Permit Ir CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2009 -00003
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/2/2009
PARCEL: 2S 102CA -00229
SITE ADDRESS: 13130 SW ASH DR ZONING: R -4.5
SUBDIVISION: VIEWCREST TERRACE LOT: 016 JURISDICTION: TIG
PROJECT: SCHMIERER
Project Description: Install furnace.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: 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:
Owner: FEES
SCHMIERER, CLARENCE Description Date Amount
13130 SW ASH DR
TIGARD, OR 97223 [MECH] Permit Fee 1/2/2009 $72.50
[TAX] 12% State Surch 1/2/2009 $8.70
Phone: Total $81.20
Contractor:
PIONEER GAS FURNACE
2636 NE SANDY BLVD
PORTLAND, OR 97232 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 249 -5000
FAX 503- 249 -8260
Reg #: LIC 173181
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: • ' / A! L I j] Permittee Signature: Q App I (cl
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.
- 4' .." T .._
9ECEIVet. ,
Mechanical Permit Application , FOR OFFICE 'USE ONLY
. C of Ti rd �l 2 2009 Rexeivod
1 01 v 131 SW Hall Blvd. Tigard, •
OR 9722 D ate/By: F Z • O f- Permit No.: ,) eq. r OO i' .
Plan Review
Phone: 503.639.4171 Fax: 503.598.1 "•. . D ate/A Other Permit:
® 71� y: �� oc� q • c�oc
' - t (7,1:f. I? Inspection Line: 503.639 C�! (, �� � Date Ready /I3 Suns: See Page 2 for
_. Internet: www.tigard- or.gov 4J Notified/M i I Supplemeatat Information
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New construction ddition/alteration/re lacement • Mechanical permit fees' are based on the value of the work
El Demolition El Other: performed. Indicate the value (rounded to the nearest dollar) of all
mechanical materials, equipment, Iltbor, overhead, and profit.
..:-1,- .a -. ,, < Value: $
,� , .•- •CATEGO OF �,
16,_ and 2 dwelling ID Commercial/industrial CI Accessory building ` `j=�`> s olywi uo §yon o:to . fir,,,,
El Multi For special information use checklist.
y ❑ Master builder ❑ Other: Description ' I Qty. I Ea. I Total
..._ RKA-I" 6,4= ::JO*S1TF.`,�INFORMATI AND I, OCATIO1V ;r Alkeat:t> Heatiwr/coo]inR
Air conditioning or heat plump
Job site address: ` -}
-2\.5(,,D 5L,3 V.- (requires siteplan showing placement) 14.00
City/State/ZIP: '' C�� Q l r:-2- ) Furnace 100,000 BTU (ducts/vents) j f 14.00 , /y
Furnace 100,000-{- BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: l Project name: Gas heat pump 14.40
Cross street/directions to job site: Duct work 10.00
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. 14.00
Subdivision: Lot no.: Flue vent for any of above 6 -80
Other: 10.00
Tax map /parcel no_: Other fuel appliances
, ; :4:4•4.:.•.:- _±;ti " 5t"4 q.P ,' Water h 1000
ater eater ,
; ^i�. , < . ;.r, g +s,. , �ti? . : I D JSCRIPT'IQNOF W ORD °z Et,�` .:.. _.,�. F:, r..�: � ,
l ( Gas fireplace _ �_ 10.00
` e,\e\ l.� �.r 1ha(1L vent fo
Flue vent for water heater or gas
fireplace 10.00
•
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
,;,<; .- =' iner /flue /vent
- 'm T). (a7� °P ROPS$71' OWI� R'±1 '.: 'rt 5 (7,t,s4 , i ♦., t3's ,s "fbE
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_. .. .. . . -. ,. �-° Other: 10.00
Name: CA 041 -? % \ 04 Environmental exhaust and ventilation
'5 � Range hood/other kitchen
Address:
1 , b > 'D equipment 10.00
City/State/ZIP: '� Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: ( (p Ft., t , 55 Q Fax: ( ) toilet compartments, utility rooms) 6.80
- �;i'k:;:.,,1,'�:x": x; c;*tai )?: t' r r ._ � ivo ., , .>ONTA :0 SO "i, ;�'>s = Attie/crawlspace fans 10.00
•,:,r ...�,- .,_,:.y.... ��-��.::��:,���iT:i:'�::t> sue« ^'�;� Q; -� F�,.�rf"> #;1_'t�i
Business name: , p � s _. f C�s e Other: 10.00
i« Fuel piping
Contact name: \� Al ()IV- `C ` $5.40 for first four; $1.00 for each additional
Address: au 552 -, \ ,„,_ 'ek Pomace, etc.
,ti/ se / ^ `y -a � e
Gas heat pump
City/State/ZIP: I R0NC .� q 6 O � \ 3 . Wall/suspended/unit heater
5 L
Phone: ( , ) 4 - 7 � •• � Fax: : 3� 1.19 - cgs (0D Water heater
E -mail: T �r
Fireplace
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_, , _ Range
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.> C�•1,- ,._.. _: :'`s. /,'�.....,�:7�;'.._... ","'�' 1. Barbecue
Business name: S� 11\5 1� .- i (7.3 Clothes dryer (gas)
� Oth
Address : '
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F w _ ,- 14ka Aj G li PE[2MIT E
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City/State/ZIP: Subtotal /
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) `7 Z • Sc'
Plan review (25% of permit fee)
CCB lie.: n--A is \ State surcharge (12% of permit fee) 45,7 Q 2._.0 t TOTAL PERMIT FEE 1 • O
Authorized si gnatureec C,,,,, �y. This permit application expires H a permit is not obtained within 180
CC ®® days after it has been accepted as complete.
Print name: �'4�(A C V fl O l Date: /. a • V' . Fee methodology set by Tri -County Building Industry Service Board
I.\ 3uildrng\PermitslMEC- PermitApp doc 01/19/07 4404617f (I 1102/CO_VLWEB)
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CITY OF TIGARD „.
BUILDING DIVISION .,, PERMIT #: MFC2009.00003
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: im009
Phone: (503) 639-4171 4,,,doillelil\
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1/13/2 i9 TIME: 7 PAGE: 23
SITE ADDRESS: 13130 SW ASH DR CLASS OF WORK:
SUBDIVISION: VI EWCR EST TERRACE LOT #: 016 TYPE OF USE:
PROJECT NAME: SCHMIERER
DESCRIPTION: Install furnace.
OWNER: SCHMIERER, CLARENCE, PHONE #:
CONTRACTOR: PIONEER GAS FURNACE PHONE #: 503-249-5000
Inspection Request Scheduled For: Date: 1/13/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 079522-02 503-249-5000 N
Corrections/Comments/Instructions:
_ •.,..
I
• PAS _., ri PARTIAL APPROVAL D CANCEL r NO ACCESS
ET FAIL inIcALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
I" ay
Inspector: A 1 ----- Date: 1 ) - , 7 ) / Phone #: (503) 718- Z /
wr --------
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: n 20o g• 00003 REQUIRED ON GREEN INSPECTION CARD.
✓
Code: Iiis'pection::Description' `, ::; PASS Daie ti .. $�f, ;:; ; ✓,v j'Cod'e ;, In'sp`ec'fiori 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 dram 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 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 Hydromc 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 305 Plumbing underslab
915 Fire alarm rough -in
310 Crawl drain
920 Suppression trip test 315 Post /beam plumbing
995 Misc. inspection:
320 Plumbing rough -in
998 Alarm final 322 Shower pan
999 Sprinkler final 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
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�\
_ CI ■ Y OF TIGARD
- MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2009 -00003
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/2/2009
PARCEL: 2S102CA -00229
SITE ADDRESS: 13130 SW ASH DR ZONING: R -4.5
SUBDIVISION: VIEWCREST TERRACE LOT: 016 JURISDICTION: TIG
PROJECT: SCHMIERER
Project Description: Install furnace.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: 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:
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:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
SCHMIERER, CLARENCE Description Date Amount
13130 SW ASH DR -
TIGARD, OR 97223 [MECH] Permit Fee 1/2/2009 $72.50
[TAX] 12% State Surch 1/2/2009 $8.70
Phone:
Total $81.20
•
•
Contractor:
PIONEER GAS FURNACE
2636 NE SANDY BLVD
PORTLAND, OR 97232 REQUIRED ITEMS AND REPORTS
^
CC I
Contact #: PRI 503 -249 -5000
FAX 503- 249 -8260
Reg #: LIC 173181
I
0
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 0
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. �%
W
Issued By: 01Q� t Permittee Signature: ,(' e p ((1(�,� (, ,n
vvv �� _ _ V` " 1,
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.