Permit 4 , CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2009 -00075
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/24/2009
PARCEL: 1S134CB-13100
SITE ADDRESS: 12348 SW MILLVIEW CT ZONING: R-4.5
SUBDIVISION: MILLVIEW LOT: 031 JURISDICTION: TIG
PROJECT: BULLOCK
Project Description: Replace gas furnace, a/c, and install ductwork.
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: 1 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
JOSEPH & INGRID BULLOCK Description Date Amount
12348 SE MILLVIEW CT
TIGARD, OR 97223 [MECH] Permit Fee 2/24/200c $72.50
[TAX] 12% State Surch 2/24/200c $8.70
Phone: 503- 747 -2606
Total $81.20
Contractor:
JACOBS HEATING & A/C
, O 972
OR 97202
R
PORTLAND, O REQUIRED ITEMS AND REPORTS
POR
Contact #: ' PRI 503- 234 -7331
FAX 503- 808 -9108
Reg #: LIC 1441
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: 46101A9 JQ / Permittee Signature:
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.
02/24/2009 15:17 5038139257 JACOBS HEATING PAGE 82/03
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Mechanical Permit Ann li cab Ec ,,, ED
City of Tigard Received.
TIGARD Inspection Lint: 503.39.4175 Date' Ready/E12:: Jam Eia Sly ra0.2.far..
.Mechanical permit feesb• arc based on the value ofilie Atork
I ...performed. Indicate 111c value (rounded to the nearest dollar) or1111
0 'Demolition ; 0 Mal 'Mechanical matcririls. equipment. labor. overilcact,.:uttl profit. _
0 N;lulti-family; 0 Master builder 0 Other: • DescriMion . 1 .-- Q'ty.. i ta. 717nai d
Job siie address: . i j, 3 4 - i t ? 5 CO rn c.-1-. Air•conditIoning Or hcat pump
•
-- Link [teeters (Tut 1-type..not electric), I
Tax mapfparcel nO.: Other fuel st Minces —•—.1
•
•0114,.f rtut vent for water heater or gas
lire , lace 11300
Wood fite ;lace/Insert 11111 10:011;LI
Range hootlintherkitchen - I .
Phone: (SO 3) 797 -.2 (6.0(0 Fax:( ) .toilaterii artments. utility foilms) GiEltl ._
Cuntuct mime: ; 55,40 for first four: 51.0G for each ddiliami ..._.
—
CI tyt5latuIZIP: I W1 it heater ___1
Business name: .fieobs Heating & Mr Conditioning
Phone: (503)2.34.7331 Fax: (503) 808.9108
Plan trview (25% of peon it 'fee)
CCE lie.: 1441 i ' State surcharge (12% of permit' fee) j . 7
-.0/0 . 'nit perm It tip pl ;cation eApirm tro permit is notutimined within MU
__ • , days lifter if hii herr, accented as wnsulate.
02/24/2009 15:17 5038139257 JACOBS HEATING PAGE 03/03
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JACOBS HEATING & AC
4,474 $E Mtivst .ukie Ave.
Portland. OR C.17202 .
1503) 234.7331
1503) E..1::.1-5.12r..,7 fax
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: C REQUIRED ON GREEN INSPECTION CARD.
✓ • Code Inspection Description . . PASS Date l • By ✓ '' " Code - I Inspection Description: :PASS.Date_ I :$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
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:
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 g
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 •
\ Building \Forms \InspCard- AOP- Blank.doc 02/02/07