Permit . ,
71 a CITY OF ® MECHANICAL PERMIT
• 1: COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00608
T IGARD • 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/12/2008 •
PARCEL: 2 S 114 B B -19600
SITE ADDRESS: 10267 SW ELISE CT ZONING: R -7
SUBDIVISION: RIVERVIEW ESTATES LOT: 042 JURISDICTION: TIG
PROJECT: ANDRADE
Project Description: Replace 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:
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
JORGE & GRISELDA ANDRADE Description Date Amount
10267.SW ELISE CT
TIGARD, OR 97224 ' [MECH] Permit Fee 12/12/20C $72.50
[TAX] 12% State Surch 12/12/20( $8.70
Phone: Total $81.20
Contractor:
MECHANICAL INC
PO BOX 19569
PORTLAND, OR 97280 . REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 244 -1730
FAX 503- 245 -7613
Reg #: LIC 124283
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.
1 Issued By: ‘ a ` A 0 ( (, (/ A , Permittee Signature: See App tt. -tk
Call 503.639.4175 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 N'OT
Inspections Required for: YrtES'7o08 8 REQUIRED ON GREEN INSPECTION CARD.
l/ Code I Inspection Description I PASS Date I By I 1 Code I 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:
X 699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in
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
1: \ Building \ Forms \InspCard- AOP- Blank.doc 02/02/07
Dec. 12. 2008 2:23PM No. 9820 P. 1
li' 3?cnanlca .rermii A pllcataon RECE rolit,rhlc. lash: .
1114 City of Tigard Received Permit No.: 13 125 SW Hall Blvd. , , Tigard OR 97223 DEC 1 2 4 _. • J C Z ri. , 08
- .1 ' Phone; 503, 639.4171 Fax: 503.598,1960 �; Other Permit:
a u Inspection 3,63
Line: 509,4175 CITY OF TI s is _ se. Pogo 2 for
Internet: Line: g 03.63 gov Supplemental information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
ID New construction G Addition/alteration/replacement 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 CONSTRUCTION Value $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES"
1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist,
❑ Multi - family ❑ Master builder ❑ Other:
Description I Qty, Ea, Total
JOB SITE INFORMATION AND LOCATION • Heating/cooling _
Job site address: /if) 6 /7 w I / 4- Cr Air conditioning or i ngt pump
�requiros site plan showlnR placement) 14.00
City /State /ZIP: rr 7 1 D cif+ 97 i Y' Furnace 100,000 BTU (ducts/vents) / 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 14.40
Residential boiler (radiator or
hydronlc) 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
• • • f �" a Gas fireplace 10.00
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
1 ; PROPERTY OWNER
Chimney/liner /flue /vent 10.00
— ❑ N Other: 10.00_
Name: le I , F f t P E Environmental exhaust and ventilation
dress: It-T' IZ �Q.�-'� Range hood/other kitchen
Ad
.e c_k O - equipment 10.00
•
City /State /ZIP: Clothes dryer exhaust 10,00
Single -duct exhaust (bathrooms,
Phone; 51,13) 6 3, .-yriri Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON • • Attic /crawlspace fans 10.00 _
Business name:
Other: 10.00
Fuel piping
Contact name: $3.40 fir first !bur; 51.00 for each additional
Address: Furnace, etc.
Gas heat pump
City /State/ZIP: WalUsuspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
&mail: Fireplace
Range
CONTRACTOR Barbecue
B siness name: A Ex-4k 'f..11 • /ct at.,, !!! j • Clothes dryer (gas)
Other:
Address; 11 q ; QQQQ MECHANICAL PERMIT FEES*
•
City/State /ZIP: 1 re _41 , Subtotal
Phone. '�y''t Minimum permit fee ($72.50)
-�+� ' Plan review (25% of permit fee)
CCH lie.: / ■ 2 : - State surcharge (12% of permit fee)
TOTAL PERMIT FEE
Authorized signature: i This permit application expires if ■ permit Is not obtained within 160
days atter it hull been accepted as complete.
Print name: Date: _ .M " Fee methodology set by Tti -County Building Industry Service Board
11Building■Permits rC- PerndtApp.doo 01/19/07 " / 400.4617T (I1/02/COM/wEB)