Permit N .. a CITY OF TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2009 -00034
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/23/2009
PARCEL: 2S 112CA - 07700
SITE ADDRESS: 07766 SW ASHFORD ST ZONING:
SUBDIVISION: RENAISSANCE WOODS LOT: 003 JURISDICTION: TIG
PROJECT: HAARMAN
Project Description: Replace furnace.
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:
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
KURT & SUSAN HAARMAN Description Date Amount
7766 SW ASHFORD ST
TIGARD, OR 97223 [MECH] Permit Fee 1/23/200, $72.50
[TAX] 12% State Surch 1/23/200 $8.70
Total $81.20
Phone: 503- 630 -7067
Contractor:
TRI COUNTY TEMP CONTROL
13150 S. CLACKAMAS RIVER DR
OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -557 -2220
FAX 503 -557 -0919
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 or 1.800.332.2344.
Issued By: � O�9 Permittee Signature: Q Q 1 i. t on
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.
23 -20D9 09:12A FROM: VIED T0: 5035981960 P.1 1 6 � Y
-Mechanical Permit ApQ6cation 3 DOS laic (111 if I I til O\i ..- ,
City of Tigard �p,N t Received
i ° 13125 SW Hall Blvd., Tigard, OR 972 �. G ` I1 patty' f1 • _ 1 Permit No.: tM WY "`
� I '� i S % Other Permit!: r t
Phone: 503.639.4 Fax 503. ,j'..... ! I� � l r:
1 I t �=) 1 Inspection Line: 503.639 �r� —
�`�t� :. Date Ready/By: ® See Page 2 for
Internet: www.tigard- or.gov B� Notified/Method: NEI Supplemental Information
•
_, : . - - ,.' TYPE OF WO ' - • .: C.OMMFRC;IAL: FEE*, SCHEDULE , -' USE CHECKLIST. •
❑ New construction ® 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.
® y g T � CONSTRUCTION Commercial/industrial 2-family dwelling dustrial 0 Accessory Value:
1- 2 -f cessory building R>;SIDENT:�'�' EQi7Ik`]1lEN�`:/ S'f'ST�M5 FEES *. ,
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. Ea. Total
JOB SITE 1NFQRMATION AND ;LOCATION Heating/cooling
Job site address: iiR(, 6W m d Air conditioning or heat pump
(requires site plan showing placement) 14.00
City/State/ZIP: Tigard, OR 1 Furnace 100,000 BTU (ducts/vents) , 1 14.00
Furnace 100,000+ BTU (duets/vents) 17.90
Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00
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: I Lot no.: Flue/vent for any of above J 6,80
Other: 10.00
Tax map /parcel no.: Other fuel appliances
' - `DESCRIPTION .OF, WORK - Water heater 10.00 •
a 1 Gas fireplace 10.00
1,(� 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
Chimney /liner / flue/vent 10.00
- _ ` .PROPERTY OWNER • .. • ; ' . . ❑- TENANT '
►1
Other: 10.00
Name: ' ql l ' 11AJ , ) Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
�) tO ?0 �� t
Single-duct exhaust (bathrooms,
Phone: Fax: ( ) toilet t compartments, mentss , utility rooms) 6.80
®,i :APPLI : . ,, craw p
.. ,. . _ E ON Is ce fans a
Other: A .., � < .. :... -' . . . � ❑ . CQNTA4T ;P RS .
' er: 10.00
Business name: Same as contractor Fuel piping
Contact name: Diane Mason $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone: ( ) Fes: ; ( ) Water heater
Fireplace _
E -mail: Range
CONTRACTOR • . . Barbecue
Business name: Tri County Temp Control Clothes dryer (gas) _
Other.
Address: 13150 S. Clackamas River Drive MECJ-IANICA;I PERMI`I'.,,FEES *' _
City/State/ZIP: Oregon City, 97045 Subtotal
Minimum permit fee ($72.50) _
Phone: (503) 557.2220 Fax: (503) 557.0919 Plan review (25% of permit fee)
CCB lie.: 72623 State surcharge (12% of permit fee)
. I TOTAL PERMIT FEE 'N
�
j /� This permit application expires if a permit is not obtained within 180
XJ'
Authorized signature: r — `•� T days after it has been accepted as eamplete.
4
Print name: Diane Mason Date: 1 19_,5t0t1 • Fee methodology set by Tri- County Building Industry Service Board
\ P
I :Building \erminAMEC- PnmiIApp.doc 01/19/07 440-4617T (1 1 /0 2 /COM/WEB)
CITY OF TIGARD ,.., ,..
BUILDING DIVISION , PERMIT #: MEC2009•00034
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/23/2009
Phone: (503) 639-4171 hofiltu fiiili
Inspection Requests (24 Hrs.): (503) 639-4175 ........_.„_,,- ••• '......... .
INSPECTION WORKSHEET FOR DATE: 216J2009 TIME: 7:00AM PAGE: 31
SITE ADDRESS: 07766 SW ASHFORD ST CLASS OF WORK:
SUBDIVISION: RENAISSANCE WOODS LOT #: 003 TYPE OF USE:
PROJECT NAME: HAARMAN
DESCRIPTION: Replace furnace.
OWNER: HAARMAN, KURT & SUSAN PHONE #: 50,630.7067
CONTRACTOR: TRI COUNTY TEMP CONTROL PHONE #: 503-667-2220
Inspection Request Scheduled For: Date: 2/612009 Pour Time:
Code # Inspection Description Confirm # Contact # Mes
699 Mechanical final 080347-01 603-667-2220 ArH
Corrections/Comments/Instructions:
I
• PARTIAL APPROVAL 0 CANCEL E NO ACCESS
• FAIL r a CALL FOR INSPECTION 0 ADDITIONAL FES ASSESSED
. ,
-----
7 i i) f
-_- -___-6
Inspector: . ., ---------) Date: - .0 L/ Phone #: (503) 718-
_
... - •
_ , . .• . ,
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: 011,EC - 2c0Q Den 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 - Stricture 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 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 Nbsc. 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
910 Sprinkler rough -in PLM - Plumbing Permit
915 Fire alarm rough -in 305 Plumbing underslab
920 Suppression trip test
310 Crawl drain
315 Post /beam plumbing
995 Misc. inspection:
998 larm 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 Salutary sewer
L 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
:\ Building \ Forms \InspCard- AOP- Blank.doc 02 /02/07
C ITY O F TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2009 - 00034
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/23/2009
PARCEL: 2S112CA -07700
SITE ADDRESS: 07766 SW ASHFORD ST ZONING:
SUBDIVISION: RENAISSANCE WOODS LOT: 003 JURISDICTION: TIG
PROJECT: HAARMAN
Project Description: Replace furnace.
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:
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
KURT & SUSAN HAARMAN Description Date Amount
7766 SW ASHFORD ST
TIGARD, OR 97223 [MECH] Permit Fee 1/23/200`: $72.50
[TAX] 12% State Surch 1/23/200E $8.70
Phone: 503- 630 -7067 Total $81.20
Contractor:
TRI COUNTY TEMP CONTROL
13150 S. CLACKAMAS RIVER DR
OREGON CITY, OR 97045 •REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -557 -2220
FAX 503 -557 -0919
Reg #: LIC 72623
js
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other 0
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 Cp
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.
I 4 c miC
Issued By: j, e , + j 1,1 Permittee Signature: v l (V� --•1
Call 503.639.4175 by 7:00 a.m. for inspections that business day. �" n
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.