Permit CITY TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2006 -00632
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/11/2006
PARCEL: 1 S134DB -09200
SITE ADDRESS: 11055 SW 113TH TERR ZONING: R -4.5
SUBDIVISION: STONECHASE LOT: 016 JURISDICTION: TIG
Project Description: AC install.
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:
ELE 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN <100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
GERRITZ BIGGI CUSTOM HOMES Description Date Amount
9550 SW BEAVERTON HILLSDALE HW
BEAVERTON, OR 97005 [MECH] Permit Fee 12/11/20C $72.50
[TAX] 8% State Surcha 12/11/20C $5.80
Total $78.30
Phone: 503- 619 -4668
503 -526 -2084
Contractor:
JM MECHANICAL LLC
PO BOX 23533
PORTLAND, OR 97281 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 803 -1303
FAX 503- 244 -1702
Reg #: LIC 162677
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.
'.5
Issued By: P ermitte e Signature
Call 503.639.4175 by 7:00 a.m. for inspections th t 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 Application - - FOR OFFICE 'USE' ONLY - •
• _
City Of w�
Tigard Received
Permit � � Pet No. _ • Gi
13125 SW Hall Blvd., Tigard, OR 97223
Plan Revtew
RECEIV
Phone: 503.639 4171 Fax: 503.598.1960 �,� r 1 � Date/By: Other Permit:
Inspection Line: 503.639.4175 DEC �� e �� � Date Ready /By: luri ® See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: ��� Supplemental Information
CITY OF TIGARD
;,. , •.,, 1 YPE 3 .a l DtV31 ' x kF <,/ »i 3, '.I GI/NIMERCIAI ,,. FE' SC'HEDU'1uE - USE, GHECIQ:'IST
w I �' p!': 6- g�_" „= >�` >.- :y7�,.'Y"`�"ak.:`:j - .':,^�as' ,,:rE,v` :�•,»>.,. .. Nds, »�-.� -. >atis�: ', aao-S?0 _.a��.�°., >a >y�. «>., ,, �>a��a°,,ia..- ��_�m;,. :w,,; »u'.� aa.,ra,»��r_: avea.�'.. »�.: rs�.,a,.,,t:., -s,� ... �
New construction El 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.
` >f ,»' iOI ,..,” (,;F; ,mss• „'- R.:».,,�.A �, ,�. li 33, „a: °::, Value: $
`'� "s� «. :i'�T"TdM:t�'ar,, -�: ���*.�.SS�e 1r� F�,'.� !t ttivn'� } w °i.- �„'a`'.'',�... ,�;...
. ' - . , ` :,, "; ;; ,� ;GAE OR ,O 'CON q, l , R '�N, ' e
.,. a -n , !� -_.,.. -- a ,. > ,;,.,. „9;., .,. ., . �,,��,?- .- .<,�3^�'.... �.3,
.. .., e .. ..a , . ., <., .., N?�,rot ,:' . .sq.3+`,�i`�in .. ,. q�`*�'I °; "� ii:l"i�`e`T°�- ,,.'i' ,
, r' • �wF S +axinn , ; s,:Y'P :.aF:::. ..;•
1 ° nR>~ SIDENTEQUII 'MFN % S I S TE MS : FEES *w - "
For special information use checklist.
I and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ,, f ,� -, . -. .
Multi - family ❑ Master builder ❑Other: Description Qty. Ea. Total
. i. .:_ ..�::. :�=?. :. °' :�+a- ,�x�.:,a�,:_ : �,,:, a�. �,. n_ �.. �,.... i . ; , ,a��..,:rr..:;tt.�auaa „x�.,a;;. .,33'” AMU Heating /cooling
,°
>-: r ='' ::, ; J' NI TH :W .TJOCA ION' ' ` 13ta
7 � "�•„ � t` a � ����� � k�t�.K I��I`
.- H;i��'-= �2G��wx ^��31..i�,, .�a. e,- .?- ew >:,vix-..: .;� '.;�a av .,;s�raox+�,se4u «3 #aa�z,>wa�a „r�„�F� -
Job site address: l f b 55 5 W / /3 3 7 Air conditioning or heat 14.00
n (requires site Ian showing lacement )
City /State /ZIP: 7 r- 62e 9” „z..A.� Furnace 100,000 BTU (duets/vents) 14.00
( /7 u � j Fumace 100,000+ BTU (ducts /vents) 17 90
Suite /bldg. /apt. no.: / Project name 'C Cl� t -� 5 � Gas heat pump 14.00
Cross street/directions to job site: fl7zA d as / f 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 i # Lot no.: J ( Flue /vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
. °,: .» ., ,) :,, :� , +ill `s +'( '' ,' "' IS
,�,.e,,,.ac;.'�..r`": e." �.�": « ,.: '�li3:�;a , -.,. ,...,;,, ���, �. ,., t".,,,�9��� 'i ;w zi. I�>�:,l�io ,no' Water heater 10.00
Gas fireplace 10.00
Flue vent for water heater or gas
, 1 -� ! , �' l C fireplace 10.00
!V [� / Log fighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
10.00
> � ; ar a �.
0 ;:: 13.9II TX. QANER m :7,1116M.` I �tA
" �
s: „, _ »- ...,,. Other: 1000
Name: r L • • ii' 1O s Environmental exhaust and ventilation
Address: 0 j � Range hood /other kitchen
• �' 1 �� / ( �� • /._ ��ffif / equipment 10.00
City /State /ZIPc yep ✓e( •n 0 A 7,0,0 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( 3 /Q_ 410 0 ? � Fax:,6 . 0 5A 6 ,,z07/ toilet compartments, utility rooms) 6.80
'�: e' ».vASay,3(,,a ». 'vk'' Y:v, 'a'` �, ,dBF',"s ",; .�.
,ti, Ei `171:1 4Vc2 ,r7. 1 ;: ?,, ' li i', ; " li °RS,ON a a,- Attic /crawlspace fans 10.00
��w.�,,.-'„ s � "?.,b3 ...n.::�,: 01 ,Re;;� .,?;d "s1if,(2
�,�f'�'..- - . .>. o-,a,:» o:.,�>,�.�:,° • `- ' x��,':?
Business name: / Other: 10.00
(, frl� (6l i L5��" ' I S Other: ping
Contact name: 5 �' , e_ G 19 Q ! $5.40 for first four; $1.00 for each additional
V Fumace, etc. • Address: q::55 f .. C > ( ✓ -i� C r , Gas heat pump
City /State /ZIP: ( ei Vei ( k Q'7 1 W all /suspended /unit heater
`L�03 /q it 6 (o S � % tlJ ' � _ 7 Fireplace heater
lace
Phone �) J F ax:: p 6
E -mail: / /d1 /7 (V rht nGt, e (6 , 4 r� �% e CA940 Range • .
.,.;tip :.�'�j V�;»�.���`S`:`� 'nau.,���m .c,. , ? '?� 5,3;, „3q" J ,..,»:.,,, t,¢, �; rkv, aJ �a' e »;�e;.`.:�, ».
',y" .� s, �. ,����_ Barbecue
...,. �a.` ii^ �. a�.d?�i::�.�;�z,,'�'�a�,.,.�e:, .'z2' « mom, -wa.:a ,.,.,�� �.R,-,'�, «;,r �,, �;;�I;'`.,«,»' i , a nti;.........° kCi€ �t> �r c': eh: .::,;, "_.::`:. €,:���?:a's,�;:s�
Business name 3%( 860A r C ie Liz., Clothes dryer (gas)
Other:
»F�;1:° *.. :✓",;1'.b. , . `?c»P::s. ,- .Ag... 3 t, >y} ,,, .... ��`�',;t�ha,Y.::R:: ",..r N;,�x 2. ;,.� .,,
Address: / 2 —32 r ^" r" '3 , EIANICt*wtr�P; RllRIT3r «FEES * <..;.- -�.�� , ''
cl c..�J tilz tE':il;'�' •:,;����,', -.. �.'€�.,,,.,.., .. °' �i��: �r:; r`.< vvs..,;. iu�; .�. »;. {�= 3�;r =a.�.S;�?.'
City /State /ZIP: or-/-I a_.r _ 4 Q -7��� ' « � � ^> Subtotal
. Phone 7013 -. go Fax:69 A - / 7 0� Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lie.: /‘0 tL /7 7 State surcharge (8% of permit fee)
tL TOTAL PERMIT FEE
signature: This permit application expires if a permit is not obtained 180
Authorized
_�_ days after it has been accepted as complete.
Print name: G 1 6 S oti Date: / 2- 0-7 -0(0 • Fee methodology set by Tri- County Building Industry Service Board
r\Buildmu\PermitsV.tEC- PermitApp doc 12/03 440 -4617T (I I /02/COM/WEB)
05 Sep 19 15:25:42 R:\It \LT16STONECHASE -dwg MRR
•
ti S 0'01'36" E 0'
67.00'
I'
15' -0"
III lli 11 /C.-.
il cl a r 0 I •
���. I �i J L� 0 4-11(1 "�
lig i
1t �w, j j j' A, ac
A.
N. f _ gi
4\ MAI ' FLOOR
EL.: 15`:0'
1
S
't! I 1111 I 1 i , _ / ` / v
GARAGE f/ I .
EL.:214.5' / `/
'� '
�' CONC. I l h� /
• 5' -0 DRIVEWAY II I ; , ///
15500 P.S.I.)
1
�:I I I / 8'
n I - - -_� —� y ;,. / 1,1' P.U.E.
N
en / A y V
I � -- I 3
N 0'03' W
-ate.
1 4, :.14
AN°
S.W. 113TH AVE.
Of )5 MRR S C A L E 1" - 2 0 ' - 0
•
AN E ces�d CY T OP T NOT CITY OF TIGARD �� ���
UL FOR THE MSG% ASSOCIATES,
r OF THE ToPOOS NOT 1
111111 RF AL ORSATIO t NASCOHIT NY THE SOLE rIESPONSeuTY OF THE S TONECHASE
MI BLUER To VERIFY Au orE oaargNt wallow LOT 16
ANY.H•l PLACED ON THE SITE A1� NOTFY THE
,*.•,/I/( _ OW1FAS Of AM', POTEItTNI FELD NOOFCATIOt4
CO L_L E C T I O N �Tp / C BY : ROUNDSTONE DEV. ALM :::, .a - .. w ,„..„„ In Ieim:ew rwi...�. 1 6,027 S0. FT.)
i
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006.00631
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/11/2006
Phone: (503) 639 -4171' "Olt
I
Inspection Requests (24 Hrs.): (503) 639 -4175 '..
INSPECTION WORKSHEET FOR DATE: 12113/2006 TIME: 7.04Am PAGE: 28
SITE ADDRESS: 11055 SW 113TH TERR CLASS OF WORK:
SUBDIVISION: STCNECHASF LOT #: 016 TYPE OF USE:
PROJECT NAME: STONECHASE
DESCRIPTION: AC install.
OWNER: GERRITZ BIGGI CUSTOM HOMES, PHONE #: 503- 513.4558
CONTRACTOR: ag • 'iliCafilifftlaaTOlvl HOMES, PHONE #: 5Q3.8f38.26
Inspection Request Scheduled For: Date: 12/13/2006 0,0-0—• Pour Time: 1► 6.
Code # Inspection Description Confirm # Contact # M- :sage U
699 Mechanical final 041036 -01 50:- 320.2703 Y
Corrections/Comments/Instructions: a
a Q..,3 wL) kr\IL9-14-4
p4-e.„e,„...:,,,,....5--,, ,
(N \ A " 1,5 4
Ji 6(A
C k ., >1 c ...i '-- +4 _.x cc_C- Ni--.e .
PASS I I PARTIAL APPROVAL n CANCEL NO ACCESS
❑ FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �� � Date J 3 7- 4 ® Phone #: (503) 718-
CITY OF- TIOARD
BUILDING DIVISION PERMIT #: MEC2006.00G32
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12111/2006
Phone: (503) 639 -4171 a pu p "
Inspection Requests (24 Hrs.): (503) 639 -4175 = ='� �'
INSPECTION WORKSHEET FOR DATE: 12/1212006 TIME: 7:01AM PAGE: 32
SITE ADDRESS: 11065 SW 113TH TERR CLASS OF WORK:
SUBDIVISION: STONECHASE LOT #: 016 TYPE OF USE:
PROJECT NAME: STONECHASE
DESCRIPTION: AC install.
OWNER: GERRIT -.Z RIGGI- CUSTOM HOMES, PHONE #: 503-619-4668
CONTRACTOR: t , FRAraeh narrolvi HOMES, PHONE #: 5D.806.20;
Inspection Request Scheduled For: Date: 12112/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 040965.01 503- 3202703 Y
Corrections /Comments /Instructions:
C 'L-t om
•
I P S PARTIAL APPROVAL I CANCEL n NO ACCESS
FAIL ALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
ofi
Inspector: Date: /2 - -l2 G e Phone #: (503) 718 -
•
— _ ,.