Permit CITY OF TIGARD
MECHANICAL PERMIT
l� DEVELOPMENT SERVICES PERMIT #: MEC2004 -00299
, .� I I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/20/2004
PARCEL: 2S103BC -08100
SITE ADDRESS: 12242 SW TIPPITT PL
SUBDIVISION: MLP1999 -00005 MOSES PP2000 -077 ZONING: R -4.5
BLOCK: LOT: 001 JURISDICTION: TIG
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: 1
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
GAS 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: 1
FURN > =100K BTU: < =10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 3
Remarks: AC, furnace (change out from oil to gas), duct work and flue. Gas line to furnace, clothes dryer, water heater.
Owner: FEES
HARRIS, JOHN Description Date Amount
12242 SW TIPPIT PL. [MECH] Permit Fee 5/20/200 $72.50
TIGARD, OR 97223 [TAX] 8% State Surchari 5/20/200 $5.80
Phone: 503 372 - 5615 Total $78.30
Contractor:
HOODVIEW HEATING & AC
1090 NE 8TH ST.
GRESHAM, OR 97030 REQUIRED INSPECTIONS
Phone: 503 Gas Line Insp
Mechanical Insp
Reg #: LIC 154513 Heating Unt Insp
Cooling Unt Insp
Duct Inspection
Final Inspection
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.
Issued By: ` Permittee Signature: a ( /7
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
Hoodview Heati 5036652158 05/18104 O9:19P P.002
i�_ ical Permit App - - --
. City of Tigard Received L _ x . t ��
n Permit No �//
1}dlly: l i.. o d ..2-,9
13125 SW Hall Blvd., Til;ard, OR 97223 Plan Review
Phone. 503,639.4171 Fax: 503.398.1900 r. •...1, Oilier Permit:
..41 Date/By:
Inspection Line: 503.639 41 75 Dale Ready/11y
Internet. www ci,tigard,or.us ! ^N iurix• RI See 2 for
Notaklimethvd. I( Supplemental Information
TYPE �OF; WORK.: '.COMM.ElitOAL FEE* 'SCHEDULE =' USE CHECKLIST 'i
CI New construction ❑ Addition/alteration/replacement
ation/replacement Mechanical permit tccg• arc based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ 13emOliti00 ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
-
C.AT*GORY -OF CONSTRUCTION .. Value: $
® I rind 2 family dwelling ❑ Commercial /industrial ❑ Accessory building RESIDENTIAL EQUIPMENT /b7i'STEMS FEis*
For special inui
n /orfion use checklist.
❑ Multi-family 0 Master builder ❑Other. Description I Qty. I F.'7. Total
, JOE, SI; INFORMATlON•. LOCATION'. '•
HeatinlrJcooling
Job site address: 12242 SW Tippit PI Air conditioning or heal pump
(required site plan showing placement) ) 14.00 /i,i, vO
City /Statc/LIP: Tigard, OR 97223 Furnace 100,0(X) R'111 (ducts/vents) / 14.0() ///,O(f
Suite/bldg./opt. no.: Furnace 100,000+ Bill (chick/vents) 17 cal
Projec name: Harris, Joh & Brandie pus heat pump 14.00
Cross street/directions to job site: _ Duet work / . 14.00 / 5; 06t'
Hydronie hut water system 14.00
Residential boiler (radiator or
hydronie) 14.00
^• T Unit heaters (filet -type. not electric),
in -wall, in duct suspended, etc. 10 00
Subdivision: Lot no.: Flue/vent for any of above I ' 10.00 /tV, aj
Other: 10.00
Tax map /parcel no.:
Other fuel appliances
: •:I ESCRIPTION''OF WORK ' . .. Water heater I 10,(10 ^
Replace oil w/ Gas Fireplace 10.00
Re
P gas furnace. Install A /C. Replace electric wilt w/ gas w /h. 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
PROPERTY . . J ' 0 TEN,NT, . - Chimney/liner/floe/vent I(1.00
r
Other: 10.00
Name: llartttis, John & 13randie
-- Environmental exhaust and ventilation
Address: 12242 SW • 1'ippit PI Range hood/otter kitchen
equipment 10.00
City /State /LIP: Tigard, OR 97223 Clothes dryer exhaust 10 00
- Single -duct exhaust (bathrooms,
Phone: (503)372 -5615 Fax: ( ) toilet compartments, utility rooms) 6.80
, ❑ •AP,PL•ICAN7 I , ®CO1tlTAC1' PERSON . , Attic/criwla!iacc fans 10.00
Business name: Hoodview heating & Air Conditioning
Other: 10.00
Fucl1tiping
Contact name: Kelly/Tom 15,40 for first roue; $1,00 for each additiona
Address: 1090 NE 8th St I•umacc. sic, _ - 5 �f0
— Gas heat puny
City /State /L11': Gresham, OR 97030
__ wall /satspctldcdfut»t Neuter
Phone (503)665-0764 1~ax:: (503) 665 -2158 Water heater
--
Fireplace I
E - mail: hoodview @verison,nct
Range
CONTRACTOR,' Barbecue
Business name: Fiondview Heating & Air Conditioning O s diver (gas) /
Other:
Address: 1090 NE 8th St .MECHANICAL PERMIT FEES! :.' ., .
City/State/ZIP: Cresham, OR 97030 Subtotal Rio
Phone (503) 665-0764 Fax: (503) 666 - 2158 Minimum permit fee ($72,50)
Plan review (25 %ofpermit fee)
CCR lie.: 151513 v , al `- _ 1' A 1 ' 1 8% State surcharge ( of permit fee)_
i5�� TOTAI.i•F.RM17'F'�!J /C
Authorized signature. is t eppllention espires rf ■ permit is not obtained within 180
1 _- MA,Y glow' drys alter it has been ma - rented as complete.
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a y Of TIGA
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12242 SW Tlpplt PI
Tigard,-OR-97-223
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CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST
INSPECTION 'DIVISION Business Line: (503) 639 -4171
BUP
Received Date Re nested 7 NM_ PM BUP
Location I � a --r / _ Suite MEC .-,Ov- eoa, q y
Contact Person i{e■e-t.t Ph ( ) 0 '7c PLM o2/JDf — .0aaa -7
Contractor 0 Ph ( ) SWR
BUILDING Tenant/04 ALrfit ELC
Footing " � �` - S(o�� ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain jI 7 1
Slab Ins • ection Notes: b SIT
Post & Beam /�
Shear Anchors -� > �7 �„
Ext Sheath/Shear ' � �
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final ' ,;K`
PASS PART FAIL j ;� -
PLUMBING I
Posf& Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Oth- :
'A 7 PART FAIL
CHANICAL tJ
Post 8� Beam tier
. Rough -In
Gas Line
Dampers
PART FAIL
E CTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
/ 7 ). a / oe
ADA 1/
Approach/Sidewalk Date Inspector Ext
Other:
Final D , NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL