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Permit d tia CITY OF TIGARD 1 MECHANICAL PERMIT l DEVELOPMENT SERVICES PERMIT #: MEC2005 -00613 IJ; ar 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/27/2005 PARCEL: 1 S 135DA -04300 SITE ADDRESS: 11330 SW 90TH AVE ZONING: R - 4.5 SUBDIVISION: PP1993 - 0013 LOT: 002 JURISDICTION: TIG Project Description: Convert furnace from oil to gas. Run gas line to furnace. CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: 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: 1 Owner: FEES VASILE REPTA Description Date Amount 11330 SW 90TH AVE [MECH] Permit Fee 9/27/200: $72.50 TIGARD, OR 97223 [TAX] 8% State Surchar€ 9/27/200E $5.80 Phone: 503- 703 -4136 Total $78.30 Contractor: OWNER REQUIRED ITEMS AND REPORTS Phone: Reg #: 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: •" — Permittee Signature: ���' r 6 ja., 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 Applic i o` . FOR. FICE USE ONLY City of Tigard A. 1' Received 719 � Permit No.: \ �— �/3 13125 SW Hall Blvd., Tigard, OR 9,, ` ; " Plan Review Phone: 503.639.4171 Fax: 5 ' /�ir�rl..�iytt 1h� pate/By. mit. Other Per Inspection Line: 503.639.4175 n b ��j, c.' { Date Ready/By: NM 0 See Page 2 for www.ci.tigard.or.us ((�� Internet: www.ci.ti g �O c � �, Notified/Method: Supplemental Information TYP COMMERCIAL FEE* SCHEDULE — USE CHECKLIST ❑ New construction ❑ AOytr : • � : ion/replacement Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition Eg S. : mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ dwelling 'RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ 1 - and 2-family g ❑ Commercial /industrial ❑ Accessory building ❑ Multi- family ID Master builder ❑ Other: For special information use checklist. Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION • • • Heating /cooling Air conditioning or heat pump Job site address: 1 / 30 <' c/ 6 Q pil p i'P ( r equire s si p lan showing placement) 14.00 • City /State /ZIP: ---r!r , - q e 3R 6?) 2 2 3 Fumace 100,000 BTU (ducts/vents) ` 14.00 66 I/ Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00 Cross street /directions to job site: Duct work 14.00 • Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Subdivision: Lot no.: Flue /vent for any of above 10.00 - Other: 10.00 Tax map /parcel no.: Other fuel appliances . DESCRIPTION OF WORK Water heater 10.00 � t / / p�1 ll� Gas fireplace 10.00 � �i tlF' t / n N � ' r� r Flue vent for water heater or gas �QQ// fireplace 10.00 p Log lighter (gas) 10.00 Wood /pellet stove 10.00 • Wood fireplace /insert 10.00 . ❑ PROPERTY OWNER I ❑ TENANT Chimney /liner /flue/vent 10.00 • Other: 10.00 Name / / 67M I J Environmental exhaust and ventilation C/67/In 'CO ���lll �} Range hood/other kitchen Address: �133to �Tii/ p A //t° equipment 10.00 City /State /ZIP: / 1 d ^ .1 C � © /,� 677 Z 2 ' . Clothes dryer exhaust 10.00 • f Single -duct exhaust (bathrooms, Phone: ( 6133) 7 3 — 1(J 3 6 Fax: ( ) toilet compartments, utility rooms) 6.80 ❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00 Business name: Other: 10.00 Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Address: • Fumace, etc. Gas heat pump City /State /ZIP: Wall /suspended/unit heater Phone: ( ) Fax: : ( ) Water heater Fireplace E -mail: • Range CONTRACTOR Barbecue Business name: Clothes dryer (gas) Other: Address: MECHANICAL PERMIT FEES* City /State /ZIP: Subtotal Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) Plan review (25% of permit fee) - CCB lie.: State surcharge (8% of permit fee) • TOTAL PERMIT FEE 7 S, Gr Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: I /�� r Date: 2 �( - 5----- * Fee methodology set by Tn- County Building Industry Service Board ,7 CR / 43,4 i :\ Building \Permits\MEC -Perm itApp.doc 12/03 440-4617T (I I /07JCOM/WEB) • Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: To tal Valuat ori; = ', Permit - Fee': = • $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. . $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. • • i:\Building\Permits\MEC- PermitApp.doc 12/03 2 CITY OF TIGARD a. '- A ''' (./‘ BUILDING DIVISION PERMIT #: MEC2005- 00613 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/2712006 Phone: (503) 639 -4171u ti �' Inspection Requests (24 Hrs.): (503) 639 -4175 ,� I.. ' / 3 INSPECTION WORKSHEET FOR DATE: 10/25/2005 TIME: 7:10AM PAGE: 26 SITE ADDRESS: 11330 SW 90TH AVE CLASS OF WORK: SUBDIVISION: PP1993-0013 LOT #: 002 TYPE OF USE: PROJECT NAME: REPTA DESCRIPTION: Convert furnace from oil to gas. Run gas line to furnace. OWNER: REPTA, VASILE PHONE #: 503- 703 -4136 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 10/26/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 019263 -01 503-703-4136 N r Corrections /Comments / Instructions: ND-e CiV171 WI i SSt--t r c7 , ` \ 7 W t 7 r-e - A , -. V\(\ (..A . ii-iL Utd9 -eJ * 1 1 loq• q ? s • Ovv ' l � 1! c_4M'A' -- _a..-,,,S-- - [.._, ( e- t C�c.,�- e S X1.1 -- 0 ,. (- I C-S . _c____())._ 2 Q _ :. . CL:<I A - . . 09 i�b U (A rtfr , "I � rj PASS I I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS r►, FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Va_c________ Date: �� //� Phone #: (503) 718- CITY OF 'IGARD J " BUILDING DIVISION` v~ PERMIT #: MEC2005 -00613 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/27/2005 Phone: (503) 639 -4171 Z Inspection Requests (24 Hrs.): (503) 639 -4175 ':.. INSPECTION WORKSHEET FOR DATE: 10/3/2005 TIME: 7 :07AM PAGE: 34 SITE ADDRESS: '11330 SW 90TH AVE CLASS OF WORK: SUBDIVISION: PP1903.0013 LOT #: 002 TYPE OF USE: PROJECT NAME: REPTA DESCRIPTION: Convert furnace from oil to gas. Run gas line to furnace. OWNER: REPTA, VASILE PHONE #: 503. 703 -4136 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 10/3/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 017229 -01 150-370-3413 N or'-ctions /Comments /Instructions: 174 s 'I PignksE -r !y! /.A s 7JZ 6 j< - PASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ALL FOR INSPECTION I ADDITIONAL FEES ASSESSED Inspector: Date: /0 3 Phone #: (503) 718- r. • r_ Inspections Required fo e. a,DOS" Od 6/3 ✓ Code Inspection 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 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 1 240 Exterior sheathing • 245 Firewall 250 Roof nailing ELR - Restricted Energy Permit i 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 MEC - Mechanical Permit 810 MFG- Structure set -up - -. 280 Insulation 605 Post/beam mechanical ' }4� 285 Drywall nailing 610 Gas line /b -3 - 0� 14'T X 1 287 Suspended ceiling 615 Mechanical rough in _ 295 Misc. inspection: _ 620 Hydronic piping r 899 MFG - Structure final 625 Duct work 498 Grading final 630 Fire damper -[I V L 299 Final inspection 635 _ Smoke detector shutdown EMS 640 Exhaust hood _ r raw 695 Misc. inspection: AIINI 1G X 699 Mechanical final Ir _ BUP - Fire Protection System Permit • 905 Sprinkler underfloor /slab _ PL1VI - PlumbingPermit 910 Sprinkler rough -in 305 Plumbing underslab 915 Fire alarm rough -in 310 Crawl drain 920 Suppression trip test 315 Post/beam plumbing 995 Misc. inspection: 320 Plumbing rough -in 998 Alarm final ' - _ 325 RP/backflow preventer 999 Sprinkler final 330 Water service 335 Rain drain 340 Storm drain • SIT - Site Work Permit 505 Sanitary sewer _I 405 Excavation 345 Culvert/catch basin ___410 Fill _ 350 Septic tank _ 415 Grading _ 395 Misc. inspection: 205 Footing 399 Plumbing final L_ 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 I: \Building \IVR \InspCard- BUP.doc 04/06/04 C ITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2005 -00613 P•��� * DATE ISSUED: 9/27/2005 • `"' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171 PARCEL: 1 S135DA -04300 SITE ADDRESS: 11330 SW 90TH AVE ZONING: R -4.5 SUBDIVISION: PP1993 - 0013 LOT: 002 JURISDICTION: TIG Project Description: Convert furnace from oil to gas. Run gas line to furnace. CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: 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: 1 Owner: FEES VASILE REPTA Description Date Amount 11330 SW 90TH AVE [MECH] Permit Fee 9/27/200E $72.50 TIGARD, OR 97223 [TAX] 8% State Surchar€ 9/27/200E $5.80 Phone: 503 -703 -4136 Total $78.30 Contractor: OWNER REQUIRED ITEMS AND REPORTS C.3 Phone: 1 11� O Reg #: 6 101 $ 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: Permittee Signature: (.. 4/1(6 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. a;;