Permit r
CITY TIGARD MECHANICAL PERMIT
I!j DEVELOPMENT SERVICES PERMIT #: MEC2005 -00281
� ' J 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/27/2005
PARCEL: 2S 103AD -03200
SITE ADDRESS: 12905 SW 107TH CT ZONING: R -4.5
SUBDIVISION: PATHFINDER LOT: 022 JURISDICTION: TIG
Project Description: Furnace replacement and add AC unit.
CLASS OF WORK: ADD 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: 1 DOMES. INCIN:
LPG 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
PETERSON, DAVID EARUMARILYN K Description Date Amount
12905 SW 107TH CT [MECH] Permit Fee 5/27/200E $72.50
TIGARD, OR 97223 [TAX] 8% State Surchar€ 5/27/200E $5.80
Phone: 503 - 595 - 0689 Total $78.30
Contractor:
BRUTON COMFORT CONTROL INC
12855 SW 22ND ST REQUIRED ITEMS AND REPORTS
BEAVERTON, OR 97008 -5152
Phone: 503 - 626 - 7477
Reg #: LIC 65296
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.
X ?
Issued By: ,' Permittee Signature: O'( Z 717 /Z
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.
Sent By: BRUTON COMFORT CONTROL; 503 646 0126; May-26-05 10:23AM; Page 1/3
Mee.kanical Permit A litation,
=II vEDA .
Received i r
City Of Tigard Daten3y: S a -7 oi5 B it Permit No.: it i 00 5 __ e I
13125 SW Hull ffivd„. Tigard, OR. 9722.3 Pin Revie
Phone: 503.639.4171 Fes: 503.598.1960y1 a V
AI 2 6 2005 ----..." Thitelay: OtImr Permit'
in5PCUtierk Line: 503.639,4175 •1.1 ''i II. Date giggly/By. 0 Sec rear
lnnernet; www,eitigard,orus No Shippletaeotal laformatio,
CITY OF TIGARD .. IMIll
, . , , .•
; , Fr'I'rt''''`"41MT
• •iiPMVAMilsekca• .'''') ''' $0,
Mechanical permit fees* are based on the value of the work
0 New construction . AdOn/alteration/mplacement
performed. Indicate the value (rounded to tbc nearest dollar) of ail
0 Demolition Li Other: mechanical materials, equipment, labor, overhead, and profit.
!,.7, g:0 ' , ' ' ,': ..c ';';' - 7 ,..\ ," ."." kq Valne: $
t.,4L.147 : • , ;I,. . „ u. . • .../
if/ 1 and 2 dwelling 0 Commercial/induslrial 0 Accessory building '' ' ' ''..• ''' ' "'il'ait.C,4'44 ' ''' ' " baiMiii , 7.. , 4
Pim' Werra( Diformalmn use cheekint,
• Multi-family 0 Master builder ID Other: "
Description Qty. Ea. Total
1/.e.i.fki:77,./47•F''.', •' .. .7 ii ., ''':'t, , ' I I . N - 7%4 .‘f .i" 4,i 1 Wrva,,,
4f <0, : ',-, . ;.-. l, . ,..., 0 .),., 46 1, 44 , ,: ,,, :;, ,iv;:,, Beau ,.. OMB
Job site address. ' ' illillp%111.1(W NNE= Air conditioning or heat pump
'Mies Bite . , . , ■ . .lacement nill 1400
City/State/21P: ----- dil 0 Funnice 100 00014m th,,,,,,„, Imo 14.00
MI
......arki ......
Furnace 100,000+ BTU ducts/wets 17 ling
SuiteibhigJapt, no.: Project name:
14.00
Cross street/directions to job site:
. • - se . ■ a , . - Duct w t 11
ork
__... 1111111=111.1111
/ H .. mie ho water . • ...,.. 14_00
9.-CA'l 5 Tic ?-t n ,--,- to2C r .1 er. ) Residential holler (radiator or
V C0
OnP ) 1.-- O -> c.k) kCY C,.,-1 . h . anie
Unit heaters (lbel-type, not le
ectric), 14.00 MI
in in .■ • s • . tided etc. 10.00
Flue/vent for any of above 10.00
SubdiviSion: 1 Lot no.:
Other 10.00
Tau map/parcel no.: Other fad appliauees
tOkt
MiNge/g0 ‘'': ':. (itjitiIe:A'.ita:5AgeaSrR9kt Water hog/cc 10.00
, ..,$ , N.:, , .:i.;:i.i , o.. ,, ,,,i. , ...., , , , . , ... , , , :v,•■. , ::::: , :;!: , :.%? , .■■
MI
ma F1111 MININ Flue vent for Wale heater or gas
_
"C (bi-... _LA Oi aw, Ili 10.00
Log lighter (ow 10.00
OP wood/pellet stove 10.00
Wood fircylrxt/insert 10.00
',,;';:?:',.,:Vc"...3.',,i i;a7tr;71:50'' 4 .4";;;"ft'Ve? , iiitriry P (him Ainctiflutheill 1000
10.00
Name: 0 0 9 Environmental exhaust and ventilation
Address: SL_o i ovq"D C__*. Range hood/other kitchen
equipment I 10.00
City/State/ZTP: --e --.),(' / NW_ ctr-7_,)
■■■ Clothes d .•, exhaust
Single-duct exhaust (bathrooms I
10.00
Phone: da, 0
A . toilet win .artmenb &Ai rooms) 6.80
4"i '',?..
P.■,.4.......' fwV.) l't "•,..,,f4gg ?:;.; vga.lot .iC: .1 4 :;, i ; , §.7 1' '',1t ■4340,V,;;;q Attiderawispace fans 10,00
'M:';,, .;,.,.;;40.;.,„.,,I,&, ,..:.; ..,,. 4 444 ogo ,,A ....
ihthinL'ss name;
SW121Pr A t j'hi gg. 11=1 I ii 10.00 IIIIIIIII
. _ 1 ■1111 : tire i .. .
Contact name: sik Ai! Airolik.,2 °I. 85.40 for first four $1.00 for each additional
.11 Furnace etc. IIIII
Address: • •
.u.. 011ik--Alr - A.. . ■11111 ilk 4 11.• A (las heat 'inn'
City/Stale/ZIP' ''' 4141111nErA Wi■ 11111 Wail/sus ■ i deft/unit healer IIIIIIIIIIIIIII
.. ._.t.Ali
Phone 4117110MMINEWR Water heater II IIP- _-Als - M 21I 1 1 1 MIPI.A 0 Mr diff F lace
E-mail: 0 1 - 1 is auvar
t.& .\ A__ alb ...1111 Rangy
11111
r,', .. ii 4,:;" h
N,Vg,MYPANgeia t',•&..,, ','' tz,"4 ".. ' '.' .;",(.2,*.:041t'.0i:n.W.:..".'.," 0 Barbecue
Business name:)( k i NAllnigratunif N Chlt dricr (gas)
Address; 0 - Amw Atet1114;111111111111 W
''' :it,:e' 7*, ., I, )i '7. ! VII 1 ;F:., , , , .‘ " 1 ,* ■* '
,
oir, AL 4 -
ORME
City/StatorTIP: i 4 p , I lbili 4 0 e 111 ili ileb Subtotal
Phone aria .4....elemmialindraimik - ..„ - 47. ... Minimum pernait fee (872.50) al*, 1 0/WA I
Plan review (25% of permit fee) ...----"
COI lie::
JP -111■1 p Allah Ala State surcharge (8% of permit fee) ILOR,Tal,
Authorized signature / TOTAL PERMIT FEE "
/AlrAir r"ir di
This permit applicadoa aspires if At permit it nut tibial • • - ....'.. isitr0
days after it has been accepted as complete.
I • V.........21h.vinte..... oat h.. T.41 R..itAi..... 10A..s.6..., Q.....i.....
I rs_.A _/
LA71/ Poi-LE-tie: ()5
Sent By: BRUTON COMFORT CONTROL; 503 646 0126; May-26-05 10:24AM; Page 3/3
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CITY OF TIGARD c
BUILDING DIVISION PERMIT #: MEC2005 -00281
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/27/2005
Phone: (503) 639 -4171 i � ° IImN�iulGl�l A \
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/29/2005 TIME: 7 :08AM PAGE: 84
SITE ADDRESS: 12905 SW 107TH CT CLASS OF WORK:
SUBDIVISION: PATHFINDER LOT #: 022 TYPE OF USE:
PROJECT NAME: PETERSON
DESCRIPTION: Furnace replacement and add AC unit.
OWNER:. PETERSON, DAVID EARUMARILYN K, PHONE #: 503,5955 -0689
CONTRACTOR: BRUTON COMFORT CONTROL INC PHONE #: 503 - 626.7477
Inspection Request Scheduled For: Date: 6/29/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 010376 -01 '503 - 516.5148 V
Corrections /Comments / Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1( t Date:• -'( Phone #: (503) 718 -
. :t , 4 .
•
Inspections Required for: MEC2005 -00282
✓ Code Inspection Description PASS Date By r✓ Code I Inspection Description PASS DateTI y j
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground/slab cover
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service /reconnect _ __
205 Footing 120 Electrical rough -in •
_ 805 MFG - Structure grading /footing 125 Wall cover 1
210 Foundation walls 130 Ceiling cover 1
-a
215 Footing drain 135 Low voltage
_ 1 220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post/beam structural 150 Hot tub /spa/pool
E 230 Underfloor insulation 195 Misc. inspection: I
1 235 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 I I
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final _ J
270 Reinforcing steel (rebar)
275 Framing MEC - Mechanical Permit
810 MFG - Structure set -up �
280 Insulation 605 Post/beam mechanical
285 Drywall nailing 610 Gas line
L _ 287 _Suspended ceiling X 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 ,.__ 1
695 Misc. inspection:
X 699 Mechanical final � qs r
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
i 910 Sprinkler rough -in _ 305 Plumbing underslab j
915 Fire alarm rough -in 310 Crawl drain __-{{1
920 Suppression trip test 315 Post/beam plumbing 1
995 Misc. inspection: 320 Plumbing rough in —
998 Alarm final 325 RP/backflow preventer T
999 Sprinkler final 330 Water service __
335 Rain drain
340 Storm drain ___I
SIT - Site Work Permit 505 Sanitary sewer __ ,
405 Excavation 345 Culvert/catch basin
P 410 Fill 350 .Sept 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: J
L 499 Final inspection 599 Final inspection
I: \Building \IVR \InspCard- AOP.doc 02/02/2005
t. r .i , . CITY - - • TIGARD MECHANICAL PERMIT
� I DEVELOPMENT SERVICES PERMIT #: MEC2005 -00281
� ` 1 3125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/27/2005
PARCEL: 2S103AD -03200
SITE ADDRESS: 12905 SW 107TH CT ZONING: R -4.5
SUBDIVISION: PATHFINDER LOT: 022 JURISDICTION: TIG
Project Description: Furnace replacement and add AC unit.
CLASS OF WORK: ADD 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: 1 DOMES. INCIN:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
PETERSON, DAVID EARUMARILYN K Description Date Amount
12905 SW 1 07TH CT [MECH] Permit Fee 5/27/200E $72.50
TIGARD, OR 97223 [TAX] 8% State SurcharE 5/27/200E $5.80
Phone: 503 - 595 - 0689 Total $78.30
Contractor:
BRUTON COMFORT CONTROL INC
12855 SW 22ND ST REQUIRED ITEMS AND REPORTS
BEAVERTON, OR 97008 -5152
Phone: 503 626 - 7477
Reg #: LIC 65296 3
m
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 0
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. 1
Issued By: ,J2 , t. i.t A . / _,,-2:(. [6, . Z- Permittee Signature: ')1 :.0,4,1,r._c- C r': > 0
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business day. N
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.