Permit � II CITY OF TIGA'D MECHANICAL PERMIT
• ° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00443
TIGARD DATE ISSUED: 9/2/2008
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S103DC 00200
SITE ADDRESS: 13585 SW 110TH AVE ZONING: R - 3.5
SUBDIVISION: FAIRHAVEN COURT LOT: 001 JURISDICTION: TIG
PROJECT: WALKER
Project Description: Oil to gas furnace conversion, add a/c and duct work.
CLASS OF WORK: ALT 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:
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: 1
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
VERN WALKER Description Date Amount
13585 SW 110TH AVE
TIGARD, OR 97223 [MECH] Permit Fee 9/2/2008 $72.50
[TAX] 12% State Surchar 9/2/2008 $8.70
Total $81.20
Phone: 503 639 - 2870
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
EC , ` 1 Permittee Sig ature: 4,./ , 7>�I y
Call 503.639.4175 by 7:00 a.m. for inspectionstha •usiness d.'.
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.
0.8 - 29 - 08 10:24AM FROM- Carson Oil Co 5032220186 T -414 P.001 /003 F -573
..t� *r .v 1l,t.a All a. ail l 1.12111 �. A 'J i1�.R t CEt1N ED
I`:%!' 7 City Of Tigard
TR. Received
, • y Date /By: C ( og PermitNa: kied g —" 3
13125 SW Hall Blvd., Tigard, OR 97223 q
11 Phone: 503.639.4171 Fax: 503.598.1960. 2 9 2ooa Plan Review
i,' . Dete/By: Other Permit:
,,rri.GAIt0 Inspection Line: 503.639.4175 Dat Ready/13y: Jars
1 . : • Internet: w ww• tigard- or.gov TIGA S See Page 2 for
CITY OF RD Notified /Method: ) Supplemental Information
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,... �,.: ; � . T�le>~.;or w giilDI � ..: ;:, , :: - . A� E *..scxlVauic; =.,usE cx Eela.IST: .
❑ New construction A ddition /alteration /replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearL:st dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit,
.' r. . •' °t " = ; - ' - Value: $ • �� � CATEGORY.' O F; ;C ONSTRUCT ION - ` - .;•;
- and 2 - family dwelling ❑ Commercial /industrial R.5IDENTIAL'EQUIPNIENT / SYSTE.S FEES"
❑ Accessory building
❑ Multi ❑ Master builder ❑ O ther:
For special f nnatt re checklisr.
r s e of o on a kli
sr.
a Description Qty. E a. Total
, , ,, • * ATION:
Heating/cooling
Job site address: I. 0 j?t Air conditioning or heat pump
52 ,314) l w[J r7(/4." (requires site plan showing placement) 1 14.00
City/State /ZIP; TGA IZo 0 R 2 3 Furnace 100,000 BTU (ducts /vents) 1 14.00 / if —
Suite/bldg. /apt. no.; Project name: Ti l _ 1 Furnace 100,000+ I3TU (ducts /vents) 17 90
IQ r -t ,, A 1 �{ F g Gas heat pump 14 00
Cross street/directions to job site: Duct work i 10 00 /L
t) y /1 Hydronic hot water system 14 00
Q 1A .∎ ,..t.-.. V E Residential boiler (radiator or
hydronic) 14 00
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 00
Tax map /parcel no.: Other fuel appliances
_rl+ ':)B�,P1 ..1_Y'n�'?i! „�i_ t; r ,r' ! ,
r � ; F a t.., ;�7,JIA�SCl2��TION;QF� ,WORK .`'�,,: _ ; !�t . '" i Water heater 1000
Di 1 4 I Gas fireplace 10 00
0 3(1_5 •-)-1 t r (1.0 CZ IR . p trine n in erv+ Flue vent for water heater or gas
fireplace 10 00 • A S (L C' _.t n i TR o n i E-R. it, l.'17 1 1 _ f).-r-i t� w.l Log lighter (gas) 10 00
Wood/pellet stove 10 00
Wood fireplace/insert 10 00
+� r ` `a ' ” Chimney/liner/flue/vent
10 00
u4, Eit ..x::O,WNE12 "�,.i1: TENANt
" ~i: a a` rr::' -Q.. .. _._ Other: 10 00
Name:VER,Ni yt � J f� 1 ,1 Environmental exhaust and ventilation
Address: I r Range hood/other kitchen
1 3 g � � W �e equipment 10 00
City/State /ZIP; '7 A RD, () R. t/ 7G2a3 Clothes dryer exhaust 10 00
Single -duct exhaust (bathrooms,
Phone: (583 ) ( _ 87o Fax: ( ) toilet compartments, utility rooms) 6..30
i'i it; AP Y:1 �,;. a'`t, t•rt=, �.I }:t° {., �t A i
<r; . ';t. ,' k' .�'A+vT: ;
.t, s t. '`l4 'i p CT;,P RSOt tt c /crawlspace fans 10 00
/� Other: 10 00
Business name: CrAas 0,...4 0 • t ■ l .o - P ., /
WA _ Fuel piping
Contact name: pAt IL_ WAt 1i .) C, $5.40 for first four; $1.00 for each additional
Address: Ai 2__ hi tti� _35 /A `fE Furnace, etc.
f — x Gas heat pump
City/State /ZIP: po p.1-1_44.30 f ()1Z ! n 9 -72..1 6 Wall/suspended/unit heater (5D3) Phone; () 4-7 (- 4_36,5 Fa x:: (503 )222__671 Sao Water heater
^ �t // Fireplace
E -mail;
�1 )1i1Ver f- C (s ); (o eom Range
: , }. .:. ,C 'TRACTOR- :i ; , -,.; • ; ; ,
,,, ,. �,. �;,•:,, r. r::•,r.. -9 ... -.�, � �•�, � � 6T � Barbecue
Business name: Clothes dryer (gas)
CA � � M iN� -
3 Z � Other:
Address: I � ! J ,,� 5' t? f 4 u 6 c ; :. ECHANICAL PG T FE4 `
City/State /ZIP: Pn r., p DR R I7Z i D Subtotal , , gI r;
Phone: (5D3) A 7/ -.936 5 Fax: ( 5 22Z - U ! $ L Minimum permit fee ($72.50) 72. gb
Plan review (25e/ of permit fee)
CCB lie,: ��y�le Stale surcharge (12% of permit fee) 5/7
� TOTAL PERMIT FEE ( 9 f, ab
Authorized Signature' This permit a pplication expires If a permit is not obtained within 180
/44/4/7 days after it has been accepted as compieie.
Print name: f i1� Date8 „ ‘ 1 G / : * Fee methodology set by Tri -County Building Industry .tervlee Board
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Tigard, OR 5,. 1 '
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CITY �
n OF mn���mon�� , .
BUILDING -^ DIVISION PERMIT ~~"°"~~.~~"~ #: hdEQ2008.00448
131258VV Hall 8�d�.Tlgand. OR 07��3 DATE ISSUED: 912y2008
Phone: (503) 639-4171
*
Inspection Requests �4Hnoj �
�03)G8Q4�175 .�„ W� IL.
INSPECTION WORKSHEET FOR DATE: 11/6/2008 TIME: /:00Ah4 PAGE: 30
S|TEADDREQS� CLASSOFVV0R�
� 136�6 SVV11DTH^�VE WORK:
SUBDIVISION: pA|RHAVENQOL1RT LOT #: DC1 TYPE OF USE:
PROJECT NAME: � VWA-KFR
DESCRIPTION: Oil to qas furnace conversion, add a/c and duct work.
`
OWNER: WALKER, VERN PHONE #: 6O3-639:2870
CONTRACTOR: CARSON OIL COMPANY INC PHONE #: 503-471'4585
Inspection Request Scheduled For: Date: 11/6/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 h8schem)cal final 077739-01 503-639-2870 Y
Corrections/Comments/Instructions:
ri PARTIAL APPROVAL 0 CANCEL ri NO ACCESS
I | FAIL pi CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: �� �^� `� Oa�m� �/� ��-- «��� Phone#� /5U3)718'
CITY OF TIGARD
BUILDING DIVISION A
PERMIT #: IvIE.C2000-00443
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 912/2008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 9/5/2008 TIME: 7:00AM PAGE: 28
SITE ADDRESS: 13585 SW 110TH AVE CLASS OF WORK:
SUBDIVISION: FAIRHAVEN COURT LOT #: 001 TYPE OF USE:
PROJECT NAME: WALKER
DESCRIPTION: Oil to gas furnace conversion, add a/c and duct work.
OWNER: WALKER, VERN PHONE #: 503-639-2870
CONTRACTOR: CARSON OIL COMPANY INC PHONE #: 603-471-4365
Inspection Request Scheduled For: Date: 9/5/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 075109-01 503-471-4365
Corrections/Comments/Instructions:
4 -` e 74. -- - /
PASS pi PARTIAL APPROVAL 0 CANCEL fl NO ACCESS
I FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: Date: q Phone #: (503) 718
`` INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: 11a00 R ODYy3 REQUIRED ON GREEN INSPECTION CARD.
✓ 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 ., 'r si 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 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
• 695 Misc. inspection:
x 699 Mechanical final I/ . -on
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab
1 910 Sprinkler rough-in
- Plumbing Permit
915 Fire alarm rough -in 305 Plumbing underslab
920 Suppression trip test 310 Crawl drain
315 Post /beam plumbing
• 995 Misc. inspection: 320 Plumbing rough -in
• 998 Alarm final
999 Sprinkler final 322 Shower pan
fi
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
I: \Building \Forms \InspCard _AOP- Blank.doc 02/02/07
r _ _
CITY OF TIGARD r, MECHANICAL PERMIT
u
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00443
•
•T[GARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/2/2008
PARCEL: 2S103DC -00200
SITE ADDRESS: 13585 SW 110TH AVE ZONING: R -3.5
SUBDIVISION: FAIRHAVEN COURT LOT: 001 JURISDICTION: TIG
PROJECT: WALKER
Project Description: Oil to gas furnace conversion, add a/c and duct work.
CLASS OF WORK: ALT 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:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: C ODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS LO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
VERN WALKER Description Date Amount
13585 SW 110TH AVE
TIGARD, OR 97223 [MECH] Permit Fee 9/2/2008 $72.50
[TAX] 12% State Surchai 9/2/2008 $8.70
• Total $81.20
Phone: 503 - 639 - 2870
Contractor:
CARSON OIL COMPANY INC
3125 NW 35TH
PORTLAND, OR 97210 REQUIRED ITEMS AND REPORTS
•
Contact #: FAX 503 -222 -0186 O
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.
t
Issued : O fi �rd1 / Permittee Sigr(a 00i � i 1 ��
Call 503.639.4175 by 7:00 a.m. for inspections that •usiness d.
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.