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Permit l v CITY OF TIGARD MECHANICAL PERMIT 1 ' COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00594 TtG'QttD, • 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/5/2008 PARCEL: 2S 110AC -01000 SITE ADDRESS: 11545 SW BEEF BEND RD 30 ZONING: R - 40 SUBDIVISION: WELLINGTON ESTATES APARTMENTS LOT: JURISDICTION: TIG PROJECT: CAMBRIDGE Project Description: Replacing gas 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: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: NAT 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES • CAMBRIDGE REAL ESTATE SERVICES Description Date Amount . PO BOX 2968 PORTLAND, OR 97208 [MECH] Permit Fee 12/5/200E - $72.50 [TAX] 12% State Surch 12/5/200E $8.70 Phone: 503- 620 -5088 Total $81.20 Contractor: JACOBS HEATING & A/C • 4474 SE MILWAUKIE PORTLAND, OR 97202 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 234 -7331 FAX 503- 808 -9108 Reg #: LIC 1441 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: % > ° - mittee Signature: Call 503. 175 by 7:00 a.m. for inspections that business 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: elEa L( REQUIRED ON GREEN INSPECTION CARD. ✓ Code Inspection Description I PASS Date I By If Code 1 Inspection Description PASS Date 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: X' 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 • '12/04/2008 16:46 5038139257 JACOBS HEATING PAGE 02/02 Mechanical Permit A»plical t i, , E ;` " x ia, „ C 1F'i tc i t i iJ ` 4 a y� "., f `� � Cii► of Tigard Received ��,it No.: . . `i v 1 7125 SW Hall Blvd., T i g a r d , 4722 Dett98y' # I 1, i - _ / ® ' DE 0 4 2008 min Review Ph Oge: 503.639.4171 F ax 503.598.1 Da Other Permit w +� y.e I ns l ion Linc: 503.639.4175 - - -- r I t \ e tv $ CITY OF TIGA" ; dS,L thod', JW° S upp Seepage l for 4'n�^ �lwa� Internet: tvww,tigtad4r, ov , 4 �fr 3knlen1i11'Information ; T11PE'OF WO ;'• , x :_°...,.. i COMMERQAL FEE0.•se TlI_ y E -USE C' ECKL15'T ID New constru:tion ,, ddition /alteralion/replacement Mechanical permit fees' arc based on the value of the work ❑ Demolition r 0 Qther. performed. Indicate the value (rounded t0 the nearest dollar) of all mechanical materials e i meat, labor, overhead, and refit. .. CATEGORY OF coN )•: ,' - Value $ • 1lJ- a nd2 -famil dwelling Commercial/industrial E . ... . NI J$YSi'Eh78 •( _ Y 0 [ Accessary building © Multi - family i 0 Master builder 0 Other For special in °notation use check/rsr. Description Qty. Ea. Total " ..•JOB SITS INFORM4flONi. Head° eoo Job she address: I , 15 S S W Qc_ k l Air conditioning or heat pump 8 �l �D _ (reQuim1 site phut shawingytneemoll 14.00 — City /State/ZIP: yL ,rek a 2 C.f Furnace 10 0,000 BTU (d iretsnx nnl 1 14.00 1 �• ° f Furnace 1000,000+ BTU (duets/vents) 17,90 Suite/bldg./apt, no.: Project name: C. c..vn b r t C. Gas heat um 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 (fueI4ypt. not dcctric), in- wall, in -duct, suspended. etc, 14.00 Subdivision: Lot no.: Flue/vent far an of above 6.80 Other, 10,00 Tax map /parcel . _: Other fuel appliances .' :4D1tsadia iotti O' wait - Water beater 10.00 I Gas fireplace 10.00 IS d- . ace. In tz e. • Fiue vent for water heater or gas , fireplace 10.00 Log lighter (gets) 10.00 _ Wood/pellet stove 10.00 Wood fireplace/insert 1 10.00 • wt . ' n ' t ' 6 t ' r 3 i ' : O W P I E R :. . TENANT .: • . Chimney/liner/flue/vent 10. Other, 10.00 Name: C ■ 1 , $ e A c a_ LS • , , A Environmental exhaust and ventilation Address: Ad _ '. 2-9G E' Range hood/other kitchen equip 10.00 City/Stow/ZIP: I , (IX. €V7iikir Clothes dryer exhaust 10.00 4 Single -duct exhaust (bathrooms, Phone: (SC3) .) - S $' 0 Farr ( ) toilet compartments, utility room 6.R0 , E P$1 tNT. • , 0 Coo -ACT ptr'i1;soN , Attic/crawlspace fans _ 10.00 , Busine a name: Other: 10.00 - - Fuel piping Contact name: SS.40 for first !bur; S1.00 for each additional Address: Furnace, etc. Gas heat pump City /Sum/21P: Walllsuspcnded!unit heater Phone: ( ) i I Fax:: ( ) Water heater _ - E -mail: Fireplace , Ran OON'FR7LCLOR - Barbecue - • Business name: Ja cobs Heating & Conditioning Clothes dryer (gas) Other: Address: 4474 S Milwaukle "MEClIAIYICAL PERMIT FEES " City /State/ZIP: P rtlaud, OR 97202 Subtotal 1 (c/- Phone: (503) 234 7331 Minimum permit Ibe ($72.30) 7,2. S i ( ) Fax: (503) 808.9108 Plan review (25% of permit Sec) CCBtic.:1441 Slate surch e�' -'70 i TOTAL. PEIILMIT FEE $ I - .2,¢ • AuthoriRed SignatWt: „ 111101r / � -- This permit application norm Ira permit b net obtained ft abin 180 days after it oar been accepted as complete. Print name: ) j .... Date: Ia.- - (} r ` ' Fc ntethedelogy sc1 by 1}i-Counry Building Industry Servirt flood 1 chm&flormsilacm wep,dee omtimr 4m-t617T IIognR CONinvEn) 7/q 5