Permit f" 'ti r
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CITY TIGARD MECHANICAL PERMIT
A DEVELOPMENT SERVICES PERMIT #: MEC2005 -00791
DATE ISSUED: 12/1/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1 S134BD -02500
SITE ADDRESS: 11885 SW SCHOLLWOOD CT ZONING: R -4.5
SUBDIVISION: ENGLEWOOD NO.2 LOT: 113 JURISDICTION: TIG
Project Description: Gas furnace, water heater. Gas to furnace, water heater and range.
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:
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
MARK HIRONS Description Date Amount .
11885 SW SCHOLLWOOD [MECH] Permit Fee 12/1/200; $72.50
TIGARD, OR 97223 [TAX] 8% State Surchar€ 12/1/200: $5.80
Total $78.30
Phone: 503- 901 -1156
Contractor:
V 3
B + S HEATING
BOX 1623 REQUIRED ITEMS AND REPORTS
OREGON CITY, OR 97045
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Phone: 503- 720 -5608 V f (� 1"
0 \I Reg #: LIC 45838
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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: Permittee Signature: 7 alf*tece".. yL_,
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.
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Inspections Required for: MEC2005 -00791
• Code I Inspection Description I PASS Date I By ✓ CodeI Inspection Description J 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 X 615 Mechanical rou•h-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:
X 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 325 RP/backflow preventer
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
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CITY TIGARD MECHANICAL PERMIT
PERMIT #: MEC2005 -00791
4116 13125 J DEVELOPMENT H BMEN9 Tigard, R9 2CES -639 -4171 DATE ISSUED: 12/1/2005
PARCEL: 1S134BD-02500
SITE ADDRESS: 11885 SW SCHOLLWOOD CT ZONING: R -4.5
SUBDIVISION: ENGLEWOOD NO.2 LOT: 113 JURISDICTION: TIG
Project Description: Gas furnace, water heater. Gas to furnace, water heater and range.
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:
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
MARK HIRONS ( Description Date Amount
11885 SW SCHOLLWOOD [MECH] Permit Fee 12/1/200: $72.50
TIGARD, OR 97223 [TAX] 8% State Surchar€ 12/1/200E $5.80
Phone: 503- 901 -1156 Total $78.30
Contractor:
B + S HEATING
BOX 1623 • REQUIRED ITEMS AND REPORTS
OREGON CITY, OR 97045
Phone: 503 720 - 5608
Reg #: LIC 45838
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: Permittee Signature: a
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.
:0. II r
Mechanical Permit An ._ ` roRR orri E t sl.
' . ()NI.,
City of Tigard p��� V E Ti R etxived P«ntit Ni'...
Date/By o61 • i II EC. - +; —00 A
13125 SW flail Blvd, Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 '' I r'; Daltdy. g Other Permit:
S •
Inspection Linc: 503.639.4175 ',.1 1 ..1 , -L 0 1
'� 1 � - , Date Rcady/By �' H See Page 2 for
Internet: www.ci.tigard.or.us . CITY OF TIGARD Notified/Method: ;ea supplemental Information
BUILDING DIWSIOFV
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ New construction I a 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 Valuc:3
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
0 1- and 2- family dwelling ❑ Commercial /industrial
❑ Accessory building
❑ Multi - family ❑ Master builder ❑ Other: For special information use checklist.
Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating /cooling
G+ Air conditioning or heat pump
Job site address: /Apes' al." 5 I) W p oe) (requires site plan showing placement) 14.00
City / State/ZIP: —F;(01403 O <L c \ 3 . Furnace 100,000 BTU (ducts/vents) i 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: I Project name: Gas heal pump 14.00
Cross street/directions to job site: Duct work 14.00
1-) 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. 10.00
Flue/vent for any of above 10.00
Subdivision: I Lot no.: Other: 10.00
Tax map /parcel no.: Other fuel appliances
• DESCRIPTION OF WORK Water heater I 10.00
' ELTcav:l - +o G19 S' Fv cc. -w4+T. H ' ' "
Gas fireplace 10.00
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
C PROPERTY OWNER I ❑ TENANT Other. 10.00
Name: M eve le._ 14 : k 1-I- ! ro 4S Environmental exhaust and ventilation
Address: ! 1 t &.,..) s-ck l It �~ Range hood /other kitchen
equipment 10.00
City/State/ZIP: Ti( (ttt{ en Clothes dryer exhaust 10.00
P Single -duct exhaust (bathrooms,
Phone:
(�Itt3 ) lot t - i 1 S b Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Business name:
Other: 10.00
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: ( ) I Fax: : ( ) Water heater
E -mail: Fireplace
Range I
CONTRACTOR Barbecue
Business name: B [ .. H- - P7 Clothes dryer (gas)
P Bo, 623
Other:
Address: � MECHANICAL PERMIT FEES*
City/State/ZIP: p l c . 5 6 . , c ,*-)- i o c c . q o4 r- Subtotal .za j
Minimum permit fee ($72.50) `f -C
Phone: (Soj) 7 2,6 •• S'6 oB Fax: ( 1b3 ) St 43-443"k Plan review (25% of permit fee)
CCB lie.: usEa B. State surcharge (8 %ofperrnit fee) 5 1
TOTAL PERMIT FEE 7 8,30
Authorized signature: Thfs permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: ( l S th rl cry / I Date: 11;20- 0 j` • Fee methodology set by Tri-County Building Industry Service Board
is\Buildmg\Pe. ;Is1MEC- PermitApp4oc 12/07 440.4617T (I 1 /02/COM/WEB)
T 'd 2Eiyb —BIS (COS) dH31J01J03d SIZIH3 e0E :BO SO TO pea
CITVOF TIGARD
BUILDING DIVISION _ P #: MEC2005 00791
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/1/2005
Phone: (503) 639 - 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 .I it
INSPECTION WORKSHEET FOR DATE: 12/6/2005 TIME: 7:02AM PAGE: 67
SITE ADDRESS: 11885 SW SCHOLLWOOD CT CLASS OF WORK:
SUBDIVISION: ENGLEWOOD NO.2 LOT #: 113 TYPE OF USE:
PROJECT NAME: HIRONS
DESCRIPTION: Gas furnace, water heater. Gas to furnace, water heater and range.
OWNER: HIRONS, MARK PHONE #: 503. 901 -1156
CONTRACTOR: S + S HEATING PHONE #: 503-720 -5608
Inspection Request Scheduled For: Date: 12/6/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 022993-01 503-720-5608
Corrections /Comments /Instructions: Q:5 _10; ) IAA f ?/L-- LA-fl3cL
1) lam/ air . "4 . / I i
h (K-g ' .� (I 6 )7
❑ PA Frj,rARTIAL APPRO ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR SPECTION 111 ADDITIONAL FEES ASSESSED
Inspector: ! 14 I Date: C Phone #: (503) 718-