Permit CITY OF TIGARD MECHANICAL PERMIT
4 �/
° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00265
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/27/2008
PARCEL: 2S 112C D -05000
SITE ADDRESS: 07996 SW BOND ST ZONING: R -12
SUBDIVISION: BOND PARK NO. 2 LOT: 030 JURISDICTION: TIG
PROJECT: ROGERS
Project Description: Replace furnace and 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: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
SHAWN ROGERS Description Date Amount
7996 SW BOND ST
TIGARD, OR 97224 [MECH] Permit Fee 5/27/200E $72.50
[TAX] 12% State Surch 5127/200€ $8.70
Total $81.20
Phone: 503- 746 -6950
Contractor:
RUMBOLD HEATING & AIR COND INC
14214 FIR ST SUITE D
OREG ON CITY, OR 97045
REQUIRED ITEMS AND REPORTS
OREGON
Contact #: PRI 503- 656 -0475
Reg #: LIC 172897
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.
Iss ed By: , At Permittee Signature: /
■ Call 503.639.4175 by 7:00 a.m. for inspections t at 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.
eCAlaII1Ca1 Permit Application FOR OFFICE USE ONLY `
•
City of Tigard Date/By: ✓ a oa WA Permit No.: W f[ ,' pIL[J 9_60-
0 `' ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date/By. Other Permit:
T I GA R D Inspection Line: 503.639.4175 Date Ready/By: ter s
and -or. ov �^ - Supplemental See Page 2 for
Internet: www.ti
g g Notified/Method: / / C P Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ New construction 12]• 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.
CATEGORY. OF CONSTRUCTION Value: $
t RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
IS-1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
Master builder For special information use checklist.
Multi -famil
❑ Multi-family ❑ ❑ Other: Description I Qty. Ea. Total
• JOB SITE INFORMATION AND LOCATION Heating/coolin .
Job site address: 7 ci ! L $ k.) /3' Air conditioning or heat pump
S (requires site plan showing placement) 1 14.00
City /State /ZIP: fi y e 2 0-,--L__ g 7 z v Furnace 100,000 BTU (ducts /vents) / 14.00
!! ��
Furnace 100,000+ BTU (ducts /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
c14.9 6 1.' i-K Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Flue /vent for any of above 6.80
Subdivision: Lot no.:
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK ' Water heater 10.00
r Gas fireplace 10.00
j 4( N uJ e - 4) 7 S y 5 7 Flue vent for water heater or gas
L p � \ / fireplace 10.00
'�r`"� /JJ ) Log lighter (gas) 10.00
v Wood /pellet stove 10.00
'
t, e/ / §7 etith 7"-- Wood fireplace /insert 10.00
❑ PROPERTY OWNER El TENANT Chimney /liner /flue /vent 10.00
Other: 10.00
Name: 5 y` �.5 Environmental exhaust and ventilation
� Range hood /other kitchen
Address: 7 I' / l / C� 9 5'-4 equipment 10.00
City /State /ZIP: n� Clothes dryer exhaust 10.00
G Single -duct exhaust (bathrooms,
Phone: ( p .> ) 7 4 (. - Co , Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name:
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail:
Range
CONTRACTOR Barbecue
Business name: e�, b 4 _ # �V Clothes dryer (gas)
Other:
Address: 14z/4 roe_ 5,,_. s lA l G D MECHANICAL PERM T FEES*
• City/State /ZIP: t7 cA c b r 7 opt-s— Subtotal
Minimum permit fee ($72.50)
Phone: (S-z ( s�_ Q4,7 . Fax: (5 4„„ 7 2 Plan review (25% of permit fee) 75 -
CCB lie.: /7 is,f 7 State surcharge (12% of permit fee) . 70
TOTAL PERMIT FEE / .R�
Authorized signature: ` �r , � , / This p ermit a expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: \ ) 0 1 4 ,...„ , /`0 -e--,c___ Date: <" . - 2 7 * Fee methodology set by Tri- County Building Industry Service Board
I:\Building'Permits\ME.C- PermitApp.doc 01/19/07 440-4617T (I l /02 /COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
Total, Valuation: Permit Fee:
$1.00. to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10,000.00 . $141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and
$1.25 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
1:\ Bui lding \Perm its \MEC - PermitApp.doc 01/19/07 2
CITY OF TIGARD
BUILDING DIVISION PERMIT #: IvIEC2000 -00265
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/27/2000
Phone: (503) 639 -4171 411 �II
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 613/2000 TIME: 7:00AM PAGE: 37
SITE ADDRESS: 07996 SW BOND ST CLASS OF WORK:
SUBDIVISION: BOND PARK NO. 2 LOT #: 030 TYPE OF USE:
PROJECT NAME: ROGERS
DESCRIPTION: Replace furnace and a/c.
OWNER: ROGERS, SHAWN PHONE #: 603.746-6960
CONTRACTOR: RUMBOLD HEATING & AIR COND INC PHONE #: 503 - 65641475
•
Inspection Request Scheduled For: Date: 6/3/2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 070671 -01 503 -656 -0475 N
Corrections/Comments/Instructions: n
. /7 � -:,r (.4L ..LS'1�1 _ •(2 . Do�
" 1`4 =✓ a ,G RID L o c.✓ 5' — �i ► S sue' �C G
t X1 1 41/Vl)5 49-1/\ C .A9
i 2
PASS/ I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: r Date: i3— ar S Phone #: (503) 718- Z
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: l'Itee 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 - 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
F 498 Grading final 630 Fire damper
I'
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
310 Crawl drain
920 Suppression trip test
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
T: \Building \Forms \TnspCard- AOP- BIank.doc 02/02/07
CITY TIGARD MECHANICAL PERMIT t , •
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00265
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/27/2008
PARCEL: 2S 112C D - 05000
SITE ADDRESS: 07996 SW BOND ST ZONING: R -
SUBDIVISION: BOND PARK NO. 2 LOT: 030 JURISDICTION: TIG
PROJECT: ROGERS
Project Description: Replace furnace and 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:
WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
SHAWN ROGERS Description Date Amount
7996 SW BOND ST
TIGARD, OR 97224 [MECH] Permit Fee 5127/200€ $72.50
[TAX] 12% State Surch 5/27/200€ $8.70
Phone: 503- 746 -6950
Total $81.20
Contractor:
RUMBOLD HEATING & AIR COND INC
14214 FIR ST SUITED
OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 656 -0475 O
Reg #: LIC 172897 [�
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.
Iss ed By: / t; / f Permittee Signature: . /
Call 503.639.4175 by 7:00 a.m. for inspections that business day.
. P Y
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.