Permit CI TY OF TIGARD MECHANICAL PERMIT
I DEVELOPMENT SERVICES PERMIT #: MEC2004 -00825
��III DATE ISSUED: 12/22/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S 104 D D -04000
SITE ADDRESS: 13610 SW AERIE DR
SUBDIVISION: EAGLE POINTE ZONING: R -4.5
BLOCK: LOT: 031 JURISDICTION: TIG
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: DOMES. INCIN:
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:
Remarks: Replace furnace.
Owner: FEES
TUCKER, GARRY Description • Date Amount
13610 SW AERIE DR [MECH] Permit Fee 12/22/20( $72.50
TIGARD, OR 97223 [TAX] 8% State Surchar€ 12/22/20( $5.80
Phone: 503 590 - 3224 Total $78.30
Contractor:
TRI COUNTY TEMP CONTROL
13150 S. CLACKAMAS RIVER DR
OREGON CITY, OR 97045 REQUIRED INSPECTIONS
Phone: 503 Heating Unt Insp
Final Inspection
Reg #: LIC 72623
•
•
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.
•
Issued By: _ , X Permittee Signature: \ {y
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next bt)siness day
Dec 20 04 12:24p TriCount Temp Cntrol 5035570919 p.1
a I'
Mech Permit \/ FOR OFFICE USE ONLY
�t' =(` / /J ��
{ � t 9 1, ' Received q D(f/,7 Permit No- \✓mow a (/ " X�C'
City of Tigard - ! l Da eceive /, -c-,....22 " 7 y r
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Other Permit:
Phone: 5 n Line: 4171 Fax 503.598.1960 ![rt , .• , +'a Date/By:
Inspection Line: 503.639.4175 DEC 21 2004 J � j . Date Ready /By: fur*: f El See Page S for
- f Internet: www.ci.tigard.or.us Notiaed/Method: G- Supplemental Information
CITY , . Q
_ . ..
,.. - , ;e:..;.: - -: _ i . FJEDIUI:E . .. -us CRECKLLST'
,.•:,.•:.,,. - ; - • � _,:.CON[ME L CI A L, F. E E
'�� Mechanical permit fees' are based on the value of the work
❑ New construction P. Addition /alteratiotvreplacernent performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition • Other: mechanical materials, equipment, labor, overhead, and profit.
;;,,• .I.,•:. ,.. :.'• •:CA`LEGOR liklCOhISTRUCTION`• "t::. ",i; ; i:' S
Value: ,
- .:, •:'.. �. - •. �- , . R.ESIDEnTIAti';EQCJIPVIE[ SYSTEMS F
1- and 2- family dwelling '0 Commercial/industrial ❑ Accessory building For spec;a! injormarion use checklist.
Multi- family ❑ Master builder ❑ Other: D e scription Qty. Ea. Total
., t,:. -..:, :...... : -�.._ ._,.JOB . SIT &iTiVT.ORIVIATIOi\l',;a11tI7. : LIOhI;�r:-` ,,.... . .._ . Heating/cooling
-
y •:, : _:;•.. .' :... OCAT Air conditioning heat o
wit • ' conditi ingorhe .,ump
Job site address: Ipi t br 1! v (requires site plan showing placement) 14.00
City/State/ZIP:
q-7 Furnace 100,000 BTU (ducts/vents) 14.00 -
V Furnace 100,000+ BTU (ducts /vents) 17.90
Suiterbldg. /apt.no.: I 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 ,
Flue /vent for any of above 10.00 i
Subdivision: Lot no.: • Other: 10.00 , •
Tax map /parcel no.: Other fuel appliances
— ii-:. ? . - _ L TION' -t 'Sr; ,.•
i.;' t; ;fit ,t'A SCRIP, . „z.. ... Water heater 10.00 10.00
Gas fireplace
- parte) Flue vent for water heater or gas firetace 10.00 ,
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
_ .... Chimneyfiner /flue /vent 10.00
yt" "� :t ,, }. „j;. •i 10.00
; '. s'.; - Q T r 1 N T . "'f• •': °c p .. 1
„1:_ ':iEIt�EER. a,'r ^ • . . .... . .. . . . . N Other: I
Name: e( rV 1i. c Environmental exhaust and ventilation
Range hood /other kitchen
Address: equipment 10.00 •
City/State/LIP: Clothes dryer exhaust 10.00 ,
.., Single -duct exhaust (bathrooms,
Phone: (Sea SQ,V-3 224 Fax: ( ) toilet compartments, utility rooms) 6.80
,•_.:: :'-'' tc craw p ce tans '
- • Att' / is a 10 00
- '- �PZIC - y � � .Q. , C;Oti TA: GT) ' E RSO i`I .. ;�
:: :;: = piEtP 5 17T _ ,. ' : ;I '. . ?: ._... .... I 10.00
Other:
Business name: .Tri Ca) TCrn� (C.'1/t 11 ` `.• i Fuel pip ing
Contact name: ! W tt° first four; $1.00 for each additional
M`f Furnace, etc- I 00 Address: I'6 I C�QC'�n
U f ll l`J l�1 v� ��� Gas heat pump _
Ciry /State/Z G 2220 _ci•"
ore fl (i ± e R q 7045 /] Wall/suspended/unit heater
Phone: (- e/r ,'l�) 557 - Z Fax:: (2) 55 7 - I(1., F ter heater
E-mail: _ Range
•
r " ": i3 : - .., ti::ra,; ,r >_,.:,,,.,, .
.ti:'; _ cVCONTR CTOp - .t; ::.s;`;_:•` - s'; "f
.5 's 7•a ➢yl:•� r 'i "'iii=„ .. .. ... . .. ..� ±���;, }i..frr; . . . . <_.. ,.- :.p'`i ^'e .. ., �� Barbecue
-'- ` ' Clothes dryer (gas)
Business name: T`'� � / T , e j � �� n ` C (� rrro) !�° Other:
Address: ' IF )0 G. t. C. t .1�(.d mas K1 � bri v ' . _ MECI e'' i�'tES*
c yet-011 ' ':
/ ess: ZlP: /�
ty 0 0 � c Subtotal �] I Minimum permit ($72.50) 7a _ s�
Phone: () 55-7=2.22c Fax: 005 �� 1 t (� Plan review (25% of permit fee)
CCB tic.: -7o 23 State surcharge (8% of permit fee)�M`/� -�
/ TOTAL PERMIT FEE j
fi�'�� This permit application expires if a permit is not obtained within 190
Authorized sigztature: -/ o ' ( days after It has been accepted as complete.
Print name: _1 Qf') C itila3 J 1 Date: 1 ` Fee methodology set by Tri- County Building Industry Service Board
i:\ Building \Pennits \IviEC - PcrmitApp.doc 12103 440.4617T (I I /02/COM/WEB)
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION' Business Line: (503) 639 -4171 MST
BUP
Received Date Requested - 3 AM PM BUP ,
Location / 3 /D (LEA,(& GNYL Suite MEC ` �-°oS2
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner .. J1 i , �� 2 - 3 a ELC
Footing
Foundation ELC
cess:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam r / ° ► " -. �f
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear `= - _ —
{ry z , /� • �( / ���
Framing
Drywall Nailing , "� /, L 5 31 S'l
Drywall N 7 ''� rA����-r'�i� ,�V- �" , �- &irZ- C�j�.�7�
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASSRT FAIL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
'';AS -ART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach /Sidewalk Date / % Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL