Permit C ITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2009 - 00078
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/25/2009
PARCEL: 2S 111 CA - 08300
SITE ADDRESS: 09925 SW KABLE ST ZONING: R -
SUBDIVISION: GULF SIDE ESTATES NO. 2 LOT: 027 JURISDICTION: TIG
PROJECT: HART
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
KENNETH & PATRICIA HART Description Date Amount
9925 SW KABLE ST
TIGARD, OR 97224 [MECH] Permit Fee 2/25/200E $72.50
[TAX] 12% State Surch 2/25/200E $8.70
Total $81.20
Phone: 503- 639 -3035
Contractor:
CARSON OIL COMPANY INC
3125 NW 35TH
PORTLAND, OR 97210 REQUIRED ITEMS AND REPORTS
Contact #: FAX 503- 222 -0186
PRI 503 -471 -4365
Reg #: LIC 8388
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: Pe rmittee Signature: _ I I .a
r Q�V�Q � l l� g S_Qp (�'C`vn
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.
c 4.C'- 7 08:12AM FROM— Carson Oil Co 5032220186 T -658 P.001 /002 F -266
Mechanical Permit Application . FOR O[ FICE ONLY
City Of Tl and Received
Date /By: 0 ^
v y� ��'-Jt � , ab CA Permit No.: V 7 Cn.15
13125 SW Hall Blvd., Tigard, OR 9722 � Plan Review
' ■ • Phone: 503.639.4171 Fax: 503.598.1
CE Other Permic rell Date /By:
: 3 (, Inspection Line: 503.639.4175 Date Ready /By m See Page 2 for
Internet: www.tigard or.gov FEB 2 5 2009 Notified /Method: II Supplemental Information
I S .
TYPE QF :' Y TIGJAID:;.:: •'. EE* S C S HECK T;.;
''•.:'•''': ,:, . RRii ii QF COMMERCIAL F HE�RUL; _U E C
❑ New construction [1 Addition /altLtirfigePPM vv S1Ury Mechanical permit fees* are based on the value of thr work
performed. Indicate the value (rounded to the nearest dollar) of all •
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY'OF CONSTI2UCTi N Value: $
y dwelling ❑ building ecial in
Accessory P f
1 -and 2 -fami] dwe in Commercial/industrial ❑ ory
For s information use checklist.
RESiDENTI QUiPMENT /'SYSTEIGIS 1�EESw � •�. = >'
11'
❑ Multi - family El Master builder ❑ Other: Description Qty, Ea. Total
'' ` S i `'' �,,, +SITE ll R' TIO AN D LOCArTIO '
� ;, ,a :,�dO.B .. N FO ... MA N ' N -' . Heating/cooling
Job site address: 99,..5. - ai A/ /i zLF ...ST ,
Air conditioning pl or hea pump
(requires site Ian showing placement) 14.O0
City/State/ZIP: / R0 , 97zZ14 Furnace 100,000 BTU (ducts /vents) / 14.00 /y, no
/ Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt.no,: Projectname:�E ,JAieT74 /4IR7_ Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic hot waters stem 14.0( i
<3 ki / ` �VE Residential l boiler (radiator or 14.011
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Subdivision: Lot no.: .. Flue/vent for any of above 6.80
Other: 10.0
Tax map /parcel no.: Other fuel appliances
,._ .. , ; .*'t r , ; r , _.,,: i �„ Water heater 10 -Oil
�(.- ', ip ' O ■O ` �OItiC�' +•'
- --e ; Gas fireplace 10.04
l 7A S - cy , — 7C/RxI C 8 p LI' jf -1eMT Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.04
Wood /pellet stove 10.00
Wood fireplace/insert 10.00
Chimney /liner /flue /vent 10.00
_ it . r'i.' iFROPEI2T.,Y`;pW " A;;, . ❑ • TEN .. -
... - .����.. -.., ., ,. ...... .... , - 7� a.'`n`� <_... . ..{' ,_. ..,.._f� ":.- . .., Other, 10.00
Name: KFt...1., A �r -1- k \ A Environmental exhaust and ventilation
-t ii / Range hood/other kitchen
Address:
95 5 3. I i T, a ui ment 10.00
City/State /ZIP: 77 ,� iD 0R 97aa�! Clothes dryer exhaust 10.00
9 r Single -duct exhaust (bathrooms,
Phone: (�b3) [O ! .. 35 Fax: rooms) toilet utility it r ms ) .B�l
:' ., Attic /crnwlspace fans 10.00
i' ';r {' + - jAPP
''.:''' "',` " r:. i .;i ` I F: ii i ,,, p - G'' Q T 2I , C T ';P , ' R SON, � ,ri ' a '' ; tJ n :i�
Other: 10.110
Business name: C 2SQAJ or / ./RAMv Fuel piping
Contact name: / /i e�lL L,/, / 1(., $5.40 for first four; $1.00 for each additiona
/// Furnace, etc.
Address: /�tf ni 55121 �E Gas heat pump
City /State /ZIP: p lli t (5g q.-12..t 0 Walt/suspended/unit heater
Phone: (503) 41 1 , 4 S Fax:: (5.23), , 0 /n Water heater
_ Fireplace
E- mail: , / Li1VC .. C ARsOido .1._ . (6.H { Range -
:,t� ^ { ,;,:1 -,I` - :rl': ^r•, : 'i Barbecue
•..�. .m " ;'i't ? ;CO �` DRACTOR:�`i':' >'l,� - '�',•�._ -, ....
/7 Clothes dryer (gas)
Business name:
�/4/1 St3, ,, ? a / L//44M/ Other:
Address: 3 /a5 /V it -3' LP /ff l ,: M E(IIAN ICAI PERMIT`F ; ; ; i :. ; z•.
,t-� S *i I ;
City/State /ZIP: L��12�1 (J 11 97 av /0 Subtotal l y ' 0
7 Minimum permit fee ($72.50) 7,2 „50
Phone: (503)4. -'7/, 4-3 Z,5 Fax: ( 5e4) Z2 2 0IS6 Plan review (25% of permit fee)
CCB lie.: 1398 State surcharge (12% of permit fee) $, 7c
TOTAL PERMIT FEE 8/ t d
'/L This permit application expires if a permit is not obtained within 180
Authorized sign L! days niter It has been accepted as complete.
Print name: :.. 4 / Date: �, „25, ei • Fee methodology set by Tri- County Building Industry ..ervice Board
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: E +�C;pq, 00018 REQUIRED ON GREEN INSPECTION CARD.
Code . Inspection Description PASS:Daie.1By ~ . �/ `Code . .Inspection Descnpnori PASS Date By
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover
410 Fill 110 Temporary electrical service •
415 Grading 115 Electncal 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:
}e 699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in
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
L \ Building \ Forms \InspCard- AOP- Blank.doc 02/02/07