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Permit C ITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2009 - 00045 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/27/2009 PARCEL: 2 S 112 CA -07900 SITE ADDRESS: 07712 SW ASHFORD ST ZONING: R -4.5 SUBDIVISION: RENAISSANCE WOODS LOT: 005 JURISDICTION: TIG PROJECT: KNUDSEN Project Description: Replace gas furnace. CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: VENTS W/O APPL: 2 VENT SYSTEMS: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: NAT 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 BRUCE & THERESA KNUDSEN Description Date Amount 7712 SW ASHFORD STREET TIGARD, OR 97224 [MECH] Permit Fee 1/27/200. $72.50 [TAX] 12% State Surch 1/27/200c $8.70 Phone: Total $81.20 Contractor: HONKE HEATING + NC 840 NE CLEVELAND AVE GRESHAM, OR 97030 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 666 -3725 FAX 503- 666 -0589 Reg #: LIC 71762 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: \ 1� ° f '4 \ / Permittee Signature: ' Q . s I ( CC(/‘ �c )t( � 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. 1111111111116— Mechanical Permit Application i-ok.t;lliI( \ 1., - City of Tigard Roceivea p 13125 SW Hall Blvd., T OR RECEI auida • 2 . CF . P.t. "'" u,: Phone: 503.6394171 lax: 503.> Plan Review , — • r► • • Q 1't t. tt1 Inspection Line; 503.639,4175 Datr/13y: Other Penult: Internet: www,tigard- or.gov JAN 2 7 2009 DateReady /Bv: RI Sec Paste2The NotiF,ed/tv4et6«1, supptemoatat luformatioa rYpE OF . C )F TiGARD coMME SEE. New construction ti SCI'11ULE — USE CHECKLIST Additi • p 1 , pl ten , Mechanical permit fees:* are based on the value of the work 0 Demolition ether; performed. Indicate the value (rounded to the nearest dollar) of all mechanical materials egui men+ labor. overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ Et I. and 2- family dwelling 0 Commercial/industtial RESIDENTIAL E Accessory building EQUIPMENT / SYSTEMS FEES © Multi - family 0 Muster builder _ (� Other: For special itlJbrrrtt use checklist. J013 SITE INFORMATION AND LOCATION Description I Qty. [ ! a. i "Total Httatlnf- /coollup Job site address: "j $ > A4-\ s Air conditioning or heat pump 71 G, - e ~ Ovvi situ plan showing placement 14,00 r � � Furnace 199 000 BTU (ducts/vQnts) 14.00 — Suite/bldg./apt. no.: 1 Project name: S Furnace 100.040+ BTU ducts/vents) 17.90 IIII Cross streeUdirections to job site: - -G pump 14.00 -- Duct Duct word • 10.00 Mill f1 drone hot water a stem 14,00 Residential boiler (radiator or h h dronic) 11. 14.00 IIIII • Unit heaters (fuel -type, not electric), IN in-wall, in -duct, sus .ended, etc, 14,00 Subdivision: any Flue/vent for an of above fM 6.80 Lot no.: _. Tax map /parcel no.: Other; 10.00 Other fuel a l liances DESCRIPTION OF �1 • Water heater 10.00 ,.' 'P L(� C.'�._. c 1 "— V l -A/K� Gas fireplace 10,00 iril Gas Flue veal for water heater or gas fireplace 10.40 LO li ter as) III 10.00 III • Wood/.ellet stove 10 00 • Woad fireplace /insert III 10.00 IIII j� PROPERTY OWNER _ 0 TENANT L himny /linter /tlue /vcat 10.00 Name: N u 0 w , Other 10,00 '�J knvironmcntat exhaust and ventilation Address: 5* a \ - itt� Range hood/other kite hen • r � {•� equipment 10.00 City /State/ZIP: ' _ • 2.... ∎ CAL 2 1 10,00 • P 65 ) b U „ 0 6* c F ax: ( ) Single duct exhaust (bathrooms, APPLICANT 7 toilet compartments, utility rooms) 6.80 0 CONTACT PERSON Attic /cruwlspace fans 10.00 Business name: Other 10,00 Contact name: Fuel piping $5.40 for first four; $1.00 fur each additional Address: Furnace, ate �� City/Stale /Z1F: Gas heat pump IIIII 1111111111 Wall/suspended/unit heater Phone; ( ) Fax: ( ) Water heater 1A -ma il: `e �+ Fireplace d pm_ x'T �47 . O VV\ Range . _ CONTRACTOR _ Barbecue Business name: a i IQ v 411 ij C.9" Clodtes dryor +gas) Address: A..) 1... Other: _ MECHANICAL PERMIT FEES* City/State /Zip; C 2 t S ftA- • e att. 9 7 0 3 0 �` subtotal Fhone:,1j G, G G ,. 3 7 Z s -- I Fax: 60)) 6 C, G --0 ,S— r — — _ Minimum pursuit fee ($72.$4) - CCB lie.: 1 •? Plan review (25 °/a of permit fee) State surcharge (12% of permit fee) Authorized stgtiaturn J —_ TOTAL PERMIT FEE i • _ a This permit applimstion expires if a permit is not (*Mine w thin 1B0 d ays alter it has 'MVO accepted as eunppleie. - Print name: Date f maga • Fee methodology sot by Id-C County Building industry Service Board 1 : 11 inIIClog \Permit.■mgc-PennitAga,a 01/19/07 440-0617T (, tm7JCOM/WWII) TO 30d DNIld3H 371NOH 6850999805 9Z 9L 6902 /12/Z9 , CITY A~����7N��J����� ��mm w OF nn�m�mnn�� , BUILDING DIVISION PERMIT #: MB:2009 | 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/27Y2008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 All ir 1 INSPECTION WORKSHEET FOR DATE: 2/9/2009 TIME: 7:00AhN PAGE: 20 SITE ADDRESS: 07712 SW ASHFORD ST CLASS OF WORK: SUBDIVISION: RENAISSANCE WOODS LOT #: 005 TYPE OF USE: PROJECT NAME: KNUDSEN DESCRIPTION: Replace gas furnace. OWNER: KNUDSEN.BRUCE &THERESA PHONE #: CONTRACTOR: H0NKEMFAT|N8+NC PHONE #: 603-666-3725 Inspection Request Scheduled For: Date: 2/9Q009 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 0B0349-01 503-684-0585 N Corrections/Comments/Instructions: /3 )7---S- . / . � ' ElRART|ALAPPROVAL 0 CANCEL fl NO ACCESS El FAIL 0 CALL FOR INSPECTION El ADDIT ONAL FEES ASSESSED .� � /� �� 7 / � �- / �� / ~_���/ Inspector: Oate:^~ / ' / < Phone #: (503) 718- / i ` ' INSPECTOR'S SIGNATURES ARE NO Inspections Required for: N►FC .,ocQ _ 000gs REQUIRED ON GREEN INSPECTION CARD. ✓ Code Inspection Description. PASS Date By , ✓ Code Inspection Description, ' PASS Date B 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 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 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 c 305 Plumbing underslab 915 Fire alarm rough -in 310 Crawl drain 920 Suppression trip test 315 Post /beam plumbing 995 Misc. inspection: 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 dram 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 \Huilding \ Norms \1nspCard- AOP -Blank doc 02 /02/07 C ITY OF TIGARD MECHANICAL PERMIT 11 's COMMUNITY DEVELOPMENT PERMIT #: MEC2009 -00045 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/27/2009 PARCEL: 2S112CA -07900 SITE ADDRESS: 07712 SW ASHFORD ST ZONING: R -4.5 SUBDIVISION: RENAISSANCE WOODS LOT: 005 JURISDICTION: TIG PROJECT: KNUDSEN Project Description: Replace gas furnace. CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: VENTS W/O APPL: 2 VENT SYSTEMS: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: NAT 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: . GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Owner: FEES BRUCE & THERESA KNUDSEN Description Date Amount 7712 SW ASHFORD STREET TIGARD, OR 97224 [MECH] Permit Fee 1/27/20. $72.50 [TAX] .12% State Surch 1/27/2M. $8.70 Phone: Total $81.20 Contractor: HONKE HEATING + A/C 840 NE CLEVELAND AVE GRESHAM, OR 97030 REQUIRED ITEMS AND REPORTS • Contact #: PRI 503- 666 -3725 • FAX 503- 666 -0589 Reg #: LIC 71762 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 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: N. 01 ! \ I ) a � � Permittee Signature: Apr) �" ' �� ,`� V � 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. •