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Permit v CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2009 - 00002 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/2/2009 PARCEL: 1 S133DC -13800 SITE ADDRESS: 13162 SW SHORE DR ZONING: R - SUBDIVISION: ARI GREEN LOT: 029 JURISDICTION: TIG PROJECT: LEDBURY Project Description: Replace 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: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES SHEILA LEDBURY Description Date Amount . 13162 SW SHORE DR TIGARD, OR 97223 [MECH] Permit Fee 1/2/2009 $72.50 [TAX] 12% State Surchai 1/2/2009 $8.70 Phone: 503- 888 -6220 Total $81.20 Contractor: A -TEMP HEATING & COOLING 16000 SE EVELYN ST CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 650 -5014 FAX 503 -557 -2990 Reg #: LIC 71878 This permit is issued subject to the regulations contained in the Tigard Muniapal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952- 001 -0100. You may obtain copies of these rules or direct questions to OU NC by calling 503.246.6699 or 1.800.332.2344. Issued y: / to �_ Permittee Signtwo ,C g 1 I61.�____...? Call 503.639.4175 by 7:00 a.m. for inspections that b iness day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. ,. 1g - 01/02/2009 08:35 5035572990 A-TEMP HEATING PAGE 02/02 _ Mechanical Permit Application • .• FOR OFFICE USE ONLY .. . City of Tigard CEN E ,c.,,,.., i (e.y: , A 0 9 , Permit No.. 11 g „LAIL - °e on . 13125 SW Hall Blvd., Tigard, OR 9722RE Pine Review ' I13 • "- Phone: 503.639.4171 Fax; 503.598.1960 pnto/rIy: Other Permit . 1 . 10Akr. . ) Inspection Line: 503.639.4175 JAN 0 2 2009 Dote Itcndyaly: ;?....--- E1 See Page 2 rim Internet; ‘vww.tigard-or,gov . Nollfiecl.flyfethnd: , re Snrqdrnicntni Tnformrrtinn ''''"' ': • " ' ' ' ,i,ii' TY, I Aril ..- • • ...•.. .,..! .,..: . -. - -....... . , i ,..,..„,..• COMMERCI.11.. FEE* SCHLDULE - U$ECHECKI:ot Mechanical permit fees* are based on Ihe value of the work 0 New const tern ruction PA 4 dition/nite c • .... Ii o et; performed, Indicate the value (rounded to the nearest dollar) of all 0 Demolition il Other: mechanical mmeriaia, evipment labor, overhead. anttprofit. :.i. ... ..,.::' .... .;f 1 0ti$0.0.0. , .:P:t ., •00.$0 1 j.0 1,1 0:: ... :-.....• ....• : -....•.. • . 7 ... . .. \rm.; $ . .. . . ... . . ... .. ,..., -•:. • •••••RESIDE1NTIAL EQUI•PMENV.tvsimits PEES*. • . l ''. gq and 2 dwelling 0 Commercial/industrial 0 Accessory building - ..,--.... , - • ---. , .. Erna special tnihnnation use checklisi. 0 M1111,i- family 0 Master builder 0 Other, __ Description I ,Qty. 1 En. - 1 Total :; .."-''.:-::.:.:'' .. - - limiting/cooling .. • . • . • . - . • •• •• ,:.• •. • ....„..„...:. : .l• • • •• ..I.• • • -.......• ...., • • • .• • • • •• r . . •• .. • .. . • • .•. ,.. • . •• .• • . .•.. .. • . ••, • • • • Job site addross: I lo5 Pa 0 re- % r , Air conditioning or hot pump Q shnwinp rtIncernenl.) 14.00 ..., City/State/ZTP: _ .4 P •" Furnace 100.000 BTU (ducts/yenta) k 14,00 Fornnce 100,000 BT1; cductniven9 17.90 Suite/bldg./apt. no.: Project name: - .6 i t ..... .,....,....„ .._............ AA.. , Gag heat pump 0201 a Cross street/directions to job site: Duct work . 14.00 jiyclronic hot water system 14.00 Residential boiler (radiator or hydronic) _ ' 14.00 Unit heaters (Nei-type, not electric), in-wall, u.duct, suspended, etc. 10.00 Flue/vent for any of above 10,00 Subdivision: Lot no,: - Other: 10.00 . . Tax map/parcel no.: Other feel np 11:EInces _ .:. • •: :. :• • •' .. 1 ' ;: l.::: .;: ;- ; i. ... i. : : - :..i;:; V . ,:; : -: : ':' . ,•. ' : 1: ::: . /...1!1 . .. ::: : 1 *§.0/# 1 #0::•.0 : :; : *Otik*:: :: : . ::•••:•:.:',...::. • . Water heater 10.00 t_kpLik.,94/,it, aii ., - A i Gas fireplace Flue vent for %voter heater or gas fireplace 10.00 ' Log I ip.ht cr (pm) 10.00 Wood/pellet stove 10.00 ... Wood fireplaMinsert 10.00 - • ''''' . ; ' - : - ;fiiOt10V.:.'ii*.kEiRi•:: : •:•:' - ::::•7 7 : :- . .'...•-• . ..::::s • .. -. . ....t.::..r.i7.7 ANT . Chimney/liner/film/vent 10.00 '— Other: 10.00 Name; -_. .. — — — Envirorunental exhinou nod ventilation Range hoodiother kitchen Address: et ui. tent 10,00 — City/State/ZIP: &1°Y.442tie.Z\17.73jr ClothOR ( 10.00 . - Single•duct exhaust (bathroom, .1 _ Lia Fax: ( ) toilet Compartments. utility rooms) 6.80 . .. 1 : , •pP#1:400it.: • ? . : • ;:;, : :::1: : :1:.::1:. j• ,..:.!,:::.•:.;::•:::•..:;-.-74;•;#.01■T:tX0p•;:•00ieit;k:i.:•,: ::-...:.:.: Attic/crawl space fans 10.00 Other: 10.00 Business name: . - Fuel pitins_ Contact name: A-TENIP HEATING AND COOLING, TN:: 55.40 for first four, $1.00 lbr each additional __ tot3Ems7 ,______ Funtnee, ate. Address: -0-iiM15 ... Gr Ramp City/State/ZIP: 503-650-5014 Wall/auspended/unit heater Phone: ( ) Fax: : (503 5 5--r-o_cicw Water heater E-mail: Range • .: ..: .1 .- . .. • - •::: Barbecue :',...: • • :''' ••••::•'''' .-. :' :.:•"''.:••• : .... --.., • Clothes dryer Business nnmc: A-ThWir NEMINCLANDMOLThiOJEC._ Other: Address; • 16000 SE Evely.n St. - • • — • . . . „... .. . •••• • • .. :. MECHANICAL PERMIT. PEE,5*. ..•. .•, •:. • _ .'• , . 0: , i i ' • Ciry/State/ZIP: S - — Phone: ( ) 5° Frm: ( ) Minimum permit fee ($72.50) -------- Plan review (25% of permit fee) CCB lie.: ( 1 3 • .. State surcharge (12% of permit c) , TOTAL PERMIT FEE , .42 1 i X Authorigcd signattit : • ' t ' ? lei 1 This permit application expirrs Ira permit ti nal obtained trill& 1A0 days after It has helm accepted At compicte. Print oat ,_,.D_ din. Dale: p_. (C) 9 - 1 * Fee methodology set by Tei-eneuty Building Industry Ammice Board IMuildin0PomilisINIEC-Pcnnitnpp.doa 04/06/06 .1. 0.4617T 0 iguecom('Vo) INSPECTOR'S SIGNATURES ARE NOT Inspections Required for: , 1 1-4 Ec ' 00 9 - Dno02 REQUIRED ON GREEN INSPECTION CARD. . Code Inspection`Description I PASS'Date :B ✓ Code' InspectionDescn I:PASSDate`: ' <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: 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 • i \ Building \Forms \InspCard- AOP- Blank.doc 02/02/07