Permit C ITY O F TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00525
TtcARP 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/23/2008
PARCEL: 1 S133CC -01100 .
SITE ADDRESS: 14032 SW SPRINGBROOK LN ZONING: R -25
SUBDIVISION: PEBBLECREEK LOT: 005 JURISDICTION: TIG
• PROJECT: MELVIN
Project Description: Install furnace.
•
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: 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: 1 AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
PATRICIA MELVIN Description Date Amount
14032 SW SPRINGBROOK LN
TIGARD, OR 97223 • [MECH] Permit Fee 10/23/20( $72.50
[TAX] 12% State Surchai 10/23/20( $8.70
•
Phone: 503 - 524 -4307
Total $81.20
Contractor: .
ROSE CITY REFRIGERATION HTG & AIR
PO BOX 19207 REQUIRED ITEMS AND REPORTS
•
• PORTLAND, , O R 97280
OR
Contact #: PRI 503- 636 -5371
FAX 503- 655 -4669
Reg #: LIC 161325
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 503.246.66 1,800.332.2344.
I � n •
■
Issue \ By: 114 Q Permittee Si nature: A ._. ,� Ac�-_�
Call 503.639.4175 by 7:00 a.m. for inspections th . •usine 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: h - REQUIRED ON GREEN INSPECTION CARD.
If Code I Inspection Description PASS Date By ✓ Code Inspection Description I PASS Date I 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 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
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
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City of Tigard
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L .1' ll DIVISION
TYPE OF COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
_ - -
Mechanical permit fees x an based on the value of "the work
[l New construction ® Addition/alteration/replacement performed. Indicate the value (rounded to the ne:irc41 dollar) or all
mechanical materials, equipment, labor. overhead, and profit.
❑ Demolition ❑ Other: value: S
CATEGORY OF CONSTRUCTION RESIDENTIAL. EQUIPMENT / SYSTEMS FTF.S*
® 1- and 2- family dwelling ❑ Conunercial/induslrial ❑ Accessory building - For,aecrai informacon rise cireckli5l.
❑ I✓4u1G- family D
Master builder ❑ Other: Description I Qty. I Ea. 1 "Total
-
J013 SITE INFORMATION AND LOCATION Heating/cooling
Air conditioning or heat pump
Job site address: 141132 SW Springbrtwk Tat (reyui:essitc pian :;how np ptacemeri) 14,00
Furnace 100.000 BTIilduct 14.0(1 _i =1.00
City/State/ZIP: Tigard, OR 97223 Furnace 100.000 i art ;ductswents i 17 -90
Suite bidgiiipl. no.:
Project name: Melvin Gas heat pump 14.010
�-
_ - Duct work 10.00 i l
Cross sirCet'directions to job site Hydronic hot water systlm 14.00' f l
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type. not electric),
in -wall. in -duce. suspended. etc. 14.00
Flue vent for any of above 1 6.80 6.80
Subdivision: I'EBBLECREFK, Lot no.: 5 Oth r: 10.00
Other fuel appliances
Tax map parcel no.: R2039902 Water fuel a 10.00
DESCRIPTION OF WORK Cite; ftrcplacc 1 0.00.
Install 96% furnace Flue vent for wate1 heater or eas
fireplace 10.011
—
Log lighter (gas) _ 10.00
Wood:pellet stove 10.00
Wood lircplaa;'inscrt 10.00
Chirrup w'lliner!lluci vent 13.04
® PROPERTY OWNER ` ❑ TENANT Other: 10.00
Name: Patricia Melvin Environmental exhaust and ventilating
R:utae hood'ot er kitchen
Address: 14032 SW Springht•nok Ton 1000
n 10.00
Clothes drye`; exhaust
CitY'Stabe ZIP: Tigard Single -duct exhaust (bathrooms_
Phone: (503)524-4307 F ax-( ) toilet compartments, utility rooms 6.80
Attia'crawlspace fans ]0.0(1
C) APPLICANT t ❑ CONTACT PERSON Other: 111.10
Business name: FUeI pips - '
Contact name:
55.40 for first four: 51.00 for each additional
F —
Ftnnace, etc. r
Address: Gas heat pump
\V.II.suspendcd'unit heater - --
Ci1} State %71P:
Vt'ater heater
Phony ( 1 I Fax: : ( Fireplace
Range `_
1: mail: Barbecue
CONTRACTOR
Clothes dryer (gas)
Business name: Rose City Heating & Air Other: 1
MECHANICAL PERMIT FEES' Address: PO Box 19207 - - Subtotal 20.80
City ^'Stitt / %ll': Portland, OR 9' 280 Minimtuu permit lee (572.50) 7 2.50 I I
Phone: (503) G36 -5371 Fax: (503) 655-1669 Plan review (25% of permit foe)
V■ Suite i
surcharge f1 , ofper Ut fee) 1 8.70
CCB tic.: 161325 TO "I'AL PERMIT FEE 81.20 1
A This per mit application expires if a permit is not obtained r+ithin 180
Authorized . days a MCC it has been accepted as complete.
signature: 1 1 + R%! methndoloev s,..1 by �Cri- Cerunty I1uilJinu LnJts!n Service RnarJ
I �...... 11,11 ',Anil
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