Permit ^�n CITY OF TIGARD
MECHANICAL PERMIT
} COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00518
TIGAMY 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/20/2008
PARCEL: 2S 104DA - 21300
SITE ADDRESS: 12978 SW PRINCETON LN ZONING: R-4.5
SUBDIVISION: QUAIL HOLLOW - SOUTH LOT: 039 JURISDICTION: TIG
PROJECT: DUNAGEN
Project Description: Replacing 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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
TIM DUNAGEN Description Date Amount
12978 SW PRINCETON LN -
PORTLAND, OR 97223 [MECH] Permit Fee 10/20/20C $72.50
[TAX] 12% State Surch 10120120C $8.70
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Phone: 503- 333 -7072
Total $81.20
Contractor:
CLIMATE CONTROL INC
16500 SW 72ND AVE
PORTLAND, OR 97224 REQUIRED ITEMS AND REPORTS
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Contact #: PRI 503- 453 -4822
FAX 503 - 968 -7224
Reg #: LIC 62196
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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: t Permittee Signature:
Call �`. .4175 by 7:00 a.m. for inspections that busines 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.
INSPECTOR'S SIGNATURES ARE NOT
• Inspections Required for: mc_Af REQUIRED ON GREEN INSPECTION CARD.
✓ Code I Inspection Description PASS Date By ✓ Code I Inspection Description PASS Date I 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
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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
910 Sprinkler rough -in PLM - Plumbing Permit
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915 Fire alarm rough -in
305 Plumbing underslab
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
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ct 20 2008 3:32PM CLIMATE CasTROL INC 5039697224 p.2
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Mechanical Permit A t I hicat'. rots OFFI(•L USE 0 \1.1
City of Tigard ` .� 'QOM Received
��
®� DatelHy. .6 _ . X7/4 1
; 13125 SW Hall Blvd., Tigard, OR • ' 23 W - Phone: 503.639.4171 Fax: 503 - 598.196D Otber Permit ., \ R l) Inspection Line: 503.639.4175 Daze Ready/By: See Page 2 for
Internet www.ti ga r d - or.gov Notified/Method: AN slrpplemeolat Information
TYPE OF W e' ::• COMMERCIAL FEE• SCHEDULE - USE CRECKLIST -
❑ New construction ' Addition/alteration/replacement Mechanical permit fees' are based on the value of the work
❑ Demolition ❑ Other: performed. Indicate the value (rounded to the nearest dollar) of all
mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: S
,�i- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES"
❑ Mufti- family ❑Master builder For special Information use checklist.
❑ Other: Description Qty. I Ea. I Total
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JOB SITE INFORMATION AND LOCATION • Heating/cooling
Job site address /21-2,e3 3 l a,e4 Flan.) Air conditioning or heat pump
(requires site plan showing placement) ( 14.00 )
f y
City /State/ZIP: /4, 1 G1 /7223 Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: 4U/'7 A 6
Gas heat pump 14.00
Cross street/directions to job site: Dud work 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, induct, suspended, etc. 14.00
Subdivision: Lot Flueivent for my of above 6.80
Other: . 10.00
Tax map /parcel no.: Other Biel appliances
• DESCRIPTION OF WORK Water heater 10.00
�' Gas fireplace 10.00
r�L� ��� 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
r
%TENANT Chimney/liner/flue/vent • ]0.00
iROPERTY OWNER ' I
Other: 10.00
Name: 7 /PI P 4(3e,■ 644,4g'1g., &imp ' Environmental exhaust sod ventilation
Address: /) yg .� j �O,�n 1.6-724,1 L fl Range hood/other kitchen ` 4 / equipmeni 10.00
City/State/ZIP: POLL /lien a1'' . 97 223 Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: (503) 333 70 7 Z Fax: ( ) toilet compartments, utility rooms) 6.80
jg APPLICANT ❑ CONTACT 'PE RSON Attick awlspace fans • i 10.00
Business name: A L! M 19.-re R io e I_ t r) L Other. 10.00
' 1 ,� 'Fuel piping
Contact name:
Rod 14 S $5.40 for first four; 51.00 for each additional
Address: ) 67 S 00
11+L) .7 O Furnace, etc.
Gas heat pump
City /State/ZIP: Po cr 1 c,4 9 2-'] -4 Wall /suspended/unit heater
Phone: (523 ) F { S - 3 -L i 2 2 I Fax: ; (g3) 9 to R-_-72.2. 1 Water heater
I Fireplace
E -mail: (Z) 1 1 e (_ i t r'Yl a� Us 1 1 n C Co ry 1 Range .
_1 g
CONTRACTOR garbtpte •
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Business name: X1'1 A , r - e Con 4-e-DL 1 A C. Clothes dryer (gas)
Address: )t050 SPV —7)21° /A-l/g� Other: _
`f MECHANICAL PERMIT FEES*
City/State/ZIP: Pt) r riot A d Or - 41 vl Subtotal iti
Phone: (13) q s3 N k 2-2, Fax: ( ) (',r ! 1$ •.. ZZ t f - Minimum permit fee (372.50) "7 _ ....
/ Plan review (25% of permit fee)
CCB lic.: (j 1 -
State surcharge (12% of permit fee) e, 7 p
• TOTAL PERMIT FEE $(. 20 •
Authorized signature: el 1 ,w Ibis permit application expires if a permit is not obtained within 180
11 days after it has been accepted as complete.
Print name: k° i1 (44r(l S Date: /8 F ee methodology set by Tri- County Building Industry Service Board
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