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Permit ' a CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00449 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/4/2008 PARCEL: 1 S134CA -00706 SITE ADDRESS: 11925 SW SUMMER CREST DR ZONING: R-4.5 SUBDIVISION: BURLWOOD NO.3 LOT: 041 JURISDICTION: TIG PROJECT: VANSCHAIK Project Description: Installing heat pump. 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: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES JOANNE VANSCHAIK Description Date Amount 11925 SW SUMMERCREST TIGARD, OR 97223 [MECH] Permit Fee 9/4/2008 $72.50 [TAX] 12% State Surch 9/4/2008 $8.70 Phone: 503- 925 -2008 Total $81.20 Contractor: ARROW MECHANICAL 10330 SW TUALATIN RD TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 692 -1565 FAX 503 -691 -1879 Reg #: LIC 5193 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: �� • ' ee Signature: - Call 5; - .4175 by 7:00 a.m. for inspections that business . 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. 09/03/2008 14:24 5036911879 ARROW PAGE 02 1. 1 � D A echanical Permit Avolicatiox k B_CE FOR OFF1( f' I. SF. ONLY City of Tigard q n n% ©. dr- Permit rh.;. , , ) 4 . 13125 SW Hall Blvd. Tigard. OR 97223 r 9 . - �7 Firm Review 111 1e: Phone: 503.639.4171 Fax: 503.398.1960 S G e 1 Deteli3r Other Permit: 1' 1 ,.. •..... inspection Line: 503.639.4175 C . a Rendy/Oy: Awls: RI Sec Page 2 for Internet: www.ti�d.or.gnv f/f9q , 0� N S. Wined/Method: z' Supplemomad lnforrnatlen V�r ] [j ; j � ',1 v 1 1 . TYPE OF WORK, coMIUIFRCIAL FEE* SCHEDULE - USE-CHECKLIST [3 New construction / ddition/alteration/replacement Mechanical permit fees* arc based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition tber: • • _ mechanical materials. equipment. labor, overhead, and profit. .. CATEGORY OP CONSTRUCTION • value: S 5 2,4) 1 - 1md 2 family dwelling ❑ Commereial/industrial ❑ Accessory building Rlfi911DT I ec ii t FEE$R. For special information use. checklist. ❑ Multi family ❑ Master builder ❑ Other. Description I Qty. 1 Ea, ] Total JOB SITE INFORMATION. AND LOCATION ' Heating/cooling Job site address: /%�1 5 5 tij LI „ = :ter , Air conditioning or heat pomp ?, (requires aloe plea d,nwmx pinccmrnt) / 14.00 I l i C/o City /Statc/7_.TP: ) , �g y L ��✓ Furnace 100.000 BTU (due vvcnt�) 14.00 � ∎ Furnace 100,000+ 13TU (ductstvents) 17.90 Snitc/bldgiapt no.: Pmject name: (kw 5C/f 4 r V` Gus heat pump 14.00 Cass strect/directions to job site: Duct work 10.00 liydronic hot water system 14.00 Residential Moiler (radiator or hydr sic) 14.00 Unit heaters (fud -typo, not eiee ie). in-wall, in -duct, suspended etc. 14.00 Subdivision: • Lot nn.: Fhre/vem for any of above 6.80 O)ther. 10.00 Tax map /parcel no.: L. Other Inel appliance • • DESCRIPTION OF: WOR Water heater 10.00 • Gas fireplace 10.00 ib L.L _ZI/ )41p Flue vend for water heater or gas fireplace 10.00 Log lighter (gar) 10.00 .. . I / e Wood/pellet stove 10,00 �_ ' Wood fireplace/insert 10.00 Chimney /liner /fludvent 10.00 PROPERTY. OWNii R I , . . ❑ TENANT' . . (?lose 10.00 Nnrnc 1i,lF (4 q Environmental exhaust and ventilation Address. //� �a��.. hood/other kitchen 10.00 City /State/ZIE': Z . '....11,...... 9 ,g 2 .a Clothes dryer exhaust 10.00 l single -duct exhales. (bathrooms. Phone: (j /3) (3.:2- fir z Frig (53 ) 92 -- 2 C` 0 toilet compartments, utility rooms) 610 . O APPLICANT ' : ❑ CONTACT PERSON ' Attic/crawlspacc fans 10.00 r Other: 10.00 Business name: is far 0 Ar I Peel Piping Contact name: A $5.40 for first four; 51.00 for each additional Address: I t ^I y Furnace, e G� in. i" eft. Gas heat pump City /Stnte/ZIP: . A e , 1 / /"1� / Wall/sufended/unft heater Phone: (55,7 1 t��tf.�f� - �1a1�t,./�'�G7t Fax: � ( -03) f � 7 �1� /' / 5 7 9 Water heater E - mail: . Range CONTRACTOR 13arbccuc Rusinc.s R:go i Clothes dryer (Ras) �t��� _ Otto. Address: , I � MF.CRANICA.L PERMIT PEES* ' ; . City/State /ZTP: AW..AII _ _ • _.. Subtotal Phone: ( ) �, Fax ( Minimum permit fee ($72.50) 7.>Z,,0 Plan review (25% of permit fee) t CC13lie.: / 93 State surcharge (12% of permit fee) �7C) W TOTAL PERMIT FEE iJ/ . ; Authorized signature: Tel Thie pellicle entice*" twines Wu !remit in not amelneamebic(' within Igo ` dips after h oaf been &teemed ■c counpwe, INSPECTOR'S SIGNATURES ARE NOT Inspections Required for: -- J4 t C REQUIRED ON GREEN INSPECTION CARL. ✓ Code I Inspection Description I 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 910 Sprinkler rough -in Permit 915 Fire alarm rough -in 305 Plumbing underslab 920 Suppression trip test 310 Crawl drain 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 I: \ Building \ Forms \InspCard- AOP- Blank.doc 02/02/07 9/03/2008 14:24 5036911879 ARROW PAGE 04 a S SET BACKS Address Go ; e Nlaps • J - • 1 ' R'� ,g 11 .•( ! I i.; 4 -. r Y':F 4 r X4 r ' ', 1, " ,` r� h4 ,y r � '''''''''',•1•1 � ,7 ,�` ! S ,,,,,,,,,..,„_,.. l r '•'Uf ( A , ll'M,.' t . r3�, TJ:'- 4 qrJ .� � �,ii t - . , ; - 1 , ,i - .. _ 7 Iro -';' T. ' + • M1A� r .�`� Jd` �4 � r �l " � 40. 1 .,,:,7. • Y A , - ,K.,+'4 :f�! `t fi ° erkr'. ' ai - ..;',.,..,•,-" ,x..: ri ...., y � . .. ! n 7 1" df i... 4 n, p`4 f , , I } y 4 i ,;� .0 } f M • 7�n ; ! ` " . '. a : L > g � .. 1 a b i - „? � 5 ; lr y ` kA , 0 1; 1 Y,'- ■ , + 13 9 'k1. - _ -A ., , IN w , „ ,, , ,. x r �' ,,, , , - „,, Y' 1' ,� .,, ,,, ., y t � i't 1ili X 4 P 1. .S \,S. t4•i, J, ry� !' 11 .L r _ *F-,',', I4Y. � . : WORK S rr: 11925 SW Summer Crest Dr /// Tigard OR 97223 SYMBOL KEY: Set Backs - Radius -Unit Set Point - Clouded Work Area Property Line - • - - - - - House Outline r - 4 Street / / ARR MECHANICAL /// 10330 SW TUALATIN R13 /// TUALATIN OR 97062