8 �� � � ' .
1:1 natttd fhtatil 0 Master builder _ For *1=101 'or/armRrden U,re ettoek rgl,
❑ Other: Dem i • 'ion
a ' OD 5 ll1! • 1 LO ATION r,, + Y,,.'' Qty. Total •
. ' .. ' , , H ea fL t � cao lln • B n
Mb site addres : 1 �`� Air conditioning or heat pump
�Il 4 1 0,._ 1llin!�w, l I , nine sat -Ian thewin 1,eeraeni W ►
City/State/VP: �� il1 \j` f 9 1 Furnace 100 000 3TU uetal+enta 14100 _PMIE I
Stlite/ltldg.lapt..no.: Project name: 000 POMP, 100 13TU ducts/vanes 1 90 Ma'
Gas hot pump 14.00
Cross streetldirections to job site, Duet work 10,00
• ' frydronic hot water system 1 4.00
t n Residential boiler (radiator or
• ' " ' , u., , I, hyd rtl9) 34.00
Unit heaters (fuel-type, hot electric),
""V in•tvall in•dtt.' iui) ndpd f to 14,00
Subdivision; V LAM. . Fluc/vsnt fbr any of above 6.R0
— Other; 30,00
Tax map /parcel no.: Other fuel a. , iianCCA
`':,� :��" r E'W ON OF WORK . ;- : :: :. Wa crticatcr 10.00
'Z�l� 1 1 � l Crosfre.lace 10,00
X .. �� i � . , ', ( �� Flue vent for water hcnter or ]):as III
a, t v Mi. 1 c Ark Al. fro•Ince
]Q.QO UNE
0 ■ a Wood /, eilet stove 10.00
lir \ fp 0 v k 0.00
hiner/f1 t
CltitttncV vC/ven 10 00
Other: 10,00
Name: L4 t \ U , 1 , Emkt»ttmentel cxhinst Anti va!]afllstlan
l • angc 1,ciod/othcr kitchen
1 c ul•ment 10,00
tv Oust 10,00
t f
Clothes d cr
Phans, ( . �' 9r" rt � til Single o iuct r tment t f utili fns.
'1�� r� �� - toilet co17t•artmettt4, utili MOMS 6,80
APPLICANT :':', ;, ; U CONTACT Masi Attic /eraWlS /ace fins - 1000
Business name; , - `–. II NEM
' Other; 10.00
racl piping
Contact name; $5.40 for Silt tom SLIM l b r each eldltlonal
Mdr«a: --
City /Stare/ZIP: Wit __,% .dinilunit IIM
Phone: ( ) .►11 1 I diw ak a a cc a.' - p�.cia
E rr1aIL Ran: • NMI
n' CONfl%AC'!'Qllft" 8srbaa11a
Business nett' „ Clothes dryer (gas) .
Address: SUN GLOW INC. - other; — •
Heating & Air Conditioning jlC7ffANYCALPERMTf��,*
City//1,atta'l 2428 SE. 105th Ave. Portland, OR 97216 sabintnl .10111,� +
Phone. ( (503) 253 -7789 FAX (503) 253 -7693 �- Minimum permit fbe ($72. 0
Plan review (2$ of permit ice) R
• CCBlie.: � Starr sur.barge (12% of permit fe) � ly
TOTAL PERT FEE pia17
_ _ _ __ _ y _- _ -__ __ - - -- 771ty f a0t',QA(t Rpp elan etp/rea its permit la not amble. '"; e . _la •- . - _ - --
A urtioriTea signature; — 1,y L
4 T ' days east at heart h►rn Keep/MO ea complete.
Print ,name: I �, jl I (r ' 1t, ll D ate: a Q� liiiiii1 • Fee methodology set by 'Di Building Molitor,/ Sm44em petrel
7; Iltuilding kPermluln+rX- Pcvniimp,dac 01/17107 4404617T(11/na/COM/w ) o)
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: rn E .003-72 REQUIRED ON GREEN INSPECTION CARD.
✓ Code Inspectiori'Description • PASS Date By ✓ Code Inspection Description: • PASS Date 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 C rawl 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
g 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
915 Fire alarm rough -in 305 Plumbing underslab
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
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
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