Permit CITY TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00354
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/8/2008
PARCEL: 2S 103DB - 06700
SITE ADDRESS: 11310 SW AMBIANCE PL • ZONING: R -4.5
SUBDIVISION: GENESIS NO. 2 LOT: 019 JURISDICTION: TIG
PROJECT: CARR
Project Description: Installing A/C.
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:
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: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
PAUL CARR Description Date Amount
11310 SW AMBIANCE CT
TIGARD, OR 97223 [MECH] Permit Fee 7/8/2008 $72.50
[TAX] 12% State Surch 7/8/2008 $8.70
Phone:
Total $81.20
Contractor:
AIR PRIDE, INC.
18603 WILLAMETTE DR
WEST LINN, OR 97068 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 655 -0556
FAX 503- 655 -0534
Reg #: LIC 154359
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: e Permittee Signature: CG//�`/
-
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 Application :` ` :.r `� , 2. e t � Reeced 1 � l tali f n I lc utir c ti , - v � ` � , 1 � i�� � i,
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' City of Tigard , \ iv 7�
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7: 13125 SW Hall Blvd., Tigard, OR 97253,
p 4171 Fax; 503 ^ QQ Plan Rcvicw (Mau Yrrmil:
IN
Phone; 503,639.,598.'1 if) LO ba te /By: a y ' -
o Inspection line: 503.639.4175 L t v 0
I' I i iA. h.` �\ ®� Date Re /By: h4 is: . m See Page 2 for
Internet: www.tigard- or.gov Ul N. otifted /Method: Supplemental Information
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❑ New construction ® Addition /alteratVreplaccment Mechanical permit fees' arc based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demplitil)u ❑ Other: mechanical materials, equipment, labor, overhead, and profit,
• ' �
A Value: $
A t, , . V k t ' s ` co o _ ' r ' 1 1 4 n ... , + 7 l irM ") r. y� 1 , a C 1 4 '
❑ 1 - and 2- family dwelling ❑ Commercial /industrial Q ACeeSsOry building
For special information use checklist
❑ Multi family ❑ Master builder ❑ Other: L
. t Description Qly. Eff L Total
f l : ..,.,, " « , fS � ....A £111 ,' J d Heath': coolin: _ .. -� _.-_ ,
Job sift address: 11310 SW Ambiance Air conditioning or heat pump
rc.uires site 'Ian showin •tacement 1 14.00 14.00_
City/State/ZIP: Tigard, OR 97223 Furnace 100,000 BTU (4uels(seies) 14,011 �._. _
Furnace 100,000+ BTU (ducts/von.) 17.90
Suite/bldg. /apt. no.: l Project name: Gas heat urn 14.00
Cross street /directions to job site; Duct work _ 10.00
H dronic hot water system ' T_, T _ 14.00
—_ -__ _ _ Residential boiler (radiator or
hydrate) 14,00
Unit heaters (fuel -type, not electric),
to -wall, in -duct, suspended, etc. 14.00
Hluc /vent for any of above 6.80
Subdivision: I Lot no.: Other: 10,00
Tax map /parcel no.: Other fuel appliances
2i F't,," tt 7 1 1 ' .1 4 1'".,,.t
i :,�r t,.,Lf w , :„ G I + Water heater 10.00
Gas fire lace 1(■.00 —
Flue vent for water heater or gas
Installing Air Conditioner fireplace _IAA__
Lo. li •.htcr •. as 11).00
Wood/ ellet stove 10.00_
Wood fire lace /insert 10.00
n1f, .e 1 t . ,,, A ,,/ Chimney/liner/flue/vent (0.00
�d'�R ' 3'� 1 , i , o� o � I +' -�x , � i $ ' l a l l � � ' y '
Name: Paul Carr h;nvirnomental exhaust and ventilation
Address: 11310 SW Ambiance Range hood /other kitchen
equipment 10.00
City /Slate /ZIP: Tigard, OR 97223 Clothes dryer exhaust 10.00
Single - duct exhaust (bathrooms,
Phone: (503)754 -2454 Fax: ( ) toilet corn ailments, utilit rooms 6.80
ri , t`_ 3 t ix, w" hi A a ,-� , i . -rr 0 + o . ' ,, 'a Attic /crawlspace tans 10.00
, i "iir ,� l i
Other: 10.00
Business name:
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: SEE BELOW Furnace, etc, —_
.. - -. — Gas heat um
City /State /ZIP: Wall /suspended /unit heater
Phone: ( ) J Fax: : ( ) _ Water heater
Fireplace
E-mail:
t� ���f Range
jiy � I Vli! if tl.ia4 , & 3
,�o fl , 4 (( W n eA M "' 1 .M ,',,ft i}h tl � I i `^ i 43 '`r Barbecue � •
Business name: Air Pride Inc.
Clothes d er gas -
Other:
Address: 18603 Willamette Dr. ther
y to ' iHl
MAUI lh ' 31 got I � Asa � tim b i l p
1RS..L'„
Wl u n madaa ti i,li
-
City /State /Zip: West Linn, OR 970611 Subtotal 14.00
— Minimum permit fee (472.50) 72.50
Phone: (503) 655.0556 Fax: (503) 655 - 0534 Plan review (25r% of permit Fee)
CCB lie.: 154359 State surcharge (12% of pet mit fee) 8.70
� . TOTAL PERMIT FEE within 180
: This p ermit op t expires if a permit is not t within 1(10
Authorind signs t e
days ys after er it tarn t >Crn accepted as complete.
te.
Print name: Jaylenc atelzick Date: 7/ 6 b ~ bee methodology set by Tri- County Building tnduury Service Boat
I .ituI ,,c\permitnMtit:- PermilApp.duc 01 /19/07 440 - 4617'1 + ' (tt/021 1)M /wpn)
2 /2'd 096T86S20S : 172S0SS920S S33d930 2Z:w"d 92 :0T 8002- Z0 -1nr
JUL -07 -2008 10:26 From:72 DEGREES 5036550534 To:5035981960 P.1/3
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CITY OF TIGARD
BUILDING DIVISION .. PERMIT #: MEC200R -00354
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/8/2008
Phone: (503) 639 -4171 11 0
Inspection Requests (24 Hrs.): (503) 639 -4175 j
INSPECTION WORKSHEET FOR DATE: 7/17/2008 TIME: 7 :00AM PAGE: 68
SITE ADDRESS: 11310 SW AMBIANCE PL CLASS OF WORK:
SUBDIVISION: GENESIS NO. 2 LOT #: 019 TYPE OF USE:
PROJECT NAME: CARR
DESCRIPTION: Installing NC,
OWNER: CARR, PAUL PHONE #:
CONTRACTOR: AIR PRIDE, INC. PHONE #: 503G55 -0566
Inspection Request Scheduled For: Date: 7/17/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
G)9 Mechanical final 07271.E -01 503- 555 -0556 N
Corrections /Comments /Instructions:
1
X PASS ❑ PARTIAL APPROVAL ❑ CANCEL _ NO ACCESS
n FAIL ❑ CA L FOR INSPECTION ❑ ADDITIONA FEES ASSESSED
Inspector: Or 1/-7 Date / Phone #: (503) 718-
INSPECTOR'S SIGNATURES ARE NOT;._
Inspections Required for: /Y��)0,9,_ 0 y. 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 lurading 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 )X 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 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:
699 Mechanical final
•
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
• • 910 Sprinkler rough -in
915 Fire alarm rough -in 305 Plumbing underslab
• 920 Suppression trip test 310 Crawl drain
995 Misc. inspection: 315 Post /beam plumbing
998 Alarm final 320 Plumbing rough -in
999 Sprinkler final 322 Shower pan
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: \ Budding \Forms \InspCard- AOP- Blank.doc 02/02/07
w CITY O F TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00354
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639. DATE ISSUED: 7/8/2008
PARCEL: 2 S 10 3 D B -067 00
SITE ADDRESS: 11310 SW AMBIANCE PL ZONING: R -4.5
SUBDIVISION: GENESIS NO. 2 LOT: 019 JURISDICTION: TIG
PROJECT: CARR
Project Description: Installing A/C.
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:
3 - 15 HP: COMML. INCIN:
•
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOERS:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
• Owner: FEES
PAUL CARR Description Date Amount
11310 SW AMBIANCE CT
TIGARD, OR 97223 [MECH] Permit Fee 7/8/2008 $72.50
[TAX] 12% State Surch 7/8/2008 $8.70
Phone:
Total $81.20
Contractor:
in
AIR PRIDE, INC.
18603 WILLAMETTE DR
WEST LINN, OR 97068 REQUIRED ITEMS AND REPORTS o
0
o
Contact #: PRI 503- 655 -0556
FAX 503- 655 -0534
Reg #: LIC 154359 1 j
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.
9 s
Issued By: -�- � -:�.. Permittee Signature:
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.