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Permit • !�, n CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00199 TIGARD DATE ISSUED: 5/2/2008 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 25111 CC - 09400 SITE ADDRESS: 15720 SW GREENS WAY ZONING: R -12 SUBDIVISION: SUMMERFIELD NO.2 LOT: 121 JURISDICTION: TIG PROJECT: BROWN 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 JEFFREY M. BROWN Description Date Amount 15720 SW GREENS WAY TIGARD, OR 97224 [MECH] Permit Fee 5/2/2008 $72.50 [TAX] 12% State Surchai 5/2/2008 $8.70 Total $81.20 Phone: 503 -291 -9191 Contractor: EAGLETON HEATING 2916 N MAIN ST NEWBERG, OR 97132 REQUIRED ITEMS AND REPORTS Contact #: PRI 503 -710 -7803 FAX 503 -538 -0251 Reg #: LIC 160737 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 OU NC by calling 503.246.6699 or 1.800.332.2344. Issued = y: � ' ! � L Permittee Sign •_� , �I� ,, Call 503. 639.4175 by 7:00 a.m. for inspections that- I usiness say. 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. (Me anic 1 Permit Application • FOR O FFICE USE ONLY • V City of Tigard Receivyd / / ®��� /� - Da _/ Permit No.: l a 07'9 a. 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ` Phone: 503.639.4171 Fax: 503.598. 6 � Date/By: Other Permit: TI GARD Inspection Line: 503.639.4175 Date Ready/By runs. 63 See Page 2 for Internet: www.tigard- or.gov ���%%%��� 1, 7_0\ Notified/Method. c, Supplemental Information TYPE OF yitt R � t;,,: 1 , ..ir COMME FEE* SCHEDULE — USE CHECKLIST ❑ New construction DS Addition/al o . feel Cement 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 CONSTRUCT ION Value: $ 'E] 1- and 2- family dwelling ❑ Commerciallindustrial ❑ Accessory building RESIDENTIAL EQUIPMENT /SYSTEMS FEES* ❑ Multi- family 0 Master builder For special information use checklist. ❑ Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling / 7 Air conditioning or heat pump Job site address: 0 n K �J1.f 1.-.) 4 fr (requires site plan showing placement) I 14.00 City/State /ZIP: t ` 7,z 0 , Q 9 72 Z / Furnace 100,000 BTU (ducts /vents) 1 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 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 14.00 Subdivision: Lot no.: Flue /vent for any of above 6.80 Other: 10.00 Tax map /parcel no.: Other fuel appliances ' DESCRIPTION OF WORK Water heater 10.00 Q t Gas fireplace 10.00 n-t Tf (.!J 66e...< 66e...< C�, •; ' Flue vent for water heater or gas 1( 4- l c_ fireplace 10.00 "Let - Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace /insert 10.00 Chimney /liner /flue /vent 10.00 PROPERTY OWNER ❑ TENANT Other: 10.00 Name: C T F i(, y, , Environmental exhaust and ventilation Address: /5 7 Z D 5-c_._) Range hood/other kitchen equipment 10.00 City/State /ZIP: 4__ - U2 {� . 9 7 2 Z 7 Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: ( ) 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 -`i. 1 additional Address: Furnace, etc. �'I Gas heat pump City/State /ZIP: Wall /suspended/unit heater Phone: ( ) Fax: : ( ) Water heater Fireplace E -mail: Range CONTRACTOR Barbecue Business name: 1 /� Clothes dryer (gas) �� /P d� n ` K2� 7 Other Address: 02 °I ( ✓ A) //A /h ../* - / MECHANICAL PERMIT FEES* City/State /ZIP: Ne J f ate c - Q � 9 7 / 3 y Subtotal ..,/, 50 Minimum permit fee ($72.50) Phone: (0) ) O ��7 ? ax: p3 ) S 7,57_ 02 f / Plan review (25% of permit fee) -e CCB lie.: , C 0 7 7 7 �(� I • State su (12% of permit fee) g. 70 /� TOTAL PERMIT FEE /. AO Authorized signature: , a /∎ i ► This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: e, Cp � y-. Date: 1I_ Z / — 0 X * Fee methodology set by Tri- County Building Industry Service Board \ \Ivl 1.\ Bui ldingPermitsEC- PermitApp. doe 0 440 -4617T (11 /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. I: \Building\Permits\MEC- PermitApp.doc 01/19/07 2 RECEIVE* 071' OF T,"GARD BUILDING CIVeSICN r --- [1.1 �L �2 } r • • 7' x.. a CITY OF TIGARD MECHANICAL PERMIT ° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00199 Tl ^ki?' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/2/2008 PARCEL: 25111 CC - 09400 SITE ADDRESS: 15720 SW GREENS WAY ZONING: R -12 SUBDIVISION: SUMMERFIELD NO.2 LOT: 121 JURISDICTION: TIG PROJECT: BROWN 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: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP:. FURN < 100K BTU: 1 AIR HANDLING UNIT S CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES JEFFREY M. BROWN Description Date Amount 15720 SW GREENS WAY TIGARD, OR 97224 [MECH] Permit Fee 5/2/2008 $72.50 [TAX] 12% State Surchai 5/2/2008 $8.70 Phone: 503- 291 -9191 Total $81.20 Contractor: EAGLETON HEATING 0 • 2916NMAINST NEVVBERG, OR 97132 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 710 -7803 • FAX 503 -538 -0251 Reg #: LIC 160737 • • 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 OU NC by calling 503.246.6699 or 1.800.332.2344. Issued y: ! � ,/ L A _I . ' Permittee Sign - ' ,f/ Call 503.639.4175 by 7:00 a.m. for inspections that- • usiness .ay. 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. INSPECTOR'S SIGNATURES ARE NOT Inspections Required for: N4, $ -619/9 REQUIRED ON GREEN INSPECTION CARD. ✓ Code I Inspection Description I PASS Date I By • ✓ Code I Inspection Description I PASS Date I By BUP - Building Permit _ ELC - EIectrical 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 EIectrical 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 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 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 • I:\ Building \Forms \InspCard- AOP- Blank.doc 02/02/07