Permit " .i
C ITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2009 - 00079
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/26/2009
PARCEL: 2 S 110 D D - 02200
SITE ADDRESS: 10535 SW CENTURY OAK DR ZONING: R -7
SUBDIVISION: SUMMERFIELD LOT: 029 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: 1 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:
REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
ROBERT & CAROLEE HART Description Date Amount
10535 SW CENTURY OAK DRIVE
TIGARD, OR 97224 [MECH] Permit Fee 2/26/200 $72.50
[TAX] 12% State Surch 2/26/200c . $8.70
Phone: Total $81.20
Contractor:
GAROKEN ENERGY COMPANY
3565 SW ON, 182ND AVE
O R 97 97 006
BEAVERTON, OR REQUIRED ITEMS AND REPORTS
BEAER
Contact #: PRI 503 -848 -3838
FAX 503- 356 -9002
Reg #: LIC 43124
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 questioris to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: Ib a A t I , Permittee Signature: Aep L v-‘ 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.
FEE 25- 009 16:59 FROM:GAROKEN ENERGY CO. IN 5033569002 TO: 5035981960 P.1
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Mechanical Permit Application , "�` 1 l►It tiltlt l 1 .t t)�l -,
I City of Tigard Received a-S.c �.f �]
• 13125 SW Hall Blvd., Tigard, OR 97223 FEB 2 2009
Date/By: � r��..
II . Phone: 503.639.4171 Fax: 503.598.1960 Plan Review Other Permit:
'Date/By:
I I CA RD Ins Line: 503.639 CITY OF TIGARD Date Ready/By: 0 See Page 2 for
Internet. www.tigard-or.gov BUILDING DIVISIO Notifi ed/Meth od : . Supplemental Information'
TYPE OF WORK COMMERCIAL FEE' SCHEDULE - USE CHECKLIST
❑ New construction Addition /alteration /replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
1- and 2- family dwelling ❑ Commercial/industrial ❑ Ac cessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES'
For special irijormation use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description 1 Qty. I Ea Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
(� / O p Air conditionin_ or heat pump
Job site address:
/0 3s- S/.J C-e >-, uY� a De__ . res site plans • inj placement) 14.00
City/State /ZIP: — °\ 4 - Y e4 - ' 72 ;J/ Furnace 100,0 ft : (ducts/vents) / 14.00
n ace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: pp _-/' Q r f : Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
\ Hydronic hot water system 14.00
{ l-L Yl Q ' /01, ! Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
is -watt, n uct, su c. 14.00
Subdivision: Fluelvent for any a / , 6.80
Lot no.: r --r 10.00 _
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
-2 . / Gas fireplace 10.00
CJ� c U , t✓
Arts C�f' Yi /j,. Q Flue vent for water heater or gas
fireplace 10.00
- Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
OPERTY OWNER ❑ TENANT Ot /liner/flue/vent 10.00
Other: 10.00
Name: Ra 1:D4'A- t` b4A_r-f Environmental exhaust and ventilation
Address: g`¢r Range hood/other kitchen
equipment 10.00
City/Stale /ZIP: . , , Clothes dryer exhaust 10.00
- Single -duct exhaust (bathrooms,
Phone: (6-0S) 4 3 7(7 ¶ i Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Business name: r �Q n� �/
Other. 10.00
^ _.v.,,, Fuel piping
Contact name: t 3 /., -1-t ►^. a -v" fir ( , .---1,---_ SS.40 for first four; 51.00 for each additional
Address: Furnace, etc.
Gas heat pump ^_
City/State/LIP: Wall/suspended/unit heater
Phone: ( ) I Fax: : ( ) Water heater
Fireplace
E -mail: QQir'vkp,^ -rersr / v-G V t Zavv . v�A* Range
v CONTRACTOR Barbecue
Business name: C9l !O �QM rt` � • "'C ' . c Clothes dryer (gas)
l�l� Other,
Address: j 1 . V
5V A) 5 15 - f _ MECHANICAL PERMIT FEES'
City/State/ZIP: J SC ��ep \ ^ i ? 17ao / Subtotal _ _
Phone: v Q �J� to Minimum permit fee ($72.50)
(51 -5 Q �5c��� f? Fax qb3 )3549 Co a • Plan review (25% of permit fee)
CCB lic.: 4. 3 \ a Lt. State surcharge (12 %ofpermit fee) f
c..�— TOTAL PERMIT FEE It a `-'
Authorized signs : ` �/ This permit application expires if a permit is not ob m to 180
�_ ^� u days after tt has been accepted as complete.
1 w • e..- - -.4.. A,.1. -...w L.. T. /. -.. -r. D..:1 J: -- 1- J.. -r. C... -- D�..A
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INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: t Ax _cae cte.xcc at REQUIRED ON GREEN INSPECTION CARD.
✓ . Code • Inspection Description :: L PASS:Date ✓ • , Code : Inspectioti•Description • 'I; PASS'Dafe " •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 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 p p 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
915 Fire alarm rough -in 305 Plumbing underslab
310 Crawl drain
920 Suppression trip test 315 Post /beam plumbing
995 Misc. inspection:
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
1: \ Building \ Forms \InspCard- AOP- Blank.doc 02/02/07